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Promoting, Protecting and Supporting Breastfeeding: a North Carolina Blueprint for Action

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Promoting, Protecting and Supporting Breastfeeding: a North Carolina Blueprint for Action Promoting, Protecting and Supporting Breastfeeding Protecting Promoting, Promoting, Protecting and Supporting Breastfeeding A North Carolina Blueprint for Action 2006 A North Action / 2006 Carolina Blueprint for State of North Carolina Department of Health and Human Services Division of Public Health www.ncdhhs.gov N.C. DHHS is an equal opportunity employer and provider. ____ copies of this public document were printed at a cost of $____ or $____ per copy. 08/06 Promoting, Protecting and Supporting Breastfeeding A North Carolina Blueprint for Action 2006 North Carolina Department of Health and Human Services Division of Public Health Women’s and Children’s Health Section Nutrition Services Branch Gladys Mason, MS, RD, RLC-IBCLC Sarah Roholt, MS, RD Editors This publication is in the public domain and may be reprinted without permission. Citation of the source is appreciated. Suggested citation: Mason G, Roholt S. 2006. Promoting, Protecting and Supporting Breastfeeding: A North Carolina Blueprint for Action. North Carolina Division of Public Health, Raleigh, NC. Blueprint Authorship, Photo and Graphic Credits A special thank you for contributing to the writing of the blueprint is extended to: Corrine Giannini, RD, LDN, Nutrition Program Consultant, Women’s Health Branch, Division of Public Health, N.C. Department of Health and Human Services Gladys Mason, MS, RD, RLC-IBCLC State Breastfeeding Coordinator, Nutrition Services Branch, Division of Public Health, N.C. Department of Health and Human Services Sarah Roholt, MS, RD, Clinical Services Unit Supervisor, Nutrition Services Branch, Division of Public Health, N.C. Department of Health and Human Services Marcia Roth, MPH, Director of Planning and Development, Center for Infant and Young Child Feeding and Care, Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill Sherée Thaxton Vodicka, MA, RD, LDN, Healthy Weight Communications Coordinator, Physical Activity and Nutrition Branch, Division of Public Health, N.C. Department of Health and Human Services A special thank you for the graphics and layout of the blueprint is extended to: Christie Adams in the Graphic Arts Unit with the N.C. Department of Health and Human Services. Table of Contents Foreword 7 North Carolina Breastfeeding Blueprint 9 Breastfeeding: A Public and Personal Health Issue 11 Introduction 11 Benefits of Breastfeeding 12 Barriers to Breastfeeding in North Carolina – 14 Why Women Are Not Breastfeeding Status of Breastfeeding in North Carolina – Why We Need to Improve 15 Key Recommendations For Promoting, Protecting and Supporting 19 Breastfeeding in North Carolina From Recommendations to Action 23 Communities 24 Health Care System 28 Workplaces 35 Child Care Facilities 37 Insurance Coverage 39 Media, Social Marketing, and Public Education 43 Laws, Policies, and Regulations 45 Research and Evaluation 48 Appendices Appendix 1. References A1-1 Appendix 2. WHO/UNICEF International Code of Marketing A2-1 of Breast-Milk Substitutes Appendix 3. A Community Continuum of Breastfeeding Support: A3-1 Breastfeeding Peer Counselors, Breastfeeding Educators, and Board Certified Lactation Consultants Appendix 4. A Breastfeeding-Friendly Child Care Checklist A4-1 Appendix 5. United States Breastfeeding Committee Position Statements A5-1 • Benefits of Breastfeeding • Economic Benefits of Breastfeeding • Breastfeeding and Child Care • Workplace Breastfeeding Support • State Breastfeeding Legislation Appendix 6. Public Forum: Promoting, Protecting, A6-1 and Supporting Breastfeeding in North Carolina (September 2004) • NC DHHS Media Release for the Breastfeeding Forum • Agenda for the Breastfeeding Forum • Organizers of the Breastfeeding Forum • Forum Participants Promoting, Protecting and Supporting Breastfeeding / A North Carolina Blueprint for Action N.C. Division of Public Health / 2006 Message from the Secretary North Carolina Department of Health and Human Services It is with great pleasure that I present this Blueprint for Action for promoting, protecting and supporting breastfeeding in North Carolina. The Blueprint for Action has been developed by the N.C. Division of Public Health in collaboration with a work group of representatives from state and community agencies and organizations. Breastfeeding is one of the most effective ways to promote the health of our children during their early years of life. Moreover, the evidence shows that breastfeeding conveys important benefits to both the child and the mother that extend throughout the life cycle. Promoting breastfeeding is one important way that the N.C. Department of Health and Human Services carries out its mission of protecting the public health, fostering self-reliance, and eliminating health disparities. I invite you to join with us in using this blueprint and responding to its call to action. Community-driven, ethical, compassionate and evidence-based health and regulatory practices that promote, protect and support breastfeeding in North Carolina require that a wide range of public health programs and state and local organizations work in partnership. Our collective commitment to this process will foster the achievement of our goal of improving the health of all who live and work in North Carolina – beginning with our babies and our mothers. Sincerely, Carmen Hooker Odom Secretary 6 Promoting, Protecting and Supporting Breastfeeding / A North Carolina Blueprint for Action N.C. Division of Public Health / 2006 Foreword North Carolina’s children are our number-one priority, and our commit- ment to giving them a healthy start begins with promoting, protecting and supporting breastfeeding. Breastfeeding is the best possible foundation for infant and young child feeding. Many groups, including the American Academy of Pediatrics, American Association of Family Physicians, American College of Obstetricians and Gynecologists, and Academy of Breastfeeding Medicine, recommend that infants receive their mother’s milk for at least the first year of life. North Carolina has taken many important steps forward, and effective interventions have been implemented at the state and community level to increase the initiation of breastfeeding, to make it an exclusive practice (rather than being combined with infant formula), and to increase its duration. Despite measurable progress, however, much remains to be done. North Carolina has yet to attain the Healthy People 2010 performance goals of having at least 75 percent of new mothers initiate breastfeeding, with at least 50 percent of the infants continuing to be breastfed until at least six months of age and 25 percent continuing until at least one year of age. This blueprint incorporates input from a broad spectrum of community, state and national stakeholders and experts in the field. The document is intended to serve as a guide for North Carolina communities, health care systems, professional societies, academic and training programs, workplaces, and child care facilities to support, promote, and protect breastfeeding. For breastfeeding to be successful, all mothers must have the broad support of their family, friends, communities, health care providers, insurers, workplaces, and policy makers. This supportive environment can empower mothers in North Carolina to breastfeed their infants. 7 Promoting, Protecting and Supporting Breastfeeding / A North Carolina Blueprint for Action N.C. Division of Public Health / 2006 We hope that the charge set forth through this blueprint will resonate with all North Carolinians committed to improving the health of women, infants, and children. Leah Devlin, DDS, MPH State Health Director N.C. Division of Public Health Kevin Ryan, MD, MPH Chief, Women’s and Children’s Health Section N.C. Division of Public Health Alice Lenihan, RD, MPH, LDN Head, Nutrition Services Branch N.C. Division of Public Health Peter J. Morris, MD, MPH Past President North Carolina Pediatric Society 8 Promoting, Protecting and Supporting Breastfeeding / A North Carolina Blueprint for Action N.C. Division of Public Health / 2006 A North Carolina Breastfeeding Blueprint The Nutrition Services Branch (NSB) in the NC Division of Public Health spearheaded the development of this document, Promoting, Protecting and Supporting Breastfeeding: A North Carolina Blueprint for Action. To ensure that the blueprint would reflect the experiences and perspectives of a wide range of stakeholders and supporters of breastfeeding, the NSB invited representatives from diverse disciplines and communities across the state to participate in a public forum on September 9, 2004, entitled “Promoting, Protecting and Supporting Breastfeeding in North Carolina.” The forum resulted in the specific recommendations contained in this blueprint. Appendix 6 includes information about the public forum. The ultimate goal for North Carolina, formally adopted through the public forum, is to “increase breastfeeding initiation and duration rates by positively influencing the breastfeeding climate.” To move successfully towards this goal, changes are needed in communities, the health care system, the workplace, child care facilities, the insurance industry and legislation. Ideally, these changes will come through public and private organizations working individually and collectively to seek new policies and legislation, develop programs, use the media and conduct research. Working together, we can promote and assure the opportunity for early, exclusive and continued breastfeeding for all North Carolina
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