PROMOTION OF BREAST FEEDING Presented by: Cindy Magirl, RN Eric Nelson, RN Tennille Sassano, RN Jennifer Vicarie, RN
Jan 03, 2016
PROMOTION OF BREAST FEEDING
Presented by:
Cindy Magirl, RN
Eric Nelson, RN
Tennille Sassano, RN
Jennifer Vicarie, RN
Why is breast feeding important?
Benefits of Breast Feeding Video
You tube.com
Objective• Increase the percentage of breast feeding ever • Educate mothers on importance of breast feeding
google.com
Breastfeeding Report Card 2012• Infants ever breast fed 76.9%• Infants breast fed at 6 months 47.2%• Infants breast fed at 12months 25.5%
Healthy People 2020 ObjectiveHealthy People 2020 Objective
MICH-21: Increase the proportion of infants who are breastfed
MICH-21.1 Ever 81.9%
MICH-21.2 At 6 months 60.6%
MICH-21.3 At 1 year 34.1%
MICH-21.4Exclusively through 3 months
46.2%
MICH-21.5Exclusively through 6 months
25.5%
MICH-22: Increase the proportion of employers that have worksite lactation support programs.
38%
MICH-23: Reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life.
14.2%
MICH-24: Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies.
8.1%
Demographics
Age GroupPercent of Infants
Ever breastfed* Any at 6 months Exclusively at 6 months**†
*Ever fed breast milk.**Exclusive breastfeeding is defined as only human breast milk—no solids, water, or other liquids. †Data is for infants aged 6 months to 5 years. Those less than 6 months of age were excluded.Source: Health Resources and Services Administration, Maternal and Child Health Bureau and Centers for Disease Control and Prevention, National Center for Health Statistics, National Survey of Children’s Health. Unpublished data.
Total 75.5 45.0 12.4
20 Years or Younger 58.5 22.2 4.6
21-29 Years 76.5 44.4 12.3
30 Years or Older 79.8 51.2 14.1
DemographicsBreastfeeding Among Children Aged 0-5 Years, by Maternal Education and Duration, 2007
Education LevelPercent of Infants
Ever breastfed* Any at 6 monthsExclusively at 6
months**†
*Ever fed breast milk.**Exclusive breastfeeding is defined as only human breast milk—no solids, water, or other liquids. †Data is for infants aged 6 months to 5 years. Those less than 6 months of age were excluded.Source: Health Resources and Services Administration, Maternal and Child Health Bureau and Centers for Disease Control and Prevention, National Center for Health Statistics, National Survey of Children’s Health. Unpublished data.
Total 75.5 45.0 12.4
Less than High School
68.1 37.8 10.4
High School 67.9 33.4 9.2
More than High School
81.7 52.3 14.4
Demographics
Total
Non-H
ispan
ic W
hite
Non-H
ispan
ic Blac
k
Mex
ican
Amer
ican
0
20
40
60
80
Percentage of infants who were ever breastfed by poverty income ratio(PIR) and race ethnicity.
United States. 1999-2006
PIR less than or equal to 1.85 PIR greater than 1.85
Social Determinants• Women with higher family incomes• Higher education levels• Professional or executive occupations• Foreign born Latino women
Google.com
Pros Cons
• Protects babies• Easier to digest• Easily accept solid food• Less ear infections &
diarrhea• Decrease risk of SIDS,
diabetes, childhood leukemia, asthma, obesity
• Mothers bond with baby• Formula cannot match
exact composition of breast milk
• Comfort level• Lifestyle• Medical considerations• Time commitment• Fathers and siblings
feel left out
Health of Mother• Decrease chance of hemorrhage• Delays return of menstrual cycle• Requires mother to take time to relax and bond• Decrease risk for diabetes, breast and uterine cancer,
post partum depression, and osteoporosis• Greater weight loss
• Google.com
Other Benefits• Less expensive• Better for environment• Easier• Less infant deaths• Savings in medical costs
Phase 4 Phase 3 Phase 2 Phase 1 Administration/Policy Educational & Ecological Epidemiological Diagnosis Social Diagnosis Policy Assessment Intervention Alignment
Phase 5 Phase 6 Phase7 Phase 8 Implementation Process Evaluation Impact Evaluation Outcome Evaluation Imput Process Output Short-term impact Long-term healt outcome Short-term Social Impat Long-term
socail impact
HEALTH BELIEF MODEL: Precede –Proceed Model-Breast Feeding
HEALTH PROGRAM
POLICY
PREDISPOSING GENETICS
REINFORCING
ENABLING
BEHAVIOR
ENVIRONMENTAL FACTORS
HEALTH
QUALITY OF LIFE
HEALTH BELIEF MODEL
LIFE-STYLE
ENVIRONMENT
HEALTH
QUALITY OF LIFE
HEALTH
EDUCATION
MEDIA
ADVOCACY
POLICY
REGULATIONS
RESOURCES
ORGANIZATION
PREDISPOSING
REINFORCING
ENABLING
I Planning
II
Determinants
III Educational and Environmental Development…Evaluation
Risk Management Products
Possible Ways to Achieve Objective• OB Gyn offices• Healthy Lifestyles• Women’s shelters• Pregnancy Crisis Centers• Pediatrician’s offices• Prenatal classes• Hospitals
Resources• Obstetricians• Pediatricians• Office staff• Healthy Lifestyles• Handouts• Media – DVD• Classroom
Action Plan• Tennille and Jennifer will teach 12 classes once weekly
over 3 months• Eric and Cindy will contact pediatric offices to retrieve
data at the start of classes• Compile data to see if objectives are being reached
Evaluation• Pediatric check sheet• Compare to Healthy People 2020 data
References• Centers for Disease Control and Prevention. (2008). Breastfeeding in the
United States: Findings from the National Health and Nutrition Examination Survey, 1999-2006. Retrieved from http: //www.cdc.gov/nchs/data/databriefs/db05.htm
• Centers for Disease Control and Prevention. (2012). Breastfeeding Report Card – United States, 2012. Retrieved from http://www.cdc.gov/breastfeeding/data/reportcard.htm
• Dermer, Alicia. (2001, August). A well-kept secret breastfeeding’s benefits to mothers. New Beginnings, 18(4), 124-127.
• Harmon, Katherine. (2010, April 30). How breastfeeding benefits mothers’ health. Scientific American. Retrieved fromhttp://www.scientificamerican.com/article.cfm?id=breastfee ding-benefits-mothers&page=2
• Heck, Katherine E., Braveman, Paula, Cubbin, Catherine, and Chavez, Gilberto F. (2006, Jan-Feb). Socioeconomic Status and Breastfeeding Initiation Among California Mothers. E Journal of Public Health Reports, 121(1): 51-59. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497787/
References• Mcneill, Elisa. (n.d.). [Document] Precede-procede model
(Green & Kreuter, 2005)-breast feeding application. Retrieved from mcneill.tamu.edu/hlkn%20415web/Precede-breastfeeding.doc
• Pender, Nola, Murdaugh, Carolyn, and Parsons, Mary A. (2011). Health promotion in nursing practice (pp. 74-76). Upper Saddle River, New Jersey: Pearson.
• Sy Kraft. (2011, June 14). Moms guard against SIDS and breastfeed babies; formula won’t work. Medical News Today. Retrieved from http://www.medicalnewstoday.com/articles/228457.php
• U.S. Department of Health and Human Services. (2010, August 4) .Why breastfeeding is important. Retrieved from
http://www.womenshealth.gov/breastfeeding/why-breastfeeding-is-important/
References• U.S. Human Services, Health Resources and Services
Administration, Maternal and Child Health Bureau. (2011). Child Health USA 2011. Retrieved from
http://mchb.hrsa.gov/chusa11/hstat/hsi/pages/204b.h tml• Whalen, Bonny. (2012, September 6). Dartmouth-
Hitchcock. The Benefits of Breastfeeding. Podcast retrieved from http://www.youtube.com/watch?v=NDVvz_HQUME
• Yngve, Agneta and Sjostrom, Michael. (2001). Breastfeeding determinants and a suggested framework for action in Europe. Public Health Nutrition, 4(2B), 729-739. doi: 10.1079/PHN201164