World Breastfeeding Week 2014

World Breastfeeding Week 2014

• “A Winning Goal” with two visions:– Highlight United Nations Millennium

Development Goals (MDGs)• For all mothers to reach their goals • Optimal duration and health

– Reinforce that breastfeeding takes:• Team of family, community, and professional

players• Planning, patience, and practice

Millennium Development Goals (MDGs)

• Developed by United Nations and global partners– World Health Organization

– World Bank

– World Trade Organization

• Overarching goals: – Reduce extreme poverty

– Provide lives of dignity in every nation

• Adopted in 2000, to be reached by 2015 www.un.org/millenniumgoals/reports.shtml

MDG #1:Eradicate extreme

poverty and hunger

• Objectives:– Protect against hunger – Preserve family income

• Goals– Exclusive breastfeeding for 6 months – Continued breastfeeding for minimum ONE

year

• Breastfeeding:– Provides appropriate, high-quality nutrition for

baby – Helps baby and mother avoid illnesses

requiring medical care or hospitalization– Requires community support for working,

breastfeeding mothers

MDG #1:Eradicate extreme poverty and hunger

MDG #2:Achieve universal primary education

• Breastfeeding and good quality, appropriate complementary foods:– Help children prepare to learn – Help children be ready to enter primary school

• Brain growth, learning and breastfeeding: – Human milk nutrients and protective factors – Positive interactions between mother and

baby

• Babies exclusively breastfed score higher:– Measures of verbal, performance– Full-scale IQ1 – Motor development– Visual acuity

1Kramer MS, Aboud F, Mironova E, Vanilovich I, et al., Arch Gen Psychiatry 2008;65(5):578-84

MDG #2:Achieve universal primary education

MDG #3:Promote gender equality

and empower women

• Breastfeeding gives the mother a unique nurturing role in the family – but it is not her only role!

• Foster gender equity in parenting:– Encourage fathers to play with and feed the

older baby

• Protect working women: – Promote paid maternity leave– Promote supportive worksite practices for

breastfeeding mothers

• Support the right of every baby– To breastfeed – To receive appropriate complementary foods

regardless of gender

MDG #3:Promote gender equality and

empower women

MDG #4: Reduce child mortality

• Breastfeeding is a vital practice to reduce infant deaths– Everyday– Everywhere!

• Children who are exclusively breastfed for the first six months of life are 14 times more likely to survive than non-breastfed children

www.un.org/millenniumgoals/pdf/Goal_4_fs.pdf

• In developed countries hundreds of babies could be saved each year through exclusive breastfeedingBartick M, Reinhold A. Pediatrics 2010;125(5).2

• Help and support decreases risk for:–Jaundice–Weight loss–Unnecessary supplementation–Severe infectious diseases

MDG #4: Reduce child mortality

MDG #5:Improve maternal health

• Breastfeeding is a key factor for protecting the health of women and mothers.

• Breastfeeding women have: – Faster recovery from childbirth– Faster return to pre-pregnancy weight– Lower risk of premenopausal breast cancer – Lower risk of ovarian cancer– Stronger bones – Enhanced maternal immune response

MDG #6:Combat HIV/AIDS, malaria

and other diseases

• Exclusively breastfed babies:– Have lower risk common childhood illnesses– Head colds– Ear infections– Food poisoning– Diarrhea– Influenza

• Are less likely to be hospitalized; if hospitalized, have shorter stays

• Lower risk of transmission of HIV from mother to child (with antiretroviral therapy)

• Less likely to develop chronic diseases – Food allergies

– Digestive diseases

– Type I or II diabetes

– Obesity

– Cancer

– Cardiovascular diseases

– Chronic respiratory diseases

MDG #6:Combat HIV/AIDS, malaria

and other diseases

MDG #7:Ensure environmental

sustainability

• Breastfeeding is ‘green’• Manufacturing formula creates industrial

pollution– Dairy farming – Large-scale feed crop farming– Processing, packaging and shipping– Trash

• Families use fewer resources– Fewer trips to the store– No use of fuel to sterilize water and feeding

equipment

• Where drinking water is unsafe, breastfeeding eliminates the risk of illness from infectious or industrial agents

MDG #7:Ensure environmental sustainability

MDG #8:Develop a global partnership

for development

• Breastfeeding families do best with support from a large team!

• Local - National – GLOBAL Partnership – Family

– Health care providers

– Employers

– Childcare providers

– Faith and civic communities

– Lawmakers and government programs

Developing Winning Goals in Your Community

• Build a team with shared goals

• Identify strengths and weaknesses

• Develop small projects to build incremental change

• Grow and adapt the projects to accomplish larger goals

Associates in Process Improvement

Members of Team Breastfeed: Coaches, Cheerleaders, Fans

• Mothers and babies – CORE of the team• Families• Hospitals• Prenatal and maternity healthcare

providers• Pediatric healthcare providers• Worksites• Childcare providers

Winning goals for “Team Breastfeed”

• Optimal health for mothers and babies– Keep all prenatal appointments, learn

about birth, and practice healthy habits– Learn about breastfeeding during the

pregnancy– At birth, hold baby skin-to-skin

and start breastfeeding assoon as possible

• Optimal health for mothers and babies– Breastfeed frequently during the early days

and weeks • Build a good milk supply • Help baby learn good breastfeeding skills

– As questions arise, go to other members of Team Breastfeed:

• Trusted and knowledgeable family and friends• Healthcare providers• International Board Certified Lactation Consultants®

(IBCLC®)

Winning goals for “Team Breastfeed”

Winning Goals for Families

• How families can help mothers:– Insure she gets consistent prenatal care– Encourage her to learn about breastfeeding– Help and reassure her as she and her baby

start breastfeeding right from birth– Limit visitors in the early days– Help her find answers to questions or

concerns– Help out around the home so she can focus

on breastfeeding the new baby

Winning Goals for Hospitals

• Begin or maintain “best practice” – Ten Steps to Successful Breastfeeding– Baby Friendly Hospital Initiative – Model Hospital Policies

• Collect data: – Number of babies exclusively breastfed at

discharge– Human milk to supplement when needed– Follow up to track change over time

Winning Goals for Hospitals

• Provide breastfeeding training to staff: – Trained bedside assistance – International Board Certified

Lactation Consultants®

• Foster development of supportfor breastfeeding families:– Outpatient clinical lactation services– Mother-to-mother groups– Community resources

Winning Goals for Prenatal and Maternity

Care Providers

• Encourage pregnant mothers to attend all prenatal visits

• Discuss a few points of breastfeeding at every prenatal visit

• Encourage mothers and partners to attend classes or mother-care groups

• Offer labor and birth care that requires minimal pain drugs

• Place babies skin-to-skin

Winning Goals for Prenatal and Maternity

Care Providers

• Encourage delivering facilities to provide trained staff, including IBCLCs, to assist mothers in learning breastfeeding

• Counsel mothers on birth control strategies that do not interfere with breastfeeding

• Refer breastfeeding mothers to outpatient clinical services and mother-to-mother groups

Winning Goals forPediatric Care Providers

• Examine baby with the mother present • Arrange for clinic appointment when the

baby is 3–5 days old to assess:– Breastfeeding progress– Infant status– Answer questions and give support

• Protect breastfeeding and milk production• Show mothers how to increase milk

production

Winning Goals forPediatric Care Providers

• Provide referrals to breastfeeding support networks

• Provide referrals to breastfeeding specialists such as an IBCLC®

• Monitor breastfeeding duration, types of breastfeeding problems, and treatment plans

• Adjust office practices to improve outcomes

• Accommodate the needs for time for breastfeeding employees: – Time to breastfeed the baby or express milk– Time to travel to and from the work station

• Provide a clean, private space nearby space to express milk:– Place for employee to sit and

place her pump and supplies– A toilet area is unsanitary and an

inappropriate place to prepare foodwww.pinterest.com/milkmakers/my-pumping-space/

Winning Goals for Worksites

Winning Goals for Worksites

• Maintain an environment of equality: – Incorporate breastfeeding accommodation into

worksite break-time and workflow policies– Train all staff on policies

• Include breastfeeding services and supplies in the health benefits plan

• Promote internal networking and support groups for breastfeeding and parenting employees

Winning Goals for Childcare Providers

• Assure all staff use best practices when feeding young children– Training– Policies

• Encourage parents to continue breastfeeding and providing breastmilk for the child in care– Infants AND toddlers

Winning Goals for Childcare Providers

• Create an inviting atmosphere – Comfortable chairs to feed babies– Posters of breastfeeding families – Read books about breastfeeding families– Private space for use by both parents and staff– Offer resources and referrals to mothers

• Incorporate policies to support staff members who are breastfeeding

Supporting the Team

• Use World Breastfeeding Week to kick off a year of activities!

• ILCA’s World Breastfeeding Week resources include:– Ready-made artwork to support your activities– Promotional items for colleagues, mothers and

other members of Team Breastfeed

• Visit ILCA’s online Store at www.ILCA.org

Tell Your Story!

• Share a game-day wrap up of your Team Breastfeed activities with colleagues around the world!– Send pictures and descriptions to

info@ilca.org for ILCA’s annual World Breastfeeding Week slideshow

– Participate in the online action Pledge at www.worldbreastfeedingweek.org

Resources

• United Nations MDG report page: www.un.org/millenniumgoals/reports.shtml• Department of Health and Ageing 2012, Evaluation Toolkit for Breastfeeding Programs and Projects, Department

of Health and Ageing, Canberra. http://health.gov.au/internet/main/publishing.nsf/Content/etkit. • Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to

Enhancing Organizational Performance (2nd edition). San Francisco: Jossey-Bass Publishers; 2009.• NYSDOH Division of Chronic Disease Prevention and the Special Supplemental Nutrition Program for Women,

Infants and Children. Making it Work Toolkit. 2012. www.breastfeedingpartners.org/index.php?option=com_content&view=article&id=164&Itemid=411.

• European Union: Protection of pregnant workers and workers who have recently given birth or are breastfeeding. http://europa.eu/legislation_summaries/employment_and_social_policy/health_hygiene_safety_at_work/c10914_en.htm.

• Australian Human Rights Commission, FACT SHEET 10: Breastfeeding and Work - www.humanrights.gov.au/publications/get-facts-fact-sheet-10

• U.S. Dept. of Labor, Wage and Hour Division, nursing mother’s information page, www.dol.gov/whd/nursingmothers/.

• Caring for our children: National health and safety performance standards; Guidelines for early care and education programs. 3rd edition. American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. 2011. www.nrckids.org.

• Australian Breastfeeding Association, A Caregiver’s Guide to the Breastfed Baby. www.breastfeeding.asn.au/system/files/ABACaregiversGuideApril2013_0.pdf

ILCA’s WBW 2014 Team: Doraine Bailey, Lisa Akers, Gini Baker, Judi Lauwers,Tanya Stephens Henderson, Lisa Joncich, Rachel Owen and Heather Dreps

©International Lactation Consultant Association® – www.ILCA.orgILCA grants permission for this PowerPoint Presentation to be used freely by ILCA members

for educational purposes, but it may not be changed or posted on any other website.

Happy World Breastfeeding Week from ILCA!