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Massachusetts Breastfeeding Resource Guide

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Massachusetts Breastfeeding Resource Guide Massachusetts Breastfeeding Resource Guide 2008 Edition © 254 Conant Road Weston, MA 02493 781 893-3553 Fax 781 893-8608 www.massbfc.org Massachusetts Breastfeeding Coalition Leadership Chair Board Member Melissa Bartick, MD, MS Lauren Hanley, MD Treasurer Board Member Gwen MacCaughey Marsha Walker, RN, IBCLC NABA, Lactation Associates Clerk Xena Grossman, RD, MPH Board Member Anne Merewood, MPH, IBCLC Board Member Lucia Jenkins, RN, IBCLC La Leche League of MA RI VT 10th edition (2008) Compiled and edited by Rachel Colchamiro, MPH, RD, LDN, CLC and Jan Peabody Cover artwork courtesy of Peter Kuper Funding for the printing and distribution of the Massachusetts Breastfeeding Resource Guide is provided by the Massachusetts Department of Public Health-Bureau of Family and Community Health, Nutrition Division. Permission is granted to photocopy this guide except for the three reprinted articles from the American Academy of Pediatrics and two articles from the American Academy of Family Physicians. Adapted from the Philadelphia Breastfeeding Resource Handbook. hhhhhhhhhhhhhhhhhhhhTable of Contents Organizational statements on breastfeeding…………………………………………………………….2 Breastfeeding and the Use of Human Milk, American Academy of Pediatrics…………………….6 Breastfeeding Position Paper, American Academy of Family Physicians……………………...…19 Breastfeeding initiatives………………………...……………………………………………………...…37 Breastfeeding support and services…………………………………………...………………...…....…39 La Leche League International leaders………….…………………………………………………...….40 Lactation consultants………………………………………………………………………………….…..44 Nursing Mothers Council breastfeeding counselors……………………………………………….….52 WIC breastfeeding coordinators..………………………………………………………………….…….54 Additional breastfeeding support services in Massachusetts …….………………………………….55 Patient handouts………………………………………………………………………………………..…57 Massachusetts Breastfeeding Coalition Patient Handouts: Making Milk is Easy………………………………………………………………………………58 Skin-to-Skin Contact………………………………………………………………………………59 Discharge Instructions…………………………………………………………………………….60 Books for parents………………………………………………………………………………………….61 Videos for parents…………………………………………………………………………………………62 Newsletter for parents…………………………………………………………………………………….63 Child care provider literature……………………………………………………………………………64 Non-English parent education materials…………………………………………………………...…..65 Breastfeeding posters……………………………………………………………………………….…….65 Milk banks………………………………………………………………………………………...………..67 Breast pumps and breastfeeding equipment………………………………………………………...…68 Pumping and Storing Your Milk handout………………………………………………………...……69 Health Insurance and Electric Breast Pumps in Massachusetts 2008……………………………70 Medications and breastfeeding…………………………………………………………………………..72 The Transfer of Drugs and Other Chemicals Into Human Milk, AAP…………………………..73 References for health care providers ……………………………………………………..……...……..87 Massachusetts Breastfeeding Coalition Algorithms…………………………………………88 The Best Start: A Guideline for Healthy Term Newborns, Birth to 48 Hours Approach to Early Breastfeeding: A Guideline for Healthy Term Newborns, 48 hours to two weeks Breastfeeding Update 2: Clinical Lactation Management, Pediatrics in Review……………….98 Promoting and Supporting Breastfeeding, American Academy of Family Physicians……..113 Journals, articles and newsletters…… ………………………………………………………………...127 Organizations………………………………………………………………………………………...…..127 Courses, training, and continuing education in lactation management……………………………130 Appendix A: Family and Medical Leave Act…………………………………………………………131 Appendix B: Breastfeeding Sections, Massachusetts Hospital Licensure Regulations…………...132 Suggestions, corrections, additions, and order form………………………………………………....135 Dear Provider: The Massachusetts Breastfeeding Coalition has created the Massachusetts Breastfeeding Resource Guide to help you assist women in making an informed infant feeding choice and provide resource listings for breastfeeding support and services. The creation of this handbook is part of a statewide effort to encourage and support breastfeeding throughout the health care system and help the Commonwealth reach the national Healthy People 2010 breastfeeding goals of 75% of mothers initiating breastfeeding, 50% continuing to breastfeed at six months, and 25% continuing to breastfeed at one year. This guide is for those who are working with pregnant and postpartum women, and infants. It is a tool to answer such questions as: • How can I as a provider learn more about breastfeeding? • Where can I send a woman for breastfeeding classes? • Where can I find a breast pump for a new mother? • How can a mother get help with a special breastfeeding problem? • Where can I find good written materials about breastfeeding? • What activities are being done to promote and support breastfeeding? Although comprehensive, this handbook is not all encompassing, and we encourage you to read as many materials as you need. We have provided information to connect the reader to a broad network of breastfeeding promotion, protection, and support resources. We encourage you to familiarize yourself with the resources in this guide and to promote and support breastfeeding by making the resources in this handbook available to your colleagues and to the women and families with whom you work. Thank you for your efforts to promote, protect and support breastfeeding in Massachusetts. Massachusetts Breastfeeding Coalition 2008 - 1 hhhhhhhhhhhhhhhStatements on Breastfeeding Massachusetts Breastfeeding Coalition The Massachusetts Breastfeeding Coalition (MBC) recognizes that • breastfeeding is the normal and natural way to provide optimal nutritional, immunological, and emotional nurturing for the growth and development of infants in the US.1-2 The unique and unequaled nutrients, enzymes, growth factors, hormones, immunological, and anti-inflammatory properties of human milk help protect infants from respiratory disease, otitis media, gastroenteritis, and Sudden Infant Death Syndrome.3-7 Beyond infancy, the properties of breastmilk contribute to protection against childhood cancers, insulin dependent diabetes, allergy, and Crohn’s disease.8-11 Breastfed infants show improved cognitive development.12-13 • breastfeeding contributes to women’s health by offering protection for some women against breast and ovarian cancers and osteoporosis, and by increasing spacing between pregnancies.14-17 • breastfeeding is a basic human right. For women, breastfeeding enhances a woman’s self esteem and body image. It is an empowering experience which strengthens the health and well being of the next generation of entire populations. For children, breastfeeding fulfills the right to attain the highest standard of health.18 • breastfeeding provides positive economic advantages to both families and societies. It ensures a safe, secure, and self-reliant food source that is ecologically sound, nutritionally efficient, and complete. The improved health status of both infants and mothers as a result of breastfeeding means substantial savings in health care costs.19 • breastfeeding exclusively to the age of about six months, then continuing breastfeeding and complementary foods for up to two years or beyond is the optimal method for feeding infants and young children. • breastfeeding prevalence in the US is variable. Of great concern are the low rates of exclusive breastfeeding, and initiation rates that remain low among regional and socioeconomic groups. While approximately one half of new mothers initiate some amount of breastfeeding, less than one quarter of these mothers are still breastfeeding at six months.20 • in order to meet the national health goals for 2010, of 75% initiation rate, 50% continuation of breastfeeding to six months, and 25% continuation to one year21, breastfeeding promotion, protection, and support are needed from all sectors of society, including all levels of government, health professional associations, health care institutions, health professionals, public facilities, work sites, educational institutions, women’s groups, unions, parent groups, religious organizations, social agencies, and individuals. The MBC aims to establish breastfeeding as the cultural norm for infant feeding in Massachusetts. To achieve this aim the MBC • supports and works to implement the international infant feeding standards held within these publications • International Code of Marketing of Breastmilk Substitutes (and all subsequent World Health Assembly resolutions concerning infant and young child nutrition; (endorsed by US in 1994)22 • Protecting, Promoting and Supporting Breastfeeding: The Special Role of Maternity Services23 Massachusetts Breastfeeding Coalition 2008 - 2 • Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding(signed by the US in 1990)24 • Baby Friendly Hospital Initiative25 • supports and works to implement national breastfeeding improvement goals as stated in the following publications • Surgeon General’s Report 198426 • Healthy People 201021 • Call to Action: Better Nutrition for Mothers, Children, and Families (1991)27 • Nutrition Action Themes: Report in Response to the International Conference on Nutrition28 • HHS Blueprint for Action on Breastfeeding29 • Breastfeeding in the United States: A National Agenda30 • works to implement strategies that advance public awareness and acceptance of the importance of breastfeeding, that enable women to breastfeed into the second year and beyond, and support a woman’s right to breastfeeding
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