Presentation on theme: "New Food Choices Support Breastfeeding"— Presentation transcript:
1New Food Choices Support Breastfeeding No one can make you feel inferior without your consent.Eleanor Roosevelt
2New Food Choices will bring changes to the way we support breastfeeding moms Today we will:Learn about the new breastfeeding policiesIdentify two key points behind the rationale of not issuing formula in the first month of lifeBecome familiar with the term “Anticipatory Guidance”
3New Food Choices will bring changes to the way we support breastfeeding moms Learn the steps of a Breastfeeding ReviewLocate three key breastfeedingresources available to you during aBreastfeeding Review
4Policy ChangesFormula will no longer be routinely issued to breastfeeding babiesAll breastfeeding moms & babies will receive a full Breastfeeding Review before receiving any formulaThe Breastfeeding Review shall be documented in the Notes section in the client record
5Policy changesBreastfeeding moms with infants over 6 months of age receiving more than ½ the amount of formula in an infant formula food package:Will no longer receive food for themselvesWill be counted as participating on the WIC program as breastfeeding womenWill be given support and education to continue breastfeeding
6Sally Blizzard Yakima Neighborhood Health Services Time for a changeThinking about how WIC supports breastfeeding, what have you learned about New Food Choices changes that surprises you?Sally Blizzard Yakima Neighborhood Health Services
7Why no infant formula in the first month The breasts make milk in response to three factors:HormonesStimulationMilk being removed fromthe breastBreastfeeding makes breast milk!
8Why no infant formula in the first month These common practices can cause moms to lose their confidence and quit breastfeeding early:Formula samples given by medical providersFormula supplementation in the hospitalFormula samples and coupons given in discharge bagsFormula checks issued at WIC “just in case”Fade in this slide
9Breastfeed - right from the start! Provide pregnant moms information on:What to do in the hospital to start nursing off rightNormal breastfeedingWhat to expect as baby growsThis is called“Anticipatory Guidance”
10An overview of the Breastfeeding Review A Breastfeeding Review is an assessment of how breastfeeding is goingIt must be completed anytime a breastfeeding mom is requesting formula, or asks for an increase in the amount of formula she already receives from WICThe purpose of the review is to address concerns and help find solutions that enable continued breastfeeding, and to minimize/delay the use of formula
11Who can do a Breastfeeding Review and issue formula checks to breastfeeding infants? Only Competent Professional Authorities (CPA’s and nutritionists) trained in breastfeeding support may do a Breastfeeding Review.
13A walkthrough of a Breastfeeding Review 1. Establish rapport with the client by introducing yourself “Hello April. My name is Martha.”Tell the client the reason for the discussion“I understand you have some breastfeeding concerns.”
14A walkthrough of a Breastfeeding Review Show respect for the client and engage her in discussion about how she is feeding her baby and what her plans are“Most new mothers have questions about feeding their baby.”Use open-ended questions and active listening skills to find out why the client is requesting formula“Tell me why you think your baby needs formula today.”
15A walkthrough of a Breastfeeding Review Affirm the client’s feelings or concerns and engage the client in the discussion while offering support and encouraging continued breastfeeding“Being a new mom is exhausting. The first few weeks can be challenging. Let’s figure out a plan so you can continue to breastfeed. It’s going to get easier!”Allow the client to share thoughts and try to avoid dominating the conversation“Tell me more about that.”“What have you tried that seems to makes breastfeeding work better for you and your baby?”
16A walkthrough of a Breastfeeding Review Target education to the client’s needs and avoid providing unneeded information“It sounds like you want some help in figuring out how deal with your sore nipples. I have information I can share with you. Would you like to hear more?”Discuss the information in any handouts provided“On page 35 of this booklet I’ll give you is a list of things we discussed about dealing with sore nipples. I placed a bookmark so you can go back for a quick review.”
17A walkthrough of a Breastfeeding Review Ask for the client’s feedback on the usefulness of the information“What information was useful for you?”“What other questions do you have?”
18What would this scenario look like in our clinic?
22When formula is Issued to a breastfeeding baby CPA shall educate and counsel the mother that adding formula to her baby’s diet will have a negative effect on her breast milk production and may end breastfeeding.
23What if there is no CPA available to do a Breastfeeding Review? Affirm the mom’s concerns and explain that staff who can determine the food package are not availableEncourage her to keep breastfeeding and inform her that giving formula may decrease her ability to make milkOffer support within your skill levelSchedule as soon as possible with a CPA who can do a BFR or refer to community resources to do a BFR, if availableOffer to have someonecontact her by phoneSuggest resources for formula
24Our clinic’s breastfeeding resources It’s not just one person’s responsibility to “do breastfeeding”It’s everyone’s responsibilityShare your favorite breastfeeding resource with your teamThe La Clinica Team
25What you can do to learn more about breastfeeding Attend regional WIC breastfeeding trainingsRead books in the clinicThe LLL Answer Book,Amy Spangler’s book, “Breastfeeding … Keep it Simple”Other booksRead and study the WIC client handoutsVisitReview self study materialsComplete online coursesBooks, trainings and supplies can be purchased with breastfeeding grant money.
26One more look at the Breastfeeding Review A Breastfeeding Review is an assessment of how breastfeeding is going.A Breastfeeding Review must be completed before any formula is issued to a breastfeeding baby, or when the amount of formula is increased.It may also happen whenever a breastfeeding mom has questions, whether she is requesting infant formula or not.The purpose of the review is to address concerns and help find solutions that enable her to continue to breastfeed, and to minimize/delay the use of formula.Our goal is to help moms successfully breastfeed!