breastfeeding: getting the conversation started when no one is talking!

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Health and Wellness for all Arizonans azdhs.go v Breastfeeding: Getting the conversation started when no one is talking! Anne Whitmire IBCLC RLC Breastfeeding Program Manager Bureau of Nutrition and Physical Activity

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Breastfeeding: Getting the conversation started when no one is talking!. Anne Whitmire IBCLC RLC Breastfeeding Program Manager Bureau of Nutrition and Physical Activity. Topics. FY13 Breastfeeding Hotline Review FY14 Keep It Simple Training Ideas Open Forum. - PowerPoint PPT Presentation

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Page 1: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Breastfeeding: Getting the

conversation started when no one is

talking!Anne Whitmire IBCLC RLC

Breastfeeding Program ManagerBureau of Nutrition and Physical Activity

Page 3: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

FY 13 Breastfeeding Hotline Review

Note: This does not include calls answered by the Pregnancy and Breastfeeding Hotline Operators.

This represents primarily non-business hours calls.

Page 4: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Total Calls: 3895

Monthly Annual

1 2 3 4 5 6 7 8 9 10 11 120

50

100

150

200

250

300

10

500

1000

1500

2000

2500

3000

WIC ParticipantsNon WIC Participants

Page 5: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Referred By: Monthly

1 2 3 4 5 6 7 8 9 10 11 120

50

100

150

200

250

Refered by WIC Refered by Hospital Refered by DoctorRefered by other

Page 7: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Age of Infant: Monthly

1 2 3 4 5 6 7 8 9 10 11 120

20

40

60

80

100

120

140

< 48 hr48 hr-7 days8 days-14 days days2 wks-1 mo1 mo-3 mo3 mo-6 mo6 mo-1 yr1 yr +

Page 8: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Age of Infant: Annual

10

200

400

600

800

1000

1200

1400

< 48 hr48 hr-7 days8 days-14 days days2 wks-1 mo1 mo-3 mo3 mo-6 mo6 mo-1 yr1 yr +

Page 9: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Call Topics: Monthly

Baby B

M

Baby F

ussy/ C

olicky

Baby S

ick

BF Barr

iers

BF Tech

nique

Breast I

nfection

Diet

Engo

rgemen

t

Family

Planning

Growth Spurt

Milk Su

pply Issu

es

Medica

l Situati

on/ Med

ication

Nursing S

ched

uleOther

Prematu

re Infan

t

Pumping/han

d Expres

sion

Referal

to IB

CLC

Relacta

tion

Return to

Work

or School

Sore

Nipples

Teething

Twins/M

ultiples

Weaning

WIC Referra

l

Refered

by WIC

0

50

100

150

200

250

October 2012November 2012December 2012January 2013February 2013March 2013April 2013May 2013June 2013July 2013August 2013September 2013

Page 10: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Call Topics: Annual

Baby B

M

Baby F

ussy/ C

olicky

Baby S

ick

BF Barr

iers

BF Tech

nique

Breast I

nfection

Diet

Engo

rgemen

t

Family

Planning

Growth Spurt

Milk Su

pply Iss

ues

Medica

l Situati

on/ Med

ication

Nursing S

ched

uleOther

Prematu

re Infan

t

Pumping/han

d Expres

sion

Referal

to IB

CLC

Relacta

tion

Return to

Work

or School

Sore

Nipples

Teething

Twins/M

ultiples

Weaning

WIC Referra

l0

200

400

600

800

1000

1200

1400

1600

1800

Page 11: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Discussion Questions?

• What can we use this information to help our clients?

• Knowing this information, what probes could we use?

• What other information would be helpful?

Page 14: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Changes: Table of Contents

• Titles of the chapters are listed

• Topics are now listed on the opening pages of each chapter.

Page 15: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Bonus!!!!!• Videos are available

through the QR code or on website for more information including parent testimonials.

• The elephant symbol indicates an important tip that you may want to share.

Page 17: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Changes: Chapter 3 – Beginning to Breastfeed

• Expanded– How do I get started?

• Guidance on the first feeding after birth and then subsequent feedings

• Condensed– How long does a feeding

last?• Times were adjusted.

• Added– Why does breastfeeding

seem so hard at first?

Page 18: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Changes: Chapter 4 – Taking Care of Your Baby

• Added– How can I care for my baby and still do all the other things I need to do?– How can I tell if my baby is getting enough to eat?– How can I keep my baby from getting a flat head?– Can I breastfeed if my baby has teeth?

• Expanded– What should my baby’s stool (poop) look like?

• Chart: Day/Number/Color

Page 19: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Changes: Chapter 6 – Taking Care of Yourself

• Added– What are “baby blues” and

how are they different from “postpartum depression”?

Page 20: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Changes: Chapter 7 – Returning to Work or School

• Condensed– Can I breastfeed after I go

back to work or school?• Removed the timeline/steps

• Expanded– How do I choose a breast

pump?• Pictures of pumps

– How long can I store my milk?• Storage Guidelines Chart

Page 24: Breastfeeding:   Getting the conversation started  when no one is talking!

Health and Wellness for all Arizonansazdhs.gov

Training IdeasRelay Race

• Teams• Print each question out on a separate

piece of paper or cardstock.• Evenly divide the questions based of

the number of teams and place at the front of the room with a copy of the book and a piece of paper/marker.

• Have each teammate run to the front one by one to find the page number of the question they pick. (More difficult: have them answer the question)

• Fastest/Correct Team wins!

Scavenger Hunt• Individuals• Give everyone a copy of the

book.• Give everyone a copy of the

questions.• First person to write down

all of the page numbers or answers wins!