F2-b - Keeping “A Breast”; Building Collaborative Care and Transitions to optimize breastfeeding success across the City of Hamilton through Primary Care

2. Continuous care: ensuring seamless transitions for patients across the continuum of care

  • Date: Friday, September 20, 2019
  • Concurrent Session F
  • Time: 12:00pm-12:45pm

  • Room: Pier 7
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Representatives of stakeholder/partner organizations

Learning Objectives

  1. The impact of physiotherapy alongside lactation consultation on breastfeeding success, duration and maternal pain.
  2. The exploration of the relationship between lactation consultant and physiotherapist within the interprofessional team and community.
  3. Building knowledge translation links while fostering seamless transitions; referrals and treatment from bedside to home with community partners (Midwives, Public Health and Hospital Lactation Consultants, School of Midwifery, Baby-Friendly Initiative) and Primary care. 
  4. Building capacity to assess impact of antenatal, intrapartum and post-partum interventions on breast feeding success along the spectrum of care.  


Antenatal, intrapartum and post-partum interventions can potentially impact breastfeeding success. The impact these have on function and latch may go unrecognized in hospital and by the primary health care team and the community partners. Timely assessment and diagnosis can positively influence the long term success of breastfeeding including maternal self-efficacy. Community partnerships within the City of Hamilton, have been developed through educational seminars to improve identification and referrals to specialized care. Strengthened collaboration, seamless transitions and referrals from bedside to community to primary care have improved access for mothers and babies to receive opportune care with the lactation consultant and the physiotherapist. Educational efforts are now being shared across the community and province with the School of Midwifery, webinars with Baby-Friendly Initiative, hospital based lactation consultants and nursing staff, along with hospital and community based specialists and physicians.


  • Laura Doyle, Physiotherapist, BHSc(PT), B.Ed., B.Kin     Department of Family Medicine, McMaster Family Health Team
  • Loren Harding, Registered Practical Nurse, Certified Lactation Consultant, RPN, IBCLC, Department of Family Medicine, Maternity Centre of Hamilton