DOCSLIB.ORG

Karen Wambach, Phd, RN, IBCLC, FILCA, FAAN Becky Spencer, Phd

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Karen Wambach, Phd, RN, IBCLC, FILCA, FAAN Becky Spencer, Phd © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Karen© Jones Wambach, & Bartlett Learning, PhD, RN, LLC IBCLC, FILCA,© Jones FAAN & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTIONProfessor NOT FOR SALE OR DISTRIBUTION School of Nursing University of Kansas Kansas City, Kansas, USA © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE ORBecky DISTRIBUTION Spencer, PhD, RN,NOT IBCLCFOR SALE OR DISTRIBUTION Associate Professor College of Nursing © Jones & Bartlett Learning, LLC Texas Woman’s© Jones University & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION Denton,NOT Texas, FOR USA SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 9781284189971_FMxx_i_xvi.indd 1 30/08/19 8:38 PM © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION World Headquarters Jones & Bartlett Learning 5 Wall Street Burlington, MA 01803 978-443-5000 [email protected] © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC www.jblearning.com NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jblearning.com. Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other© Jonesqualified &organizations. Bartlett For Learning, details and specific LLC discount information, contact© theJones special sales& Bartlett department Learning, at Jones & Bartlett LLC LearningNOT via the FOR above SALE contact information OR DISTRIBUTION or send an email to [email protected] FOR SALE OR DISTRIBUTION Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the © Jonescopyright & Bartlett owner. Learning, LLC © Jones & Bartlett Learning, LLC NOT FORThe SALEcontent, statements,OR DISTRIBUTION views, and opinions herein are the sole expressionNOT of FORthe respective SALE authors OR and DISTRIBUTION not that of Jones & Bartlett Learning, LLC. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement or recommendation by Jones & Bartlett Learning, LLC, and such reference shall not be used for advertising or product endorsement purposes. All trademarks displayed are the trademarks of the parties noted herein. Breastfeeding and Human Lactation, Sixth Edition, is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the trademarks or service marks referenced in this product. There may be images in this© book Jones that feature & Bartlett models; these Learning, models do notLLC necessarily endorse, represent, ©or Jonesparticipate &in Bartlettthe activities Learning, LLC represented in the images. AnyNOT screenshots FOR in SALE this product OR are DISTRIBUTION for educational and instructive purposes only. AnyNOT individuals FOR andSALE scenarios OR DISTRIBUTION featured in the case studies throughout this product may be real or fictitious, but are used for instructional purposes only. The authors, editor, and publisher have made every effort to provide accurate information. However, they are not responsible for errors, omissions, or for any outcomes related to the use of the contents of this book and take no responsibility for the use of the products and procedures described. Treatments and side effects described in this book may not be applicable to all people; likewise, some people may require a© dose Jones or experience & Bartlett a side effect Learning, that is not LLC described herein. Drugs and medical© Jones devices are& Bartlettdiscussed that Learning, may have limited LLC availability controlled by the Food and Drug Administration (FDA) for use only in a research study or clinical trial. Research, clinical practice,NOT and government FOR SALE regulations OR often DISTRIBUTION change the accepted standard in this field.NOT When FOR consideration SALE is ORbeing DISTRIBUTIONgiven to use of any drug in the clinical setting, the healthcare provider or reader is responsible for determining FDA status of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and contraindications, and determining the appropriate usage for the product. This is especially important in the case of drugs that are new or seldom used. 18997-1 © JonesProduction & Bartlett Credits Learning, LLC © Jones & Bartlett Learning, LLC NOT FORVP, ProductSALE Management: OR DISTRIBUTION Amanda Martin NOTComposition: FOR SALE S4Carlisle OR Publishing DISTRIBUTION Services Director of Product Management: Matthew Kane Cover Design: Kristin E. Parker Product Manager: Teresa Malmberg Media Development Editor: Troy Liston Product Assistant: Melina Leon Rights Specialist: John Rusk Project Specialist: Kelly Sylvester Cover Image (Title Page, Part Opener, Chapter Project Specialist, Navigate: Kelly Sylvester Opener): © Jasper Cole/Getty Images Digital Project Specialist: Angela© Jones Dooley & Bartlett Learning,Printing LLC and Binding: Sheridan Books© Jones & Bartlett Learning, LLC Senior Marketing Manager: LindsayNOT WhiteFOR SALE OR DISTRIBUTIONCover Printing: Sheridan Books NOT FOR SALE OR DISTRIBUTION Product Fulfillment Manager: Wendy Kilborn Library of Congress Cataloging-in-Publication Data Names: Wambach, Karen, editor. | Spencer, Becky, editor. Title: Breastfeeding and human lactation/[edited by] Karen Wambach, Becky Spencer.© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Description: Sixth edition. | Burlington, Massachusetts : Jones & Bartlett Learning,NOT [2021] FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Identifiers: LCCN 2019015369 | ISBN 9781284151565 (hardback) Subjects: | MESH: Breast Feeding | Infant Nutritional Physiological Phenomena | Lactation | Milk, Human Classification: LCC RJ216 | NLM WS 125 | DDC 649/.33--dc23 © JonesLC & record Bartlett available Learning, at https://lccn.loc.gov/2019015369 LLC © Jones & Bartlett Learning, LLC NOT FOR6048 SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Printed in the United States of America 23 22 21 20 19 10 9 8 7 6 5 4 3 2 1 9781284189971_FMxx_i_xvi.indd 2 30/08/19 8:38 PM © Jones & Bartlett Learning LLC, an Ascend Learning Company. NOT FOR SALE OR DISTRIBUTION. © Jasper Cole/Getty Images © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALEBrief OR DISTRIBUTION Contents © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Preface xi Acknowledgments xiii © Jones & BartlettContributors Learning, LLC © Jones & Bartlett Learning, LLC xiv NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION SECTION ONE HISTORICAL AND WORK PERSPECTIVES 1 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTIONChapter 1 The InternationalNOT FOR Board SALE Certified OR DISTRIBUTION Lactation Consultant® (IBCLC®) and the Healthcare Team . 3 Chapter© Jones 2& BartlettBreastfeeding Learning, LLCand Lactation: Roots and© Jones Wings & . Bartlett . Learning,21 LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION SECTION TWO ANATOMIC AND BIOLOGICAL IMPERATIVES 47 © Jones & BartlettChapter Learning, 3 Anatomy LLC and Physiology© of LactationJones & Bartlett . Learning, . LLC. 49 NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Chapter 4 The Composition and Specificity of Human Milk . 85 Chapter 5 Drug Therapy and Breastfeeding . 127 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTIONChapter 6 Viral InfectionsNOT andFOR Breastfeeding SALE OR DISTRIBUTION . 159 SECTION THREE PRENATAL, PERINATAL, AND POSTNATAL PERIODS 175 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC ChapterNOT FOR 7 SALEPerinatal OR DISTRIBUTION and Intrapartum Care . NOT. FOR. SALE. OR 177DISTRIBUTION Chapter 8 Newborn Assessment . 215 © Jones & BartlettChapter Learning, 9 Postpartum LLC Care . ©. .Jones . .& . Bartlett . .Learning,
Load more

Recommended publications
  • 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
    [Show full text]
  • 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
    [Show full text]
  • 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.
    [Show full text]
  • Practice Resource: CARE of the NEWBORN EXPOSED to SUBSTANCES DURING PREGNANCY
    Care of the Newborn Exposed to Substances During Pregnancy Practice Resource for Health Care Providers November 2020 Practice Resource: CARE OF THE NEWBORN EXPOSED TO SUBSTANCES DURING PREGNANCY © 2020 Perinatal Services BC Suggested Citation: Perinatal Services BC. (November 2020). Care of the Newborn Exposed to Substances During Pregnancy: Instructional Manual. Vancouver, BC. All rights reserved. No part of this publication may be reproduced for commercial purposes without prior written permission from Perinatal Services BC. Requests for permission should be directed to: Perinatal Services BC Suite 260 1770 West 7th Avenue Vancouver, BC V6J 4Y6 T: 604-877-2121 F: 604-872-1987 [email protected] www.perinatalservicesbc.ca This manual was designed in partnership by UBC Faculty of Medicine’s Division of Continuing Professional Development (UBC CPD), Perinatal Services BC (PSBC), BC Women’s Hospital & Health Centre (BCW) and Fraser Health. Content in this manual was derived from module 3: Care of the newborn exposed to substances during pregnancy in the online module series, Perinatal Substance Use, available from https://ubccpd.ca/course/perinatal-substance-use Perinatal Services BC Care of the Newborn Exposed to Substances During Pregnancy ii Limitations of Scope Iatrogenic opioid withdrawal: Infants recovering from serious illness who received opioids and sedatives in the hospital may experience symptoms of withdrawal once the drug is discontinued or tapered too quickly. While these infants may benefit from the management strategies discussed in this module, the ESC Care Tool is intended for newborns with prenatal substance exposure. Language A note about gender and sexual orientation terminology: In this module, the terms pregnant women and pregnant individual are used.
    [Show full text]
  • Druckvorlage Farbig
    INTERNATIONAL LACTATION CONSULTANT ASSOCIATION Klinische Leitlinien zur Etablierung des ausschließlichen Stillens Clinical Guidelines for the Establisment of the Exclusive Breastfeeding Übersetzt von Denise Both, IBCLC Juni 2005 INTERNATIONAL LACTATION CONSULTANT ASSOCIATION Klinische Leitlinien zur Etablierung des ausschließlichen Stillens Clinical Guidelines for the Establisment of the Exclusive Breastfeeding Übersetzt von Denise Both, IBCLC Überarbeitungskomitee 2. Auflage Mary L. Overfield, MN, RN, IBCLC Lactation Consultant, WakeMed Chair, Professional Development Committee International Lactation Consultant Association Raleigh, North Carolina USA Carol A. Ryan, MSN, RN, IBCLC Director, Parenting Services Perinatal Education & Lactation Services Georgetown University Hospital Washington, DC USA Amy Spangler, MN, RN, IBCLC Affiliate Faculty, Emory University Perinatal Education Instructor, Northside Hospital Atlanta, Georgia USA Mary Rose Tully, MPH, IBCLC Adjunct Assistant Professor UNC School of Public Health Director, Lactation Services UNC Women’s & Children’s Hospitals Chapel Hill, North Carolina USA Teilweise finanziert durch das Maternal and Child Health Bureau Health Resources and Services Administration US Department of Health and Human Services 2 Vorwort Das Interesse an der Gesundheit von Mut- Alter von zwei Jahren gestillt. Die derzeiti- das vielfach durch die persönlichen An- ter und Kind hat auf der ganzen Welt eine ge Stillsituation ist demzufolge weit von sichten sowohl des Gesundheitspersonals lange Tradition. Die 1948 verabschiedete, dem entfernt, was empfohlen wird. 229 als auch der Familie belastet wird. Es ist weltweit gültige Menschenrechtserklärung von wesentlicher Bedeutung, dass das Viele Gesundheitsfachleute glauben, dass stellt fest, dass „Mutterschaft und Kindheit Stillen vom Gesundheitspersonal als die sich gestillte Säuglinge, die in Industriena- zu besonderer Betreuung und Unterstüt- normale Art und Weise der Säuglingser- tionen geboren werden, nur geringfügig zung berechtigen“.
    [Show full text]
  • Human Milk Surveillance and Research of Environmental Chemicals: Concepts for Consideration in Interpreting and Presenting Study Results
    Journal of Toxicology and Environmental Health, Part A, 65:1909–1928, 2002 Copyright© 2002 Taylor & Francis 1528-7394/02 $12.00 + .00 DOI: 10.1080/00984100290071793 HUMAN MILK SURVEILLANCE AND RESEARCH OF ENVIRONMENTAL CHEMICALS: CONCEPTS FOR CONSIDERATION IN INTERPRETING AND PRESENTING STUDY RESULTS Judy S. LaKind LaKind Associates LLC, Catonsville, Maryland, USA Nettie Birnbach Professor Emeritus, College of Nursing, State University of New York at Brooklyn, Boca Raton, Florida, USA Christopher J. Borgert Applied Pharmacology and Toxicology, Alachua, Florida, USA Babasaheb R. Sonawane National Center for Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, Washington, DC, USA Mary Rose Tully Human Milk Banking Association of North America, Chapel Hill, North Carolina, USA Linda Friedman Rochester, New York, USA This article describes issues related to the interpretation, presentation, and use of data from human milk surveillance and research studies. It is hoped that researchers conduct- ing human milk studies in the future will consider these concepts when formulating study conclusions and presenting data. The key issues discussed are; (1) communication of information on human milk constituents to health care providers and the public; (2) com- plexities associated with assessing risks and benefits when comparing breast-feeding and We thank the following organizations for generously providing support for the workshop: the Department of Health and Human Services, Health Resources and Services Administration; the U.S. Environmental Protection Agency; the National Institute of Child Health and Human Development, National Institutes of Health; the Brominated Flame Retardant Industry Panel of the American Chemistry Council; the Nurses Leadership Council; Penn State University College of Medicine; the Public Health Policy Advisory Board; and the Research Foundation for Health and Environmental Effects.
    [Show full text]
  • The Magical Process of Relactation Karolina Ochoa BSN IBCLC and Two Superhumans: Je’Miere Colbert and Nichelle Clark
    The Magical Process of Relactation Karolina Ochoa BSN IBCLC And two superhumans: Je’Miere Colbert and Nichelle Clark 1 So happy you’re here! But before we dive in… Let me tell you a little bit about my own journey Karolina Ochoa BSN IBCLC Mother-Baby Nurse, Lactation Consultant page 2 page 3 RELACTATION What hides under the term Relactation? • Relactation is a process of reestablishing a milk supply after baby has stopped breastfeeding or the mother has stopped pumping. • It can be started days, weeks, months or years after mother has stopped producing breast milk. page 4 WHY DO FAMILIES CHOOSE TO RELACTATE? LOW MILK SUPPLY FORMULA INTOLERANCE Milk supply appears so low that mothers decide it Some mothers intend to exclusively formula is not worth to continue fighting or suggested feed but then discover their babies do not ways to increase supply are draining tolerate formula well MATERNAL/INFANT SEPARATION UNNECESSARY WEANING If either mother or baby requires hospitalization, Sometimes unaware medical professionals offer this temporary separation may be the cause of incorrect advice in regards to maternal unintended weaning medications or surgical procedures RESOLVED LIFE CRISIS REGRET Mothers often stop breastfeeding during a Though weaning sounded like the right crisis situation, such as sudden onset od PPD decision at the time, mothers often regret or PPA premature weaning and wish to relactate page 5 PREVENTATIVE CARE How do we prevent mothers from NEEDING to relactate? According to WHO, mothers who receive good support from healthcare professionals in their community should rarely need to relactate. If this need arises, it may be an indication that routine support in the community should be closely looked at and improved - including initiation of breastfeeding as well as establishing and sustaining milk supply.
    [Show full text]
  • North Carolina Breastfeeding Blueprint Status Update December
    Promoting, Protecting and Supporting Breastfeeding in North Carolina Blueprint Status Report December 2011 Promoting, Protecting and Supporting Breastfeeding in North Carolina / Blueprint Status Report N.C. Division of Public Health In 2006, Promoting, Protecting and Support Breastfeeding: A North Carolina Blueprint for Action was released. This document served as a strategic plan for all North Carolinians to help improve breastfeeding initiation, duration and exclusivity in our state. The vision of the North Carolina Blueprint for Action (N.C. Blueprint for Action) is that North Carolina mothers will be enabled to begin their children’s lives by breastfeeding – the best possible foundation for infant and young child feeding. This report will give an update to the progress made towards promoting, protecting and supporting breastfeeding in North Carolina. The Centers for Disease Control and Prevention (CDC) began releasing national and state breastfeeding report cards in 2007. In the figure below, the Healthy People 2020 goals related to breastfeeding are listed along with breastfeeding trends in North Carolina from 2009-11. North Carolina Trends: CDC Report Card Results* Healthy North North Healthy North Objective People 2010 Carolina Carolina People 2020 Carolina Goal 2009 (%) 2010 (%) Goal 2011 (%) Increase the proportion 75 % 66.9 73.5 81.9 % 67.3 of infants ever breastfed Increase the proportion of infants breastfed 50 % 36.7 35.9 60.6 % 37 at 6 months Increase the proportion of infants breastfed 25 % 18.9 19.4 34.1% 19.6 at 1 year Increase the proportion of infants who are 40 % 30.2 28.2 46.2% 28.1 breastfed exclusively through 3 months Increase the proportion of infants who are 25 % 13.1 8.7 25.5 % 8.2 breastfed exclusively through 6 months * The CDC Report Card is based on data collected from the National Immunization Survey.
    [Show full text]
  • Ready, Set, Baby – a Guide to Welcoming Your New Family Member
    Ready, Set, Baby A guide to welcoming your new family member What’s inside this guide Staying healthy during pregnancy and beyond What have you heard about infant feeding? 04 Find Out the Facts! Preparing for your maternity center stay 06 Your labor and delivery 07 Skin-to-Skin contact 08 Rooming-In 09 Feeding On Cue / Delayed pacifier use Breastfeeding information & tips 10 Early and exclusive breastfeeding 11 Breastfeeding benefits for mothers and babies 12 Position and latch / Tips for a great start 14 Making and maintaining your milk 15 Signs your baby is getting enough milk 16 Reviewing what we’ve learned Once you are home with your baby 17 The first few weeks 18 Preparing for other caregivers 19 Just for partners & loved ones 20 Addressing common concerns 22 Resources for support 2 A guide to welcoming your new family member Staying healthy during pregnancy and beyond Healthy eating • Limit your intake of large fish to Healthy Staying avoid ingesting mercury. Eat a balanced diet with a variety Take a daily of foods when you are pregnant or – Avoid tile fish, shark, Prenatal breastfeeding. swordfish, and King Mackerel; limit albacore (solid white) tuna. Vitamin with • Fill half of your plate with fruits and iron in vegetables. – Opt instead for 8-12 oz/week of Salmon, Trout, Sardines, addition • Choose high-fiber whole grains, to eating like oatmeal, whole wheat, or Anchovies, or Herring. healthy brown rice. • Choose heart-healthy dairy Exercise products, like low fat milk, yogurt, and weight gain or mozzarella cheese. • If your provider says it’s okay to • Select lean protein sources, like exercise, aim for at least 30 min/day seafood, poultry, eggs, beans, nuts (moderate intensity).
    [Show full text]
  • CONTRIBUTORS FEATURED STORIES THIS MONTH Cindy Wagner MS, RD, IBCLC Education Consultant NEWS YOU CAN USE Medela, LLC
    March 2018 The Human Milk Insights newsletter presents the latest breastfeeding topics and clinical practice solutions, addresses coding issues challenging the lactation community, features a lactation service, as well as announces upcoming webinars and conferences. CONTRIBUTORS FEATURED STORIES THIS MONTH Cindy Wagner MS, RD, IBCLC Education Consultant NEWS YOU CAN USE Medela, LLC. Tuscaloosa, AL. Value of Human Milk . Human Milk and Informal Milk Sharing Maria Lennon, MSN, CNM, IBCLC . Human Milk and Influenza Nurse-Midwife, Perinatal Education . Human Milk and Breastfeeding Consultant Support Sedona, AZ. Human Milk in the Hospital Irene M. Zoppi RN, MSN, IBCLC . Human Milk in the NICU Clinical Education Specialist . Human Milk After Discharge Medela, LLC. McHenry, IL. HUMAN MILK EDUCATION . Human Milk Webinar TOOLS YOU CAN USE . Educating Mothers (and others) About the Flu: Resources at Your Fingertips CLINICAL PEARLS IN LACTATION . Breastfeeding and the Flu SPOTLIGHT ON PRACTICE . Diane T. Asbill RN, BSN, IBCLC NEWS YOU CAN USE The Centers for Disease Control and VALUE OF HUMAN MILK Prevention have published an updated webpage on breastfeeding and influenza. The Importance of Infants’ Exposure to The webpage includes guidance on what to Micro-Organisms do if breastfeeding infants or mothers https://www.nytimes.com/2018/02/05/well/liv contract influenza, and addresses methods e/infant-microbiome-cesarean-childbirth- for preventing transmission of influenza to breastfeeding.html infants. A mother's breast milk contains The article discusses the microorganisms antibodies and other immunological factors that reside inside the human body, and the that can help protect her infant from flu and benefits of early exposure to reduce risks of is the recommended source of nutrition for health problems from asthma to cancer.
    [Show full text]
  • Handouts® Free Informational Handouts for Educators, Parents, and Students the Pacifier Predicament by Natalie J
    #487 Handy Handouts® Free informational handouts for educators, parents, and students The Pacifier Predicament by Natalie J. Dahl, MS, CCC-SLP Binky, paci, bink, soothie. A pacifier goes by many different names, but the one thing that remains the A Pacifier’s NEGATIVE Effects same is that it can play an important role in the life of a • Can cause alignment problems with baby, a toddler, or even parents. It can provide comfort the teeth or developing bone in to an infant, distraction during immunization shots the mouth after age two. Use of or while a parent is making dinner, and can increase pacifiers should stop by this age so a baby’s sucking satisfaction without eating food or that any problems can be corrected liquid. However, some may question if pacifier use is naturally. appropriate for infants and toddlers. Ultimately, this is • Can cause problems with proper development of a decision for the parents to make. The following is a the mouth and changes in the shape of the roof compilation of positive and negative effects of pacifier of the mouth with prolonged use. Poor dental use in order to help parents determine for themselves development is also linked to disordered speech what is appropriate for their children. articulation. • Correlates to otitis media, or acute middle ear A Pacifier’s POSITIVE Effects infections. Continuous sucking on a pacifier causes • Decreases the risk of Sudden Infant the auditory tubes to be abnormally open, allowing Death Syndrome (SIDS). A baby who secretions from the throat to seep into the middle sleeps with a pacifier doesn’t often ear and cause infections.
    [Show full text]
  • North Carolina Maternity Center Breastfeeding- Friendly Designation Awardees, BFHI & NICHQ Projects
    Catherine Sullivan, MPH, RD, LDN, IBCLC Director of Training, Clinical Instructor [email protected] 1 90 80 70 60 50 Ever Breastfed 40 6 Month Duration 30 12 Month Duration 20 10 0 2007 2008 2009 2010 2011 2012 2013 2014 Caveat: National Immunization Data runs 3 years behind real time. 2014 report card is from 2011 data. Caution: Previous report cards collected data from landline only CDC Report Card-NC Trends 50 45 40 35 HP Exclusivity Goal 3 Mo 30 NC Exclusivity 3mo 25 20 HP Exclusivity Goal 6 mo 15 10 NC Exclusivity 6 mo 5 0 2007 2008 2009 2010 2011 2012 2013 2014 Maternity Practices and Infant Nutrition and Care Survey (mPINC) NC Scores 2007-2013 80 75 75 70 67 65 62 61 60 55 50 2007 (50-81) 2009 (51-81) 2011 (51-88) 2013 (59-91) Composite Quality Score (50 of 100) North Carolina Maternity Center Breastfeeding- Friendly Designation Awardees, BFHI & NICHQ Projects Counties highlighted in heavy black border have at least on maternity center that has achieved fully Baby Friendly Designation from Baby Friendly USA Alleghany Northampton Gates Ashe Surry Stokes Rockingham Caswell Person Warren Vance Hertford Watauga Wilkes Halifax Yadkin Forsyth Granville Avery Orange Bertie Mitchell Guilford Franklin Caldwell Durham Nash Alexander Davie Alamance Madison Yancey Edgecombe Davidson Wake Martin Dare Burke Iredell Washington Tyrrell Randolph Chatham Wilson McDowell Catawba Rowan Buncombe Haywood Pitt Beaufort Johnston Swain Lincoln Lee Greene Hyde Rutherford Cabarrus Harnett Graham Jackson Henderson Stanly Wayne Polk Cleveland Gaston
    [Show full text]