1. Blackburn with Darwen Nursery E Learning Infant Feeding 2015 Specialist Infant Feeding Team Sue Henry / Donna Butler 01254 732673

2. Aim To raise the awareness of nursery staff in Blackburn with Darwen, around best practice in infant feeding, and how staff roles can help towards supporting parents and their children to have the best possible emotional and physical health outcomes

3. Breastfeeding: why do we promote it? Increases brain development - by holding baby close Protects baby from infections which means less antibiotics and hospital admissions Protects baby from allergies, eczema, asthma Protects baby from diabetes, obesity, high blood pressure Protects baby from childhood cancers Less childhood illnesses / less GP visits / less stress Protects mother from breast and ovarian cancer and helps her bones to be stronger

4. How can you support breastfeeding? Up-to-date research and training Welcoming breastfeeding mums and babies Welcoming babies into your nursery who are still being breastfed/ receiving breast milk Welcoming mixed feeding Knowing about safe formula feeding Knowing about when to introduce solid foods Adhere to advertising guidelines

5. Supporting mothers to bring their expressed milk into nursery All you need to know! MAXIMUM TIMES FOR SAFE STORAGE OF BREAST MILK: Fresh breast milk: Room temperature: 6 hours Fridge: 0 to 4°C: 5 days (If temperature rises above 4°C after 3 days, use within 6 hours or throw away) Freezer: -18°C or lower: 6 months Previously frozen breast milk: Defrosted in fridge: 12 hours Defrosted outside fridge: Use immediately

6. Breastfeeding support in Blackburn with Darwen

7. Equality Act 2010 – did you know? BREASTFEEDING WELCOME IN BLACKBURN WITH DARWEN The Equality Act 2010 protects a woman from maternity discrimination, Which includes treating her unfavourably because she is breastfeeding. Treating her unfavourably is now against the law. Examples include: It is now unlawful for a café owner /restaurant to ask a mother to stop breastfeeding or do it somewhere more private, or to leave because she is breastfeeding It is now unlawful to ask a mother to stop breastfeeding on a bus or ask her to get off the bus because she is breastfeeding It is now unlawful discrimination for an usher in a court to tell a mother in the court waiting room to stop breastfeeding her baby

8. How you can welcome breastfeeding in your nursery Posters Positive displays No bottles/ dummies in role play ‘You’re welcome to breastfeed here’ sticker Staff training No advertising Positive images Books

9. The Safe Preparation of Formula Caring for formula feeding families: what can you do in your nursery?

10. All equipment should be sterilised Fill the kettle with at least 1 litre of fresh tap water from the cold tap (don’t use water that has been boiled before) Bottle feeding responsively - holding baby close, eye contact, talk to baby, minimizing number of care givers, not forcing teat, noticing baby’s cues Boil the water. Then leave the water in the kettle for no more than 30 minutes so that it remains at a temperature of at least 70°C - this will ensure that the water is hot enough to kill any bacteria that may be in the milk powder Clean hands Put the hot water (70°C or above) in the bottle and then add the required amount of powdered milk WHAT INFORMATION DOES STAFF NEED TO KNOW 1 st stage milk is all a baby needs for the first year alongside the introduction of solid foods at around 6 months Throw any unused formula after 2 hrs

11. Never prop feed. Why??

12. Specialist Infant Feeding Team Responsive Bottle Feeding Hold baby close/skin to skin/eye contact Respond to feeding cues Encourage rooting Invite baby to take teat Pace the feed Never force a ‘full’ feed Encourage same member of staff to give most of the feeds – babies need connections

13. Why is being responsive important?

14. Rapid development in early months Being responsive = brain development

15. Responsiveness in the nursery setting You can help by: Being attuned to babies nonverbal cues Being emotional available during feeding Giving lots of eye contact – ‘babies love face time’ Babies love to hear your soft voice tone Pitch and rhythm/ talking/ soothing/ singing Caring cuddles = brain devloment Not letting babies cry for long periods Knowing it is not possible to spoil a baby by being responsive

16. Baby developmentally more ready at around 6 months If started too early can cause allergic sensitisation Introducing solid foods leaflet from the DOH Solid foods Can replace breast milk and have an impact on milk supply if started too early Best to start around 6 months Gut not mature enough until around 6 months Continue breast, mixed, formula milk for 1 year then replace formula with full fat cows milk and continue with breast for as long as mum and baby wish

17. Ready for solid foods Around six months old(gut mature) Able to sit with support Reaching, grabbing and mouthing These signs of readiness are more reliable than waking in the night or wanting more milk

18. Introducing solids at six months A wider range of foods can be used Finger foods can be introduced from the beginning The baby can join in nursery meals more easily Baby can still receive breast milk / formula or both for 1 year. Continue with breast milk for as long as mum and baby happy. Replace formula milk with full fat cows milk at 1year

19. Be a ‘baby friendly’ nursery and don’t advertise formula milks Advertising does not support informed choice Advertising is always biased We are in a ‘bottle feeding’ culture, some children will only ever see a baby being bottle fed, advertising on television and supermarket isle are normal How will they grow up having a balanced view? BE the nursery to potentially shape the future of how we feed our babies………

20. Specialist Infant Feeding Team: here to help you Contact details for further information and guidance/ training Donna Butler / Sue Henry Based at Blackburn Birth Centre 01254 732673