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How To Support A Breastfeeding Mother
- 1. How To SupportA Breastfeeding Mother A Guide for the Childcare Center Developed by the Mississippi State Department of Health WIC Program Revised for Texas by the Texas Department of Health Texas Breastfeeding Initiative 1
- 2. AAP Policy Statement nBreastfeeding is best. n Breastfeed exclusively for the first 6 months. n Breastfeed for at least 1 year.* n Breastfeed beyond one year for as long “as is mutually desired.” *World Health Organization (WHO) recommends at least 2 years. 2
- 3. Healthy People 2010 Goals n 75% breastfeeding initiation n 50% continuing to 6 months n 25% at 1 year 3
- 4. Breastfeeding is the Natural Wayto Feed a Baby. 4
- 5. Benefits to Baby Reducedrisks of: n Otitis media (ear infections) n Upper and lower respiratory infections n Urinary tract infections n Gastroenteritis (intestinal infections) n NEC in preemies n Allergies n Obesity 5
- 6. More Benefits toBaby Reduced risks of: n Diabetes n Ulcerative colitis/Crohn’s disease n Childhood leukemia n Sudden infant death syndrome (SIDS) or “crib death” 6
- 7. Breastfeeding Saves Money In the U.S., the health care system would save at least 2-4 billion dollars annually if mothers were enabled to choose and to succeed in breastfeeding for as little as twelve weeks. Miriam Labbok, M.D. Medical Researcher Georgetown University 7
- 8. More Benefits forbaby n Increases serotonin receptors in the brain n Enhances brain and IQ development n Optimizes mother -infant bonding n Enhances strong jaw and facial development – reduces need for orthodontic treatment later on 8
- 9. Benefits for Mom nDecreases postpartum bleeding n Decreases risk of anemia n Helps in weight reduction n Reduces risk of breast cancer, especially pre-menopausal n Reduces risk of ovarian cancer n May reduce risk of endometrial cancer (of the uterus lining) n Reduces risk for osteoporosis 9
- 10. Breastfeeding Benefits Employers n Less employee turnover n Faster return from maternity leave n Less employee absenteeism n Happier employee 10
- 11. Breastfeeding Benefits Childcare Centers n Baby is sick less often. n Diapers have less odor. n Baby is happier. n Breastfed baby spits up less. 11
- 12. AAP Recommendations n Breastfeedfor at least 12 months n Provide breast milk even when mom and child are separated n Encourage family & community support n Media should portray breastfeeding as the norm n Employers provide facilities and time 12
- 13. Support of the BreastfeedingChildcare Employee If your childcare center is interested in becoming a Texas Mother -Friendly Worksite, call (512) 458-7111, ext 6233 for an application packet. 13
- 14. Working & Breastfeeding? Yes ! With a little loving support! 14
- 15. Breastmilk Supply nSupply is consumer driven. nBreasts make milk while baby is nursing or mom is expressing. nPumping schedule: »before work »evening 15
- 16. Tips for WorkingMoms n Mother’s milk should be well established before pumping and introducing bottle. n It takes 3 - 4 weeks of exclusive breastfeeding for mother’s milk supply to become well established. n Let someone else other than mom give baby his/her first bottle. 16
- 17. Tips for WorkingMoms Before returning to work or school, mom should: – Talk to a breastfeeding specialist about what type of breast pump would work best for her. – Begin pumping 2 weeks before returning to work or school. 17
- 18. Breastfeeding isthe Gold Standard 18
- 19. Storing That LiquidGold n Temperature n Time Up to 79º F 4 hours Refrigerator 5 days Freezer 3 months Deep freeze 6 months 19
- 20. Handling of Breastmilk n Refrigerated or frozen, breastmilk separates. n Heat breastmilk in warm water-- never microwave breastmilk. n Swirl gently to mix layers back together. n Thawed breastmilk can be kept in fridge for 24 hours. Do not refreeze. n It is recommended leftovers be discarded. 20
- 21. Breastmilk Is NOT Classifiedas A Body Fluid* n You do not need to store breastmilk in a separate refrigerator. n You do not need to wear gloves to give a bottle of breastmilk to a baby. n You do not contaminate breastmilk by touch. Touching breastmilk is not 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. 21
- 22. Feeding Suggestions for Childcare Worker n Hold baby close. n Burp well. n Use orthodontic nipples. n Avoid pacifiers for babies under 2 - 3 weeks old. n Avoid solids before four to six months. n Try not to feed baby during the last 2 hrs before mom is due to pick up baby—or if you do, just give baby a “snack.” 22
- 23. Other Ways toBe Supportive n Praise mom for providing the very best nutrition to her baby. n If possible, provide “nursing nook” in the childcare center where mom can breastfeed her baby. n Keep 1 bottle of frozen milk for emergencies. n Keep track of wet, soiled diapers for mom. n Keep track of amount baby consumes and report to mom. 23
- 24. Nutrition and Foods Brought From Home n Clearly label each child’s bottle with child’s name and the date the milk was expressed. n Use the oldest milk first. n Feed infants expressed breastmilk on demand, unless parent provides other written instructions. n Staff should wash their hands before and after feeding. 24
- 25. Baby’s Hunger Cues n Turning head from side to side in search of breast n Making sucking noises n Sucking on hand or fist n Crying is the last cue. Try to feed before this stage. 25
- 26. Things to Remember n The risks of artificial infant feeding are numerous and can have lifelong implications. n If breastfeeding is not going well, the solution is to fix the breastfeeding --NOT to “wean to a bottle”. n Most potential problems are easily managed without interrupting breastfeeding. n A little breastmilk is better than none. n For help call Mom’s Place: 1 -800-514-6667 Or La Leche League: 1-800-525-3243 26
- 27. Breastfeeding is the natural Way to Feed A Baby! 27