Bailey’s Golden Start Breastfeeding Curriculum for Nursing Students

1. Bailey’s Golden Start Breastfeeding Curriculum for Nursing Students • Objectives 17: Providing support in a variety of settings • Objectives 18: Impact of public health • Objectives 19: Evaluation of own community – discuss ways to support breastfeeding where student works and lives Property of MN Department of Health/DeJong

2. Objective 17 Discuss the role of the registered nurse in providing support to mothers in a variety of settings Property of MN Department of Health/DeJong

3. Support to Mother Prenatally • What can you do as a nurse if you are working in a clinic seeing pregnant moms before they deliver in the hospital? Property of MN Department of Health/DeJong

4. Support to Inpatient Families • What can you do as a nurse if you are working in a hospital working with families who have just delivered? http://wicworks.nal.usda.gov/wicworks/resources/images.html Property of MN Department of Health/DeJong

5. Dads Need Support Too • Remind Dad/Partner that their assistance with breastfeeding and the care of baby is vital. Property of MN Department of Health/DeJong

6. Support to Mothers and Families When They are Discharged Home • Review the following website: http://www.co.otter-tail.mn.us/publichealth/goldenstart/ Property of MN Department of Health/DeJong

7. Objective 18 Discuss how public health programs in particular impact breastfeeding and education Property of MN Department of Health/DeJong

8. Public Funding • Through public funding from the “Communities Putting Prevention to Work Initiative,” several states and communities have expanded their breastfeeding promotional activities, hired additional staff (FTEs) and engaged new partners. For example, funded states and communities have worked with hospitals to improve maternity care practices and have provided guidance to hospitals seeking Baby-Friendly designation. They have also worked with employers and child care providers to help employed women continue to breastfeed. Property of MN Department of Health/DeJong

9. Government Can and Has: • Promoted maternity care policies and practices that have increased breastfeeding rates. • Tracked hospital policies and practices that support mothers to be able to breastfeed. • Helped hospitals implement The Ten Steps to Successful Breastfeeding. Property of MN Department of Health/DeJong

10. What is the Role of the Public Health Nurse in Promoting and Protecting Breastfeeding? Image used with permission from http://wicworks.nal.usda.gov/wicworks/resources/images.html Property of MN Department of Health/DeJong

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12. Public Health Nurses take Action to Improve or Protect Health • Interventions are actions that PHNs take on behalf of individuals, families, systems, and communities to improve or protect health status. Property of MN Department of Health/DeJong

13. Nurse-Administered Public Health Interventions include Breastfeeding Promotion and Support • Nurse-led health promotion efforts that are perceived as primarily contributing to quality of life in the short run include, but are not limited to, breastfeeding support (Pugh, Milligan, Frick, Spatz, & Bronner, 2002), hypertension prevention and control (Hill et al., 2003), coronary heart disease (Allen et al., 2002), obesity and diabetes control (D'Eramo-Melkus et al., 2004). All of these examples are nurse administered and are public health interventions focused on changing health behaviors, particularly promoting positive health behaviors, relevant to morbidity. Property of MN Department of Health/DeJong

14. Grow and Glow Breastfeeding Training for WIC Staff Property of MN Department of Health/DeJong

15. Objective 19 Evaluate the factors that impact breastfeeding in your community and discuss ways to support breastfeeding where you work and live Property of MN Department of Health/DeJong

16. What Impact does a Mother’s Employment have on Breastfeeding? Image used with permission from http://wicworks.nal.usda.gov/wicworks/resources/images.html Property of MN Department of Health/DeJong

17. What impact do Childcare Programs have on Breastfeeding? Image used with permission from http://wicworks.nal.usda.gov/wicworks/resources/images.html Resource & Referral system. Child care providers play an important role in supporting employed, breastfeeding mothers. Child care regulations first appeared on The Breastfeeding Report Card in 2010. States that received optimal scores were those whose regulations fully comply with national standards regarding breastfeeding, including making arrangements for a mother to be able to feed her child on-site. Property of MN Department of Health/DeJong

18. The 5th Goal of Michelle Obama’s “Let’s Move” Campaign: • Found at http://www.healthykidshealthyfuture.org/startearly/thegoal.html • 1. Physical Activity: Provide 1-2 hours of physical activity throughout the day, including outside play when possible. • 2. Screen Time: None under age 2. For 2 and up, work to limit to 30 minutes/week during child care. Aim for no more than 1-2 hours/day of quality screen time at home. • 3. Food: Try to serve fruits or vegetables at every meal. Eat meals family-style whenever possible. Avoid serving fried foods. • 4. Beverages: When you can, give water during meals and all day. Avoid sugary drinks. Two and up, serve low- or non-fat milk and 4-6 ounces max of 100% juice a day. • 5. Infant Feeding: Provide breast milk to infants of mothers who wish to breastfeed. Welcome mothers to nurse mid-day and support parents’ decision with infant feeding. Property of MN Department of Health/DeJong

19. Supporting Breastfeeding in Child Care Programs: The Eager to Learn Program • Here is an example of how the MN Childcare Resource and Referral is supporting breastfeeding education for childcare centers. The course is described as follows: • This online course will introduce the importance of breastfeeding to children, mothers, and child care programs. Topics will include benefits of breastfeeding, risks of not breastfeeding, breastfeeding guidelines, and safe handling and storage of breast milk. • Participants will identify ways for child care providers to support breastfeeding families. Participants will also learn strategies to improve breastfeeding promotion and support in both home and center-based child care settings. • CDA Content Area 1; Core Competency Area VI; • Meets Parent Aware Training Requirement • Chat Sessions: Tuesdays from 7:00-7:45 p.m. CST. • Cost: 60.00; credit for 12 hours of training • To register go to www.eagertolearn.org Property of MN Department of Health/DeJong

20. What Impact does the Mother’s Community have on Breastfeeding? In Goldade et al.’s (2008) longitudinal qualitative study of 44 low-income, smoking women in the U.S., an issue reported by more than three-fourths of the sample (79%) was the stigma of breastfeeding in public. Results showed that despite 36 (82%) of respondents stating that they intended to breastfeed for an average of eight months, rates of initiation and duration were much lower than intentions. By six months postpartum, only two women were breastfeeding exclusively. Authors noted that low-income mothers spent a lot of time in public places, such as healthcare offices, on public transportation, and in grocery stores that they frequented often to buy small purchases that they could carry home without the use of a car. Property of MN Department of Health/DeJong

21. WIC Infant-Feeding Practices Study Findings and Results • In McCann et al.’s (2007) WIC Infant Feeding Practices Study, which was a one-year longitudinal national study of WIC participants, 61% of mothers reported concern about not wanting to breastfeed in public. One reason for this response from lactating mothers may be reflected by the national HealthStyles surveys conducted in 1999 and 2003, where one-third of the general population agreed that “mothers who breastfeed should do so in private places only,” and just under half agreed that “I am comfortable when mothers breastfeed their babies near me in a public place, such as a shopping center, bus station, etc.” Property of MN Department of Health/DeJong

22. Breastfeeding Continues to be a Hot Topic in the News Across The Globe, Men And Women Are Staging Protests In Order To Get Facebook To Change Its Policies Against Images Of Breastfeeding. http://www.youtube.com/watch?v=HIDjgiNOav0&feature=related http://www.youtube.com/watch?v=m3NkJSRlWwg Property of MN Department of Health/DeJong

23. Military Moms in the News • Military Moms Breastfeed • Article athttp://shine.yahoo.com/parenting/military-moms-breastfeeding-uniform-stir-controversey-214500503.html;_ylt=Ao5EGKXF5LfHQ3TNlXItxbGWJvJ_;_ylg=X3oDMTFiMjR1MWs4BHBzdGFpZAMyNGU4ZmViMC00ZTQxLTMzNGUtOTY5YS01Yzk4Y2E5ZmE2YjE-;_ylv=3 Property of MN Department of Health/DeJong

24. How Would You Respond Now? • In 2009, Fairbrother and Stanger-Ross reported their findings of an experimental design that assessed the knowledge, attitudes, and infant feeding intentions of Canadian, female undergraduate students (n = 285). Surveys were randomly distributed to students. One version contained a snapshot of a woman breastfeeding an infant (n = 131) and the other a woman bottle feeding (n = 154). Property of MN Department of Health/DeJong

25. Undergraduate Student Results • Although findings indicated that the majority of the respondents had themselves been breastfed (84%) and they intended to breastfeed their own infants (97%), and that participants reported more positive attitudes toward the photographs of the breastfeeding woman when compared to the bottle feeding visual depiction, they expressed less positive views of the woman who breastfed in public compared with the woman who bottle fed in public. • So, I ask: How has this education changed you? • If you were in the study above, how would you react today, following this training? Property of MN Department of Health/DeJong

26. Questions/Comments? • Before you leave today, take a moment to write a 1-minute reflection of what you’ve learned. • What is your Take-Home? Property of MN Department of Health/DeJong

27. End of: • Objectives 17: Providing support in a variety of settings • Objectives 18: Impact of public health • Objectives 19: Evaluation of own community – discuss ways to support breastfeeding where student works and lives Next: • References Property of MN Department of Health/DeJong