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How To Support A

Breastfeeding Mother

A Guide for the

Childcare Center

Revised for Wisconsin by the Wisconsin Breastfeeding Coalition

Developed by the Mississippi State Department of Health WIC Program

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AAP Policy Statement

Breastfeeding is the normal way to feed a baby.

Breastfeed exclusively for the first 6 months.

Continue for at least 1 year.*

And as long thereafter as is mutually desired

*The World Health Organization

(WHO) recommends 2 years.

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Healthy People 2010 Goals

At least 75% breastfeeding initiation

At least 50% continuing to 6 months At least 25% at 1 year

At least 40% exclusively breastfed for 3months At least 17% exclusively breastfed for 6

months

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Wisconsin Breastfeeding Data

72.1% breastfeeding initiation

39.6 % breastfeeding at 6 months

19.0% breastfeeding at 12 months

30.5% Exclusive BF through 3 months 11.3% Exclusive BF through 6 months

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Breastfeeding

is the Normal Way to Feeda Child.

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Benefits to Baby

Reduced risks for:

otitis media (ear infections)

upper and lower respiratory infections

urinary tract infections gastroenteritis

NEC in preemies

allergies overweight/obesity

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More Benefits to Baby

Reduced risks of:

Diabetes

Crohns disease

Childhood leukemia Cardiovascular disease

Sudden Infant Death

Syndrome (SIDS)

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More Benefits for baby

Breastfeeding...

Enhances brain and IQ development

Optimizes mother-infant bonding

Enhances strong jaw and facial development

reduces need for orthodontic treatment later in childhood.

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Breastfeeding Saves Money

The cost of formula feeding for one yearis ~$1,500 (just for the formula).

The cost of breastfeeding is PRICELESS.

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Breastfeeding Saves Money

A minimum of $3.6 billion would be saved ifbreastfeeding were increased from current levels tothose recommended in Healthy People 2010!

At least 75% initiate breastfeeding

At least 50% continue breastfeeding at least 6months

At least 25% continue breastfeeding at least 12months

These cost savings are calculated from just 3 illnesses:otitis media, gastroenteritis and necrotizing entercolitis

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Benefits for Mom

Promotes rapid recovery after having a baby

Decreases risk of anemia

Helps in weight reduction

Reduces risk of breast cancer, especiallypremenopausal

Reduces risk of ovarian cancer

May reduce risk of endometrial cancer (of theuterus lining)

Reduces risk for osteoporosis

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Breastfeeding BenefitsEmployers

Less employee turnover

Faster return from maternity leave

Less employee absenteeism

Happier employee

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Breastfeeding BenefitsChildcare Centers

Baby is sick less often.

Diapers have less odor.

Baby is happier.

Baby spits up less.

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AAP Recommendations

Breastfeed for at least 12 months.

Provide breastmilk even when mom and child are

separated. Encourages family & community support

Media should portray breastfeeding as the norm

Employers provide facilities and time.

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Working & Breastfeeding ?

Yes !With a little Loving Support!

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Breastfeedingis theGold

Standard

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Breastmilk as part of the Meal Pattern

If your center participates in the Child andAdult Care Feeding Program Breastmilk is a reimbursable component of th

infant meal pattern

For children over 12 months - breastmilk is asubstitute for cows milk in the meal pattern

for children and the meal is reimbursable.

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Storing that Liquid Gold

There are different sets ofrecommendations from differentorganizations.

As a childcare center you should be using

guidelines from AAP and CDC. Mom may be following a different set of

guidelines.

Working with mom regarding storage of

breastmilk will avoid problems.

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Storing that Liquid Gold

At room temperature (66-72OF).6-8 hours

In a refrigerator (32-39OF).....5 days

In a freezer inside a refrigerator. 2 weeks

In a freezer with a separate door....3-6 months

In a separate deep freeze (0)OF......6-12

months

*From CDC; reference: Academy of Breastfeeding

Medicine. (2004).

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Handling of Breastmilk

Label the bottles with babys name, the date thebreastmilk was collected and the date thawed.

Breastmilk separates into layers

Swirl gently to mix layers back together.

Thawed breastmilk can be kept in therefrigerator for 24 hrs. Do not refreeze.

Heat breastmilk in warm water

never microwave breastmilk After a feeding, throw out any unused

breastmilk left in the bottle.

B st ilk

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BreastmilkIs NOT Classified as a Body Fluid*

You do not need to store breastmilk in aseparate refrigerator.

You do not need to wear gloves to give a bottle

of breastmilk. You do not contaminate breastmilk by touch.

Touching breastmilk is not a hazardous exposurenor a potential contaminant.

*According to OSHAs and CDCs definitions,breastmilk is classifiedas food and does not require universal precautions for handlingbody fluids.

F di S ti f

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Feeding Suggestions forChildcare Workers

Hold baby close.

Discuss with mom ahead of time how to handle

times when baby is hungry at the end of the day. Mom may be ready or want to feed her baby as

soon as she arrives at the center.

Provide a nursing nook in the childcare center

where mom can breastfeed her baby.

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Other ways to be Supportive

Some babies prefer to wait for their mothers

return and not eat much at the childcare cente

Keep 1 bottle of frozen milk in the freezer for

emergencies. Keep track of the number of ounces of

breastmilkbaby ate.

Praise mom for providing the very best nutritioto her baby.

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Critical Times for Support...

The transition back to work can be a difficulttime for moms and babies and she may feel thatshe is unable to pump enough or continuepumping. Praise her efforts and encourage her

to talk to a breastfeeding professional. When baby is teething

When mom needs to take medications

When baby is having a growth spurt

When pumping isnt going well

When mom thinks her supply is declining

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Babys Hunger Cues

Turning his or her head side to side in search of

the breast.

Making sucking noises.

Sucking on hand or fist.

Crying is a late cue. Try to feed baby before he

or she start crying.

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Things to Remember

If breastfeeding is not going well, the solution ito fix the breastfeeding -- NOT to wean to abottle.

Most potential problems are easily managedwithout interrupting breastfeeding.

A little breastfeeding is better than none

For help call: WIC, LLL, Public Health, WALC, o

your health care provider

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Breastfeeding...

Babys Best Start

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