Breastfeeding Friendly Child Care Provider Training - PowerPoint PPT Presentation

Breastfeeding Friendly Child Care Provider Training

10 Steps Toolkit

Amber France MS IBCLC

Wood County Health Department

afrance@co.wood.wi.us

(715)421-8937

Wood County Breastfeeding Coalition

HPWC Chronic Disease Prevention Team

Wood County Health Department

• Investing Early Grant from Celebrate Children Foundation
• Develop Training/Materials
• Process
• Outcomes

• Lower IQ
• Increased risk of SIDS
• Increase in infectious illness
• Higher risk of inflammatory bowel diseases
• Increase NEC in preemies
• Higher risk of cancer
• Higher risk for cardiovascular disease
• Higher risk of diabetes
• No protection from asthma & eczema
• Higher risk of childhood obesity
• More cavities
• Problems with oral/jaw structure

• Life is easier
• Saves money
• Feel great
• Health benefits
• Miss less work

“If 90 percent of families breastfed exclusively for 6 months, nearly 1,000 deaths among infants could be prevented.”

• Save $13 billion per year
• More productive workforce
• Better for environment

• Babies are sick less
• Babies are happier
• Diaper odor is less
• Baby may spit up less
• Easier transition
• More marketable

• Breastmilk is part of the Meal Pattern
• Reimbursable component of infant meal pattern
• Children >12 months, breastmilk substitute cow’s milk in the meal pattern for reimbursement

• Increase the proportion of employers that have worksite lactation support programs

• Exclusive breastfeeding for the 1st 6 months
• Continued breastfeeding through at least the 1st year or longer as mutually desired
• Medical contraindications are rare

WHO recommends at least 2 years!

“One of the most highly effective preventive measures a mother can take to protect the health of her infant and herself is to breastfeed.”

“The success rate among mothers who want to breastfeed can be greatly improved through active support from their families, friends, communities, clinicians, health care leaders, employers, and policymakers.”

• Step 1: Designate an individual or group who is responsible for development and implementation of the 10 steps.
• Step 2: Establish a supportive breastfeeding policy and assure that all staff are aware of and following the policy.
• Step 3: Establish a supportive worksite policy for staff members who are breastfeeding.

• Step 4: Train all staff so that they are able to carry out breastfeeding promotion and support activities.
• Step 5: Create a culturally appropriate breastfeeding friendly environment.
• Step 6: Inform expectant and new families and visitors about your Center’s breastfeeding friendly policies.
• Step 7: Stimulate participatory learning experiences with the children related to breastfeeding.

• Step 8: Provide a comfortable place for mothers to breastfeed or pump their milk in privacy, if desired. Educate families and staff that a mother may breastfeed her child wherever they have legal right to be.
• Step 9: Establish and maintain connections with your local breastfeeding coalition or other community resources.
• Step 10: Maintain an updated resource file of community breastfeeding services and resources kept in an accessible area for families.

• Reviews existing practices
• Compliance with requirements
• Assess key areas for improvement
• Tool to prioritize

Designate an individual or group who is responsible for development and implementation of the 10 steps.

• Designate individual or small group to
• Initiate & asses progress
• Review policies, procedures, & protocols
• Ensure staff receive orientation & training

• Support from Management & Staff
• Assemble team
• Designate a coordinator
• Team meetings
• Planning
• Action Plan
• Continuing Education

• 75% women employed with children <3 years
• 51% under 2 cared for by someone other than parent
• Child care vital role in breastfeeding
• Benefits to family & center
• Child care setting: Natural, logical place for support

• Depend on size of center
• Both management and direct staff
• Designate a coordinator
• Team meetings

• Written guidance
• Example in tool-kit

Establish a supportive breastfeeding policy and assure that all staff are aware of and following the policy.

• Support & protect mothers/infants
• Addresses
• Breastfeeding mothers welcome
• Accurate information
• Trained staff
• Sample policies

Establish a supportive worksite policy for staff members who are breastfeeding.

• Supportive staff
• Comfortable environment
• Supporting employees
• Example lactation areas

Train all staff so that they are able to carry out breastfeeding promotion and support activities.

• Store in 1-4 oz. portions
• Label milk
• Infants full name
• Date
• Amount
• Discuss with parents
• Use Academy of Breastfeeding Medicine Storage Guidelines

Example:

Sammy Smith

Date pumped: 12/12/12

Amount: 4 oz.

*The Academy of Breastfeeding Medicine (Protocol #8)

• Separation
• Swirl – Don’t shake
• Thaw
• Refrigerator
• Under warm water
• Do not refreeze

• Do not use a microwave
• Use warm water
• Under running water
• In container of warm water
• Bottle warmer
• Excessive heat destroys properties
• Some like cold milk

• Easily digested
• Typically 1 ½ to 3 hours
• Hunger cues
• Avoid large feedings

• Growth Spurts
• Needs as baby grows
• Breastmilk vs formula composition

• Mimic breastfeeding
• Switch arms
• Baby control feeding
• Feed slowly
• Stop with baby’s cues

• Reverse Cycle Feeding
• Different Containers

• Weight gain – Most Important
• Wet diapers
• Spit up is normal
• Not good indicators
• Baby cries after feedings
• Mom can only pump ½ ounce
• Baby will continue to take more milk after first bottle

• Mustard color
• Seedy
• Runny to pudding

consistency

• Normal not to stool

daily

• Supply and demand
• Low supply triggers
• Supplements
• Skipping Feedings
• Pacifiers
• Illness

• Referral to Lactation Consultant
• To Increase (at center)
• Give only what was pumped the previous day
• Do not supplement
• To Increase (with mom)
• No pacifiers
• Nurse more often
• Do not skip pumping at work

• No need for separate refrigerator
• No gloves
• Not contaminated by touch

*According to OSHA’s and CDC’s definitions, breastmilk is classified as “food” and does not require universal precautions for handling body fluids.

• Verbalize and initiate support
• Encourage mom to get help
• Be accommodating

• Staff develop with family
• Individualize
• Familiarize all staff

• Delay solids until around 6 months
• AAP guidelines
• Good starters

Create a culturally appropriate breastfeeding friendly environment.

• Written and verbal communication
• Eliminate/limit visibility of formula
• No baby bottle pictures
• Racial/ethnically diverse pictures& materials
• Monitor staff

Inform expectant and new families and visitors about your Center’s breastfeeding friendly policies.

• Breastfeeding policies and handouts
• Information on local laws
• Signage

Stimulate participatory learning experiences with the children related to breastfeeding.

• Books
• Pictures

Provide a comfortable place for mothers to breastfeed or pump their milk in privacy, if desired. Educate families and staff that a mother may breastfeed her child wherever they have legal right to be.

Wisconsin State Statute 253.16

“A mother may breastfeed her child in any public or private location where the mother and child are otherwise authorized to be. In such a location, no person may prohibit a mother from breastfeeding her child, direct a mother to move to another location to breastfeed her child, direct a mother to cover her child or breast while breastfeeding, or otherwise restrict a mother from breastfeeding”

Establish and maintain connections with your local breastfeeding coalition or other community resources.

Maintain an updated resource file of community breastfeeding services and resources kept in an accessible area for families.

• Your local breastfeeding coalition will update you on the latest breastfeeding information.

Amber France MS IBCLC

Wood County Health Department

afrance@co.wood.wi.us

(715)421-8937

• http://www.cdph.ca.gov/programs/breastfeeding/Documents/MO-HowDoesForWAFBF-Eng.pdf
• http://infantnutritioncouncil.com/breastmilk-information/
• http://www.americanpregnancy.org/firstyearoflife/whatsinbreastmilk.html
• http://www.womenshealth.gov/breastfeeding/why-breastfeeding-is-important/index.html
• http://www.usbreastfeeding.org/Portals/0/Publications/Child-Care-2002-USBC.pdf
• http://digitalcommons.unl.edu/cgi/viewcontent.cgi?article=1007&context=sociologydiss&sei-redir=1&referer=http%3A%2F%2Fwww.google.com%2Furl%3Fsa%3Dt%26rct%3Dj%26q%3Dbenefits%2520of%2520breastfeeding%2520to%2520childcare%2520centers%26source%3Dweb%26cd%3D4%26ved%3D0CFEQFjAD%26url%3Dhttp%253A%252F%252Fdigitalcommons.unl.edu%252Fcgi%252Fviewcontent.cgi%253Farticle%253D1007%2526context%253Dsociologydiss%26ei%3DAKPPULXbHoakyQG5q4HYCQ%26usg%3DAFQjCNGykr2msusoayso3sdiQCL2FosR_A#search=%22benefits%20breastfeeding%20childcare%20centers%22
• http://www.dhs.wisconsin.gov/hw2020/health/nutrition/reportcard09.pdf
• http://kellymom.com/bf/normal/growth-spurts/

• http://www.workandpump.com/reversecycling.htm
• http://www.nbci.ca/index.php?option=com_content&view=article&id=23:is-my-baby-getting-enough-milk&catid=5:information&Itemid=17
• http://www.mayoclinic.com/health/low-milk-supply/AN02187
• http://kellymom.com/bf/got-milk/supply-worries/low-supply/
• http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=INTERPREATIONS&p_id=20952
• http://kellymom.com/nutrition/starting-solids/solids-how/
• http://mchb.hrsa.gov/pregnancyandbeyond/breastfeeding/
• http://wdrs.fnal.gov/elr/familybalance/mothersroom.html
• http://uvahealth.com/directions-locations/clinics/images-and-docs/augusta-pediatrics-indoor-shots/nursing%20room.jpg/view
• http://www.meadjohnson.com.ph/news_lactation-suite-room-for-nourishment.html
• http://rakhealthmatters.wordpress.com/2012/03/21/breastfeeding-and-the-milk-supply-over-time/