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• 100%/ 103 out of 103 prenatal women and family participants increased their knowledge and awareness of <br />labor and delivery techniques that enhanced a positive birth outcome/experience. Data pulled from prenatal <br />classes. Due to COVID-19, all prenatal classes have been converted to virtual classes. 18 classes were <br />scheduled with 103 participants in the classes, although only 39 clients. Some clients attended several <br />classes. <br />• 81% / 227 out of 279 postpartum program participants received a preventative care home visit by a <br />registered nurse who counsels and identifies possible adverse conditions of the mother and developing <br />infant. Due to COVID-19, all nurse home visitation visits have been converted to virtual visits or have been <br />conducted through phone calls. <br />Outcome # 3: Women initiate and maintain breastfeeding with their infant to decrease associated risk factors <br />of obesity in children. <br />Goal Results: 87% Overall <br />86%/ 239 out of 277 (2 fetal demise, 279 deliveries) all mother's giving birth at Cleveland Clinic Indian River <br />Hospital will initiate breastfeeding at the bedside. <br />88% / 245 out of 279 program participants received support by a home visit, follow-up phone calls at 3 - <br />days, and 6 -weeks, as well as, referrals to IBCLC professional when necessary. 34 clients declined or did not <br />answer the phone. Please note that not all clients agree to receive nurse home visits, follow-up calls, or <br />answer phone calls. <br />COVID-19 Impact: The Babies & Beyond program is currently working on innovative ways to bring prenatal <br />education classes, lactation support, and nurse home visitation (NHV) to our community. The first virtual <br />prenatal class was held on April 11, 2020. The Babies & Beyond program in collaboration with Women's Care <br />Center is offering both Spanish and English classes. <br />Nurse home visitation and lactation support continues to be virtual. Elaine Sanchez, NHV-RN, CLC has been <br />following up with new mothers and families via telehealth to provide ongoing support and education to clients. <br />The Nurse Home visitation program is waiting to receive clearance from Cleveland Clinic Indian River Hospital <br />to be able to go back into the home. Once home visitation resumes, Ms. Sanchez will be offering both in-person <br />and virtual nurse home visitation, which will increase the number of clients seen and the need for additional <br />nurses to help meet the growing demand. If a second nurse is added to the Indian River County Healthy Start <br />Coalition and Cleveland Clinic Indian River team, this will result in an expansion of home visits, as well as having <br />this nurse complete CPR training/instruction within the home, while completing beneficial assessments such as <br />weight check (on baby), physical assessments and vital signs (on mother and baby). <br />Lactation services have returned to Cleveland Clinic Indian River Hospital and continue to be successful in <br />supporting both mother and baby regarding their breastfeeding journey. Due to COVID-19, this service will <br />continue to be monitored by the hospital and will reflect any policy changes. <br />Social media platforms forms have also been utilized to disseminate information to help keep our community <br />informed, empowered, and connected. Program staff and the Coalition will continue to develop creative ways <br />to meet the needs of our clients and community during this time. <br />119 <br />