Breastfeeding Friendly Spaces UPDATE

Issue Seven

Healthy Pregnancies Day Highlights Breastfeeding Benefits

Toi Te Ora Public Health (Toi Te Ora) recently as small disruptions that occur shortly after hosted a Healthy Pregnancies Education take-off can have large effects on its ultimate Day, providing midwives and other health trajectory.” professionals with advice on supporting The study found that of those mothers who healthy pregnancies. The focus was on intended to breastfeed when pregnant, 96% modifiable risk factors for childhood did go on to breastfeed. The Ministry of Health obesity such as smokefree, nutrition recommends that all mothers exclusively (including breastfeeding), racism and the breastfeed babies until six months of age. The health impacts on mothers and babies, Growing Up in study found only 6% immunisation and housing. of babies are exclusively breastfed at six months. The first 1,000 days of a child’s life (from Forty eight percent of babies are still being conception to a child’s second birthday) breastfed (not exclusively) at nine months. For have a very important influence on the mothers not breastfeeding at nine months, one health of a child throughout his or her of the main reasons was because they had gone life. For instance a mother’s nutrition back to work and expressing breast milk was not Associate Professor Susan Morton, during pregnancy, being smokefree, and convenient or possible while working. presents findings from the Growing breastfeeding, each influence the chance of Up In New Zealand longitudinal study Toi Te Ora’s vision is for lifelong health and a child becoming overweight or obese. at Toi Te Ora’s Healthy Pregnancies wellbeing for all. As breastfeeding helps lay the Associate Professor Susan Morton, who Education Day. foundations of a healthy life, we are committed presented findings from the Growing Up In New Zealand to supporting the development of spaces, including workplaces longitudinal study, says, “Some have compared a child’s evolving that are breastfeeding friendly which will contribute to the health status in the early years to the launching of a rocket, increase of breastfeeding rates and duration.

Breastfeeding and Baby Friendly at Lakes District Health Board Lakes District Health Board’s (Lakes DHB) hospital sites in breast pump, fridge, and a and Taupō are leading the way in supporting breastfeeding comfortable chair. Staff are also mothers to start and continue breastfeeding, after achieving able to take additional time (on Breastfeeding Friendly Spaces Accreditation from Toi Te Ora. top of their normal breaks) to breastfeed or express. A holistic Breastfeeding lays a foundation for good health in infancy, approach to breastfeeding sees childhood and into adult life and maternity hospitals have a the breastfeeding room easily special role in supporting mothers to breastfeed, especially accessible to all and promoted via when first starting out. signage, and is not confined to the To further show their commitment, Lakes DHB is also “Baby Friendly maternity or children’s ward. Hospital Initiative” accredited, and is committed to adopting Sue Wells, Lactation Consultant at practices that protect, promote and support breastfeeding while Lakes DHB, says wanting what is treating every mother with respect and supporting her with factual Donna Mayes, Service best for women, babies and their information. The Baby Friendly Hospital Initiative is a World Health Manager, Woman, Child families underlies everything they Organization and United Nations Children’s Fund initiative which and Family at Lakes District do. “It is about supporting mothers Health Board, is presented was established to raise the standard of care for mothers and babies in their skills and confidence in the with their Breastfeeding and child health has improved as a result. hospital, and out into the home and Friendly Accreditation Certificate from Toi Te Ora Research shows that women are more likely to continue their community.” Public Health. breastfeeding for a longer period if they receive support from their workplace. Lakes DHB supports their breastfeeding For more information about Lakes DHB’s support for workforce by providing a staff breastfeeding room that can breastfeeding and babies, seewww.lakesdhb.govt.nz/Article. be used for breastfeeding or expressing, complete with aspx?Id=6702 Bringing Mama Together with Breastfeeding Friendly We’re delighted to announce Seedlings Edgecumbe recently experienced this Preschool Edgecumbe recently became first-hand after a breastfeeding Mum Breastfeeding Friendly accredited from Toi encouraged another mother, who was Te Ora, taking the number of accredited ready to end her breastfeeding journey, spaces in the and Lakes to not to give up and to breastfeed next 250! The aim of the Breastfeeding Friendly to her on the couch as part of their Spaces project is to encourage and breastfeeding space. The Mums’ shared support mums to breastfeed by providing with each other their own breastfeeding a comfortable space to breastfeed, journeys’ while feeding their pepe. What supportive policies, and staff training, with a beautiful example of breastfeeding the goal of increasing breastfeeding rates friendly spaces bringing Mama together and duration. in a supportive environment for the benefit of their babies. Providing a supportive and private Lainie Apiata (L) an advisor from East space where breastfeeding mothers feel If you would like to become Bay REAP (one of Toi Te Ora’s partners in breastfeeding promotion), presents comfortable and supported to breastfeed breastfeeding friendly accredited, the Breastfeeding Friendly Spaces or express can make a huge difference or if you know a space which may Accreditation certificate to Seedlings on a mother’s decision to continue be interested, email breastfeeding. Preschool Edgecumbe’s Center Leader, breastfeeding. Seedlings Preschool in [email protected] Sharon Everett (R).

Breastfeeding Whakatāne Summer Latch On Boosts and Working Breastfeeding Confidence Providing a breastfeeding friendly space in a workplace, such as a dedicated breastfeeding and expressing room, can support women to return to work and continue breastfeeding. A New Zealand study in 2015 by Women’s Health Action shows that women are four times more likely to stop breastfeeding their baby at three months of age or less if they receive no workplace support. A helpful brochure for women to consider their options Local mums Estelle Reid Allerby (L), Julie Allerby (centre), Maia Grant (R), and Heather about breastfeeding and working can be Cresswell (far R) breastfeed their babies during the Summer Latch On event in Whakatāne. ordered or downloaded from www.healthed.govt.nz Each year, Big Latch On events are organised right around the globe to celebrate, support, and promote breastfeeding. These events enable mothers to make new friends, network, have fun, and grow in confidence to breastfeed in public. A recent, example of this was the Whakatāne Summer Latch On which was organised to celebrate and raise awareness of breastfeeding and its health benefits. While the Big Latch On is celebrated each August, the summer event was the result of a request for more local breastfeeding events. The event, hosted by the Eastern Bay of Plenty Breastfeeding Coalition - Ukaipo Inc, saw Mums and their babies gather at a local Breastfeeding Friendly Accredited Space, Whakatāne’s Te Koputu Library and Exhibition Centre. Fifteen Mums and their babies attended, with feedback showing that six of those in attendance felt increased confidence to breastfeed in their community or workplace because of the Latch On. Watch out for local Big Latch On Events, or host your own this coming World Breastfeeding Week (1-7 August), and join other mums around Aotearoa, and the world to celebrate breastfeeding. Local businesses and organisations can support the normalisation of breastfeeding all year round by becoming Breastfeeding Friendly accredited by Toi Te Ora. Key Messages For Staff What is Breastfeeding For new staff on induction, those returning to work, or as Friendly Spaces an ongoing refresher, refer to these key messages about the benefits of breastfeeding. Accreditation? Why is being Breastfeeding Friendly important? Since 2011, Toi Te Ora has offered a Breastfeeding Friendly The Ministry of Health recommends that mothers exclusively/ Spaces Accreditation initiative to businesses, workplaces and fully breastfeed babies until around six months of age. After six health services across the Bay of Plenty and Lakes region. months, breast milk is not enough on its own for a baby to grow Breastfeeding Friendly Spaces Accreditation creates and sustains and develop. Therefore breastfeeding should be continued until breastfeeding friendly environments with the goal of increasing a baby is at least one year old with the addition of solid food breastfeeding rates and duration. from six months. Mothers may need help from their family, health services, workplace, childcare centres, and the wider Two hundred and fifty early childhood education services, community to feel encouraged and supported to breastfeed. workplaces, cafes, restaurants, retailers and libraries in Rotorua, Taupō, Western and Eastern Bay of Plenty have created What are the benefits of breastfeeding? supportive environments, and achieved Breastfeeding Friendly  Breastfeeding and breast milk helps protect babies from Spaces Accreditation. Overall, feedback indicates that mothers some childhood infections. and their families are aware of these breastfeeding friendly  Breastfeeding decreases the risk of sudden unexpected spaces and know how to identify them where available. death in infancy (SUDI). As part of Breastfeeding Friendly Spaces Accreditation, an  Breastfeeding helps reduce the risk of obesity and may advisor from Toi Te Ora will provide you with information, help reduce the risk of diabetes in later life. signage, training, and policy development review and support to  Breastfeeding is linked to optimal brain development. assist you creating a supportive breastfeeding environment.  Breastmilk is free and readily available with no heating required.  There is less risk of under or over feeding when Recommended Storage Times For Breast Milk breastfeeding.  Breastfeeding forms a unique bond between the mother • Four hours room temperature and baby. • Two days in fridge  Breastmilk contains essential nutrients not found in infant formula. • Four months (approximately) in freezer Why should we support mothers to breastfeed in public?  Babies may need to be fed anywhere and at any time.  It can be daunting to breastfeed in public.  Some mothers have had negative experiences when Checklist breastfeeding in public. • Signed breastfeeding policy  We need to help mothers feel comfortable about or signed policy that includes breastfeeding in public. breastfeeding with review date. Did you know? • Staff awareness of key breastfeeding messages. Breastfeeding is an international human right. Mothers are • Comfortable space to permitted to breastfeed in public and at work under the breastfeed is available. Human Rights Act (1993) and international law. • Support in place for breastfeeding mums (flexible This means: break times, private area for Mothers have the right to breastfeed their baby anywhere, breastfeeding or expressing). anytime. • Milk storage and heating methods are are available. So what can you do to be Breastfeeding Friendly? • Information is included in ECE service enrolment/starter packs.  Include a workplace policy in your orientation process that • Signage is displayed. states you support mothers to breastfeed. • Reaccredited every two years.  Be supportive of mothers who breastfeed – Have a suitable space available for breastfeeding (not the toilet!) – Offer them a glass of water Check Out a Breastfeeding Friendly Accredited Space Near You

• Topkids Pyes Pa Early Childhood Education • TopKids Waihi Road Cafes and Restaurants Workplaces and Health Services (ECE Services) • Topkids Welcome Bay Western Bay of Plenty Hauora Providers • Tutu Maori Home-Based Early Childhood • Arena Cafe (ASB Baypark, Mount Eastern Bay of Plenty Education Maunganui) Western Bay of Plenty • Awakeri Playcentre • Urban Kids Early Learning Centre • Dry Dock Cafe • Baywave TECT Aquatic and Leisure • Central Kids Strathmore Kindergarten - • Waiapu Kids Merivale Whanau Aroha • Grindz Cafe Centre Whakatāne • Robert Harris Coffee Roasters • Edvance • Coastlands Preschool Rotorua (Tauranga) • Greerton Library • Edubase • ABC Rotorua Central • Sober Camel Cafe • Mount Maunganui Library • Kawerau Preschool Learning Centre • ABC Hillcrest • Spring St Cafe • Pacific Coast Technical Institute • Mananui Playcentre • ABC • The Daily Cafe • Pak N Save Papamoa • Matata Early Learning Centre • ABC Monokia • Vagabond Ca Cafe • Papamoa Library • Pa Harakeke Preschool • ABC Rotorua East • Pirirakau Hauora • Pohutukawa Preschool • ABC Rotorua Sunset • Plunket Bay of Plenty • Port Ōhope Playcentre • Central City Quality Educare, Pukaki St Rotorua • Tauranga Library • Aunty Annie's Cafe • Seedlings Preschool Edgecumbe • Central City Quality Educare, Pukuatua St • Toi Te Ora Public Health • Te Aria Toka Ki Te Whakatohea • Central Kids Kindergarten - Helen • Le Cafe De Paris • Te Waipuna Ariki o Matangireia • McDonalds Fenton Street Downer Rotorua • Waiapu Kids St Georges • Harakeke Early Learning Centre • McDonalds • Linton Park Community Centre • Wairaka Playcentre • Kidz World Brent Road • McDonalds Te Ngae • Mr. Rental • Waiapu Kids Homebased – Edgecumbe • Kidz World Maisey Place • Nando's • Rotorua Community Link • Waiapu Kids Homebased – Kawerau • Kidz World Rutland Street • Rotorua Chipmunks • Rotorua District Library • Waiapu Kids Homebased – Ōpōtiki • Kiwi Educare Ltd • The Bakehouse Cafe • Rotorua Hospital • Waiapu Kids Homebased – Whakatāne • Playcentre • Wendy's • Rotorua Plunket Clinic • Lake Okareka Preschool Inc • Manaaki Ora Trust - Tipu Ora • Mountain View Preschool Western Bay of Plenty Taupō • Toi Te Ora Public Health • 4woods Early Learning Centre • Playcentre • Cinnamon Fine Indian Cusine and Bar • ABC Bayfair • Ngongotaha Early Learning Centre • Fast and Fresh Bakery Cafe • ABC Greerton Tauranga • Rotorua Childcare Inc • Friends Cafe Taupō • Awhi Midwives Taupō • ABC Katikati • Rotorua Girls High School Childcare • Kissa-Kai Japanese Cafe • Awhi Midwives Turangi • ABC Papamoa Trust • Spoon and Paddle Cafe • Modern Midwifery • ABC Papamoa West • Rotorua SFYP Childcare Centre • Taupō Hospital • ABC Tauranga Central • The Ole Schoolhouse Childcare Centre Eastern Bay of Plenty • Taupō Plunket • Active Kids Early Learning Centre • Tiny Tots Educare • Baxters Cafe • The Warehouse – Taupō • Arataki Kindergarten • Topkids • Cafe4U • Tuwharetoa Health Charitable Trust • Ark Early Childhood Centre • Topkids Pukuatua • Chinwags Cafe • Waiora Community Trust (Taupō) Inc • The Children’s Garden Childcare • Columbus Cafe - The Hub

• The Children’s Garden Preschool Taupō • Javaman Cafe • Community Kindy Parton Rd • Central Kids Hinemoa Taupō • Julians Berry Farm Eastern Bay of Plenty • Community Kindy The Mount • Community Kindy Heuheu Street • Kapai Kai Cafe, Ōpōtiki • Eastern Bay Primary Health Alliance • Community Kindy Welcome Bay • Community Kindy Richmond • Poppys Cafe • EastBay REAP • Daisy Cottage Montessori • Community Kindy Turangi • Robert Harris Coffee Roasters - • Kopeopeo Health Centre • Greenpark Playcentre • First Steps Abacus Whakatāne • PAK'N SAVE Whakatāne • First Steps Mount Maunganui • My Treehut Early Learning Centre • The Village Bakery • Plunket Bay of Plenty • First Steps Papamoa • Taupō Children's Corner Duncan Street • Phoenix Health Centre • Friends on Fraser • Taupō Children's Corner Lakewood Drive • Te Kōputu o te Whanga a Toi- • Little Sweethearts Montessori • Taupō Children's Corner Wheretia Street Whakatāne Horizon Energy Library • Matua Plunket Kindergarten • Taupō Kids Community Centre • Te Pou Oranga O Whakatohea • Montessori at Bethlehem • Taupō Family Playcentre • Toi Te Ora Public Health • Montessori at Otumoetai • Taupō Preschool • Tuwharetoa Ki Kawerau Health • OPEYS Education and Care Centre • Topkids Motutaiko Education and Social Services Trust • St Mary's Family Centre • Topkids Totara Street • Whakamax • TopKids Mount Maunganui • Wairakei Playcentre • TopKids Ngatai Road

Local Breastfeeding Friendly Spaces Advisors For more on the Breastfeeding Friendly Spaces Accreditation visit our website www.ttophs.govt.nz/breastfeeding or contact one of your local breastfeeding friendly spaces advisors by emailing [email protected] or calling 0800 221 555. Bridget Chiwawa Sharon Coxon

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