Presentation on theme: "Core Competencies Provide strategies to breastfeeding mothers on how to maintain milk production and continue the breastfeeding relationship. Provide affirmation."— Presentation transcript:
2 Core CompetenciesProvide strategies to breastfeeding mothers on how to maintain milk production and continue the breastfeeding relationship.Provide affirmation and encouragement to breastfeeding mothers to continue the breastfeeding relationship through the first 12 months of age.
3 Learning ObjectivesName common issues that arise when breastfeeding an older infant.Describe how the introduction of complementary foods affects the breastfeeding relationship.List ways to assist mothers through the weaning process.
4 Breastfeeding RatesBreastfeeding exclusively and for longer durations improves infant healthBreastfeeding duration rates to 12 months are low, especially among WIC mothersWIC mothers often need help to continue breastfeeding beyond the early days
5 Watch Baby Grow! Babies who breastfeed grow according to normal standards for infantgrowth anddevelopment
6 Growth and Feeding Patterns of Breastfed Babies Baby’s AgeNormal Weight GainEarly Weeks4 - 7 ounces per week4 - 6 months of ageDouble birth weightmonths of age2 ½ - 3 times birth weight24 months4 times birth weight
7 As Baby Grows – Feeding Patterns of Breastfed Babies Feeding frequency based on:Baby’s age/sizeMother’s milk storage capacity in her breastsUnique needs of her babyCluster feedingsMaintain milk production by feeding 8-12 times every 24 hours
8 Appetite/Growth Spurts Growth/appetite spurts are normalCan occur anytime, typically:2 weeks6 weeks3 months6 monthsReassure mothers that baby wants to be close to her during this growing period
9 As Baby Grows – Outputs of Breastfed Babies 1st month:Several yellowish, seedy loose stools per dayAfter 1st month: stools occur less frequently6 months (when solid foods begin): stools change from loose to solid
12 Common Questions: Losing Weight Affirm:“It’s great you are concerned about your health.”InformAvoid quick-loss diets; eat 1800 calories/day or moreAvoid a low-carbohydrate diet
13 Common Questions: Exercise Affirm:“It’s great you want to take care of yourself.”Inform:Begin activity when the doctor agrees.Strenuous activity can increase lactic acid in breast milk.
14 Common Questions: Foods to Eat While Breastfeeding Affirm:“A lot of mothers share your concerns.”Inform:Mothers do not need to eat a perfect diet to make good milk for their babies.Most foods are fine to eat while breastfeeding.
15 Common Questions: Medications for the Mother Affirm“It’s great you are concerned about this.”InformMost medications are safe to take; always consult the physician when questions ariseLet mother know she has several family planning optionsYield to the mother or baby’s doctor
16 Common Questions: Breastfeeding and Returning to Work or School Mothers may not know they CAN combine working/school and breastfeedingPeer support helps!
18 Common Questions: Vitamin D for Baby Affirm:“What a great mom you are to be concerned.”Inform:Vitamin D is important for ALL infants, children, and adolescentsAAP recommends 400 IU Vitamin D drops for all breastfeeding babiesUse sunscreen when baby is outdoorsYield to the baby’s health care provider
19 Common Questions: Teething Affirm:“I can understand your concern.”Inform:Many babies continue to breastfeed while teethingShare solutions should baby bite or bear down on the breast while feedingAdvise mothers on oral health
20 Ready for Solid Foods Affirm: “Many mothers have questions about starting solids.”“It’s great you are concerned about the baby getting enough nutrition.”
22 Signs of Readiness Baby can sit alone Baby can hold his head steady and straightBaby can keep tongue low and flatBaby can close lips over a spoonBaby can keep food in his mouth
23 Guidelines for Introducing Solid Foods One new food at a timeSingle ingredient foods firstSmall amount (1-2 tsp)Wait 3-5 days before offering a new foodObserve for reactions
24 Foods to Offer Baby Iron and Zinc are important 2 servings iron fortified cereal or meatsGradually introduce greater varietyImportance of oral health
25 Breastfeeding and Solid Foods Babies need nothing but breastmilk until around 6 months of age; when solids begin, breastmilk remains an important part of baby’s nutritionBeginning solids too soon can trigger allergiesTeach normal signs of readiness for solidsGo slowlyAdvise mother:Importance of iron and zincFoods WIC gives fully breastfed infants at 6 months
26 On Strike! Affirm: Inform: “What a lucky baby to have a mom who is working so hard to get through this.”Inform:Minimize distractionsOffer the breast when baby is sleepySkin-to-skinYield to WIC Designated Breastfeeding Expert when a nursing strike continues beyond 24 hours
27 When Weaning HappensWeaning: foods or liquids begin being added to the baby’s dietMothers wean for many reasonsWIC staff can help mothers weigh the benefits vs. the risksAvoid judgments about how long the mother has chosen to breastfeedAffirm: “What a great mother you are to have breastfed this long.”
28 Helping the Mother Who Wants to Partially Breastfeed
30 How to Wean Older babies: Gradual weaning Abrupt weaning Don’t offer, don’t refuseUnderstand the concept of “wait”Can be distractedMay need extra cuddlingGradual weaningAbrupt weaning
31 Application To Practice Handout 8.2: “Application To Practice:Continuing the Breastfeeding Relationship”
32 Summary Breastfed and formula-fed babies grow at different rates Babies nurse more during growth spurtsAnticipate a baby’s teethingWatch for developmental cues that the baby is ready for solid foodsAssist the mother in meeting HER goals for breastfeeding
33 Grow Your Breastfeeding Skills “My Goals for Breastfeeding Support”Goal-Setting Flower