1. Breastfeeding Updates December 12, 2014

4. Please remember to apply…

6. NEW Breastfeeding Content Sheets

7. Secrets of Baby Behavior Identify the three (3) areas of SBB (feeding cues, crying and sleep expectations) that can help to meet breastfeeding goals, maintain exclusive breastfeeding, avoid early formula supplementation, and reduce overfeeding.

8. Secrets of Baby Behavior Recognize and respond appropriately to their baby’s cues/states.

9. Secrets of Baby Behavior State and also recognize in their baby, the difference between light and deep sleep.

10. 2 to 6 weeks old Baby is able to sleep 2 to 4 hours at one time. 6 to 8 weeks old Baby sleeps more often at nighttime. 3 months Babies begin sleep in deep sleep, and are able to sleep about 4 hours at one time. 6 Months Babies may be able to sleep up to 6 hours at one time. A Baby’s Sleep Timeline

11. Supporting Breastfeeding Goals of Overweight and Obese Women

12. Possible concerns mom may have Lack of confidence with her body (body image) or her body’s ability to support her infant’s nutritional needs. Hesitancy to breastfeed in public Questions to ask mom How do you feel about breastfeeding your baby? How do you feel about your breasts? If Mom has had previous children: How did you feed your other children? If breastfed, tell me how breastfeeding experience was.

13. Affirmations Other moms are concerned like you. You’re not alone! I am so excited to learn of your interests in breastfeeding! I would like to work with you to ensure you have all the information and support you need to meet your breastfeeding goals.

14. Affirmations Many women are not 100% confident about their body. We can talk about ways that you can be very confident about breastfeeding. It’s great that you are committed to your own health and baby’s health. Breastfeeding is a great way to help you both be healthy.

15. WHO Growth Standards

16. Participant Learning Objectives Ask the infant’s health care provider which growth chart is used to measure her baby’s growth 0-24 months. Verbalize differences between breastfed infants expected growth to family members, especially if formula supplementation is being recommended.

17. Participant Learning Objectives If supplementation is necessary based on assessment using the WHO growth standards and/or health care provider recommendation, verbalize health care provider orders or ask health care provider to specify: Type of supplement (expressed breastmilk or formula); Amount or volume of supplementation (e.g. total of 4 ounces per day); When it should be offered (after every feeding or all in one feeding); When it will be no longer needed (plan for return to fully breastfeeding).