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Texas Ten Step Star Achiever Training Toolkit

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Intro
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Step 1: Establish a written breastfeeding policy that is routinely communicated to all health-care staff.
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Step 2: Train all healthcare staff in skills necessary to implement this policy.
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Step 3: Inform all pregnant women about the benefits and management of breastfeeding.
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Step 4: Help mothers initiate breastfeeding within an hour of birth. Place babies in skin-to-skin contact with their mothers immediately following birth for at least an hour. Encourage mothers to recognize when their babies are ready to breastfeed and offer help if needed.
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Step 5: Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants.
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Step 6: Give newborn infants no food or drink other than breastmilk unless medically indicated.
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Step 7: Practice rooming-in – allow mothers and babies to remain together – 24 hours a day.
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Step 8: Encourage breastfeeding on demand. Teach mothers cue-based feeding regardless of feeding method.
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Step 9: Give no artificial nipples or pacifiers to breastfeeding infants.
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Step 10: Foster the establishment of breastfeeding support groups and refer mothers to them upon discharge from the hospital or clinic.
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