Transcript Breastfeeding in The Child Care Setting

Compiled by:
Sarah DeCato, MSN, RN, CLC
6/2/2012
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Collaborators:
Maine Roads to Quality &
The 2012 State of Maine Breastfeeding
Stakeholder’s Committee
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Breastfeeding….I
know it’s important,
but why?
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What does childcare
have to do with “it”?
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Our Nations Youth
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Source: WIC, California Dept. of Health and Human Services
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Benefits for Child
 Decreased risk of obesity
 Decreased risk of asthma
 Decreased incidence of insulin and non-insulin
dependent diabetes mellitus
 Decreased infant mortality rates by 21%
 Decreased incidence of infectious disease
 Decreased risk of Sudden Infant Death Syndrome
(SIDS)
Source: AAP. Breastfeeding and the use of Human Milk, 2005 Policy Statement.
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Preventing SIDS
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Benefits for Mom

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Costs less than non-natural feeding options
Decreased postpartum bleeding
Early return to pre-pregnancy weight
Decreased risk of breast cancer
Decreased risk of ovarian cancer
Possible decrease risk of osteoporosis in
postmenopausal period
Source: AAP. Breastfeeding and the use of Human Milk, 2005 Policy Statement.
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Benefits to Society
 Decreased annual health care costs
 Decreased tax dollars spent on health care programs
 Decreased parental employee absenteeism and
associated loss of family income
 Increased attention to family as a whole due to
decreased infant illness
Source: AAP. Breastfeeding and the use of Human Milk, 2005 Policy Statement.
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Environmental benefits
“Breastmilk may look white but actually it’s as green as
can be.”
Dia L. Michels
Mother Nature Loves Breastmilk
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Breastfeeding recommendations
 Exclusive breastfeeding first 6months
 Continued breastfeeding to 1year and
beyond
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Healthy People 2020
 Targets
 Ever breastfed
 6 month duration
 12 month duration
 3 month exclusive
 6 month exclusive
Source: U.S. Department of Health and Human Services; Healthy People 2020
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Healthy People 2020
Targets
Current Rates
10 year National
Goal
Ever breastfed
73.9%
81.9%
6 month duration
43.4%
60.5%
12 month duration
22.7%
34.1%
3 month exclusive
33.1%
44.3%
6 month exclusive
13.6%
23.7%
Source: U.S. Department of Health and Human Services; Healthy People 2020
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Births at Baby Friendly Hospitals 2011
Sources: Baby-Friendly facilities : www.babyfriendlyusa.org
Live Births: CDC NCHS 2009 Live Births by State
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CDC Breastfeeding Report Card
Percent of
live births
occurring at
Baby
Friendly
Facilities
Percent of
breastfed
infants
receiving
formula
before 2
days of
age
State
child care
center
regulation
supports
lactation
***
Number of
state health
department
FTEs**
dedicated to
breastfeeding
Number
of
IBCLCs*
per
1,000
live
births
U.S.
National
4.53
24.5
6
125.06
2.67
Maine
19.41
18.9
Not
optimal
1.00
5.64
* IBCLC - International Board Certified Lactation Consultant.
**FTE - Full-Time Equivalent.
***Based on the PCO/CFOC IA1 standard
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Source: Breastfeeding Report Card 2011, United States: Process Indicators
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Attachment and bonding
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Creating healthier children
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Getting started
 Breastfeeding education
 Breastfeeding environment
 Breastfeeding policy
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References
American Academy of Pediatrics, American Public Health Association, & National Resource Center for Health and Safety
in Child Care (2011). Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-ofHome Child Care, 3nd Ed. Chicago, IL: American Academy of Pediatrics; American Public Health Association.
American Academy of Pediatrics (2011). SIDS and other sleep-related infant deaths: Expansion of recommendations for a
safe infant sleeping environment. Pediatrics, DOI: 10.1542/peds. 2011-2284.
American Academy of Pediatrics (2005). Breastfeeding and the use of human milk; Policy statement. Pediatrics, 115(2), pp
496-506. http://www.aap.org
Baby friendly hospital initative, U.S.A. Retrieved from http://www.babyfriendlyusa.org/eng/index.html
California Dept. of Health and Human Services, WIC. Retrieved from
http://www.cdph.ca.gov/programs/wicworks/pages/default.aspx
Centers for Disease Control and Prevention. Breastfeeding Report Card- United States. 2011. Retrieved from
http://www.cdc.gov/breastfeeding/data/reportcard.htm
Derbyshire, D. (2008) Breastfeeding does help mother’s bond with babies-because it releases the ‘love’ hormone.
Retrieved from http://www.dailymail.co.uk/health/article-1036151/Breast-feeding-DOES-help-mothers-bond-babies-releases-love-hormone.html
Nemours. Let’s Move! Childcare. Retrieved from http://healthykidshealthyfuture.org/welcome.html
Maine Center for Disease Control and Prevention; Department of Health and Human Services; Division of Local Public
Health. Maine workplaces support nursing moms. Retrieved from http://www.maine.gov/dhhs/mecdc/local-publichealth/wic/families/bf-workplace.shtml
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References cont.
Michels, D. (1998). Mother nature loves breastmilk. Retrieved from
http://www.breastfeeding.com/reading_room/mother_nature.html
United States Breastfeeding Committee. Breastfeeding and child care. Retrieved from
http://www.usbreastfeeding.org/Employment/ChildCareFacilities/tabid/107/Default.aspx
U.S. Department of Health and Human Services. Healthy People 2020.
http://www.healthypeople.gov/2020/default.aspx
Wisconsin Nutrition, Physical Activity, and Obesity Program. Ten steps to breastfeeding friendly childcare
centers; A resource kit. Retrieved from
http://www.dhs.wisconsin.gov/health/physicalactivity/pdf_files/BreastfeedingFriendlyChildCareCenters.pdf
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