Maryland Breastfeeding Resource Handbook
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Protocol Clarification Memorandum #3 For
Protocol Clarification Memorandum #3 for: HPTN 046: A PHASE III TRIAL TO DETERMINE THE EFFICACY AND SAFETY OF AN EXTENDED REGIMEN OF NEVERAPINE IN INFANTS BORN TO HIV-INFECTED WOMEN TO PREVENT VERTICAL HIV TRANSMISSION DURING BREAST-FEEDING, VERSION 3.0, DATED 26 SEPTMEBER 2007 DAIDS Document ID 10142 Clarification Memo Date: 23 November 2009 Summary of Revisions and Rationale In addition to the typical childhood illnesses specified in Section 7.0, the following childhood illnesses will not be reported as adverse events: infantile colic pain, oral thrush, gastrointestinal reflux and constipation. The exceptions are if these illnesses result in hospitalization or death. These illnesses will be recorded in participant source records and captured in the interim medical history and physical examination findings. Implementation The procedures clarified in this memorandum have been approved by the NIAID Medical Officer. IRB approval of this Clarification Memorandum is not required by the sponsor prior to implementation; however sites may submit it to the responsible IRBs/ECs for their information or, if required by the IRBs/ECs, for their approval prior to implementation. The modification included in this Clarification Memorandum will be incorporated into the next full protocol amendment. Text appearing below in bold will be added to the protocol. Section 7.0 Safety Monitoring and Adverse Event Reporting, paragraph nine. The following typical childhood illnesses will be recorded in participant source records and captured in the study database as interim medical history or physical examination findings, but will not be reported separately as adverse experiences: diaper rash, otitis media, infantile colic pain, oral thrush, gastrointestinal reflux, constipation and afebrile upper and lower respiratory tract infections including bronchiolitis. -
Chapter Nineteen Breastfeeding Education and Support
Chapter Nineteen Breastfeeding Education and Support Chapter Nineteen – Breastfeeding Education and Support Contents Chapter Nineteen Breastfeeding Education and Support .................................................................... 19-1 Overview .............................................................................................................................................. 19-6 Introduction ..................................................................................................................................... 19-6 In This Chapter ................................................................................................................................. 19-6 Section A Breastfeeding Promotion ..................................................................................................... 19-7 Staffing ............................................................................................................................................. 19-7 Funding ............................................................................................................................................ 19-7 WIC Breastfeeding Committee ........................................................................................................ 19-7 Clinic Environment ........................................................................................................................... 19-7 Breastfeeding Messages and Resources ......................................................................................... -
Nursing Strike
Nursing Strike When a baby who has been nursing happily for some length of time suddenly refuses to latch and feed at the breast, we call it a nursing strike. It can be very upsetting for both a mother and her baby. Nursing strikes happen for many reasons, and we often do not know exactly why. Often it seems as though a baby is trying to communicate Community some form of stress. It is unlikely that your baby is ready to wean, especially if your Breastfeeding baby is less than a year old. Center A nursing strike can last several hours, or several days. While your baby is refusing to 5930 S. 58th Street feed at your breast, use a high-quality pump and remove milk just as often as your (in the Trade Center) Lincoln, NE 68516 baby was nursing. If your breasts get very full and firm, your baby may notice the (402) 423-6402 difference and it may be harder for baby to latch. You may also risk developing a 10818 Elm Street plugged duct. Rockbrook Village Omaha, NE 68144 (402) 502-0617 The following is a list of common reasons that babies refuse the breast, For additional adapted from La Leche League International information: information: www • You changed your deodorant, soap, perfume, lotion, etc. and you smell “different” to your baby. • You have been under stress (such as having extra company, returning to work, traveling, moving, or dealing with a family crisis). • Your baby or toddler has an illness or injury that makes nursing uncomfortable (an ear infection, a stuffy nose, thrush, a cut in the mouth, or sore gums from teething). -
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 -
CGBI Activities
Training Resources from the Carolina Global Breastfeeding Institute Catherine Sullivan, MPH, RD, LDN, IBCLC, FAND Director CGBI, Assistant Professor Department of Maternal and Child Health Disclosure: Who funds CGBI work? • EMPower Breastfeeding/EMPower Training • Subcontract from Abt Associates • ENRICH Carolinas • The Duke Endowment, BCBSNC, Spiers Foundation • RISE: Lactation Training Model • W.K. Kellogg Foundation • CGBI Fund • Private donors Disclosure • Catherine Sullivan is an inventor on the Couplet Care Bassinet™, which is an unlicensed UNC invention (medical device). It is not discussed in this presentation. Catherine Sullivan and CGBI would be eligible for royalties in the future if it is successfully commercialized. Acknowledgement of Operational Space CGBI: Who are we? Future Expansion Throughout North Breastfeeding Friendly Healthcare and South Carolina, Strengthening Health Systems & Global Ten Step ENRICH Carolinas Implementation 2018-2020 2019-2023 The Duke Endowment BCBSNC, Spiers Foundation EMPower Training 2018-2019 CDC EMPower Breastfeeding 2014-2017 CDC Breastfeeding Friendly Technical Healthcare Assistance 2009-2012 Staff & Patient Kate B. Reynolds Resources & Training Charitable Trust, 2018-2021 2012-2018 The Duke Endowment W.K. Kellogg Foundation W.K. Kellogg Foundation Ready, Set, BABY! 2015-2017 Prenatal Education Kate B. Reynolds Charitable Trust Curriculum 2012-2018 W. K. Kellogg Foundation Couplet Care Bassinet™ 2016-2018 NC TraCs 2018-2019 SBIR, BIG EMPower Training: Comprehensive Training Materials to Implement -
Breastfeeding and HIV Global Breastfeeding COLLECTIVE Breastfeeding Gives All Children the Healthiest Start in Life
Siphiwe Khumalo, 37, and her baby, Lundiwe. Siphiwe was already on life-long antiretroviral treatment when she became pregnant with Lundiwe. This is her fifth pregnancy— all of her previous babies died shortly after birth. Siphiwe suspects they died of AIDS-related illnesses, although at that time, she didn’t know her status and never got her babies tested. Lundiwe is a happy, healthy baby, always smiling and very curious. Immediately after birth, Lundiwe tested negative, to the joy of her mother. ADVOCACY BRIEF Breastfeeding and HIV GLOBAL BREASTFEEDING COLLECTIVE Breastfeeding gives all children the healthiest start in life. Breastfeeding promotes cognitive development and acts as a child’s first vaccine, giving babies everywhere a critical boost. It also reduces the burden of childhood and maternal illness, lowering health care costs and creating healthier families. Increasing breastfeeding worldwide would prevent more than 800,000 child deaths each year, particularly those associated with diarrhoea and pneumonia.1 Led by UNICEF and WHO, the Global Breastfeeding Collective is a partnership of more than 20 prominent international agencies calling on donors, policymakers, philanthropists and civil society to increase investment in breastfeeding worldwide. The Collective’s vision is a world in which all mothers have the technical, financial, emotional and public support they need to breastfeed. The Collective advocates for smart investments in breastfeeding programmes, assists policymakers and NGOs in implementing solutions, and galvanizes support to get real results to increase rates of breastfeeding, thereby benefiting mothers, children and nations. Adequate support from families, communities, health workers and society is important to make breastfeeding work for all mothers; and those living with HIV need even more support. -
Overcoming Breastfeeding Concerns- Part 2
9/21/2018 OVERCOMING BREASTFEEDING Presented by: CONCERNS- PART 2 Kary Johnson, IBCLC OVERVIEW • Pacifiers • Pumping • Low Milk Supply • Feeding Multiples • Supplementation • Discharge Guidelines PICTURE FROM HTTPS://WWW.ETSY.COM/LISTING/464346270/BREAST-ENCOURAGEMENT-CARD-BREASTFEEDING 1 9/21/2018 PACIFIERS Step 9: Counsel mothers on the use and risks of feeding bottles, teats and pacifiers. What does the AAP say? •NG/Gavage •“Mothers of healthy term infants should be instructed to use pacifiers at •Hypoglycemia infant nap or sleep time after breastfeeding is well established, at Infant approximately 3 go 4 weeks of age.” •Lab draws • “Pacifier use should be limited to specific medical situations. These include Pain •Circumcision uses for pain relief, as a calming agent, or as part of a structured program •Illness for enhancing oral motor function.” •Medications Maternal •PMAD • NICU: to organize suck, swallow, breathe pattern of premature infant (in addition to reasons above) (AAP, 2012) PACIFIERS Ask yourself…what is the reason for use? Management: • All effort should be made to prevent separation of mom & baby (i.e. newborn nursery) • Avoid overuse • Be careful to not incorrectly pacify infant hunger • Non-nutritive sucking on mother’s breast is a great alternative Overuse or misuse results in: • Decreased breastfeeding duration • Reduced milk supply • Dental issues, difficulty weaning, and use well into childhood 2 9/21/2018 BREAST PUMPING Reasons a mother may need to pump: • Nipple trauma • Low milk supply • Late preterm infants -
Breastfeeding in the HIV Epidemic: a Midwife's Dilemma in International Work Jennifer Ellen Dohrn Columbia University School of Nursing, [email protected]
Online Journal of Health Ethics Volume 2 | Issue 1 Article 2 Breastfeeding in the HIV Epidemic: A Midwife's Dilemma in International Work Jennifer Ellen Dohrn Columbia University School of Nursing, [email protected] Follow this and additional works at: http://aquila.usm.edu/ojhe Recommended Citation Dohrn, J. E. (2005). Breastfeeding in the HIV Epidemic: A Midwife's Dilemma in International Work. Online Journal of Health Ethics, 2(1). http://dx.doi.org/10.18785/ojhe.0201.02 This Article is brought to you for free and open access by The Aquila Digital Community. It has been accepted for inclusion in Online Journal of Health Ethics by an authorized administrator of The Aquila Digital Community. For more information, please contact [email protected]. Breastfeeding in the HIV Epidemic Breastfeeding in the HIV Epidemic: A Midwife's Dilemma in International Work Jennifer Ellen Dohrn, CNM, NP, MS Columbia University School of Nursing New York, NY Abstract As standards develop to reduce the maternal-to-child transmission of HIV, healthcare professionals need to evaluate recommendations in the context of culturally-accepted values for the populations to be served. Breastfeeding, a central value in South African families, carries the risk of transmission in mothers that are HIV+. A dilemma faced by international workers is the sharing of information that challenges culturally-accepted practices. A nurse-midwife working with HIV positive women during the childbearing cycle in the United States is expected to implement protocols to prevent transmission of the HIV virus to the newborn. These include administration of antiretroviral medications to the women during the pregnancy and labor, as well as the policy of no breastfeeding, since breast milk contains the HIV virus and can be a source of passing the infection to the baby. -
Brand-New Theaters Planned for Off-B'way
20100503-NEWS--0001-NAT-CCI-CN_-- 4/30/2010 7:40 PM Page 1 INSIDE THE BEST SMALL TOP STORIES BUSINESS A little less luxury NEWS YOU goes a long way NEVER HEARD on Madison Ave. ® Greg David Page 11 PAGE 2 Properties deemed ‘distressed’ up 19% VOL. XXVI, NO. 18 WWW.CRAINSNEWYORK.COM MAY 3-9, 2010 PRICE: $3.00 PAGE 2 ABC Brand-new News gets cut theaters to the bone planned for PAGE 3 Bankrupt St. V’s off-B’way yields rich pickings PAGE 3 Hit shows and lower prices spur revival as Surprise beneficiary one owner expands of D.C. bank attacks IN THE MARKETS, PAGE 4 BY MIRIAM KREININ SOUCCAR Soup Nazi making in the past few months, Catherine 8th Ave. comeback Russell has been receiving calls constant- ly from producers trying to rent a stage at NEW YORK, NEW YORK, P. 6 her off-Broadway theater complex. In fact, the demand is so great that Ms. Russell—whose two stages are filled with the long-running shows The BUSINESS LIVES Fantasticks and Perfect Crime—plans to build more theaters. The general man- ager of the Snapple Theater Center at West 50th Street and Broadway is in negotiations with landlords at two midtown locations to build one com- plex with two 249-seat theaters and an- other with two 249-seat theaters and a 99-seat stage. She hopes to sign the leases within the next two months and finish the theaters by October. “There are not enough theaters cen- GOTHAM GIGS by gettycontour images / SPRING AWAKENING: See NEW THEATERS on Page 22 Healing hands at the “Going to Broadway has Bronx Zoo P. -
The Lactating Angel Or Activist? Public Breatsfeeding As Symbolic Speech
Michigan Journal of Gender & Law Volume 15 Issue 1 2008 The Lactating Angel or Activist? Public Breatsfeeding as Symbolic Speech Elizabeth Hildebrand Matherne Law Offices of Robert Wesley, Public Defender, Ninth Judicial Circuit of Florida Follow this and additional works at: https://repository.law.umich.edu/mjgl Part of the First Amendment Commons, and the Law and Gender Commons Recommended Citation Elizabeth H. Matherne, The Lactating Angel or Activist? Public Breatsfeeding as Symbolic Speech, 15 MICH. J. GENDER & L. 121 (2008). Available at: https://repository.law.umich.edu/mjgl/vol15/iss1/3 This Article is brought to you for free and open access by the Journals at University of Michigan Law School Scholarship Repository. It has been accepted for inclusion in Michigan Journal of Gender & Law by an authorized editor of University of Michigan Law School Scholarship Repository. For more information, please contact [email protected]. THE LACTATING ANGEL OR ACTIVIST? PUBLIC BREASTFEEDING AS SYMBOLIC SPEECHt Elizabeth Bildebrand c.atherne* INTRODUCTION- 121 1. CULTURAL CONTEXT-THE BENEFITS OF BREASTFEEDING • 123 A. Breastfeeding Benefits the Infant • 124 B. Breastfeeding Benefits the Mother • 125 C. Breastfeeding Benefits Society . 126 II. CULTURAL CONTEXT-SOCIAL STIGMA • 127 III. SOCIETY'S MESSAGE-WOMEN BELONG IN THE HOME . 128 IV. No VIABLE LEGAL RECOURSE • 131 V. HISTORY OF FIRST AMENDMENT AND SYMBOLIC SPEECH • 134 VI. SYMBOLIC SPEECH UNDER THE SPENCE TEST • 136 VII. BREASTFEEDING IS SYMBOLIC SPEECH • 139 CONCLUSION . 142 INTRODUCTION "[T]he history of women's visibility is predominately the history of women's objectification and oppression. "' t The term "lactating angel" borrowed with the author's permission from the article of St. -
General Instructions for Infant and Child Care
Name _______________________________________________ Birth Date ____________________________________________ GENERAL INSTRUCTIONS FOR INFANT AND CHILD CARE GUIDELINES FOR HEALTH EVALUATION VISITS Richmond Pediatrics Pediatric & Adolescent Medicine . for over 50 years 357 N.W. Richmond Beach Road Shoreline, Washington 98177 (206) 546-2421 (206) 546-8436 – Fax www.Richmond-Pediatrics.com Age Immunization Date Given Immunizations >9 Years Old Birth Hepatitis B Immunization Date Given Hepatitis B MCV4 (Meningitis) #1 DtaP MCV4 (Meningitis) #2 IPV (Polio) 2 Months TdaP Hib (Meningitis) HPV #1 PCV13 (Pneumonia) Rotavirus HPV #2 DtaP HPV #3 IPV (Polio) 4 Months Hib (Meningitis) We also recommend a yearly influenza immunization. PCV13 (Pneumonia) Rotavirus Hepatitis B DtaP IPV (Polio) 6 Months Hib (Meningitis) PCV13 (Pneumonia) Rotavirus MMR VZV (Chickenpox) DtaP 12 -18 Hib (Meningitis) Months PCV13 (Pneumonia) Hepatitis A #1 Hepatitis A #2 18mos-4yrs PCV13 booster DtaP IPV 5 Years MMR VZV (Chickenpox) Influenza #1 6mos-5 yrs Influenza #2 TABLE OF CONTENTS Infant Care Page Breast Feeding ..............................................................6 Diarrhea .......................................................................20 Formula .........................................................................8 Dehydration .................................................................20 Feeding Schedule .........................................................9 Fever ...........................................................................22 -
Overcoming Difficulties (PDF)
Breastfeeding Overcoming Difficulties ® Only a phone call away! See your local telephone directory Breastfeeding is a gift only you can give to your baby. A healthy full-term baby is likely to know instinctively what to do at the breast. For many mothers and babies breastfeeding goes well right from the start, for others it can take a little longer to learn. Common problems can be minimized or avoided entirely if a mother has accurate and consistent breastfeeding information and support. “Breastfeeding is a long term commitment. In order to succeed, a mother needs the encouragement and companionship of other mothers. La Leche League succeeded in the beginning and continues to work well because it meets the dual need for sound practical information and loving support. Babies don’t change and neither do mothers, though the circumstances in which they find themselves differ from one generation to the next.” Mary Ann Cahill, Founder LLL Sore Nipples Many mothers experience some nipple tenderness at the beginning of a feed during the first two to three days of breastfeeding, however, breastfeeding should not hurt. If you have continued discomfort or pain while breastfeeding or have discomfort or pain between breastfeeds, some adjustment or treatment may be needed. Research shows that good positioning of the baby at the breast will help prevent and heal sore nipples. Positioning Baby at the Breast There are a number of ways to hold your baby while breastfeeding. Getting your baby started at the breast smoothly and easily will soon become second nature to you. Nursing a baby at the breast is actually much less involved than any description of the process.