Digging Deep: What Drives Infant Feeding Choices?.
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Transcript of Digging Deep: What Drives Infant Feeding Choices?.
![Page 1: Digging Deep: What Drives Infant Feeding Choices?.](https://reader030.fdocuments.us/reader030/viewer/2022033100/56649c745503460f949278d0/html5/thumbnails/1.jpg)
Digging Deep:What Drives Infant Feeding Choices?
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Reflecting on Babies
https://www.youtube.com/watch?v=DEduV4t2-Wc
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Afternoon Overview• Supporting Healthy Infant Feeding
Relationships
• Reflecting on How Baby Behaviors Supports Infant Nutritional Assessment and Counseling
• Applying Baby Behaviors to the Top 10 Infant Feeding Traffic Jams and Detours
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Reflections On Your Infant Feeding Travels So Far
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What We Know So Far…
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Breastfeeding…Our Foundation
Baby Behaviors is another opportunity for breastfeeding promotion and support.
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Baby Behaviors
• LMS
• In-Service
• Why have we integrated Baby Behaviors into Arizona WIC?
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Quick Review
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What Cue is This?
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Engagement
• Smiling• Looking Intently• Cooing• Smooth movements• Open eyes/relaxed• Feeding posture• Following Voice
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What Cue is this?
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Disengagement• Turns away• Crying• Pushes, arches • Choking, coughing• Stiffens• Falls asleep, yawning• Faster breathing• Hand to ear• Grimace or Glazed look
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What Does This Mean?
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Hunger – Cluster Cues
• Clenched Fingers and fists over chest and tummy
• Flexed arms and legs• Rooting• Fast breathing• Sucking noises/motions
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Quick Review• Cues = Baby Communication
• Important: the state a baby is in will give you a clue as to what their cues mean
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• Infant States– What cues are you likely to see?
• Crying• Irritable• Quiet Alert• Drowsy• Active Sleep (Light Sleep)• Quiet Sleep (Deep Sleep)
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Infant StatesWhat cues are you likely to see?
• Crying• Irritable• Quiet Alert
• Drowsy• Active Sleep (Light Sleep)• Quiet Sleep (Deep Sleep)
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Quick Review
• What is the key to helping an irritable or crying baby?– Repetition to Soothe
• How do you know if it is working?– Change in Cry
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Bottom Line• Crying doesn’t always = hunger• Hunger has many cues• Responding to cues early helps
reduce crying• Crying is a “superpower”• Knowing about sleep avoids
“triggers”
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Bringing It All Together
Baby Behaviors is not a new way to do business…it just allows us to dig deeper into infant feeding relationships.
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Baby Behaviors Is the “D” in ABCDE
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Supporting Healthy Feeding Relationships• The look, recognize, and respond of
Baby Behavior can be applied throughout childhood.
• Because being a parent of an infant is…– Stressful– Exhausting– Scary– Other?
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How Does Baby Behaviors Support the Concept of Health At Every Size With Infants?
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What’s Working?
• What’s Not?
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Introducing the “Wheel of Destiny”
Your Baby Behaviors Counseling Cheat Sheet.
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What is REALLY driving infant feeding?
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Uncovering the Top 10 Infant Feeding Traffic
Jams and Detours
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TRAFFIC JAMS
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1. Baby is Always Crying/Hungry
• Dig Deep: What Baby Behaviors?
• What about mom?
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2. Good Babies Sleep Through The Night
• Dig Deep: What Baby Behaviors?– Cues?
• What about mom?
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• What baby behaviors/cues might parents be seeing?
• Using your ABCDE guide, what risk codes might you assign?
• What may be under the surface for mom that you should consider when offering the message?
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1. Cereal in the Bottle
• Dig Deep: What Baby Behaviors?– Cues?
• ABCDE Guide– Risk Codes?
• What about mom?
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2. Early Introduction of Complementary Foods
• Dig Deep: What Baby Behaviors?– Cues?
• ABCDE Guide– Risk Codes?
• What about mom?
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3. Bottle Preparation
• Dig Deep: What Baby Behaviors?– Cues?
• ABCDE Guide– Risk Codes?
• What about mom?
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4. Schedules
• Dig Deep: What Baby Behaviors?– Cues?
• ABCDE Guide– Risk Codes?
• What about mom?
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5. Baby ‘needs’ to finish this bottle
• Dig Deep: What Baby Behaviors?– Cues?
• ABCDE Guide– Risk Codes?
• What about mom?
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6. Baby is fussy during feedings – Force feeding
• Dig Deep: What Baby Behaviors?– Cues?
• ABCDE Guide– Risk Codes?
• What about mom?
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7. I Don’t Have Enough Milk
• Dig Deep: What Baby Behaviors?– Cues?
• ABCDE Guide– Risk Codes?
• What about mom?
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8. Other? (What else do you hear from AZ WIC families?)
• Dig Deep: What Baby Behaviors?– Cues?
• ABCDE Guide• What about
mom?
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What About Older Babies?• Still apply the…
– Look– Recognize– Respond
To help caregiver understand what baby is trying to communicate
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Revisiting the Wheel of Destiny• Birth – 3 months
• 4 -5 months
• 6 – 9 months
• 10 – 12 months
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Baby Behaviors Materials
• Parents Booklet
• Clinic Posters
• Other needs?
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Promoting Positive Interactions Through Baby Behaviors
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Take Home Message
• Baby behavior is the foundation of supporting healthy feeding relationships between infants and caregivers
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Traffic Check
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Questions?