1. Why Breastfeeding Policies?  International Campaigns –WHO campaign against the extravagant and untrue marketing of breast milk substitutes (WHO Code) –UNICEF campaign to develop ways to support breastfeeding mothers in the hospital and after discharge (Baby-Friendly Hospital).

2. National Campaigns  DHHS –Surgeon General’s Workshops on Human Lactation –Blueprint for Action on Breastfeeding  USDA –Nutrition Services Standard  National Ad Campaign –Inform citizens of risks of not breastfeeding.

3. California Campaigns  Medi-Cal –Covers the cost of breast pumps and breast milk  WIC –Assembled specialists in many fields to promote, protect and support breastfeeding.

4. Private Organizations  American Academy of Pediatrics  Association of Family Practice Physicians  American Dietetic Association  OB-Gyn  WABA.

5. YOU

6. California Historical Perspective In 1994, a Statewide Committee on Breastfeeding Promotion and Family Health was convened. A 26 member multidisciplinary multicultural committee was formed representing:  Academia  Hospitals  Managed Care Organizations  Public Agencies  Foundations  Community Organizations  Lactation Consultants

7. The Result:

8. Fundamental Recommendation:  Develop model standards of breastfeeding promotion and support for the WIC program based on best practices, and ensure that these standards are implemented uniformly throughout the state.

9. We are here to CELEBRATE! Having healthier mothers and babies thanks to the hard work of California WIC  Policies shape practices – and California WIC is shaping breastfeeding support.

10. Breastfeeding Promotion and Support: WPM 600 Overview

11. WPM 600: Purpose  Provides a framework for the development of local agency policies and services  Identifies the breastfeeding goals and objectives of the WIC program.

12. WPM 600: Position Statement on Breastfeeding:  Breastfeeding is the NORM  Exclusive breastfeeding for approximately the first 6 months  Complementary foods around 6 months  Breastfeeding at 12 months and beyond  Reduction in the use of breast milk substitutes.

13. WIC Participant’s Rights  Cannot be denied WIC services INCLUDING the distribution of food instruments (formula)  Respect for the mother’s decision on how to feed her baby  Receive breastfeeding education and support.

14. WPM 600: Breastfeeding Vision The norm for infant feeding will be exclusive breastfeeding for the first 6 months of life – with continued breastfeeding through the infant’s first birthday. Every woman enrolled in California WIC will – have the information, resources and support to breastfeed for at least 12 months and as long as mutually desired.

15. WPM 600: Breastfeeding Mission Statement The California WIC Program promotes, supports and protects exclusive breastfeeding for approximately the first 6 months of life and continued breastfeeding for at least the first year of life.

16. WPM 600: Measurable Breastfeeding Goals  Goal for Exclusive Breastfeeding –increase the percentage of infants enrolled in WIC that do not receive formula in the first year of life.  Goal for Combination Breastfeeding: – decrease the amount of formula consumed among breastfed WIC infants.  Goal for any Breastfeeding –increase the percentage of infants enrolled in WIC receiving any amount of breastmilk in the first year of life.

17. WPM 600: Ten Steps to Successful Breastfeeding Promotion and Support One step at a time One policy at a time

18. 1. Develop and implement a written breastfeeding policy that recommends exclusive breastfeeding and is routinely communicated to all WIC staff and contracted employees.

19. 2. Train all staff in the necessary skills to implement the breastfeeding policy.

20. 3. Provide culturally appropriate, learner- centered breastfeeding education to ensure participants make an informed infant feeding decision.

21. 4. Provide encouragement and support for mothers to exclusively breastfeed for approximately the first six months and to continue to breastfeed through the infant’s first birthday, and thereafter for as long as mutually desired.

22. 5. Create a breastfeeding friendly site/workplace for WIC participants and staff that clearly endorses breastfeeding as the norm for infant feeding.

23. 6. Foster mother-to-mother support for breastfeeding.

24. 7. Identify and refer participants to appropriate breastfeeding resources.

25. 8. Work collaboratively with breastfeeding coalitions, hospitals, healthcare providers, maternal and child public health programs, community groups, employers, and policy makers to ensure breastfeeding messages are consistent and up-to- date and to increase overall support for breastfeeding outside of the WIC environment.

26. 9. Develop annual goals to increase breastfeeding rates and strategies to achieve these goals.

27. 10. Monitor and evaluate breastfeeding promotion and support activities on an on- going basis.

28.  Healthier mothers - as participants and employees. How will this affect us?

29.  Healthier babies. How will this affect us?

30.  Healthier communities.

31.  Read the policy – Agency Environment  What questions or comments do you have?  Watch the examples in the following presentation. WPM 610-10: (Yellow) Breastfeeding Friendly Environment

32. What’s Wrong With This Picture? Breastfeeding Policy Implementation Workshop

33. Waiting Room

34. Babies need Bottles

35. Doll on her back with bottle

37. What about this picture?

41. Here’s another one...

50. What else to look out for?

54. And more... Nursing … “well worth a TRY”

57. It isn’t a Rose Garden...

59. …but it isn’t THIS bad Page 119

60. …When bottle feeding looks THIS GOOD! Page 121

61. Which would YOU choose?

62. A picture is worth A thousand words….

63. Keep in mind the WHO Code And show...

64. Discrete moms

65. Confident moms Teen moms Nursing anywhere

66. Babies of different ages and ethnicities

67. Avoid incorrect positioning