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Promoting Breastfeeding and Risk of not Breastfeeding by K8d2tK

VIEWS: 52 PAGES: 18

									  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
•   Identify two reasons for validating a
    woman’s feelings about breastfeeding


                                              2
Breastfeeding used to be the
        cultural norm


How did we get from there to here?




                                     3
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         4
  Activity: What Are the Risks of NOT
             Breastfeeding?

• AHRQ Report: Executive Summary

• Worksheet: “The Role of Human Milk in
  Enhancing Outcomes”


                      Ip, AHRQ, 2007


                                          5
             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

                                                                 6
      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

                                                                    7
    Breastfeeding Promotion
• Preconception Care

• Prenatal Education
• In Hospital
   – Enthusiastic support
   – Consistent information
• Post Discharge
   – Follow up Options
   – Resources

                         Persad, J Community Health, 2008


                                                            8
     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

                                                    9
  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
                                             10
      Open-Ended Questions


• “What have you heard about
  breastfeeding?”

• “What do you know about breastfeeding?”



                                        11
         Validate Feelings
• Establishes rapport
• Tells the mother you are really
  listening to her
• Increases the effectiveness of your
  teaching



                                        12
L O V E Activity




                   13
       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




                                                   14
   Key Messages
• Breastfeeding is desirable and
  achievable
• Professional help and community
  support are available
• Breastfeeding should be comfortable
• Exclusive breastfeeding is important



                                         15
      Skin-to-Skin
           +
Exclusive and Extensive
     Breastfeeding
           =
  Optimal Outcomes

   AAP, Breastfeeding and the Use of Human Milk, 2005
                         Raisler, Am J Pub Hlth, 1999
                                                    16
A parent cannot make a good
   decision unless it is an
     informed decision




                              17
                       Photo Credits
•   Slide 1 – Motherhood by Petrov Vodkin circa 1913




                                                       18

								
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