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Promoting Breastfeeding & Risks of NOT Breastfeeding Birth & Beyond California: Breastfeeding Training and QI P

Promoting Breastfeeding & Risks of NOT Breastfeeding Birth & Beyond California: Breastfeeding Training and QI Project. 1. Objectives. Name two reasons why breastfeeding is considered the normal infant feeding method Describe the AAP’s recommendation on exclusive breastfeeding

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Promoting Breastfeeding & Risks of NOT Breastfeeding Birth & Beyond California: Breastfeeding Training and QI P

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  1. Promoting Breastfeeding & Risks of NOT Breastfeeding Birth & Beyond California: Breastfeeding Training and QI Project 1

  2. Objectives • Name two reasons why breastfeeding is considered the normal infant feeding method • Describe the AAP’s recommendation on exclusive breastfeeding • Identify two reasons for validating a woman’s feelings about breastfeeding

  3. Breastfeeding used to be the cultural norm How did we get from there to here?

  4. Breastfeeding is the Normal Method of Feeding and Nurturing Species Specific Most complete form of infant nutrition Composition changes over time Protects infant from diseases Improves maternal health Social and economic benefits Ip, AHRQ, 2007 Kramer, Arch Gen Psychiatry, 2008

  5. Activity: What Are the Risks of NOT Breastfeeding? • AHRQ Report: Executive Summary • Worksheet: “The Role of Human Milk in Enhancing Outcomes” Ip, AHRQ, 2007

  6. What are the results of this large uncontrolled artificial baby milk experiment? • Increased infant/child morbidity • Increased infant/child mortality • Increased maternal morbidity and mortality • Increased health care costs for all Weimer, U.S. Dept.of Agriculture, 2001 AAP, Breastfeeding and the Use of Human Milk, 2005

  7. Exclusive Breastfeeding • Recommended for the first 6 months • Is just one bottle of formula a problem? • Even in hot weather? • Add complementary foods gradually beginning at around 6 months • Continue breastfeeding for at least the first year of life and beyond for as long as mutually desired by mother and child AAP, Breastfeeding and the Use of Human Milk, 2005

  8. Breastfeeding Promotion • Preconception Care • Prenatal Education • In Hospital • Enthusiastic support • Consistent information • Post Discharge • Follow up Options • Resources Persad, J Community Health, 2008

  9. How to Counsel Women About Breastfeeding L: Listen to the woman’s concerns O: Ask Open-ended questions V: Validate the woman’s concerns E: Educate, targeting her specific concerns Best Start, 1995 Taveras, Pediatrics, 2004 Smith, Coach’s Notebook, 2002

  10. Explore and Address Concerns • Common concerns • Lack of confidence • Fear of not producing enough milk • Dietary restrictions & health concerns • Loss of freedom • Embarrassment • Return to work • Fear of pain

  11. Open-Ended Questions • “What have you heard about breastfeeding?” • “What do you know about breastfeeding?”

  12. Validate Feelings • Establishes rapport • Tells the mother you are really listening to her • Increases the effectiveness of your teaching

  13. L O V E Activity 13

  14. Effective Breastfeeding Education & Support • Sharing of concerns & experiences • Teaching hands on skills • Watching other mothers breastfeed • Appropriate for culture & literacy level Guise, Ann Fam Med, 2003

  15. Key Messages • Breastfeeding is desirable and achievable • Professional help and community support are available • Breastfeeding should be comfortable • Exclusive breastfeeding is important

  16. Skin-to-Skin + Exclusive and Extensive Breastfeeding=Optimal Outcomes AAP, Breastfeeding and the Use of Human Milk, 2005 Raisler, Am J Pub Hlth, 1999

  17. A parent cannot make a good decision unless it is an informed decision

  18. Photo Credits • Slide 1 – Motherhood by Petrov Vodkin circa 1913

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