Peer Counselors
What resource do we provide to help increase rates of initiation, exclusivity, and duration of breastfeeding?
Breastfeeding peer counselor programs
LCHD WIC stats from Q3:
without PC contact vs with PC contact:
initiation: 69.6% vs 87.4%
6 months: 18.8% vs 21.1%
When is World Breastfeeding Week 2018?
The annual global celebration of breastfeeding was from August 1-7
Name 4 infant behaviors that are seen as "feeding cues"
Fluttering eyes
Hand to mouth
Rooting
Moving head side to side or bobbing
Nuzzling into breast
Which feeding method is shown to establish and positively influence the development of the infant's gut microbiome?
Breastfeeding
Whose main role is to offer support for breastfeeding mothers?
Peer counselor
When should pregnant clients be scheduled with a BFPC?
Third trimester (ideal 1-2 months before due date)
Around what percentage of US women exclusively breastfeed for 3 months?
** DAILY DOUBLE **
What is the current LCHD WIC exclusivity rate at 3 months?
What is the current IDHS WIC goal for exclusivity at 3 months?
32.6%
CDC found 85% of mothers plan to exclusively breastfeed for 3 months but only 32.6% were able to follow through
**daily double**
Current Rate at LCHD WIC ~12%
IL WIC goal: 20%
What method helps to regulate baby's temperature, blood pressure, heart rate, breathing, and blood sugar levels?
Skin-to-Skin contact
When comparing breastfeeding to formula feeding, what is the percent reduced risk of overweight or obese children?
10%
Sankar M.J. et al. (2015). Optimal breastfeeding practices and infant and child mortality: A systematic review and meta-analysis. 104, 3-13
What is the definition of a Scope of Practice?
Procedures, actions, and processes that a healthcare practitioner is permitted to undertake in keeping with the terms of their professional license.
How do BFPC contact clients?
Phone calls
Text conversations
Face-to-Face counseling
What are the 3 focus points for World Breastfeeding Week 2018?
(hint: they were in the email sent out about World Breastfeeding Week!)
Preventing malnutrition
Ensuring food security
Breaking the cycle of poverty
What is produced during the first few days of an infant's life?
Colostrum
Name at least 1 factor shown to significantly reduce exclusive breastfeeding
Twin pregnancies; post-partum infection; cesarean section by maternal request; use of a pacifier; irritability in the neonatal period
Maharlouei N MD1, Pourhaghighi A Medical student2, Raeisi Shahraki H PhD3, Zohoori D MD4, Lankarani KB MD1.Factors Affecting Exclusive Breastfeeding, Using Adaptive LASSO Regression.Int J Community Based Nurs Midwifery. 2018 Jul;6(3):260-271.
Who can complete an in-depth feeding assessment including before and after weights of an infant.
An IBCLC
How many contacts with a BFPC does a client need to have in the first 7 days after delivery per IDHS?
2
How much $ is the infant formula market expected to reach by 2019?
$70.6 billion
Save the Children (2018). Don't Push it. Why the formula milk industry must clean up its act
What is a common reason moms report they stop BF prior to 6 months?
Perceived low milk supply
or: returning to work/school/separation from infant, lack of support, etc
What is one reason for differences in national breastfeeding rates between non-Hispanic black and white infants?
Returning earlier to work; not receiving enough information about breastfeeding from providers; lack of access to professional support
CDC (2017) Racial and Geographical differences in breastfeeding-(2011-2015)
This individual is only able to provide basic breastfeeding assessments by observation
Certified lactation counselor
How can you refer a client for extra BF support?
By walking a client over to the BFPC or CLC in clinic
Emailing HLWICBreastfeeding@lakecountyil.gov
Referring clients to community BF resources (handout in U drive)
What are the objectives of Breastfeeding Week 2018?
(*Hints: The are 4 and they were in the email sent about WBW and on the SnapCOMM all month!)
Inform...people about how breastfeeding is linked to nutrition, food security, and poverty reduction
Anchor...breastfeeding within the nutrition, food security, and poverty agenda
Engage...with individuals/organizations working on these issues
Galvanize/Inspire...action to advance breastfeeding as part of nutrition, food security, and poverty reduction strategies
What are the American Academy of Pediatrics recommendations for breastfeeding?
**DAILY DOUBLE**
What are the World Health Organization recommendations for breastfeeding?
Exclusive breastfeeding for 6 months, continuing to breastfeed for 1 year while introducing solid foods. After 1 year may continue breastfeeding if mutually desired by mother and infant
**Daily double:
Exclusive breastfeeding for 6 months is the optimal way of feeding infants. Thereafter infants should receive complementary foods with continued breastfeeding up to 2 years of age or beyond. - WHO
What is the probiotic strain being used to treat colic in breastfed infants?
Lactobacillus Reuteri
Infants with colic treated with L reuteri for 30 days had a significantly decreased crying time. 75 vs 147 minutes a day
J. Pediatrics (2018)
What are the responsibilities of breastfeeding educators? (Peer counselor, certified lactation counselor, IBCLC, dietitians, physicians)
Promote breastfeeding as optimal method of feeding
Respect the privacy and dignity of mothers
Acquire ongoing education to build skills
Work as part of a healthcare team