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“How To Support A Breastfeeding Mother”

“How To Support A Breastfeeding Mother”. A Guide for the Childcare Center. Revised for Wisconsin by the Wisconsin Breastfeeding Coalition Developed by the Mississippi State Department of Health WIC Program. AAP Policy Statement. Breastfeeding is the normal way to feed a baby.

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“How To Support A Breastfeeding Mother”

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  1. “How To Support A Breastfeeding Mother” A Guide for the Childcare Center Revised for Wisconsin by the Wisconsin Breastfeeding Coalition Developed by the Mississippi State Department of Health WIC Program

  2. AAP Policy Statement • Breastfeeding is the normal way to feed a baby. • Breastfeed exclusively for the first 6 months. • Continue for at least 1 year.* • And as long thereafter “as is mutually desired” *The World Health Organization (WHO) recommends 2 years.

  3. Healthy People 2010 Goals • At least 75% breastfeeding initiation • At least 50% continuing to 6 months • At least 25% at 1 year • At least 40% exclusively breastfed for 3 months • At least 17% exclusively breastfed for 6 months

  4. Wisconsin Breastfeeding Data • 72.1% breastfeeding initiation • 39.6 % breastfeeding at 6 months • 19.0% breastfeeding at 12 months • 30.5% Exclusive BF through 3 months • 11.3% Exclusive BF through 6 months

  5. Breastfeeding is the Normal Way to Feed a Child.

  6. Benefits to Baby Reduced risks for: • otitis media (ear infections) • upper and lower respiratory infections • urinary tract infections • gastroenteritis • NEC in preemies • allergies • overweight/obesity

  7. More Benefits to Baby Reduced risks of: • Diabetes • Crohn’s disease • Childhood leukemia • Cardiovascular disease • Sudden Infant Death Syndrome (SIDS)

  8. More Benefits for baby Breastfeeding... • Enhances brain and IQ development • Optimizes mother-infant bonding • Enhances strong jaw and facial development • reduces need for orthodontic treatment later in childhood.

  9. Breastfeeding Saves Money • The cost of formula feeding for one year is ~$1,500 (just for the formula). • The cost of breastfeeding is PRICELESS.

  10. Breastfeeding Saves Money • A minimum of $3.6 billion would be saved if breastfeeding were increased from current levels to those recommended in Healthy People 2010! • At least 75% initiate breastfeeding • At least 50% continue breastfeeding at least 6 months • At least 25% continue breastfeeding at least 12 months • These cost savings are calculated from just 3 illnesses: otitis media, gastroenteritis and necrotizing entercolitis

  11. Benefits for Mom • Promotes rapid recovery after having a baby • Decreases risk of anemia • Helps in weight reduction • Reduces risk of breast cancer, especially premenopausal • Reduces risk of ovarian cancer • May reduce risk of endometrial cancer (of the uterus lining) • Reduces risk for osteoporosis

  12. Breastfeeding Benefits Employers • Less employee turnover • Faster return from maternity leave • Less employee absenteeism • Happier employee

  13. Breastfeeding Benefits Childcare Centers • Baby is sick less often. • Diapers have less odor. • Baby is happier. • Baby spits up less.

  14. AAP Recommendations • Breastfeed for at least 12 months. • Provide breastmilk even when mom and child are separated. • Encourages family & community support • Media should portray breastfeeding as the norm. • Employers provide facilities and time.

  15. Working & Breastfeeding ? Yes ! With a little Loving Support!

  16. Breastfeedingis the Gold Standard

  17. Breastmilk as part of the Meal Pattern If your center participates in the Child and Adult Care Feeding Program… • Breastmilk is a reimbursable component of the infant meal pattern • For children over 12 months - breastmilk is a substitute for cow’s milk in the meal pattern for children and the meal is reimbursable.

  18. There are different sets of recommendations from different organizations. As a childcare center you should be using guidelines from AAP and CDC. Mom may be following a different set of guidelines. Working with mom regarding storage of breastmilk will avoid problems. Storing that Liquid Gold

  19. At room temperature (66-72OF)….…6-8 hours In a refrigerator (32-39OF)……...….….5 days In a freezer inside a refrigerator……. 2 weeks In a freezer with a separate door....3-6 months In a separate deep freeze (0)OF..…....6-12 months *From CDC; reference: Academy of Breastfeeding Medicine. (2004). Storing that Liquid Gold

  20. Handling of Breastmilk • Label the bottles with baby’s name, the date the breastmilk was collected and the date thawed. • Breastmilk separates into layers • Swirl gently to mix layers back together. • Thawed breastmilk can be kept in the refrigerator for 24 hrs. Do not refreeze. • Heat breastmilk in warm water never microwave breastmilk • After a feeding, throw out any unused breastmilk left in the bottle.

  21. BreastmilkIs NOT Classified as a Body Fluid* • You do not need to store breastmilk in a separate refrigerator. • You do not need to wear gloves to give a bottle of breastmilk. • You do not contaminate breastmilk by touch. Touching breastmilk is not a hazardous exposure nor a potential contaminant. *According to OSHA’s and CDC’s definitions,breastmilk is classified as “food” and does not require universal precautions for handling body fluids.

  22. Feeding Suggestions for Childcare Workers • Hold baby close. • Discuss with mom ahead of time how to handle times when baby is hungry at the end of the day. • Mom may be ready or want to feed her baby as soon as she arrives at the center. • Provide a “nursing nook” in the childcare center where mom can breastfeed her baby.

  23. Other ways to be Supportive • Some babies prefer to wait for their mother’s return and not eat much at the childcare center. • Keep 1 bottle of frozen milk in the freezer for emergencies. • Keep track of the number of ounces of breastmilkbaby ate. • Praise mom for providing the very best nutrition to her baby.

  24. Critical Times for Support... • The transition back to work can be a difficult time for moms and babies and she may feel that she is unable to pump enough or continue pumping. Praise her efforts and encourage her to talk to a breastfeeding professional. • When baby is teething • When mom needs to take medications • When baby is having a “growth spurt” • When pumping isn’t going well • When mom thinks her supply is declining

  25. Baby’s Hunger Cues • Turning his or her head side to side in search of the breast. • Making sucking noises. • Sucking on hand or fist. • Crying is a late cue. Try to feed baby before he or she start crying.

  26. Things to Remember • If breastfeeding is not going well, the solution is to fix the breastfeeding -- NOT to “wean to a bottle”. • Most potential problems are easily managed without interrupting breastfeeding. • A little breastfeeding is better than none • For help call: WIC, LLL, Public Health, WALC, or your health care provider

  27. Breastfeeding...Baby’s Best Start

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