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Evidence-Based Strategies to Promote and Support Breastfeeding

Evidence-Based Strategies to Promote and Support Breastfeeding. State Nutrition, Physical Activity, and Obesity Programs Annual Training Meeting March 18, 2010. CDC DNPAO Breastfeeding Work Group. Percent Initiating Breastfeeding Among Children Born in 2006.

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Evidence-Based Strategies to Promote and Support Breastfeeding

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  1. Evidence-Based Strategies to Promote and Support Breastfeeding State Nutrition, Physical Activity, and Obesity ProgramsAnnual Training MeetingMarch 18, 2010 CDC DNPAO Breastfeeding Work Group

  2. Percent Initiating Breastfeeding Among Children Born in 2006 Source: http://www.cdc.gov/breastfeeding/data/NIS_data/2006/map_1.htm

  3. Percent Breastfeeding at 6 Months Among Children Born in 2006 Source: http://www.cdc.gov/breastfeeding/data/NIS_data/2006/map_2.htm

  4. Black-White Gap in Breastfeeding Percent Data Sources: Pre-2000 – Ross Mothers’ Survey; 2000-present – CDC National Immunization Survey

  5. CDC Breastfeeding Strategies

  6. CDC Breastfeeding Strategies

  7. CDC Breastfeeding Strategies – Peer Support Definition: Local programs that provide mothers with the knowledge & training they need to give breastfeeding information and support to other mothers in their communities. Evidence: Peer support increases breastfeeding initiation, duration, and exclusivity.

  8. CDC Breastfeeding Strategies – Professional Support Definition: Strategies to improve health professionals’ abilities to include recommended breastfeeding support in the care they provide. Evidence: Professional support increases breastfeeding duration & exclusivity, especially when provided with other support interventions.

  9. CDC Breastfeeding Strategies – Maternal Education Definition: Inclusion of breastfeeding education in maternal education programs. Evidence: Educating mothers increases breastfeeding initiation & duration.

  10. CDC Breastfeeding Strategies – Media & Social Marketing Definition: Tools to communicate about & support breastfeeding programs. Evidence: Media campaigns & social marketing may improve attitudes towards breastfeeding.

  11. CDC Breastfeeding Strategies

  12. CDC Breastfeeding Strategies

  13. CDC Breastfeeding Strategies – Maternity Care Definition: Policies to improve health care practices that influence breastfeeding initiation, duration, and exclusivity. Evidence: Institutional changes effectively increase breastfeeding initiation, duration, and exclusivity.

  14. CDC Breastfeeding Strategies – Maternity Care Approach: Implement the Ten Steps to Successful Breastfeeding.

  15. Collaborate with strategic partners to identify opportunities to support mothers to breastfeed:

  16. California State Example Suzanne Haydu, MPH, RD Leona Shields, PHN, RN, NP, MFT

  17. CDC Breastfeeding Strategies – Employment Definition: Policies and programs to support employed mothers to begin and continue breastfeeding. Evidence: Continued breastfeeding depends on women’s ability to breastfeed/express milk during work hours.

  18. CDC Breastfeeding Strategies – Employment Approach: Implement policies and programs that ensure equitable support from employers and child care providers for continued breastfeeding.

  19. Encourage employers to implement or expand support for employed mothers addressing:

  20. Colorado State Example Eric Aakko

  21. Georgia Community Example Carol Hendrix, BS, IBCLC

  22. CDC Breastfeeding Strategies – Coalitions Definition: Strategic and multisectoral national, state, and local collaborations to improve breastfeeding rates. Evidence: Emerging, with strong evidence from related health topics that multisectoral collaboration enhances effectiveness, sustainability, and reach of health promotion efforts.

  23. CDC Breastfeeding Strategies – Coalitions Approach: Engage state and local breastfeeding coalitions as strategic partners in statewide obesity prevention programs.

  24. Leverage partnerships to more effectively meet mutually identified goals:

  25. Washington State Example Kyle Unland

  26. In Conclusion… • Evidence-based strategies exist across SEM • Policy and environmental approach increases health equity • Funded states’ BF priorities: • Policy and environmental strategies to improve maternity care and support for employed mothers • Collaboration with state and local BF coalitions • Partner states are excellent sources of information and lessons learned • Expertise in specific settings can be applied elsewhere

  27. CDC Breastfeeding Info: www.cdc.gov/breastfeeding US Breastfeeding Committee: www.usbreastfeeding.org Maternity Care: State and national data from the CDC mPINC Survey Employment: CDC Healthier Worksite Initiative HHS Business Case for Breastfeeding National Business Group on Health Coalitions: US Breastfeeding Committee For Further Information: (see handout for details)

  28. US Breastfeeding Committee Strategic Plan Maternity Care: Principles of Health Care Ethics and the WHO/UNICEF 10 Steps to Successful Breastfeeding Employment: National Business Group on Health Issue Brief: Workplace Breastfeeding Programs: Employer Case Studies Coalitions: CoalitionsWork™ Tools and Resources In your handout:

  29. Co-Leads • Carol MacGowan (770) 488-5626 cmacgowan@cdc.gov • Katherine Shealy (770) 488-5449 kshealy@cdc.gov • Division Members CDC Breastfeeding Work Group The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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