New Hampshire Breastfeeding Resource Guide For Parents And Professionals

Transcript

New Hampshire Breastfeeding Resource Guide for Parents and Professionals New Hampshire Department of Health and Human Services, Division of Public Health Services, WIC Nutrition Program For more information call 1-800-852-3310 Ext. 0571 [email protected] 8/2013 2 Table of Contents Preface 3 General Breastfeeding Information Benefit of Breastfeeding Professional Statements on Breastfeeding The Baby Friendly Hospital Initiative National & International Organizations The International Code of Marketing of Breast milk Substitutes United States Donor Human Milk Banks Worksite Lactation Support 5 6 8 9 13 14 17 New Hampshire Breastfeeding Promotion and Support Resources New Hampshire Breastfeeding Legislation New Hampshire Breastfeeding Task Force WIC Nutrition Programs and Breastfeeding Coordinators Community Health Centers Child Care Provider Literature Breast pump Information and Rentals Community Breastfeeding Promotion and Support Services by County 20 21 23 25 26 27 30 Breastfeeding Resources for Professionals and Parents Information on Lactation for Professionals Lactation Education and Training Programs Breastfeeding Publications Breastfeeding Media Breastfeeding Education Materials Breastfeeding Books for Parents Breastfeeding Books for Children and Families 45 47 50 57 58 60 61 3 New Hampshire Breastfeeding Resource Guide This is a guide for those who are working with pregnant women, postpartum women, and infants. It is a tool to answer such questions as: • How can I learn more about breastfeeding? • Where can I send a woman for breastfeeding classes? • Where can I find a pump for a new mother? • How can a mother get special help for a breastfeeding problem? • Where can I find reputable books/websites about breastfeeding? • What is being done to promote breastfeeding? This guide does not claim to be inclusive of all breastfeeding services available in New Hampshire. We have provided information to a broad network of breastfeeding promotion, protection, and support resources. You may reproduce any part of this document, with credit given to the New Hampshire Department of Health and Human Services. Send updates and corrections to: Lissa Sirois, RD, IBCLC Breastfeeding Promotion Coordinator Department of Health and Human Services Division of Public Health Services Healthy Eating and Physical Activity Section 29 Hazen Drive Concord, NH 03301-6504 1.800.852.3310 ext 0571 or 603.271.0571 Fax-603.271.4779 mailto:[email protected] A special ‘Thank You’ to Jolene Sell and Laura Salinas, Keene State College Dietetic Interns for helping to update the 2013 Breastfeeding Resource Guide. We would also like to encourage and congratulate all the women who have breastfed in the past, are currently breastfeeding, or plan to breastfeed one day! 4 GENERAL BREASTFEEDING INFORMATION 5 BENEFITS OF BREASTFEEDING Breastfeeding is a free, clean and easy way to feed a newborn infant. It provides a strong basis for healthy growth and development, and it helps build a special closeness between a mother and her baby. Breastfeeding can reduce an infant’s development of food allergies and certain infectious diseases, including gastroenteritis, immunologic disorders and upper respiratory infections, as well as malocclusion (crooked teeth). Breastfed babies have a lower risk for Sudden Infant Death Syndrome (SIDS). Breastfeeding lowers the risk of developing breast cancer for both mother and daughter. Breastfeeding may lower the risk of childhood and adolescent obesity. Breastfeeding benefits the nation’s economy. By using breast milk, a free natural resource, cost savings of $3-4 billion for the health care system and an additional $2 billion plus in household savings is possible. In fact, the United States Breastfeeding Committee estimates $3.6 to $7 billion excess dollars are spent every year on conditions and diseases that are preventable by breastfeeding. Breastfeeding conserves the planet’s resources. According to the United States Breastfeeding Committee, 110 billion BTU’s of energy (approximately $2 million) are used annually in processing, packaging and transporting breast milk substitutes. 6 PROFESSIONAL STATEMENTS ABOUT BREASTFEEDINGS Many of these national organizations have professional statements and position papers available for free download on their website. American Academy of Pediatrics (AAP) “Breastfeeding and human milk are the normative standards for infant feeding and nutrition. Given the documented short- and long-term medical and neurodevelopmental advantages of breastfeeding, infant nutrition should be considered a public health issue and not only a lifestyle choice. The American Academy of Pediatrics reaffirms its recommendation of exclusive breastfeeding for about 6 months, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant.” American Academy of Family Physicians (AAFP) ”Breastfeeding is the physiological norm for both mothers and their children. Breast milk offers medical and psychological benefits not available from human milk substitutes. The AAFP recommends that all babies, with rare exceptions, be breastfed and/or receive expressed human milk exclusively for the first six months of life. Breastfeeding should continue with the addition of complementary foods throughout the second half of the first year. Breastfeeding beyond the first year offers considerable benefits to both mother and child, and should continue as long as mutually desired.” American College of Obstetricians and Gynecologists (ACOG) ”Evidence continues to mount regarding the value of breastfeeding for both women and their infants. The American College of Obstetricians and Gynecologists strongly supports breastfeeding and calls on its Fellows, other health care professionals caring for women and their infants, hospitals, and employers to support women in choosing to breastfeed their infants.” Academy of Nutrition and Dietetics (AND) “Exclusive breastfeeding provides optimal nutrition and health protection for the first 6 months of life and breastfeeding with complementary foods from 6 months until at least 12 months of age is the ideal feeding pattern for infants.” Academy of Nutrition and Dietetics (AND) “Exclusive breastfeeding provides optimal nutrition and health protection for the first 6 months of life and breastfeeding with complementary foods from 6 months until at least 12 months of age is the ideal feeding pattern for infants.” 7 Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) “AWHONN supports breastfeeding as the optimal method of infant nutrition. AWHONN believes that women should be encouraged to breastfeed and receive instruction and support from the entire health care team to successfully initiate and sustain breastfeeding. Discussions with the woman and her significant others concerning breastfeeding should begin during the preconception period and continue through the first year of life or longer.” International Lactation Consultant Association (ILCA) “ILCA affirms the right of all women to breastfeed their infants, of all infants to receive human milk, and of all men and women to assist mothers in protecting these rights. Many unnecessary obstacles stand in the way of women who wish to breastfeed. ILCA seeks to draw attention to key findings of recent research and the clinical implications of those findings. ILCA’s recommendations are based on rigorous published research wherever possible and on collected experience and wisdom where gaps in research-based knowledge exist. ILCA invites those concerned with the well-being of families to consider these statements and to enter into dialogue with the Association over possible future amendments and additions. ILCA urges all health workers to adopt this position statement as their own, and to work to implement its recommendations as standard practice in their own setting.” National WIC Association (NWA) “Promoting breastfeeding as the norm for infant feeding continues to be a major priority in the WIC Program. All WIC staff has a role in promoting and providing support for the successful initiation and continuation of breastfeeding in the first year of life and beyond. NWA supports human milk as the best infant nutrition for the first year of life and beyond with the introduction of solid foods at the appropriate age. NWA challenges all WIC staff to actively promote breastfeeding as the norm for infant feeding. Infants fed human milk receive multiple health, nutritional, environmental and economic benefits compared to infants fed breast milk substitutes.” United States Breastfeeding Committee “Healthy full term infants shall be exclusively breastfed for the first six months.” World Health Organizations, WHO/UNICEF and UNESCO “If all babies and young children were breastfed exclusively for their first six months of life and then given nutritious complementary food with continued breastfeeding up to two years of age, the lives of an additional 1.5 million children under age five would be saved every year.” 8 SUPPORT IS THE KEY TO BREASTFEEDING SUCCESS 9 THE BABY FRIENDLY HOSPITAL INITIATIVE The Baby-Friendly Hospital Initiative (BFHI), a UNICEF/WHO global program, encourages and recognizes hospitals and birthing centers that offer an optimal level of care for lactation. The BFHI assists hospitals in giving breastfeeding mothers the information, confidence, and skills needed to successfully initiate and continue breastfeeding their babies and gives special recognition to hospitals that have done so, the Baby-Friendly Award. Baby Friendly USA is the national authority for the BFHI in the United States. Hospitals can work toward improving breastfeeding practices. In turn, hospitals will receive a Certificate of Intent for their commitment to creating an environment supportive of the Ten Steps to Successful Breastfeeding. (Call Baby-Friendly USA at 508-888-8092 or visit their website at www.babyfriendlyusa.org to receive information about the steps to take to receive a certificate of intent.) Becoming Baby-Friendly is a time consuming commitment that requires the cooperation of the hospital administration team as well as the nursing staff. Receiving the Baby-Friendly Award requires an on-site survey, which is conducted after the hospital or birthing center indicates its readiness for assessment. Only after the hospital or birthing center has successfully implemented all of The Ten Steps, according to the assessment process, does it receive the designation of being a Baby-Friendly Hospital. According to UNICEF/WHO, every facility providing maternity services and care for newborns should strive for the following Ten Steps: 1. Have a written breastfeeding policy that is routinely communicated to all health care staff. 2. Train all health care staff in skills necessary to implement this policy. 3. Inform all pregnant women about the benefits and management of breastfeeding. 4. Help mothers initiate breastfeeding within one half hour of birth. 5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants. 6. Give newborn infants no food or drink other than breast milk, unless medically indicated. 7. Practice “rooming in”-- allow mothers and infants to remain together 24 hours a day. 8. Encourage breastfeeding on demand. 9. Give no pacifiers or artificial nipples to breastfeeding infants. 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic. Currently, there are four Baby-Friendly Hospitals in the state of New Hampshire: Alice Peck Day Memorial Hospital, Lebanon, NH Concord Hospital, Concord, NH Mary Hitchcock Memorial Hospital, Lebanon, NH St. Joseph Hospital, Nashua, NH 10 NATIONAL AND INTERNATIONAL ORGANIZATIONS The following organizations have multiple resources available on their website, including position papers, education materials, self-study modules, journal articles, conference schedule, and contact information. National Organizations Academy of Breastfeeding Medicine 140 Huguenot Street, 3rd Floor New Rochelle, NY 10801 Toll free (800) 990.4ABM Phone (914) 740.2115 (914) 740.2101 Attn: ABM (fax) Website: www.bfmed.org Publishes Breastfeeding Medicine. American College of Obstetricians and Gynecologists 409 12th Street, SW Washington, DC 20024 (202) 638.5577 Website: www.acog.org Healthy Children’s Center for Breastfeeding 327 Quaker Meeting House Road East Sandwich, MA 02537 Phone: 508-888-8044 Fax: 508-888-8050 Website: www.healthychildren.cc/ Baby Friendly USA 449 Rte. 6A PO Box 1015 East Sandwich, MA 02537 Phone: (508) 888.8092 Fax: (508) 484-1716 Website: www.babyfriendlyusa.org Email: [email protected] Academy of Nutrition and Dietetics 120 South Riverside Plaza, Suite 2000 Chicago, Illinois 60606-6995 Toll free: 800-877-1600 Website: www.eatright.org/ Academy of Pediatrics 141 NW Point Boulevard Elk Grove Village, IL 60007 1098 Phone: (847) 434-4000 Toll Free: (800) 433.9016 Website: www.aap.org Email: [email protected] Publishes Pediatrics. Healthy Mothers, Healthy Babies Coalition 4401 Ford Avenue Alexandria, VA 22302 Phone: (703) 837.4792 Fax: (703) 664.0485 Website: www.hmhb.org Email: [email protected] doulas of North America 35 E. Wacker Drive, Suite 850 Chicago, IL 60601-2106 Phone: (888) 788.DONA (3662) Fax: (312) 644.8557 Website: www.dona.org Maternal and Child Health Bureau Health Resources Services Administration US Department of Health and Human Svcs Parklawn Building Room 18-05 11 5600 Fishers Lane, Rockville, MD 20857 Website: www.mchb.hrsa.gov National Alliance for Breastfeeding Advocacy Barbara Heiser, RN, IBCLC, BSN, Founder & Director 9684 Oak Hill Drive Ellicott City, MD 21043 Email: [email protected] Marsha Walker Email: [email protected] Website: http://www.nababreastfeeding.org Human Milk Banking Association of North Camp Bowie Boulevard, Suite 114-88 Fort Worth, TX 76107 Phone: (817) 810.9984 Fax: (817) 810.0087 Website: www.hmbana.org Maternal and Child Health Bureau Health Resources Services Administration US Department of Health and Human Services Parklawn Building Room 18-05 5600 Fishers Lane, Rockville, Maryland 20857 Website: www.mchb.hrsa.gov National Organization of Mothers of Twins Clubs, Inc. (NOMOTC) NOMOTC EXECUTIVE OFFICE 2000 Mallory Lane, Suite 130-600 Franklin, TN 37067-8231 Phone: 248.231.4480 Website: www.nomotc.org Email: [email protected] National Women’s Health Information Center Office on Women’s Health US DHHS Phone: 1.800.994.9662 Website: www.womenshealth.gov/ United States Breastfeeding Committee 2025 M Street NW, Suite 800 Washington, DC 20036 Phone 202.367.1132 Fax 202.367.2132 Email: [email protected] Website: www.usbreastfeeding.org/ National Center for Education in Maternal and Child Health Georgetown University Box 571272 Washington, D.C. 20057-1272 Phone: 202.784.9770 Email: [email protected] Website: www.ncemch.org 12 International Organizations INFACT Canada (Infant Feeding Action Coalition) 520 Colborne Street London, ON, CANADA N6B 2T5 Phone: 416.595.9819 Website: www.infactcanada.ca La Leche League International 957 N. Plum Grove Rd. Schaumburg, IL 60173 Voice mail: (847)519.730 Toll free: 800-LALECHE (525-3243) Fax: 847-969-0460 Website: www.llli.org/ International Board of Lactation Consultant Examiners (IBLCE) 6402 Arlington Blvd, Suite 350, Falls Church, Virginia 22042 USA Phone: 703.560.7330 Fax: 703.560.7332 Website: www.iblce.org/ World Alliance of Breastfeeding Action (WABA) PO Box 1200 10850 Penang, Malaysia Phone: 604-658-4816 Fax: 604-657-2655 Website: www.waba.org. Email: [email protected] International Childbirth Education Association 1500 Sunday Drive, Suite 102 Raleigh, NC 27607 Phone: 919.863.9487 Toll free 800.624.4934 Website: www.icea.org Well Start International PO Box 602 Blue Jay, CA 9231 Website: www.wellstart.org WHO (World Health Organization) World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland Website: www.who.int/en/ International Lactation Consultant Association (ILCA) 2501 Aerial Center Parkway, Suite 103 Morrisville, NC, 27560, USA Phone: 919.861.5577 Toll Free: 1.888.ILCA.IS.U (452.2478) Fax: 919.459.2075 Website: www.ilca.org Email: [email protected] 13 WE ALL HAVE A ROLE IN SUPPORTING BREASTFEEDING 14 The International Code of Marketing of Breast milk Substitutes One of the factors that have long been identified as playing a significant role in the decline in breastfeeding is the marketing and promotion of infant feeding products, breast milk substitutes, artificial milk, soft foods, feeding bottles, dummies and teats. In 1981, the World Health Assembly adopted the International Code of Marketing of Breast milk Substitutes aimed at halting marketing practices for products that interfered with breastfeeding. Governments were encouraged to adopt the Code in their own countries. United States President Bill Clinton signed the World Health Assembly (WHA) Resolution 47.5 in May 1994, which reaffirmed the 1981 WHO Code and called for an end to free and subsidized breast milk substitutes in all parts of the health care system. President Clinton’s signing of WHA 47.5, however, has gone almost unnoticed in the US. Following are the 10 key provisions of the code that are considered a violation if not followed. The Code applies to artificial breast milk for babies and other products used to feed babies, especially when they are marketed for use in a bottle. Ten Key Provisions of the International Code: 1. Products should not be advertised or otherwise promoted to the public. 2. Mothers and pregnant women and their families should not be given samples of products. 3. Health care providers should not be given free or subsidized supplies of products and must not promote products. 4. People responsible for marketing products should not try to contact mothers or pregnant women or their families. 5. The labels on products should not use words or pictures, including pictures of infants, to idealize the use of the products. 6. Health workers should not be given gifts. 7. Health workers should not be given samples of products, except for professional evaluation or research at the institution level. 8. Material for health workers should contain only scientific and factual information and must not imply or create a belief that bottle-feeding is equivalent or superior to breastfeeding. 9. All information and educational materials for pregnant women and mothers, including labels, should explain the benefits and superiority of breastfeeding, the social and financial implications of its use, and the health hazards of the unnecessary or improper use of formula. 10. All products should be of a high quality and take account of the climate and storage conditions of the country where they are used. Complete document at www.who.int/nutrition/publications/infantfeeding/9241541601/en/ 15 United States Donor Human Milk Banks A donor human milk bank is a service established for the purpose of collecting, screening, processing, storing, and distributing donated human milk to meet the specific medical needs of individuals for whom human milk is prescribed by physicians. There are nine milk banks in the United States recognized by the Human Milk Banking Association of North America. Donor human milk is a safe and effective source of nutrition for infants. All donors must be healthy lactating women with a healthy breastfed baby and have an excess of breast-milk. All donors are screened for health behaviors and undergo a blood test for communicable and infectious diseases. Donors are taught how to express their milk using sanitary collection methods. Donated milk once received at the milk bank is heat treated to destroy any bacteria or viruses. Frozen, heat-treated milk can be dispensed upon a physician’s prescription. The Human Milk Banking Association of North America coordinates milk banking activities and publishes the following guidelines: Human Milk Banking Association of North America 2006. Best Practice for Pumping, Storing and Handling of Mother's Own Milk in Hospital and at Home. Human Milk Banking Association of North America, 2007. Guidelines for the Establishment and Operation of a Donor Human Milk Bank, Fort Worth, TX Website: www.hmbana.org Human Milk Banking Association of North America (HMBANA) 4455 Camp Bowie Blvd. Ste. 114-88 Fort Worth, TX 76107 Phone: (817) 810.9984 Fax: (817) 810.0087 HUMAN MILK BANKS Mothers Milk Bank of New England MMBNE P.O. Box 60-0091, 225 Nevada St Newtonville, MA 02460 Phone: (781)535.7594 Website: www.milkbankne.org/ The Mothers’ Milk Bank Christiana Care Hospital PO Box 6001 4755 Ogletown-Stanton Road Newark, DE 19718 Phone: (302) 733-.000 Website: www.christianacare.org/ 16 Mother’s Milk Bank 751 South Bascom San Jose, CA 95128 Toll free: 877-375-6645 Phone: 408.998.4550 Fax: 408.297.9208 Website: www.sanjosemilkbank.com Mothers Milk Bank at Austin 2911 Medical Arts Street, Suite 12 Austin, TX 78705 Phone: 512.494.0800 Toll free: 877.813.6455 Fax: 512.494.0880 Website: www.milkbank.org Indiana Mothers’ Milk Bank, Inc 4755 Kingsway Drive Suite 120 Indianapolis, Indiana 46205 Phone: 317.536.1670 Toll free: 877.829.7470 Fax: 317.536.1676 Website: www.immb.org Heart of America Mothers' Milk Bank At Saint Luke’s Hospital 4401 Wornail Rd. Kansas City, MO 64111 Phone: (816)932-4888 Bronson Mothers' Milk Bank 601 John Street Suite N1300 Kalamazoo, MI 49007 Phone (269) 341-6146 FAX (269) 341-8365 www.bronsonhealth.com Mothers’ Milk Bank Presbyterian/St. Luke’s Medical Center 1719 East 19th Avenue Denver, CO 80218 Phone: (303) 839.6000 Website: www.milkbankcolorado.org Ohio Health Mothers' Milk Bank 4850 E. Main St. Columbus, OH 43213 Phone (614) 566-0630 FAX (614) 566-8074 www.ohiohealth.com Wake Medical Mother’s Milk Bank Wake Medical Center 3000 New Bern Ave Raleigh, NC 27610 Phone: 919-350-8000 Website: www.wakemed.org/ Mothers’ Milk Bank of North Texas 600 West Magnolia Avenue Fort Worth, Texas 76104 Phone: 817.810.0071 Toll Free: 866.810.0071 Fax: 817.810.0087 Website: www.texasmilkbank.org/ Mother's Milk Bank of Iowa 119 2nd Street, Suite 400 Coralville, IA 52241 Phone: 319-384-9929 Toll free: 877-891-5347 Fax:31-384-9933 www.uichildrens.org/mothers-milk-bank 17 WORKSITE LACTATION SUPPORT On March 23, 2010 the Patient Protection and Affordable Care Act took effect. Included in the PPACA is the requirement for employers to provide “reasonable break time for an employee to express breast milk for her nursing child for 1 year after the child’s birth each time such employee has need to express the milk.” Employers are also required to provide “a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk.” This law amended Section 7 of the Fair Labor Standards Act. The FLSA requirement of break time for nursing mothers to express breast milk does not preempt State laws that provide greater protections to employees (for example, providing compensated break time, providing break time for exempt employees, or providing break time beyond 1 year after the child’s birth). At this time, NH does not have a worksite lactation law; therefore employers must adhere to the federal requirement. To print the fact sheet: www.dol.gov/whd/regs/compliance/whdfs73.pdf Additional worksite lactation resources are available on the following websites: New Hampshire Department of Health and Human Services Division of Public Health Services Healthy Eating and Physical Activity Section 29 Hazen Drive, Concord, NH 03301-6504 Lissa Sirois, RD, IBCLC State Breastfeeding Promotion Coordinator Phone: 603-271-0571 Toll free: 1-800-852-3310 Ext. 0571 Email: [email protected] Website: www.dhhs.state.nh.us/dphs/nhp/wic/breastfeeding.htm United States Department of Health and Human Services Health Resources and Services Administration HRSA Information Center P.O. Box 2910 Merrifield, VA 22118 Toll free: 1-888-ASK-HRSA (275-4772) Website: www.hrsa.gov/ The Business Case for Breastfeeding: Steps for Creating a Breastfeeding Friendly Worksite. 18 United States Breastfeeding Committee 2025 M Street NW, Suite 800 Washington, DC 20036-3309 Phone 202-367-1132 Fax 202-367-2132 Website: www.usbreastfeeding.org/ Workplace Accommodations to Support and Protect Breastfeeding 19 BREASTFEEDING PROMOTION AND SUPPORT SERVICES 20 New Hampshire Breastfeeding Legislation NH House Bill 441 This bill sets forth the right of a mother to breastfeed her child in public. Sponsors: Rep. M. Fuller Clark, Rock 36; Rep. T. Reardon, Merr 23; Rep. Rabideau, Rock 16; Rep Gile, Merr 16; Rep. Keans, Straf 16; Sen. Wheeler, Dist 21. STATE OF NEW HAMPSHIRE In the year of Our Lord One Thousand Nine Hundred and Ninety-Nine, AN ACT relative to a mother’s right to breastfeed. Findings: The general court finds that breastfeeding is the best method of infant nutrition. The American Academy of Pediatrics recommends that children from birth to age one should be breastfed, unless under particular circumstance as is medically inadvisable. WHO and UNICEF have established as one of their goals for the decade the encouragement of breastfeeding. The general court finds that medical research shows that human milk and breastfeeding of infants provide many health benefits for a child such as lower rates of death including sudden infant death (SIDS) and decreased incidence and/or severity of diarrhea, respiratory illness, bacterial and viral infections including meningitis, ear infections, urinary tract infections, gastrointestinal infections and chronic digestive diseases, childhood leukemia and other cancers, diabetes, allergies, obesity and developmental delays. Breastfeeding also provides significant benefits to the health of the mother, including a reduced risk of breast and ovarian cancers, postpartum bleeding, osteoporosis and hip fractures in the postmenopausal period, an earlier return to pre-pregnant weight, delayed resumption of ovulation with increased child spacing, and the psychological benefit of an enhanced emotional relationship or bonding between mother and child. The general court further finds that in addition to the health benefits for the mother and child, breastfeeding provides significant social and economic benefits to the state, including reduced health care costs and reduced absenteeism for care attributable to child illness. Therefore, the general court finds that breastfeeding a baby is an important and basic act of nurture that must be encouraged in the interests of maternal and child health and family values. RSA 132:10-d Breast-feeding a child does not constitute an act of indecent exposure and to restrict or limit the right of a mother to breast-feed her child is discriminatory. Signed by Governor Jeanne Shaheen on June 10, 1999. 21 NEW HAMPSHIRE BREASTFEEDING TASK FORCE Website: www.nhbreastfeedingtaskforce.org/ Facebook: New Hampshire Breastfeeding Task Force Twitter: @NHBreastfeeding For the children of New Hampshire to be healthy and strong, they must receive the best possible nutrition when they are infants. The New Hampshire Breastfeeding Task Force encourages breastfeeding because: • Breast milk provides an ideal balance of nutrients for the human infant. • The nutrients in breast milk are easily absorbed and digested. • Breast milk contains immune factors and anti-infective properties. • Breastfed infants have fewer allergies. • Breastfeeding allows infants to regulate their own food intake. • Breastfeeding completes the natural reproductive cycle of the mother by promoting involution of the uterus. • Breastfeeding promotes bonding between mother and infant. The NH Breastfeeding Task Force strives to meet the national objectives for breastfeeding prevalence and duration as outlined by the U.S. Surgeon General, Department of Health and Human Services in the Healthy People 2020: National Health Promotion and Disease Report. To achieve these objectives, states must have 81.9% of its infants breastfed at hospital discharge with 60.6% of those infants still breastfeeding at six months and 34.1% of those infants breastfeeding until one year of age. 46.2% of NH infants should be exclusively breastfed for 3 months and 25.5% should receive nothing but breast milk for the first 6 months of life. In order to reach these goals, we support the following strategies: • Inform expectant parents of the advantages of breastfeeding to both mother and infant. • Provide expectant mothers with information on how to prepare for, initiate, and maintain lactation. • Encourage practices that support breastfeeding in all sectors of the health care system. • Institute policies in worksites that create an environment fostering success in breastfeeding. • Increase public awareness of the benefits of breastfeeding. • Increase community services that support breastfeeding. • Keep health professionals informed of available breastfeeding services and information in the state. Promoting, Protecting, and Supporting Breastfeeding in New Hampshire. 22 WIC NUTRITION OFFICES AND BREASTFEEDING COORDINATORS WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) is a nutrition program for pregnant, breastfeeding, and postpartum women and children under 5 years of age, who are income eligible. WIC provides free nutritious foods, nutrition education, health care referrals, and breastfeeding promotion and support. Breastfeeding services include consultation from nutritionists, breastfeeding coordinators, lactation counselors, and breastfeeding peer counselors. Breastfeeding mothers receive printed breastfeeding materials as well as access to free manual and electric breast pumps, additional healthy foods, and unlimited breastfeeding support STATE AGENCY COORDINATORS Lissa Sirois, RD, IBCLC WIC Breastfeeding Promotion Coordinator 603.271.0571 or 800.852.3310 Ext. 0571 Email: [email protected] Frances McLaughlin, MEd, RD WIC Nutrition Coordinator 603.271.4252 or 800.852.3310 Ext. 4252 Email: [email protected] LOCAL AGENCY WIC PROGRAM BREASTFEEDING COORDINATORS 9 Crystal Ave Community Action Program Belknap, Coos, Derry NH 03038 Grafton and Merrimack Counties Derry Phone: 855.295.4105 Jamie Huddleston, BS, IBCLC Raymond Phone: 800.974.2303 2 Industrial Park Drive Concord NH 03302 Phone: 603.225.2050 or 800.578.2050 Goodwin Community Health Carroll and Strafford Counties Denise Lozier, RD, CLC Southern NH Services 311 Route 108 Hillsborough and Rockingham Counties Somersworth NH 03867 Breastfeeding Coordinator: Helen Mason, BS, CLC Phone: 603.332.4358 or 1.855.332.4358 40 Pine Street Southwestern Community Services Manchester NH 03108 Cheshire and Sullivan Counties Phone: 603.668.8010 or 800.322.1073 Brandi Wadleigh, BS, CLC 134 Allds Street 63 Community Way Keene NH 03431 Nashua NH 03060 Phone: 603.889.3440 or 877.211.0723 Phone 603.352.7512 or 800.529.0005 23 CHILD CARE PROVIDERS Child care providers play an important role in supporting breastfeeding families. With more than 50% of mothers with young children returning to work and placing their children in the care of someone other than a parent, child care centers need to have adequate training, a positive attitude and a welcoming environment for breastfeeding mothers and babies. United States Breastfeeding Committee Breastfeeding and Child Care (2002) USBC Publications Research has demonstrated that knowledgeable support is essential for helping mothers establish and continue breastfeeding as they return to work or school and make use of childcare services. www.usbreastfeeding.org/AboutUs/PublicationsPositionStatements/tabid/70/Default.aspx United States Department of Agriculture, Food and Nutrition Service Feeding Infants: A Guide for Use in the Child Nutrition Programs The guide presents information on infant development, nutrition for infants, and breastfeeding. Website: www.fns.usda.gov/tn/resources/feeding_infants.pdf WIC Works Resource System An online training and education center for professionals. Website: http://wicworks.nal.usda.gov/ National Resource Center for Health and Safety in Child Care and Early Education 13120 E. 19th Avenue PO Box 6511 Aurora, CO 80045 Phone: 1.800.598.KIDS(5437) Fax: (303) 724.0960 Website: www.nrckids.org/ Let’s Move! Childcare Resources for child care centers to establish breastfeeding friendly policies and practices. www.healthykidshealthyfuture.org/welcome.html 24 BREAST PUMP INFORMATION AND RENTALS Breast Pump Information Breast pumps come in a variety of styles and price ranges. They are used to help mothers express their milk in a variety of situations: • Prematurity or other medical condition • Returning to work • Temporary inability to breastfeed, or mom and baby are temporarily separated • Illness of the infant or mother which inhibits nursing • Establish, maintain or increase milk supply The choice of a pump depends on its use and should be efficient, comfortable, accessible, affordable, easy to clean, and easy to use. The issues most frequently mentioned by mothers when they are choosing a pump are the amount of milk that can be pumped and the time it takes to pump. Selection depends on its purpose, with options of manual breast pumps; battery operated breast pumps, as well as electric breast pumps. Electric breast pumps are available to purchase or rent. They are available as hospital grade multi-user and single user breast pumps. Manual breast pumps are frequently used for occasional milk expression. Some mother’s find that hand expression works as well or better for them. Battery operated breast pumps generate vacuum with a small battery operated motor and are appropriate for occasional pumping and for a mother with an abundant milk supply or rapid milk ejection reflex. This type of pump is not adequate for a mothering returning to part time or full time employment. Electric breast pumps come in different sizes and generally have automatic cycling. Electric breast pumps are best suited for mothers who are returning to work, who are pumping for preterm infants, or in special situations where the milk supply is being induced or augmented because the baby has not been established at the breast. The electric pumps have a double collection kit that allows both breasts to be expressed simultaneously thereby reducing the time spent pumping. Some electric breast pumps are available as multi-user or single user pumps. Beginning in 2013, with the Affordable Care Act’s new coverage of preventive health-care services for women, many insurance plans now provide equipment and services to promote breast-feeding. This means that breast pumps and lactation counseling can be utilized at no 25 additional cost. The type of breast pump may vary from health plan to health plan. Contact your health plan for more information. In 2011, a ruling issued by the IRS considers the cost of a breast pump as a tax-deductible medical expense. Women are able to use money set aside in pretax spending accounts to buy or rent breast pumps and equipment. For women that do not have flexible spending accounts, the cost of breast pumps and equipment are tax deductible if their total medical costs are more than 7.5 % of their adjusted gross income. BREAST PUMP RENTAL SERVICES BY COUNTY BELKNAP COUNTY Keene Medical Products, Inc. 66 Airport Road Concord, NH 03301-5205 Phone: 603-224-0135 HILLSBOROUGH COUNTY Catholic Medical Center 100 McGregor Street Manchester, NH 03102 Phone: 603-668-3545 CHESHIRE COUNTY Cheshire Medical Center 580 Court Street Keene, NH 03431 Phone: 603-354-5400 Southern NH Regional Medical Center 8 Prospect Street Nashua, NH 03060 Phone: 603-577-2000 St. Joseph’s Hospital 172 Kinsley Street Nashua, NH 03061 Phone: 603-595-3168 Keene Medical Products, Inc. 275 Washington Street Keene, NH 03431-4366 Phone: 603-357-3222 GRAFTON COUNTY Alice Peck Day Memorial Hospital 10 Alice Peck Day Drive Lebanon, NH 03766 Phone: 603-448-3121 Elliot, Childbirth Education Department 1 Elliot Way Manchester, NH 03103 Phone: 603-669-5300 Dartmouth Hitchcock Medical Center 1 Medical Center Drive Lebanon, NH 03756 Phone: 603-650-5000 COOS COUNTY Keene Medical Products, Inc. 603 Main Street Gorham, NH 03581 Phone: 603-752-7694 26 Keene Medical Products, Inc. P.O. Box 439 240 Meriden Road Lebanon, NH 03766-0439 Phone: 603-448-0422 Cottage Hospital Birthing Center 90 Swift Water Road Woodsville, NH 03785 Phone: 603 -747 9000 MERRIMACK COUNTY Concord Hospital 250 Pleasant Street Concord, NH 03301 Phone: 603-227-7000 ext. 4909 Keene Medical Products, Inc. 66 Airport Road Concord, NH 03301-5205 Phone: 603-224-0135 ROCKINGHAM COUNTY Keene Medical Products, Inc. 6 Robert Ave, Unit 1 Portsmouth, NH 03801 Phone: 603-431-6006 Parkland Medical Center 1 Parkland Drive Derry, NH 03038 Phone: 603-421-2064 STRAFFORD COUNTY Wentworth-Douglas Hospital 789 Central Avenue Dover, NH 03820 Phone: 603.740.2233 27 PRENATAL AND POSTPARTUM BREASTFEEDING PROMOTION AND SUPPORT PROGRAMS AND SERVICES BELKNAP COUNTY Lakes Regional General Hospital 80 Highland Street Laconia, NH 03246 Phone: 603-524-3211 Ext.3744 Website: www.lrgh.org Lakes Region Lactation Services, LLC Celina Dykstra, IBCLC Private practice, home visits Phone: 603-498-0535 Email: [email protected] WIC BREASTFEEDING PEER COUNSELING PROGRAM Jamie Huddleston, BS,IBCLC, Breastfeeding Coordinator Belknap-Merrimack Counties Community Action Program Phone: 603-225-2050 or 1-800-578-2050 Lakes Region La Leche League, List Leader: Celina Dykstra Phone: 603-715-1900 Email: [email protected] CARROLL COUNTY Memorial Hospital 3073 White Mountain Highway North Conway, NH 03860 Phone: 603.356.5461 ext 2146 Website: www.memorialhospitalnh.org VNA/Hospice of Southern Carroll County Good Beginnings Program 240 South Main Street 28 Wolfeboro, NH 03894 Phone: 603.569.2729 Ext. 324 Website:www.centralvna.org WIC BREASTFEEDING PEER COUNSELING PROGRAM Denise Lozier, RD, CLC, Breastfeeding Coordinator Goodwin Community Health Phone: 603.332.4358 or 1.855.332.4358 CHESHIRE COUNTY Cheshire Medical Center/Dartmouth-Hitchcock 580 Court Street Keene, NH 03431 Phone: 603-354-5480 Website: www.cheshire-med.com WIC BREASTFEEDING PEER COUNSELING PROGRAM Brandi Wadleigh, BS, CLC, Breastfeeding Coordinator Southwestern Community Services Phone: 1.800.529.0005 or 603.352.7512 ext. 4233 GRAFTON COUNTY Alice Peck Day Hospital 125 Mascoma Street Lebanon, NH 03766 Phone: 603.448.7413 Website: www.alicepeckday.org/ Cottage Hospital Birthing Center 90 Swiftwater Road Woodsville, NH 03785 Phone: 603.747.9000 Ext. 9145 Website: www.cottagehospital.org/ 29 Dartmouth-Hitchcock Medical Center Women’s Health Resource Center 1 Medical Center Drive Lebanon, NH 03756 Phone: 603.650.2600 Website: www.dhmc.org Littleton Regional Hospital Birth & Parenting Program 600 Saint Johnsbury Road Littleton, NH 03561 Phone: 603.444.9335 Website: www.littletonnhhospital.org Speare Memorial Hospital 16 Hospital Road Plymouth, NH 03264 Phone: 603.238.2213 Website: www.spearehospital.com WIC BREASTFEEDING PEER COUNSELING PROGRAM Jamie Huddleston, BS, IBCLC, Breastfeeding Coordinator Belknap-Merrimack Counties Community Action Program Phone: 603.225.2050 or 1.800.578.2050 HILLSBOROUGH COUNTY Nini Bambini 166 South River Road Bedford, NH 03110 Phone: 603-666-6464 Website: www.ninibambini.com Catholic Medical Center 100 McGregor Ave Manchester, NH 03102 Phone: 603-626-2626 Website: www.catholicmedicalcenter.org 30 Elliot Hospital 1 Elliot Way Manchester, NH 03103 Phone:603-663-4567 Website: www.elliothospital.org Southern NH Medical Center 8 Prospect Street Nashua, NH 03060 Phone: 603-577-2255 Website: www.snhmc.org St. Joseph Hospital 172 Kinsley Street Nashua, NH 03060 Phone: 603-595-3162 Website: www.stjosephhospital.com Manchester Obstetrical Associates Phone: 603.622.3162 Nashua Pediatrics Phone: 603-889-6671 WIC BREASTFEEDING PEER COUNSELING PROGRAM Helen Mason, BS, CLC, Breastfeeding Coordinator Southern New Hampshire Services Manchester Office Phone: 603.647.4470 Ext. 6074 Nashua Office Phone: 603.889.3440 Ext. 22 MERRIMACK COUNTY Concord Hospital 250 Pleasant Street Concord, NH 03301 Phone: 603.230.7300 Website: www.concordhospital.org 31 WIC BREASTFEEDING PEER COUNSELING PROGRAM Jamie Huddleston, BS, IBCLC, Breastfeeding Coordinator Belknap-Merrimack Counties Community Action Program Phone: 603.225.2050 or 1.800.578.2050 ROCKINGHAM COUNTY Exeter Hospital Family Center 5 Alumni Drive Exeter, NH 03833 Phone: 603-580-6668 Website: www.exeterhospital.com Parkland Medical Center 1 Parkland Drive Derry, NH 03038 Phone: 603-421-2064 Website: www.parklandmc.com Portsmouth Regional Hospital 333 Borthwick Avenue Portsmouth, NH 03801 Phone: 603-433-4086 Website: www.portsmouthhospital.com Seacoast Lactation Services Wendy Jordan, BS, IBCLC Phone: 603-531-3628 WIC BREASTFEEDING PEER COUNSELING PROGRAM Helen Mason, BS, CLC, Breastfeeding Coordinator Southern New Hampshire Services 9 Crystal Ave Derry, NH 03038 Phone: 603-965-3029 32 STRAFFORD COUNTY Frisbie Memorial Hospital 11 Whitehall Road Rochester, NH 03867 Phone: 603-330-7941 Website: www.frisbiehospital.com Wentworth Douglass Hospital 789 Central Ave Dover, NH 03820 Phone: 603-740-2858 Website: www.wdhospital.com WIC BREASTFEEDING PEER COUNSELING PROGRAM Denise Lozier, RD, CLC, Breastfeeding Coordinator Goodwin Community Health Phone: 603.332.4358 or 1.855.332.4358 SULLIVAN COUNTY WIC BREASTFEEDING PEER COUNSELING PROGRAM Brandi Wadleigh, BS, CLC, Breastfeeding Coordinator Southwestern Community Services 1.800.529.0005 or 603.352.7512 33 THE BEST SUPPORT STARTS PRENATALY 34 RESOURCES FOR PROFESSIONALS What is a Lactation Professional? Breastfeeding assistance may come from: 1. A breastfeeding/lactation counselor or peer counselor, who is trained to provide basic breastfeeding information and peer support for common situations. 2. A lactation consultant, IBCLC, who is a trained and educated health professional who is able to manage more difficult or unusual breastfeeding situations. What is a Breastfeeding Peer Counselor? Many women who have breastfed their own children have enjoyed it so much that they want to help other women have the same enjoyable experience. These women attend training courses and learn about the experiences of many mothers, so they understand breastfeeding beyond their own personal experience. These women may belong to breastfeeding support groups such as La Leche League. Breastfeeding peer counselors are knowledgeable about breastfeeding and the normal situations that arise during the course of breastfeeding. They are available by telephone to answer questions and may participate in a breastfeeding support group that meets in the WIC office. These monthly meetings provide a place for mothers to come together with their babies to discuss breastfeeding and parenting. When a breastfeeding counselor encounters a problem that is beyond her skill set, she will refer to the primary health care provider or a lactation consultant. Breastfeeding counselors are sometimes community volunteers or WIC staff. Some may work for a small stipend while others volunteer their time for free. WIC breastfeeding peer counselors are hired to teach women about breastfeeding during their prenatal period. WIC provides an 18 hour training for their breastfeeding counselors by a certified lactation consultant. Many WIC breastfeeding peer counselors have also taken a 40 hour certified lactation counselor course which gives them the credential and title, CLC, certified lactation counselor. What is a Certified Lactation Counselor? A Certified Lactation Counselor (CLC), certification is the premier National Certification in Lactation Management for the United States. CLC certification holders have demonstrated competence in the lactation skills, knowledge and attitudes that are essential to helping women in the United States and have agrees to comply with The Academy of Lactation Policy and Practice code of ethics. The Lactation Counselor Training course is recognized by ANCC as a Nursing Skills Competency Program. 35 CLC certification means that a person has received training and competency verification in breastfeeding and human lactation support including assessing the latching and feeding process, providing corrective interventions, counseling mothers, understanding and applying knowledge of milk production including in special circumstances and other commonly encountered situations. All of this gives CLCs a strong foundation with which to help moms and babies. What is a Lactation Consultant? A lactation consultant, different from a lactation counselor, is an allied health care provider who possesses the necessary skills, experience, knowledge, and attitude to facilitate breastfeeding. She is a person who has received special training and certification in breastfeeding counseling. Lactation consultants utilize a problem solving process to provide appropriate information, suggestions, and referrals in a variety of settings including hospitals, clinics, and physician’s offices. They assess the mother and baby while breastfeeding, develop care plans, report to the mother’s and baby’s primary care providers, as well as arrange followup appointments. The lactation consultant field began in 1985 with a certifying examination. Those who pass an international exam become International Board Certified Lactation Consultants, IBCLC. Certified lactation consultants are growing in recognition by health care professionals as experts in breastfeeding management for usual and unusual situations. Professional lactation consultants receive payment for their services. Many lactation consultants also provide educational programs and updated resources for health care professionals. Breastfeeding counselors and lactation consultants may work closely together when a mother is experiencing a breastfeeding problem. For more information on how to become an IBCLC, visit www.ibcle.org What is a Postpartum Doula? Postpartum doulas provide in-home support to new parents, usually including breastfeeding support, newborn care, meal preparation, and other household tasks. Some doulas are also nurses, midwives, and mothers themselves. They specialize in postpartum maternal/child health issues and can help identify when professional assistance is necessary, referring mothers to their physician or community resources such as lactation consultants, breastfeeding counselors, and support groups. 36 LACTATION EDUCATION AND TRAINING PROGRAMS Prior to taking the International Board Certifying Lactation exam, candidates must meet breastfeeding/lactation education requirements, in addition to hands-on experience. Basic and advanced lactation management courses are available through the following providers: Breastfeeding Support Consultants 44 N. Cornell Villa Park, IL 60181 Phone: 630.547.5057 E-mail: [email protected] Website: www.bsccenter.org The Breastfeeding Counselor course is for peer counselors and health workers who seek core knowledge and skills to help a mother breastfeed. The goal is for the student to achieve a basic understanding of breastfeeding management and counseling techniques. Healthy Children’s Center for Breastfeeding 327 Quaker Meeting House Road, East Sandwich, MA 02537 Phone: 508.888.8044 Email: [email protected] Website: www.healthychildren.cc Course is a 5-day program offered several times per year around the country. Comprehensive breastfeeding management training course, which includes practical skills, strategies, and tips for special circumstances, as well as public health strategies that work to promote breastfeeding success. La Leche League International, Inc. Peer Counselor Program 957 N. Plum Grove Road Schaumburg, IL 60173 Phone: 1.847.519.7730 or 1.800.525.3243 Fax: 1.847.969.0460 Website: www.llli.org/ed/PeerCounsel.html The purpose of the LLLI Peer Counselor program is to develop support systems within targeted communities that will provide ongoing access to breastfeeding information and support by training those interested in learning more about breastfeeding promotion, management, support and techniques to help mothers to breastfeed. 37 The Boston Association for Childbirth Education P.O. Box 29, Newtonville, MA 02460 Phone: 617.244.5102 Email: [email protected] Website: www.bace-nmc.org Comprehensive training prepares participants to counsel breastfeeding women. Topics include anatomy and physiology of the breast, skin-to-skin kangaroo care and baby-led latch, medications and breastfeeding, common problems with some solutions, as well as postpartum adjustment and family dynamics. Breastfeeding Support Consultants 44 N. Cornell Villa Park, IL 60181 Phone: 630-547-5057 Website: www.bsccenter.org Long distance learning programs. Evergreen Perinatal Education 402 Detwiller Lane Bellevue, WA 98004 Phone: 425.455.3231 Website: www.evergreenperinataleducation.com Course enables participants to provide accurate, current and consistent information about breastfeeding and lactation and support new families in feeding their babies from birth through the process of weaning. Each participant will be given the knowledge to work with other healthcare providers to ensure continuity of care for the breastfeeding mother and her infant(s). Lactation Education Resources 5614 Dover St. Churchton, MD 20733 Phone: 703-868-1849 Fax: 443-607-8898 Website: www.leron-line.com The Lactation Consultant Training Program consists of a series of online webcast courses to prepare for lactation consultant practice and for the IBLCE certification exam. Begin at any time. 38 SELF-STUDY MODULES Healthy Children’s Center for Breastfeeding 327 Quaker Meeting House Road, East Sandwich, MA 02537 Phone: 508.888.8044 Website: www.healthychildren.cc International Lactation Consultant Association (ILCA) 2501 Aerial Center Parkway, Suite 103 Morrisville, NC, 27560, USA Toll Free: 1.888.ILCA.IS.U (452.2478) Website: www.ilca.org Email: [email protected] Certifying Exam International Board of Lactation Professionals 6402 Arlington Boulevard Suite 350 Falls Church, VA 22042-2356 Phone: 703.560.7330 Fax: 703.560.7332 Website: www.iblce.org 39 SUPPORT FROM YOUR FAMILY IS CRITICAL 40 Breastfeeding Publications The American Academy of Breastfeeding Medicine 140 Huguenot Street, 3rd floor, New Rochelle, New York 10801 Phone: 914-740-2115, Website: www.bfmed.org Protocols include: • Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Neonates • Guidelines for Hospital Discharge of the Breastfeeding Newborn and Mother • Guidelines for Supplementary Feedings in the Healthy Breastfed Neonate • Mastitis • Peri-partum Breastfeeding Management for the Healthy Mother and Infant • Guideline on Co-Sleeping and Breastfeeding • Model Breastfeeding Policy • Human Milk Storage Information for Home Use for Healthy Full-Term Infants • Use of Galactogogues in Initiating or Augmenting Maternal Milk Supply • Breastfeeding the Near Term Infant • Neonatal Ankyloglossia • Transitioning the Breastfeeding/Breastmilk-fed Premature Infant to Home • Contraception and Breastfeeding • The Breastfeeding-Friendly Physician: Optimizing Care for Infants and Children • Analgesia and Anesthesia for the Breastfeeding Mother • Breastfeeding the Hypotonic Infant • Guidelines for Breastfeeding Infants with Cleft Lip and Cleft Palate • Use of Antidepressants in Nursing Mothers • Breastfeeding Promotion in the Prenatal Setting • Engorgement • Guidelines for Breastfeeding and the Drug-Dependent Woman The American Academy of Pediatrics 141 Northwest Point Blvd. Grove Village, IL 60007 Phone: 847-434-4000 Website: www.aap.org -Click on breastfeeding located under Children’s Health Topics to view policy statements/articles. • Breastfeeding and the Use of Human Milk 41 • • • • • The Transfer of Drugs and other Chemicals into Human Milk Clinical Practice Guideline: Management of Hyperbilirubinemia in the Newborn 35 or More Weeks of Gestation Prevention of Pediatric Overweight and Obesity Prevention of Rickets and Vitamins D Deficiency in Infants, Children, and Adolescents Technical Report: An Evidenced-based Review of Important Issues Concerning Neonatal Hyperbilirubinemia 42 Breastfeeding Media Breastfeeding DVDs- English A Preemie Needs His Mother: First Steps to Breastfeeding Your Premature Baby –Jane Morton Told through mothers of premature babies, a comprehensive guide to the benefits of breastmilk for the premature, hand expression and breast pumping to increase production, transitioning the baby from tube feeding to breastfeeding. Running time: 56 Minutes (two parts) Website: http://www.breastmilksolutions.com Baby Led Breastfeeding – The Mother-Baby Dance With Christina M. Smillie, MD In Baby-Led Breastfeeding, we see mothers learning to breastfeed naturally by letting their babies show them how. Running time: 16 Minutes Website: www.geddesproduction.com Better Breastfeeding: A Guide for Teens Engaging new program to help educators show teen moms how easy and natural breastfeeding can be. (Available in Spanish) Running time: 25 Minutes Website: www.injoyvideos.com Better Breastfeeding: Your Guide to a Healthy Start (Available in Spanish) How-to breastfeed video provides everything parents need to give their baby the healthiest start in life. Running time: 25 Minutes Website: www.injoyvideos.com Born With a Cleft - A Feeding Guide Shows children with different forms of cleft lip or palate and how some are breastfed and others fed with alternative methods. Running time: 25 Minutes Website: www.mothersdirect.com.au/ 43 Breastfeeding: A Guide to Successful Positioning Teaching the principles of good breastfeeding can prevent most breastfeeding problems. Running time: 12 Minutes Website: www.childbirthgraphics.com Breastfeeding: A Magical Bond of Love (WIC Hispanic Breastfeeding and Promotion Project) (Available in Spanish) Award-winning video-novella follows a discussion about breastfeeding among WIC mothers and family members. Running time: 14 Minutes Website: www.nal.usda.gov/wicworks/Learning_Center/support_bond.htm Breastfeeding: Coping with the First Week Features Chloe Fisher helping new mothers learn how to breastfeed. Running time: 30 Minutes Website: www.growingwithbaby.org Breastfeeding: Dealing With the Problems Many breastfeeding difficulties result from improper latch, which can cause sore nipples, engorgement, mastitis, deep breast pain, and insufficient milk supply. Running time: 24 Minutes Website: www.childbirthgraphics.com Breastfeeding: How-To The How to video shows new parents how to handle the awkwardness and newness of newborn and early breastfeeding and continues on through older, more experienced babies. (Available in Spanish) Running time: 24 Minutes Website: www.vida-health.com/ Breastfeeding: Why To The Why-To video is a motivational program outlining the health benefits of breastfeeding. (Available in Spanish) Running time: 19 Minutes Website: www.vida-health.com/ 44 Breastfeeding: Mom and I Can Do That! DVD explains the importance of letting the baby become accustomed to his/her new world through all five senses. Website: www.ibreastfeeding.com/ Breastfeeding, a Guide to Getting Started – Jane Morton The ABCs of Breastfeeding, a beautifully illustrated instructional booklet is included. Running time: 30 Minutes Website: www.breastmilksolutions.com Breastfeeding and Basketball Program addresses the benefits of breastfeeding for men, for supporting and encouraging partners. Running time: 8 Minutes Website: www.injoyvideos.com Breastfeeding Best Practice: Teaching Latch & Early Management Increases an organization’s breastfeeding initiation and duration rates by incorporating new program into current staff training procedures. Running time: 30 minutes Website: www.injoyvideos.com Breastfeeding for Working Mothers: Planning, Preparing, and Pumping In just 20 minutes, one can teach moms how to talk to a supervisor, find the ideal place to pump, safely store milk, and much more. Running time: 20 Minutes Website: www.injoyvideos.com Breastfeeding Management, Educational Tools for Physicians and Other Professionals – Jane Morton Video clips and handouts for those who are learning or teaching bedside breastfeeding management. Website: www.breastmilksolutions.com Breastfeeding Techniques That Work A series of 9 tapes by Kittie Frantz (Available in Spanish) Running time: 15 to 51 minutes. Website: www.geddesproduction.com/ 45 Breastfeeding: You Can Do It! Explains the benefits of breastfeeding, how to get ready for it, how to latch and get started and frequently asked questions. www.breastfeedingdvds.com Delivery Self Attachment By Lennart Righard, MD Video depicts a newborn's ability at birth to crawl up to a breast and attach himself. (Available in Spanish) Running time: 6 Minutes Website: www.geddesproduction.com/ Dr. Jack Newman's Visual Guide to BF DVD helps to understand how breastfeeding works in a step-by-step comprehensive format. Running time: 45 Minutes Website: www.ibreastfeeding.com/ Establishing Your Breastfeeding Relationship (Available in Spanish) Video is designed for healthy moms who have made the decision to breastfeed, and focuses on the first few weeks of nursing. Running time: 20 Minutes Website: www.milner-fenwick.com/ Feeding Your Baby: Birth to One Teaches parents about age-appropriate food choices for babies and the importance of positive, nurturing eating experiences. (Available in Spanish) Running time: 21 Minutes Website: www.milner-fenwick.com/ Follow Me Mum: The Key to Successful Breastfeeding Video is the culmination of 31 years of fascination, study, and experience in the art of empowering women to attach their baby comfortably and effectively without assistance. (Available in Spanish) Running time: 20 Minutes Website: www.ibreastfeeding.com/ 46 Giving You the Best That I Got, Baby Designed to motivate women to choose breastfeeding, this video uses role models to address concerns women have about breastfeeding. Running time: 14 Minutes (VHS Only) Phone: 410-659-6259 E-mail requests to: [email protected] Kangaroo Mother Care By Nils Bergman, MD "How-To, Why-To" video that summarizes the newborn thrives best on his mother's chest. (Available in Spanish) Running time: 21 minutes Website: www.geddesproduction.com/ Kangaroo Mother Care II By Nils Bergman, MD Dr. Bergman clearly and simply presents what happens to a human newborn when she/he is separated from the mother. Running time: 51 Minutes Website: www.geddesproduction.com Learning to Be Baby-Friendly A DVD of Evergreen Hospital’s experience in becoming the first US Baby-Friendly Hospital. Website: www.babyfriendlyusa.org Making Enough Milk, The Key to Successful Breastfeeding...Planning for Day One- Jane Morton This video is a must for every expectant and new mother, for those who plan to use a breast pump, for mothers who struggle with low milk supply, and for professionals who teach or help breastfeeding mothers. Running time: 29 Minutes Website: www.breastmilksolutions.com Mother & Baby: Getting it Right Video featuring teaching positioning and attachment techniques to an antenatal class and helping three mothers attach their babies to the breast. Running time: 20 Minutes (VHS Only) Website: www.mothersdirect.com.au/ 47 Mother & Baby…The First Week Video shows parents what to expect and what is normal in the first week after the baby is born, so that they will quickly seek assistance if the abnormal occurs. Running time: 19 Minutes (VHS Only) Website: www.mothersdirect.com.au/ She Needs You Explanation and hands on technique of latch on. Running time: 20 Minutes Website: www.healthychildren.cc/ 14 Steps to Better Breastfeeding Concise, yet complete guide that teaches mothers the essential information they need to know to breastfeed successfully. (Available in Spanish) Running time: 18 minutes Website: www.milner-fenwick.com/ Skin to Skin in the first Hour After Birth: Practical Advice for Staff after Vaginal and Cesarean Birth Intended to assist staff in providing appropriate, individualize, baby adapted care for the full term infant using skin to skin within the first hour after birth. Website: www.healthychildren.cc The Magical Hour. Holding Your Baby Skin to Skin in the First Hour After Birth The benefits of holding your newborn skin to skin immediately following birth, and the nine stages during the first hour. Website: www.healthychildren.cc 48 Breastfeeding DVDs- Spanish Amamantando de su bebe: poscicionamieto (Breastfeeding you Baby: Positioning) Instructional video presents basic steps for proper positioning and latch-on plus supportive comments about breastfeeding from celebrity mothers. Running time: 15 Minutes (VHS Only) Website: www.llli.org/ Amamantando desde el principio (Getting Started with Breastfeeding) Video by the Northwest Georgia Breastfeeding Coalition is helpful for all parents who want to learn the basics of breastfeeding. It includes tips for getting baby to the breast, positioning, and how to tell if baby is getting enough milk. Running time: 10 minutes (VHS only) Website: www.llli.org/ Guia Materna Para La Alimentacion Con el Pecho Lesson created to be taught to an audience where in the end they will know two ways to avoid sore nipples, two ways to discreetly breastfeed in public, as well as know two places to call for breastfeeding help and information. Handouts included. Running time: 16 minutes From the Texas Department of Health, WIC Use Texas WIC Materials order form to fax your request Website: www.dshs.state.tx.us/ 49 Breastfeeding Educational Materials in Print Available for purchase or download Breastfeeding Posters Childbirth Graphics WRS Group, Ltd. PO Box 21207 Waco, TX 76702-1207 Phone: 254-776-6461 ext. 287 Toll free: 800-299-3366 ext. 287 Fax: 254-776-0640 Toll free fax: 888-977-7653 Website: www.childbirthgraphics.com/ INFACT CANADA Infant Feeding Action Coalition 10 Trinity Square, Toronto M5G 1B1 CANADA Phone: 416-595-9819 Website: www.infactcanada.ca/Resource_Centre.htm International Childbirth Education Association (ICEA) ICEA Book center 1500 Sunday Drive, Suite 102 Raleigh, NC 27607 Toll Free: 800-624-4934 Fax: 919-787-4916 Website: www.icea.org Email: [email protected] La Leche League International PO Box 4079 Schaumburg, IL 60168-4079 Voice mail: 847-519-7730 Toll free: 800-LALECHE (525-3243) Fax: 847-969-0460 Spanish materials available. Website: www.llli.org 50 Noodle Soup 4614 Prospect Ave. # 328 Cleveland, OH 44103-4377 Toll free: 1-800-795-9295 Website: www.noodlesoup.com Medela, Inc. Breastfeeding U.S. 1101 Corporate Dr. McHenry, IL 60050 Phone: 800-435-8316 Fax: 815-363-1246 Website: www.medela.com The American Academy of Pediatrics 141 Northwest Point Boulevard Elk Grove Village, IL 60007-1098 Phone: 847-434-4000 Fax: 847-434-8000 Website: www.aap.org WIC Works Resource System Food and Nutrition Information Center National Agriculture Library 10301 Baltimore Avenue Beltsville, MD 20705 Phone: 301-504-6096 Website: www.nal.usda.gov/wicworks/Learning_Center/loving_support.html 51 Breastfeeding Books for Parents Listed below are breastfeeding books that talk about the benefits of breastfeeding as well as some of the everyday challenges that new moms face during the post-partum period. These books are written for a general audience. • Your Guide to a Healthy, Happy Baby (2005) Amy Spangler • Eat Well, Lose Weight While Breastfeeding (2006) • The Nursing Mother’s Companion (2005) • Nursing Your Baby (2005) • The Womanly Art of Breastfeeding (2010, 8th Edition) International • Nursing Mother, Working Mother (2007) • Mothering Multiples: Breastfeeding and Caring for Twins and More (2007) Karen Kerkhoff Gromada • Great Expectations: The Essential Guide to Breastfeeding (2009) • Breastfeeding: Getting Breastfeeding Right for You (2000) • Why Should I Nurse My Baby? (English, Spanish, French & Haitian) (2009) Pamela K. Wiggins Eileen Behan Kathleen Huggins Karen Pryor & Gale Pryor 52 La Leche League Gale Pryor Marianne Neifert Mary Renfrew Breastfeeding Books for Children and Families Parents often ask, “How do I explain to my older child what breastfeeding is?” Often children who have never seen a mom and baby nurse before have lots of great questions. The best thing you can do is to be open and explain to your child in simple language you are feeding the baby milk from your breasts. Tell them you breastfed them as a baby too. Using children’s books to read about breastfeeding will help your child to understand. After a couple of questions and seeing it happen again and again, the novelty will wear off, and your child (girls and boys) might even try nursing their own dolls. Below are some great books for reading with your child. • Breastmilk Makes My Tummy Yummy by C. Moen • I’m Made of Mama’s Milk by M. Olsen • Maggie’s Weaning by M.J. Deutschbein • Mama’s Milk / Mama Me Alimenta by M.E. Ross • Michelle: The Nursing Toddler – A Story About Sharing Love by J.M. Pinczuk • Mommy Breastfeeds My Baby Brother by M. Repkin • Near Mama’s Heart by C. Newman • The Best Gifts by M.B. Skrypuch • We Like to Nurse by C. Martin 53 Corrections and suggestions may be sent to [email protected] New Hampshire Department of Health and Human Services, Division of Public Health Services, WIC Nutrition Program For more information call 1-800-WIC-4321 WIC is an equal opportunity provider. 54