DOCSLIB.ORG

BABY-FRIENDLY HOSPITAL INITIATIVE Revised, Updated and Expanded for Integrated Care

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
BABY-FRIENDLY HOSPITAL INITIATIVE Revised, Updated and Expanded for Integrated Care BABY-FRIENDLY HOSPITAL INITIATIVE Revised, Updated and Expanded for Integrated Care SECTION 3.2 SESSION OUTLINES BREASTFEEDING PROMOTION AND SUPPORT IN A BABY-FRIENDLY HOSPITAL A 20-HOUR COURSE FOR MATERNITY STAFF Preliminary Version for Country Implementation January 2006 Original BFHI Course developed 1993 UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2006 SECTION 3.2: SESSION OUTLINES 3.1 Guidelines for Course Facilitators 3.2 Session Outlines Welcome Session 22 Session 1: BFHI: a part of the Global Strategy 23 Session 2: Communication skills 30 Session 3: Promoting breastfeeding during pregnancy – Step 3 52 Session 4: Protecting breastfeeding 75 Session 5: Birth practices and breastfeeding - Step 4 83 Session 6: How milk gets from breast to baby 95 Session 7: Helping with a breastfeed - Step 5 103 Session 8: Practices that assist breastfeeding – Steps 6, 7, 8, & 9 120 Session 9: Milk supply 132 Session 10: Infants with special needs 142 Session 11: If baby cannot feed at the breast – Step 5 155 Session 12: Breast and nipple concerns 165 Session 13: Maternal health concerns 184 Session 14: On-going support for breastfeeding mothers – Step 10 192 Session 15: Making your hospital Baby-Friendly 205 Closing Session 224 Clinical practice 1 – Observing and assisting breastfeeding 225 Clinical practice 2 – Talking with a pregnant women 229 Clinical practice 3 - Observing hand expression and cup feeding 233 3.3 PowerPoint Slides for the course Each Section is a separate file and may be downloaded from UNICEF Internet at http://www.unicef.org/nutrition/index_24850.html, or by searching the UNICEF Internet site: http://www.unicef.org or the WHO Internet at www.who.int/nutrition UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2006 22 WELCOME SESSION Time: 15 minutes If there are opening speeches or ceremonies, additional time is needed. Materials: Prepare a course timetable and make a copy for each participant or post a copy in the classroom. Welcome participants to the course • Introduce yourself and say what you would like to be called. Ask the other facilitators introduce himself or herself to the rest of the group. • Ask each participant to introduce himself or herself to the rest of the group and to say what they hope to learn during the course. Describe course methods and timetable: • The course will include some talks and some discussion. We will also have role- plays and demonstrations. You will do some work in groups. There will be clinical practices when you work with pregnant women and breastfeeding mothers. • During the course, you are expected to contribute to the learning of the whole group by sharing your ideas and comments. • There will be a time for questions at the end of each section. However, if there is a point you need to clarify during the session, please ask. It is hard to learn if you have a question stuck in your mind. • The course will run for three days1. Today we will finish at … with a break at …. Tomorrow, we will start at … until …. - Give out Course Timetable or indicate where it is posted. - If there is a course evaluation sheet, explain it. - Agree ‘rules’ such as cell/mobile phones turned off. - Indicate facilities such as toilets, drinking water and highlight any safety issues. - Check if there are any points that need to be clarified before moving to the next session. 1 Adapt as needed to reflect the format of the course. It may be useful to ‘negotiate’ break times with the participants. UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2006 23 SESSION 1 THE BABY-FRIENDLY2 HOSPITAL INITIATIVE: A PART OF THE GLOBAL STRATEGY Session Objectives: On completion of this session, participants will be able to: 1. State the aim of the WHO/UNICEF Global Strategy for Infant and 5 minutes Young Child Feeding; 2. Outline the aims of the Baby-Friendly Hospital Initiative (BFHI); 5 minutes 3. Describe why BFHI is important in areas of high HIV prevalence; 5 minutes 4. Explain how this course can assist this facility at this time. 10 minutes 5. Review how this course fits with other activities 5 minutes Total session time: 30 minutes Materials: Slide 1/1: Global Strategy Slide 1/2: Aim of BFHI Slide 1/3: Course Aims Prepare slides with country or region data showing: - the number of Baby-friendly hospitals accredited in the area/country, and what percentages of births are in Baby-friendly accredited hospitals. - any national programmes to implement the Global Strategy Display a copy of the WHO/UNICEF Global Strategy for Infant and Young Child Feeding Display a copy of national or local health facility’s breastfeeding policy Display a poster of the Ten Steps to Successful Breastfeeding and/or a handout for each participant Further reading for facilitators: Global Strategy for Infant and Young Child Feeding. Geneva, World Health Assembly, May 2002. WHO. Protecting, Promoting and Supporting Breastfeeding - The special role of maternity services. A joint WHO/UNICEF Statement. (1989) WHO. Evidence for the Ten Steps to Successful Breastfeeding. WHO/CHD/98.9 UNAIDS/UNICEF/WHO HIV and Infant Feeding: Framework for Priority Action (2003) HIV and Infant Feeding - Guidelines for decision-maker; (updated 2003) A guide for health care managers and supervisors;(updated 2003) A review of HIV transmission through breastfeeding. (updated 2004) Link session content to the opening speeches as relevant. 2 The terms Baby-friendly, Baby Friendly, and Baby-Friendly hospital are trademarks of UNICEF, and can only be used as related to official designation or with expressed permission from UNICEF. UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2006 Session 1 24 1. Global Strategy for Infant and Young Child Feeding 5 minutes • About 5500 children die every day because of poor infant feeding practices. In addition, many children suffer long-term effects from poor infant feeding practices including impaired development, malnutrition, and increased infectious and chronic illness. Rising rates of obesity in children are also linked with lack of breastfeeding. Improved infant and young child feeding is relevant in all parts of the world. Ask: What are the effects on families, communities and health services from poor infant feeding practices? Wait for a few responses and then continue. • The World Health Assembly and UNICEF endorsed the Global Strategy on Infant and Young Child Feeding in 2002. - Show Slide 1/1 and read it out The aim of the Global Strategy is to improve – through optimal feeding – the nutritional status, growth and development, health, and thus the survival of infants and young children. It supports exclusive breastfeeding for 6 months, followed by timely, adequate, safe and appropriate complementary feeding, while continuing breastfeeding for two years and beyond. It also supports maternal nutrition, and social and community support. • The Global Strategy does not replace, but rather builds upon existing programmes including the Baby-Friendly Hospital Initiative. 2. Baby-Friendly Hospital Initiative (BFHI) 5 minutes • The BFHI is a global initiative of the World Health Organisation and UNICEF that aims to give every baby the best start in life by creating a health care environment that supports breastfeeding as the norm. • The Initiative was launched in 1991 and by the end of 2004 more than 19,000 health facilities worldwide had been officially designated Baby-friendly. • The Initiative includes a global assessment and accreditation scheme that recognises the achievements of health facilities whose practices support breastfeeding and encourages health facilities with less than optimal practices to improve. 3 - State how many health facilities in the area/country are officially accredited as Baby-friendly, and what proportion this is of births in the country. - Show Slide 1/2 and read it out The aim of the Baby-Friendly Hospital Initiative is to implement the Ten Steps to Successful Breastfeeding and to end the distribution of free and low-cost supplies of breastmilk substitutes to health facilities. 3 The Self-Appraisal and External Assessment are discussed further in Session 15. UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2006 Session 1 25 • The BFHI provides a framework for enabling mothers to acquire the skills they need to breastfeed exclusively for six months and continue breastfeeding with the addition complementary foods for 2 years or beyond. • A Baby-friendly hospital also assists mothers who are not breastfeeding to make informed decisions and to care for their babies as well as possible. • The Global Strategy calls for further implementation of BFHI, for breastfeeding in the curriculum for health worker training, and for better data on breastfeeding. 3. BFHI is important in areas of high HIV prevalence 5 minutes • Some people are confused about the role of BFHI in areas where there is a high prevalence of HIV infection in mothers. BFHI is more important than ever in these areas. The special needs of HIV-positive women can be fully accommodated without compromising Baby-friendly hospital status. • The WHO/UNICEF/UNAIDS policy statement on HIV and infant feeding states that mothers have a right to information and support that will enable them to make fully informed decisions about infant feeding.4 • In addition, it is important to continue to support breastfeeding for women who are HIV-negative or of unknown HIV status. If the emphasis is only on the risks of mother to child transmission of HIV through breastfeeding it may be forgotten that breastfeeding remains the best choice for most mothers and babies. 4. How this course can assist this health facility 10 minutes • During this course we will discuss what the Ten Steps mean, how to implement them and the importance to staff members in making a health facility Baby-friendly.
Load more

Recommended publications
  • The Key to Increasing Breastfeeding Duration: Empowering the Healthcare Team
    The Key to Increasing Breastfeeding Duration: Empowering the Healthcare Team By Kathryn A. Spiegel A Master’s Paper submitted to the faculty of the University of North Carolina at Chapel Hill In partial fulfillment of the requirements for the degree of Master of Public Health in the Public Health Leadership Program. Chapel Hill 2009 ___________________________ Advisor signature/printed name ________________________________ Second Reader Signature/printed name ________________________________ Date The Key to Increasing Breastfeeding Duration 2 Abstract Experts and scientists agree that human milk is the best nutrition for human babies, but are healthcare professionals (HCPs) seizing the opportunity to promote, protect, and support breastfeeding? Not only are HCPs influential to the breastfeeding dyad, they hold a responsibility to perform evidence-based interventions to lengthen the duration of breastfeeding due to the extensive health benefits for mother and baby. This paper examines current HCPs‘ education, practices, attitudes, and extraneous factors to surface any potential contributing factors that shed light on necessary actions. Recommendations to empower HCPs to provide consistent, evidence-based care for the breastfeeding dyad include: standardized curriculum in medical/nursing school, continued education for maternity and non-maternity settings, emphasis on skin-to-skin, enforcement of evidence-based policies, implementation of ‗Baby-Friendly USA‘ interventions, and development of peer support networks. Requisite resources such as lactation consultants as well as appropriate medication and breastfeeding clinical management references aid HCPs in providing best practices to increase breastfeeding duration. The Key to Increasing Breastfeeding Duration 3 The key to increasing breastfeeding duration: Empowering the healthcare team During the colonial era, mothers breastfed through their infants‘ second summer.
    [Show full text]
  • Breastfeeding Promotion Committee Terms of Reference
    Breastfeeding Promotion Committee Terms of Reference VISION We envision a region where breastfeeding is the cultural norm. PURPOSE The purpose of the Breastfeeding Promotion Committee (BPC) is to protect, promote and support breastfeeding in the Champlain and South East LHINs. VALUES We follow and promote the Baby Friendly Initiative 10 Steps1 and the International Code of Marketing Breastmilk Substitutes2: o We advocate for maternal-newborn dyad care: togetherness, no unnecessary separation in healthcare organizations and in the community. o We coordinate and collaborate across the circle of care to promote effective breastfeeding services. The circle of care includes all health care and community workers supporting clients to breastfeed in hospitals, community agencies and private practices. o We promote breastfeeding education across the lifespan to families, communities and health care professionals. o We promote breastfeeding across the reproductive continuum, from pre-conception to childhood. Clients – parents, babies and families – are at the centre of our work. Our actions are based on the best available evidence. We support and promote informed decision-making about infant feeding and respect the decisions that clients make. ACCOUNTABILITY The Breastfeeding Promotion Committee reports to CMNRP’s Advisory Committee. ROLES and RESPONSIBILITIES Determine and prioritize goals in conjunction with CMNRP’s Strategic Plan priorities and timelines. Monitor and review regional breastfeeding data to identify strengths and gaps in performance. Identify and recommend strategies to address gaps and improve services. Create short-term workgroups to address specific goals. Develop project charters that specify the scope, objectives, action plans, deliverables and timelines for each workgroup. Provide BPC reports to CMNRP’s Advisory Committee.
    [Show full text]
  • OVERVIEW of Breastfeeding Promotion
    Updated 3/2021 Breastfeeding Promotion By promoting healthy lifestyles and nutrition choices your work in the WIC Program will make a difference in the lives of many mothers and children. After pregnancy, breastfeeding is an important next step toward a healthy infant. Breastfeeding also contributes to development of the brain and has lifelong health and developmental benefits. The information in this module provides a start to learning about breastfeeding and how we can help more mothers and babies breastfeed. There are many opportunities for additional learning. Talk to your WIC coordinator to find out about them. Objectives After completing this lesson, you will be able to: • Explain the reasons WIC promotes and supports breastfeeding • State WIC’s role and WIC staff roles in breastfeeding promotion and support • Explain the health risks of not breastfeeding. • Explain the importance of exclusive or full breastfeeding. • State the American Academy of Pediatrics (AAP) recommendations for breastfeeding. • Use positive breastfeeding messages when talking with participants. Overview Breastfeeding is the natural way to feed a baby and the healthiest feeding choice for both the mother and the baby. AAP considers breastfeeding the foundation of good feeding practices. Breast milk is the intended food for a baby. Not breastfeeding has potential negative consequences for the baby, the mother, and society. Why Breastfeed? Simply put, breastfeeding is nothing more than normal. Mother’s milk is made specifically to meet infants’ nutritional needs, and it changes as her baby grows to 1 HEADER REPEATS FROM PAGE 2 ONWARD meet the baby’s changing nutritional needs. Human milk has over 1000 components – most of these are not available in any other infant feeding.
    [Show full text]
  • Breastfeeding and Breast Milk – from Biochemistry to Impact
    Breastfeeding and Breast Milk – from Biochemistry to Impact A Multidisciplinary Introduction About the Foundation Published by The Family Larsson-Rosenquist Foundation is one of the first foundations in the Family Larsson-Rosenquist Foundation world with a prime focus on promoting and supporting breast milk and bre- astfeeding. Based in Zug, Switzerland, it was founded in 2013 with the aim of promoting the scientific and public recognition of breastfeeding and breast milk as – given the current state of science – the best nutrition for newborns and infants. It considers itself as an instigator and promoter of new knowledge. The Book Foundation invests globally in projects and scientific research in breastfeeding and breast milk. It places high value on multidisciplinary collaboration and sup- ports projects with a sustainable impact on the well-being of mother and child. Preview With compliments An Evidence-Based Reference Book: a Key Resource for Decision Makers and Practitioners Available at the end of September 2018 Authors from around the globe, each of all the benefits that breastfed infants a specialist within their field have readily enjoy. Based on sound science but written contributed to provide readers with a in popular science style, ensuring an easy Also available as an e-book comprehensive overview of breastfeeding read, the book provides a comprehensive and human milk to encourage and empower and solid foundation including sources and interested parties to move breastfeeding references. It also features a unique in-depth higher up on the public health agenda. scientific glossary of lactation that provides There are many books available looking definitions for a plethora of important at “how to” breastfeed or focusing on a terms of breastfeeding and human milk single topic within the field, others look at that are science based and reviewed by the biomedical aspects of milk, however acknowledged experts in the field.
    [Show full text]
  • CRUELTY of BREAST IS BEST (Not Enough) GOOD TRAINING
    Global Strategy For Infant And Young Child Feeding No more than 35% of infants worldwide are exclusively breastfed during the first four months of life; complementary feeding frequently begins too early or too late, and foods are often nutritionally inadequate and unsafe. Malnourished children who survive are more frequently sick and suffer the life-long consequences of impaired development. Rising incidences of overweight and obesity in children are also a matter of serious concern. Because poor feeding practices are a major threat to social and economic development, they are among the most serious obstacles to attaining and maintaining health that face this age group. Exclusive breastfeeding is when a baby is only fed breast milk and is not fed other liquids or solids. Summary of Current Breastfeeding Rates for Canada 2011/2012: Initiation = 89% Exclusive Breastfeeding for 4 months = 50% + Exclusive Breastfeeding at 6 months = 26% Trends: • 89%, breastfed their baby in 2011/2012, 85% in 2003. Canada’s rate was higher than that of the United States, 77%, but lower than the rate in Norway, 95%, and Australia, 92%. • Exclusive Breastfeeding for 6 months + increased to 26% in 2011–2012, compared with 17% in 2003. Over half of mothers breastfed exclusively for four months (or more); up from 42% in 2003 (see graph below) http://www.statcan.gc.ca/pub/82-624-x/2013001/article/11879/c-g/c-g-01- eng.htm • The most common reasons cited for stopping breastfeeding before six months were “not enough breast milk” and “difficulty with breastfeeding technique” in 2011– 2012. James Akre, The Problem with Breastfeeding, 2006: “Since the collaborative reanalysis of individual data on breast cancer and breastfeeding (op.
    [Show full text]
  • The CDC Guide to Breastfeeding Interventions
    U.S. Department of Health and Human Services Katherine R. Shealy, MPH, IBCLC, RLC Ruowei Li, MD, PhD Sandra Benton-Davis, RD, LD Laurence M. Grummer-Strawn, PhD U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition and Physical Activity Acknowledgments We gratefully acknowledge and thank all contributors and reviewers of The CDC Guide to Breastfeeding Interventions. The efforts of Jane Heinig, PhD, IBCLC, RLC, Deborah Galuska, PhD, Diana Toomer, Barbara Latham, RD, LD, Carol MacGowan, MPH, RD, LD, Robin Hamre, MPH, RD, and members of the CDC Obesity Team helped make this document possible. Publication Support was provided by Palladian Partners, Inc., under Contract No. 200-980-0415 for the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. Photographs contained in this guide were purchased solely for educational purposes and may not be reproduced for commercial use. Recommended Citation Shealy KR, Li R, Benton-Davis S, Grummer-Strawn LM. The CDC Guide to Breastfeeding Interventions. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2005. For more information or to download this document or sections of this document, please visit http://www.cdc.gov/breastfeeding To request additional copies of this document, please email your request to [email protected] or write to us at the following address and request The CDC Guide to Breastfeeding Interventions: Maternal and Child Nutrition Branch, Division of Nutrition and Physical Activity National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention 4770 Buford Highway, NE Mailstop K–25 Atlanta, Georgia 30341-3717 Contents Introduction Introduction .
    [Show full text]
  • Cer-210-Breastfeeding-Summary.Pdf
    Comparative Effectiveness Review Number 210 Effective Health Care Program Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries Evidence Summary Background Purpose of Review In reproductive physiology, lactation To summarize the effectiveness of follows pregnancy; a growing body community, workplace, and health care of evidence supports the association system–based programs and policies aimed between breastfeeding and better health at supporting and promoting breastfeeding, outcomes for both infants and mothers.1-3 and to determine the association between A 2007 Agency for Healthcare Research breastfeeding and maternal health. and Quality (AHRQ) review by Ip and Key Messages colleagues concluded that breastfeeding was associated with reduced maternal • Baby-Friendly Hospital Initiative (BFHI) type 2 diabetes, breast cancer and ovarian is associated with improved rates of cancer, but not fractures.2 For other breastfeeding initiation and duration. outcomes (e.g., postpartum depression), • Health care staff education combined the authors concluded that the relationship with postpartum home visits may be between breastfeeding and maternal effective for increasing breastfeeding health was unclear. Since 2007, several duration. new studies have reported on maternal outcomes not addressed in the 2007 • Health care staff education alone (with no AHRQ review, including hypertension, additional breastfeeding support services) rates of myocardial infarction, and other may not be effective for increasing cardiovascular outcomes.4-7 breastfeeding initiation rates. In 2014, an estimated 82.5 percent of • For women enrolled in the WIC Program, infants born in the United States were peer-support interventions offered by breastfed at birth, meeting Healthy People WIC agencies may improve rates of 2020 targets for the percentage of infants breastfeeding initiation and duration.
    [Show full text]
  • Neonatal Nutrition and Breastfeeding Promotion
    Breastfeeding and Infant Health: Why you may not want to randomize even if you could Hector Cebolla Boado, María Jiménez-Buedo, Leire Salazar Mechanisms in Medicine Canterbury, July2017 Why breastfeeding? - Wide consensus over its benefits backed almost universally: – Pediatricians and health authorities – WHO – ‘lactivism’ - Increasing adoption of breastfeeding and of exclusive breastfeeding as the default feeding option in the first months/years -A closer look on current evidence over benefits suggests that public and private campaign efforts may not be justified. Evidence is: Contradictory Observational. -But would randomization solve most problems? NO % of children breastfed (US) 90 80 70 60 50 40 30 20 10 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Ever Breastfed At 6 months At 12 months Source: Centers for Disease Control and Prevention. % of children exclusively breastfed (US) 50 45 40 35 30 25 20 15 10 5 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Exclusively through 3 months Exclusively through 6 months Source: Centers for Disease Control and Prevention. Alleged benefits of breastfeeding - Breastfeeding benefits for infants - Higher I.Q. - Lower risk of Sudden Infant Death Syndrome - Lower incidence of food allergies - Lower incidence of asthma - Lower incidence of eczema - Lower incidence of obesity - Lower incidence of type II diabetes - Lower incidence of ear infections (acute otitis media) - Lower incidence of respiratory infections - Lower incidence of gastrointestinal infections - Lower incidence
    [Show full text]
  • Evidence for the Ten Steps to Successful Breastfeeding
    WHO/CHD/98.9 DISTR.: GENERAL ORIGINAL: ENGLISH Evidence for the Ten Steps to Successful Breastfeeding DIVISION OF CHILD HEALTH AND DEVELOPMENT World Health Organization Geneva 1998 © World Health Organization 1998 This document is not a formal publication of the World Health Organization (WHO), and all rights are reserved by the Organization. The document may, however, be freely reviewed, abstracted, reproduced or translated, in part or in whole, but not for sale or for use in conjunction with commercial purposes. The designations employed and the presentation of the material in this document do not imply the expression of any opinion whatsoever on the part of the Secretariat of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The views expressed in documents by named authors are solely the responsibility of those authors. Cover illustration adapted from a poster by permission of the Ministry of Health, Peru. Contents INTRODUCTION............................................................................................................................1 Methods used in the review Presentation of information The Ten Steps to Successful Breastfeeding 1. Step 1: Policies..................................................................................................................... 6 1.1 Criteria ........................................................................................................
    [Show full text]
  • Protecting|Promoting|Supporting
    protecting|promoting|supporting BREASTFEEDING IN THE UNITED STATES: A NATIONAL AGENDA Please cite this document as: United States Breastfeeding Committee. (2001). Breastfeeding in the United States: A national agenda. Rockville MD: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. The Strategic Plan of the United States Breastfeeding Committee reflects a collective statement and is not necessarily representative of its individual member organizations. Prepared by the United States Breastfeeding Committee in cooperation with the National Alliance for Breastfeeding Advocacy and with support from the Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services. protecting|promoting|supporting BREASTFEEDING IN THE UNITED STATES: A NATIONAL AGENDA foreword The United States Breastfeeding Committee composed of representatives from health professional associations he Health Resources and Services departments and non-governmental Administration’s Maternal and organizations, developed the follow- and relevant government t Child Health Bureau has a long ing Strategic Plan. Through this plan departments and non-governmental history of protecting, promoting we will hopefully see the recommen- and supporting breastfeeding in the dations from the Surgeon General’s organizations developed the United States. A landmark activity Workshop on Breastfeeding and following Strategic Plan. was the Surgeon General’s Workshop Human
    [Show full text]
  • THE LIVED EXPERIENCE of BREASTFEEDING for WOMEN with PERINATAL DEPRESSION by Beth A. Pratt a Dissertation Submitted to the Facul
    THE LIVED EXPERIENCE OF BREASTFEEDING FOR WOMEN WITH PERINATAL DEPRESSION by Beth A. Pratt A Dissertation Submitted to the Faculty of Christine E. Lynn College of Nursing In Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Florida Atlantic University Boca Raton, FL August 2017 Copyright by Beth A. Pratt 2017 ii ACKNOWLEDGEMENTS I wish to thank God for carrying me when I least felt able to continue. I wish to thank my family, Luigi, Kirra, Julian, Mom, Dad, and Ana Lucia, for remaining by my side through this process. It has been a long and arduous journey, and I could not have gotten to the other side of it without you all. I also wish to express gratitude to my church family for keeping me in prayer and being my spiritual support. I love you all. I wish to express sincere gratitude to my dissertation committee members, Dr. Joy Longo, Dr. Shirley C. Gordon, and Dr. Nancy Aaron Jones, for continued guidance and support during this dissertation journey. Each of you has gifted me with your knowledge. Thank you, Dr. Longo, for upholding the virtues of confidence, dedication, and patience, which are keys to success. Thank you, Dr. Gordon, for introducing me to the intricacies of qualitative research and encouraging me to grow with the process. Thank you, Dr. Jones, for showing me that truly significant research comes from the passion within oneself. I wish to express heartfelt thanks to the organizations that assisted with recruitment: the Christine E. Lynn College of Nursing, Dr. Lynn Lampert, the Florida Nurses’ Association, Healthy Mothers Healthy Babies of Palm Beach County, and the momsTOmoms online support group.
    [Show full text]
  • Breastfeeding Promotion and Support in the Spotlight
    Breastfeeding Promotion and Support in the Spotlight #2 This is the second of two WIC Update memos that focuses on breastfeeding promotion and support. Preparation now will help WIC “get off on the right foot” in using the new Food Packages to better promote and support breastfeeding. Staff can begin practicing now and build their breastfeeding counseling skills! What can WIC staff do now to prepare for the new food packages for the breastfeeding dyad? Practices • Local agencies should assure that their practices support breastfeeding exclusively and minimize formula supplementation. o WIC promotes breastfeeding! Our job is to promote ideal nutrition behaviors. Without a doubt we know breastfeeding is superior to formula. Clients should receive this message when they come to WIC. o Assume all infants are breastfed exclusively unless you learn otherwise. o o Consider frequency and type of follow-up needed. Phone contacts may be helpful to parents of young infants. Consider seeing infants 1 month after certification. o Issue benefits to correspond with needed follow-up. If follow-up should occur in 1 month, issue only 1-month’s benefits to the family. Trimonthly benefits should only be issued if appropriate. o Train staff so everyone understands that any requests for infant formula must be referred to a CPA. If, after assessing the situation, it is decided that formula is needed, it may be prescribed only by a CPA. Preparation with participants: • CPAs should assess for potential barriers and discuss breastfeeding with all pregnant WIC participants. o Ask open-ended questions to assess for potential barriers: “What have you heard about breastfeeding?” “What was your breastfeeding experience like?” “What was the best thing about breastfeeding?” “What was the most challenging?” o Address identified barriers to breastfeeding.
    [Show full text]