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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. -
THE COAST ADVERTISER Official Newspaper for Belmar, South Behnar, Will Township, Spring Lake Heights, Avonby-Thesea Seventy-Fifth Year — No
'. BEUIA; PUB. UdKAHK 10TI ME,, 8ELSAR ,N.J. 07719 THE COAST ADVERTISER Official Newspaper For Belmar, South Behnar, Will Township, Spring Lake Heights, Avonby-theSea Seventy-fifth Year — No. 6 — 8 Pages BELMAR, NEW JERSEY, 07tI9, THURSDAY, MAY 11,1967 Seven Cento Wall Committee Maclearie, Ferruggiaro, Taglor Acts to Prohibit Top Soil Removal Score Victories in Belmar Vote WALL TOWNSHIP - No toptwil will be removed from Township Robert Pringle, who waged a lands hi any zone, according to Crook Ticket Upset in Avon; determined campaign to break an ordinance adopted by the into the Commission ticket, polled Township Committee last night 771 votes. Other independents, Lowenstein in Bradley Beach John Henderson, Chamber of The rule prohibits the removal Voters went to the polls in three Shore communi- Commerce officer, had 443, and of top soil from any area, unless Harry Schlossbach had 343. Both it ia in conjunction with the eon- ties on Tuesday, but only in Belmar did they return Mr. Henderson and Mr. Schloss- struction of buildings on the lot the incumbents to office as a full ticket. bach sought office four years Belmar voters renamed Ma^or Pefer Maclearie and ago. Mr. Pringle was a candidate Robert Brunet, Woolley Road; for the first time. wanted to know if this meant Commissioner John Ferroggiaro and John A. Taylor "all" areas and Mayor Joseph N>. to office by nearly 2-1 margins Judge Simmill yesterday, Mr. The Urban Renewal program Ehret assured him It meant "a* over three independent candi- Crook's name was drawn and he was tthh e chiehiff IIssu e of tthhe cam- areas". -
Newborn Care 2 Table of Contents
Newborn Care 2 Table of Contents Your Newborn ............................................ 4 Baby Basics ............................................... 16 Preparing for Your Baby ................................. 4 Stools ................................................................. 16 What to Expect in the Hospital ....................... 4 Wet Diapers ..................................................... 16 Your Newborn ................................................... 5 Diapering .......................................................... 16 Bathing .............................................................. 17 Comfort and Bonding ............................ 7 Skin Care .......................................................... 17 Handling Your Baby ......................................... 7 Fingernail Care ................................................ 17 Interacting with Your Baby ............................. 7 Umbilical Cord Care ....................................... 17 Crying and Comfort ......................................... 7 Circumcision Care .......................................... 17 Bonding with Baby ............................................ 9 Infant Development ........................................ 10 Health and Safety ................................. 18 Baby Wearing .................................................. 11 Sleep Safety ....................................................... 18 SUID and SIDS ................................................ 18 Sleep.............................................................. -
Breastfeeding Matters
Breastfeeding Matters An important guide for breastfeeding families ACKNOWLEDGEMENTS Best Start by Health Nexus would like to thank the Public Health Units of Ontario who supported the creation and development of this provincial resource and generously shared their resources and expertise. We would also like to thank the parents and the experts who provided input for this booklet. Final review was done by Marg La Salle, RN, BScN, IBCLC, and BFI Lead Assessor. The information in this booklet is current at the time of production but information can change over time. Every effort will be made to ensure the information remains current. Throughout this resource, gender-specific language such as “woman”, “women” and “mother” is used in order to accurately cite the research referred to. We intend these terms to refer to all childbearing individuals, regardless of their gender identity or sexual orientation. Funded by the Government of Ontario. Table of Contents SECTION 1 .......................... 3 SECTION 4 ........................ 27 The Importance of Breastfeeding Important Things to Know • Risks of Not Breastfeeding • Waking a Sleepy Baby • Your Breastfeeding Rights • Calming a Fussy Baby • The Baby-Friendly Initiative • Burping Your Baby • Making an Informed Decision • Growth Spurts • Family Support • Sore Nipples • Peer Support • Using a Pacifier (Soother) • Engorgement SECTION 2 ........................ 11 • Storing Your Breast Milk Helping Your Baby Get a Good Start • Skin-to-Skin SECTION 5 ........................ 33 • Safe Positioning -
Pediatric First Aid for Caregivers and Teachers, Second Edition
Pediatric First Aid for Caregivers and Teachers, Second Edition Check Your Knowledge: Answer Key TOPIC 1 1. Pediatric first aid is: a. Cardiopulmonary resuscitation (CPR) b. Immediate medical care given to a child who is injured or suddenly becomes sick c. Required only if a child’s parent or guardian cannot arrive quickly d. Provided only by physicians, nurses, and paramedics 2. Good Samaritan laws: a. Protect a person from legal responsibility when giving first aid in an emergency b. Cover physicians and nurses from malpractice lawsuits c. Do not apply in Texas and Georgia d. Require that someone who comes on the scene of an accident must stop and offer to help 3. Training in pediatric first aid, CPR, and choking relief is: a. Recommended only for caregivers of children younger than 3 years b. Recommended only for caregivers who supervise wading and swimming activities c. Recommended only for caregivers who are caring for a child with a heart condition d. Recommended for all caregivers 4. The 4Cs of Pediatric First Aid are: a. Call, Care, Complete, Collaborate b. Check, Call, Care, Complete c. Call, Check, Care, Complete d. Care, Call, Check, Complete 5. Every child care facility should have policies for: a. Care of children and staff who are ill b. Urgent medical situations c. Disasters d. All of the above. Copyright © 2014 Jones & Bartlett Learning, LLC, an Ascend Learning Company and the American Academy of Pediatrics 1 41894_ANSx_PASS02.indd 1 18/02/13 9:42 AM Pediatric First Aid for Caregivers and Teachers, Second Edition Check Your Knowledge: Answer Key TOPIC 2 1. -
The Empire Plan SEPTEMBER 2018 REPORTING ON
The Empire Plan SEPTEMBER 2018 REPORTING ON PRENATAL CARE Every baby deserves a healthy beginning and you can take steps before your baby is even born to help ensure a great start for your infant. That’s why The Empire Plan offers mother and baby the coverage you need. When your primary coverage is The Empire Plan, the Empire Plan Future Moms Program provides you with special services. For Empire Plan enrollees and for their enrolled dependents, COBRA enrollees with their Empire Plan benefits and Young Adult Option enrollees TABLE OF CONTENTS Five Important Steps ........................................ 2 Feeding Your Baby ...........................................11 Take Action to Be Healthy; Breastfeeding and Your Early Pregnancy ................................................. 4 Empire Plan Benefits .......................................12 Prenatal Testing ................................................. 5 Choosing Your Baby’s Doctor; New Parents ......................................................13 Future Moms Program ......................................7 Extended Care: Medical Case High Risk Pregnancy Program; Management; Questions & Answers ...........14 Exercise During Pregnancy ............................ 8 Postpartum Depression .................................. 17 Your Healthy Diet During Pregnancy; Medications and Pregnancy ........................... 9 Health Care Spending Account ....................19 Skincare Products to Avoid; Resources ..........................................................20 Childbirth Education -
Why Babies Should Never Sleep Alone: a Review of the Co-Sleeping Controversy in Relation to SIDS, Bedsharing and Breast Feeding
PAEDIATRIC RESPIRATORY REVIEWS (2005) 6, 134–152 REVIEW Why babies should never sleep alone: A review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding James J. McKenna* and Thomas McDade University of Notre Dame, Notre Dame, Indiana, IN 46556, USA KEYWORDS Summary There has been much controversy over whether infants should co-sleep or co-sleeping; bedshare with an adult caregiver and over whether such practises increase the risk of bedsharing; SIDS or fatal accident. However, despite opposition from medical authorities or the SIDS; police, many western parents are increasingly adopting night-time infant caregiving breast feeding; patterns that include some co-sleeping, especially by those mothers who choose to mother–infant breast feed. This review will show that the relationships between infant sleep patterns, relationship infant sleeping arrangements and development both in the short and long term, whether having positive or negative outcomes, is anything but simple and the traditional habit of labelling one sleeping arrangement as being superior to another without an awareness of family, social and ethnic context is not only wrong but possibly harmful. We will show that there are many good reasons to insist that the definitions of different types of co-sleeping and bedsharing be recognised and distinguished. We will examine the conceptual issues related to the biological functions of mother–infant co-sleeping, bedsharing and what relationship each has to SIDS. At very least, we hope that the studies and data described in this paper, which show that co-sleeping at least in the form of roomsharing especially with an actively breast feeding mother saves lives, is a powerful reason why the simplistic, scientifically inaccurate and misleading statement ‘never sleep with your baby’ needs to be rescinded, wherever and whenever it is published. -
Infant Sleep Patterns Whānau Around Best Practice Infant Care
Horiana Jones, Carol Cornsweet Barber, Linda Waimarie Nikora, et al. Māori child rearing and infant sleep practices Horiana Jones1, Carol Cornsweet Barber1, Linda Waimarie Nikora1 and Wendy Middlemiss2 1University of Waikato, New Zealand and 2University of North Texas, United States of America Sleep is important to a healthy lifestyle for parents and children, and having effective ways of putting a child to sleep contributes significantly to mental and physical wellbeing. Cultural groups around the world have developed a variety of approaches to this task, for example, rocking, co-sleeping, bed-sharing, breastfeeding to sleep, and encouraging infants to self soothe through various methods of infant sleep training. In New Zealand the continuation of traditional Māori approaches to infant sleep, e.g. co-sleeping, bed-sharing, responsivity to infant cues have been over-shadowed by its negative association with sudden infant death syndrome (SIDS) and dependence on parent interaction when initiating infant sleep. In this study, we were interested in the approaches Māori parents used to put their pēpi (child, 2 months-2 years of age) to sleep and the various factors that have influenced these approaches. Data were collected through online surveys (n =58) and face-to-face interviews (n =10) with Māori parents. Survey results indicated that being held and breast or bottle fed to sleep were the most practiced techniques by Māori parents. Parent assisted approaches, e.g., rocking, feeding, lying with baby until they go to sleep, were the most practiced. Many parents planned for their babies to sleep separately but very few actually persisted with self-soothing approaches due to a number of factors, such as discomfort with listening to their babies cry, culture, whānau (extended families) influences safety, and convenience. -
USIT Exam Answer
American Board of Family Medicine 2018 IN-TRAINING EXAMINATION CRITIQUE BOOK This book contains the answers to each question in the In-Training Examination, as well as a critique that provides a rationale for the correct answer. Bibliographic references are included at the end of each critique to facilitate any further study you may wish to do in a particular area. Copyright© 2018 The American Board of Family Medicine, Inc. All rights reserved. Item 1 ANSWER: E A urine test for Legionella pneumophila antigen is the preferred method to confirm Legionnaires’ disease. This test is rapid and will only detect Legionella pneumophila antigen. A sputum culture is the gold standard for the diagnosis of Legionnaires’ disease but it requires 48–72 hours. A chest radiograph does not confirm the diagnosis but may show the extent of disease. Responding to antibiotic treatment does not confirm a specific diagnosis. Ref: Mercante JW, Winchell JM: Current and emerging Legionella diagnostics for laboratory and outbreak investigations. Clin Microbiol Rev 2015;28(1):95-133. 2) National Center for Immunization and Respiratory Diseases: Legionella (Legionnaires’ disease and Pontiac fever): Diagnosis, treatment, and prevention. Centers for Disease Control and Prevention, 2017. Item 2 ANSWER: C Risk factors for developmental dysplasia of the hip in infants include a breech presentation in the third trimester, regardless of whether the delivery was cesarean or vaginal. Other indications to evaluate an infant for this condition include a positive family history, a history of previous clinical instability, parental concern, a history of improper swaddling, and a suspicious or inconclusive physical examination. -
Bunt Defense
Baseball Defense CUTOFF & RELAYS Part 2: Bunt Defense Copyright © 2015 Inside Baseball All rights reserved. Copyright © 2015 Inside Baseball Table of Contents Chapter 20: Bunt Defense - Basic Runner on 1st ......................................................................................................................... 3 Chapter 21: Bunt Defense - Play at 3rd with Runners on 1st and 2nd .......................................................................................... 4 Chapter 22: Bunt Defense - “Wheel Play” Shortstop Early Break to 3rd Base with Runners on 1st and 2nd ................................ 5 Chapter 23: Bunt Defense - “Wheel Play” Fake with Pick-Off at 2nd Base with Runners on 1st and 2nd...................................... 6 Chapter 24: Bunt Defense - Fake Pick-Off at 2nd Base with Runners on 1st and 2nd ................................................................ 7 Chapter 25: Bunt Defense – 2nd Baseman Early Break with Runner on 1st ................................................................................ 8 Chapter 26: Bunt Defense - First Baseman Early Break with Runner on 1st ................................................................................ 9 Chapter 27: Bunt Defense - First Baseman Early Break Pick-Off from Catcher with Runner on 1st .......................................... 10 2 Copyright © 2014 Inside Baseball Chapter 20: Bunt Defense - Basic Runner on 1st CF LF RF SS 2B 3B 1B P Positioning: Fly Ball: Ground Ball: Throw: C Pitcher: Move forward to home plate area. React to ball. Catcher: Cover area immediately in front of home plate. Move to cover 3rd base if 3B fields the ball. Make play call for fielders. 1st Baseman: Charge in when pitcher throws ball. Cover 1st base area if ball goes by pitcher. 2nd Baseman: Hold your ground until you are sure the ball has been bunted, then cover 1st base for play.. 3rd Baseman: Charge in when pitcher throws ball. Cover 3rd base area. Shortstop: Hold your ground until you are sure the ball has been bunted, then cover 2nd base for play. -
Music Generation Enters Phase Two
SPRING/SUMMER 2017 PROGRESS THROUGH PHILANTHROPY Music Generation Enters Phase Two WWW.IRELANDFUNDS.ORG At the heart of business in Ireland © 2016 KPMG, an Irish partnership 12 56 3 Message from the Chairman 24 Irish Wheelchair Association 5 Message from the Worldwide President & CEO 28 ReCreate 6 Your Philanthropic Impact - Thank You! 32 The Spectrum Centre 10 The Ireland Funds 2016 Flagship Grants 36 Gaisce 14 Music Generation 40 Inner City Enterprise 18 The Irish Film Institute 46 Anam Cara contents 22 Youth Initiatives connect 2016 | 1 48 The Ireland Funds Young Leaders - Membership Opportunities 50 The Ireland Funds Young Leaders – Global 5K 54 The Ireland Funds Golf Events 56 Events Around the World 56 100 The Ireland Funds Heritage Society 102 Board of Directors 104 Contacts Read Connect magazine online at www.irelandfunds.org 50 10 connect 2017 • 2 ConnectSPRING / SUMMER / 2017 Dear Fellow Donors, As I have the privilege of beginning my second term, I do so with great enthusiasm. In 2017 we continue to see economic improvements in Ireland, North and South. Unemployment is falling, new businesses are being created and a renewed sense of confidence is establishing itself after the ravages of the Great Recession. However, we cannot afford to overlook the considerable challenges Ireland, North and South, could face, not least as a result of Brexit. Despite the progress that has been made, many sectors of society remain untouched by the recovery and many others are still feeling the wounds of such a difficult period. To help strengthen society, the Irish not-for-profit sector plays a critical role. -
Safer Swaddling
Safer Swaddling Although swaddling has been practiced for years, recent studies show that swaddling for sleep can put your baby at risk of suffocation. If you have tried calming your baby and nothing has worked, you can try swaddling to settle your crying baby. What are the risks of swaddling? Swaddling can get in the way of Swaddling for sleep may result in mother- baby bonding and newborn sudden infant death feeding g Loose fabric can cover baby’s face and Skin-to-skin contact between mother and baby cause suffocation. has many benefits. It helps you develop your g If the baby becomes unwrapped, the fabric relationship with your baby, helps reduce your can become wrapped around baby’s neck and baby’s stress, promotes more restful sleep and cause strangulation. helps with breastfeeding. g The baby may roll onto his or her stomach and be unable to roll back . Tight swaddling can be risky g Babies wrapped in blankets or heavy fabrics g Tight swaddling can interfere with breathing can get too hot, which increases the risk of and can even lead to pneumonia. Your baby Sudden Infant Death Syndrome (SIDS). must have enough room for his or her chest g Sleeping with a baby on a bed or couch greatly to move. increases the risk of sudden infant death and g It can cause long-term hip problems. Your suffocation. This risk is even higher when a baby must have enough room to freely move baby is swaddled. the hips and legs. January 2016 When to stop swaddling baby When baby can roll or is able to unravel the wrap, it is time to stop swaddling because the loose fabric creates a suffocation or strangulation risk.