2/9/2016

Disclosures

I have no actual or potential conflict of interest in relation to this presentation.

Presented By: Ann-Marie J. Christian, MOM, LLLL, IBCLC

February 4, 2016

I am a Babywearer…Est. 2007 My husband is a Babywearer…

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 1 2/9/2016

Even my daughter is a “baby” wearer… Objectives…

By the end of this session, learners will be able to:

 Describe the biological connection between babywearing and

 Identify the 5 main types of baby carriers

 Communicate the benefits of babywearing with an emphasis on those related to breastfeeding

 Share the safety recommendations for proper babywearing

 Develop connections with and utilize their local babywearing community for ongoing education for healthcare providers, , families, and caregivers

History of Babywearing Today’s Plan…

 History  Biological Connection  Benefits  Types  Safety  Our Role  *Hands-on Demos*

babywearingitup.blogspot.com

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 2 2/9/2016

Traditional Examples

Chinese Mei Tai

Hmong Native American Indian Miwok Tribe

Daim Nyias http://www.sanjoaquinhistory.org/ Mexican Rebozo

4 Types of Mammals What is Babywearing’s Cache

Connection Follow to Breastfeeding? Nest gluten-free-blog.blogspot.com BIOLOGY Carry

art.spirithit.com

onlycatsanddogs.com

Flickr.com

Mohrbacher, Breastfeeding Answers Made Simple, 76

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 3 2/9/2016

What Type of Mammal Are We? Are Carry Mammals

Born to Breastfeed Born to be Worn

• Most immature at birth

• Need to be held next to mom’s body for warmth, safety, etc.

• Milk lowest in fat & protein

• Fed ‘round the clock (aka. feed on demand, cluster feeding…)

• Reflexes (Moro, etc.)

• Continuous Contact Mammals

Mohrbacher, Breastfeeding Answers Made Simple, 76

Natural extension of skin-to-skin BABYWEARING BENEFITS

Dr. Nils Bergman: www.kangaroomothercare.com

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 4 2/9/2016

Kangaroo Care & Neonatal Outcomes BABYWEARING BENEFITS

 Increased likelihood of exclusive breastfeeding at  Babies cry less (Hunziker, 1986)  In a randomized controlled trial, 99 mother- pairs were assigned to an increased carrying or hospital discharge by 50% control group. At the time of peak crying (6 weeks of age), who received supplemental carrying cried and fussed 43% less (1.23 v 2.16 h/d) overall, and 51% less (0.63 v 1.28 hours) during the evening hours (4 PM to midnight). Similar but smaller decreases occurred at 4, 8, and 12  At 1-4 month follow-up, increased likelihood of weeks of age. Decreased crying and fussing were associated with increased contentment and feeding frequency but no change in feeding duration or sleep. We conclude that supplemental carrying modifies "normal" crying by reducing the duration and altering the typical pattern of exclusive breastfeeding by 39% crying and fussing in the first 3 months of life. The relative lack of carrying in our society may predispose to crying and colic in normal infants.

 Continues bonding & attachment (Sears, 2003)

 Improves cognitive development (Sears, 2003) Boundy, Ellen O, et al., “Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis”. , Volume 137, Issue 1, January 2016

Stroller View

Which View Do You Prefer?

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 5 2/9/2016

BABYWEARING BENEFITS  Protect infant’s health  Helps avoid flat head syndrome (Littlefield T.R., et. al., 2003)  Helps develop head & neck control

Mommybunch.com

• Safety & Security  Snuggled in close & always in sight Carry View

Especially Helpful for Parents with Disabilities

And children with special needs

http://babywearinginternational.org/wp-content/uploads/2015/05/PMAD-Infographic-01.jpg

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 6 2/9/2016

Convenience: Ultimate “Hands-Free” Option Some Moms Can Even Take  Care for & play with other children Baby to Work

 Daily Activities  i.e. household chores, errands, shopping, using computer  Take public transportation with ease  Walk through busy mall, store, airport  Get outdoors/exercise  Breastfeeding on the go http://www.dailymail.co.uk/ news/article-1314283/Licia- Ronzulli-brings-baby-EU- Parliament.html

Dads, Grandparents, Siblings, and Caregivers too!

TYPES What’s the BEST?

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 7 2/9/2016

Whatever Works for Mom & Baby 5 Basic Types:

 Depends on the mom & situation Wraps *Avoid brand promotion/unpaid advertiser *

Pouch  Choices are ENDLESS………………………………………..

 Things to consider: Ring Slings  Age of child  Purpose  Cost Mei Tai (“May Tie”)

ALL CARRIERS TAKE PRACTICE! Soft Structured Carriers (SSC)

WRAPS POUCH

 Fixed adult sizing •Stretch fabric or woven  Need good fit – measure carefully •One size fits all •Multiple ways to carry  Compact •Discreet  Better for 3+ months breastfeeding • Example brands:  Ex. Brands: Munchkin Moby, Baby Pouch, Jelly Bean, Hotslings Little Frog, Girasol Moby (stretchy)  Hybrid: K’Tan, Fleurville

Woven

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 8 2/9/2016

RING SLING (RS)  Adjustable MEI TEI  Multiple positions “May Tie”  “Pop-ability”  All child stages  Cloth panel with tie-on straps  Tail = cover for discreet breastfeeding, shade  Wear on front, back, side  Ex. Brands: Maya Wrap, Balboa Baby Sling,  Ex. Brands: Mei Tai Handmade (wrap Baby, BabyHawk, conversions) Infantino

jumpsac.blogspot.com ellekaydesigns.ca

SOFT What About Leg Support?

STRUCTURED -

baby

- my

CARRIERS (SSC) - put

Example Brands: -

never

- id

Ergo, Tula, Bjorn*, Infantino, -

Evenflo, Chicco,

carrier/ -

www.babyscorner.ca

bjorn

-

baby

-

a

-

http://www.megganmamma.com/2013/11/01/why in

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 9 2/9/2016

Not Recommended Better Not Recommended Better

Thigh is supported to the knee joint. Thigh NOT The forces on the supported to the hip joint are minimal because knee joint. The Baby carriers that force the resulting forces on the legs are Baby carriers should support the baby’s legs to stay together may the hip joint may spread, supported, thigh and allow the legs to spread contribute to hip dysplasia. contribute to hip and the hip is in a to keep the hip in a stable dysplasia. more stable position. position.

http://www.hipdysplasia.org/Developmental-Dysplasia-Of-The-Hip/Prevention/Baby-Carriers-Seats-and-Other- http://www.hipdysplasia.org/Developmental-Dysplasia-Of-The-Hip/Prevention/Baby-Carriers-Seats-and-Other- Equipment Equipment

What about baby facing 9 Reasons NOT to Carry Baby IN or OUT? Facing Out 1. Does not support baby’s legs 2. Difficult to carry – curves away 3. Baby in arched/Hollow back position = pressure on baby’s spine 4. Undue pressure on groin and may chaff baby’s inner thighs 5. Overstimulation 6. Lack of head/neck support 7. Temperature regulation difficult 8. Harder to respond to baby’s cues 9. Throw’s off baby’s center of gravity

http://www.bobafamily.com/2011/10/11/nine-reasons-not-to-carry-your-baby-facing-out/

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 10 2/9/2016

U.S. Consumer Product Safety Commission (CPSC) SAFETY  March 12, 2010: Infant Deaths Prompt CPSC Warning About Sling Carriers for Babies

 March 24, 2010: Infantino recalls 1 million SlingRider & Wendy Bellissimo bag-style slings

 14 deaths in 20 years associated with sling- style carriers  12 were < 4 months old  Many were twins in separate slings & infants with breathing issues http://sleepingbaby.net/safety.php

http://www.cpsc.gov/cpscpub/prerel/prhtml10/10165.html

CPSC Findings & Recommendations Hazards  November 19, 2010: CPSC Educates New Parents on  Babies contained entirely Safe Babywearing within the pouch of a  This warning is not intended to characterize all slings as being dangerous to babies. CPSC has identified (1) sling with their face specific situations that can pose a risk of serious harm to pressed against the babies, and (2) simple safety tips that we hope the adult’s body, blocking babywearing community can share with new parents. their breathing

 Take extra care if baby:  Curled, chin-to-chest  Infant < 4 mo. old position  Premature  Carrying low, at hip  Low-birthweight  Cold or respiratory problems *Note: Suffocation can occur within minutes

www.cpsc.gov http://www.thebabywearer.com/articles/HowTo/Positi oning.pdf

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 11 2/9/2016

Babywearing Safety Recommendations Keep Baby’s Head “Close Enough  Airway Open  Baby’s chin off chest to Kiss”  Upright position (except while breastfeeding)  High and snug to monitor breathing  Close enough to kiss

 Body Positioning  Appropriate support for neck and back  Knees higher than bottom (squat position)  Knee to knee support

 Comfort and Confidence  Practice with spotter, over bed, low to ground  Learn from Volunteer Babywearing Educator

http://www.dailymail.co.uk/news/article-1314283/Licia-Ronzulli-brings- baby-EU-Parliament.html#

Refer families to local groups What is Our Role? and reputable resources…

GOAL = More families babywearing & ALL doing it SAFELY  Facebook Groups  “Lodi Babywearers” How can we promote/encourage it?  “Sacramento Babywearers”  Talk the Talk & Walk the Walk:  “River City Babywearers”  Familiarize self with types & safe wearing  “Davis Babywearers”  Hold classes & involve BWing moms as “teachers”  “Roseville Babywearers”  www.babywearinginternational.org  www.thebabywearer.com

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 12 2/9/2016

What info can you provide?

Brochures for parents

Available in multiple languages

http://babywearinginternational.org

/what-is-babywearing/safety/

What’s What in Your pictures waiting are on room? Your walls?

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 13 2/9/2016

Walking the Walk What else can you think of?

Get Creative!

WIC Watch Magazine, Summer 2010

References Online Resources  Mohrbacher, NV BFC Conference, (20 January 2010)  Mohrbacher, Breastfeeding Answers Made Simple, 76, 158-159 For More Information  Gross-Loh, Mothering, July-August 2010, 44-57  Blois, Maria, MD, Babywearing: The Benefits and Beauty of This Ancient Tradition, 2005  International, The Womanly Art of Breastfeeding, 2010  Boundy, Ellen O, et al., “Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis”. Pediatrics,  www.babywearinginternational.com Volume 137, Issue 1, January 2016  Sears, MD, William, The Baby Book: Everything You Need to Know About Your Baby – From Birth to Age Two,  www.cpsc.gov 2003  Sears, MD, William, The Book, 2001  Hunziker, Urs A. and Ronald G. Barr, Increased Carrying Reduces : A Randomized Controlled  www.thebabywearer.com Study, Montreal: The McGill University-Montreal Children's Hospital Research Institute, 1986  Lonstein, Joseph S. "Regulation of Anxiety During the Postpartum Period". Frontiers in Neuroendocrinology,  www.kangaroomothercare.com Volume 28, Issues 2-3, August-September 2007  Anisfeld, E, Casper, V, Nozyce, M and Cunningham, N. "Does Infant Carrying Promote Attachment? An Experimental Study of the Effects of Increased Physical Contact on the Development of Attachment.” Child  www.hipdysplasia.org Development, Vol. 61, No. 5, 1617-1627. Oct. 1990  Littlefield, T.R., et al., “Car Seats, Infant Carriers, and Swings: Their Role in Deformational Plagiocephaly,”  www.mothering.com Journal of Prosthetics and Orthotics 15, no. 3 (2003): 102-106  US Consumer Product Safety Commission, “Infant Deaths Prompt CPSC Warning about Sling Carriers for Babies,” press release (12 March 2010): www.cpsc.gov/cpscpub/prerel/prhtml10/10165.html  www.askdrsears.com  Infantino LLL, “Infantino Announces Free Replacement of SlingRider and Wendy Bellissimo Baby Carriers,” press release (24 March 2010): www.infantino.com/CustomerSupport/SlingRiderStatement.php  www.llli.org  Hotslings, Maya Wrap, Moby Wrap, Wrapsody, Gypsymama, Together Be, Kangaroo Korner, Taylormade Slings, Scootababy, Bellala Baby, Catbird Baby, SlingEZee, ZoloWear, HAVA, SlingRings and Sakura Bloom, “Not All Slings Are Created Equally: Baby Sling & Carrier Manufacturers Speak Out on Baby Sling Safety Warning,” press release (11 March 2010): www.prweb.com/releases/2010/03/prweb3718984.htm

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 14 2/9/2016

A Special Thanks to: BABYWEARING… Is for Everyone!

The many families who eagerly shared their personal babywearing photos with me for this presentation.

DEMO TIME! 

Breakout Groups Gabi Anderson Stacie Palmtag Robin MacDonald Samantha 1. Wraps Woodruff 2. Ring Slings and Pouch 3. Mei Tai (“May Tie”) 4. Soft Structured Carriers (SSC)

Kamika McGill Ashley Owens Kristi Conner Sarah Fogelberg

Ann-Marie Christian, 2013 Copyrighted Materials – DO NOT COPY 15