1 Promoting Breastfeeding & Risks of NOT Breastfeeding Birth & Beyond California: Breastfeeding...
-
Upload
elmer-baldwin -
Category
Documents
-
view
226 -
download
2
Transcript of 1 Promoting Breastfeeding & Risks of NOT Breastfeeding Birth & Beyond California: Breastfeeding...
1
Promoting Breastfeedin
g&
Risks of NOT Breastfeedin
g
Birth & Beyond California:
Breastfeeding Training and QI
Project
2
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
Breastfeeding used to be the cultural norm
How did we get from there to here?
3
4
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, 2007Kramer, Arch Gen Psychiatry,
2008
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 concernsO: Ask Open-ended questionsV: Validate the woman’s concerns E: Educate, targeting her specific
concerns
Best Start, 1995 Taveras, Pediatrics, 2004
Smith, Coach’s Notebook, 20029
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
13
L O V E Activity
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