Business Case for Business Case for BreastfeedingBreastfeeding

Jaclyn SantanaJaclyn Santana

Colleen WickhamColleen Wickham

Katharine SaliKatharine Sali

Betty McLaughlinBetty McLaughlin

Ashley DealAshley Deal

Nicole VelazquezNicole Velazquez

Alexandra AlbarranAlexandra Albarran

Business Case for Breastfeeding

Government action plan

Educate employers on the importance of supporting breastfeeding in the work place

Offers tools to business managers to promote breastfeeding employees

Business Case for Breastfeeding

Agency Contact: Krista Schoen

Florida Department of Health

Provided us with a list of day care centers in Osceola, Orange, Seminole, and Palm Beach county.

Goals

Identify common barriers:1. Inconvenience2. Knowledge Deficit3. Unavailable Equipment4. Finances5. Liability6. Medical conditions (i.e. mother cannot breast feed for whatever reason)

Benefits to BabyBreast milk provides necessary nutrients and antibodies to strengthen the immune system and protect against disease.Decreased incidence of ear infections, upper and lower respiratory infections, and diarrhea, which are all common in daycare facilities. (AWHONN, 2012).Some research supports that breastfeeding can also reduce the risk of Type 1 diabetes, childhood leukemia, and atopic dermatitis.Breast milk is easier than formula to digest (US Department of Health and Human Services,2010).

Benefits to MommyDecreased risk of postpartum depression, Type II diabetes,osteoporosis, hip fractures, ovarian and breast cancer.Mothers also report stronger bond when they breastfeed their baby. Decreased expense: Formula and feeding supplies can cost well over $1,500 each year, depending on how much your baby eats. Breastfed babies are also sick less often, which can lower health care costs. (AWHONN, 2012).

Benefits to SocietyRecent research shows that if 90% of families breastfed exclusively for 6 months, almost 1,000 infant deaths could be prevented. The United States would save $13 billion per year due to lower medical care costs for fully breastfed infants than never-breastfed infants. Breastfed infants typically need fewer sick care visits, prescriptions, and hospitalizations.Mothers miss less work to care for sick infants, which contributes to a more productive workforce. Employer medical costs are also lower.Breastfeeding is also better for the environment. Less trash and plastic waste are produced compared to that by formula cans and bottle supplies.(U.S. Department of Human Health Services, 2010)

Barriers to Breastfeeding

Lack of confidenceEmbarrassment/societal normsMedical conditions/medicationsLack of knowledgePoor family and social support Lactation problemsEmployment and child care

Project Barriers

No infants or lack of infantsAvailability of supplies and storageSpace for breastfeedingContacting daycares

Breastfeeding FacilitatorsSpace for breastfeedingRefrigerators/freezers for the storage of labeled breast milkProper preparation, handling, and storage of breast milkBreastfeeding policies Family support

Why is Project Needed?The World Health Organization, American Academy of Pediatrics, and many other organizations recommend that an infant be breastfed for at least one year, with the first 6 months exclusive to breastfeeding.Breastfeeding is most essential to the infant, but is also beneficial to the mother (AWHONN, 2012).This project serves to increase awareness and empower mothers to breastfeed their infants in day care centers.

Future Role as an NPWe have learned the importance of breastfeeding and we can now apply this knowledge and educate our patients.Learning the barriers to breastfeeding has given us the knowledge to anticipate these barriers for our patients and how to work around them.We have also learned about the resources available and as NPs we will know where to direct our patients to receive these resources.

Follow Up Seminole CountyFollow Up Seminole County 5 daycare centers in Seminole County were visited and provided with the previous pamphlet.

The daycares were called and asked if the pamphlets were beneficial and if they had any impact on the breastfeeding policies at the facilities.

1 facility handed out the pamphlets to new and expecting mothers so that they would know how to handle their own breast milk at home.

Another facility posted the guidelines by the refrigerator in their facility.

The other 3 facilities did not do anything with the pamphlets due to already having breastfeeding policies in place.

Breastfeeding Storage Pamphlet distributed in Seminole County

StorageMake sure the container is clearly labeled with the child’s name and the date.Store milk in the back of the refrigerator where the temperature is most constant.Milk stored in the refrigerator at 37F or 4C is good for 5 days.Milk left on a countertop at room temperature is good for 6-8 hours and should be kept covered.DO NOT save milk from used bottle for another feeding.

PreparationDO NOT microwave breast milk (due to uneven heating and damage to the milk).Instead thaw frozen breast milk in the refrigerator or swirl in a bowl of warm water.

HandlingWash your hands prior to handling breast milk.

Source: CDC and American Academy of Pediatrics

Follow up Palm BeachFollow up Palm Beach CountyCounty

Information was given to three day care centers regarding the Proper Information was given to three day care centers regarding the Proper Handling and Storage of Breast MilkHandling and Storage of Breast Milk

Make sure milk container is clearly labeled with the child's name, date and Make sure milk container is clearly labeled with the child's name, date and the date the milk was expressed (To facilitate using the oldest milk first).the date the milk was expressed (To facilitate using the oldest milk first).

Do not add fresh milk to an already existing storage container.Do not add fresh milk to an already existing storage container.

Do not save milk from a used bottle for another feeding.Do not save milk from a used bottle for another feeding.

SafelySafely Thawing Breast Milk Thawing Breast Milk

As time permits, thaw frozen breast milk by transferring it to the As time permits, thaw frozen breast milk by transferring it to the refrigeratorrefrigerator

for thawing or by swirling it in a bowl of warm water.for thawing or by swirling it in a bowl of warm water.

Avoid using a microwave oven to thaw or heat bottles of breast milk Avoid using a microwave oven to thaw or heat bottles of breast milk Microwave ovens do not heat liquids evenly and could scald the infantMicrowave ovens do not heat liquids evenly and could scald the infant Bottles may explode if left in the microwave too long.Bottles may explode if left in the microwave too long. Excess heat can destroy the nutrient quality of the expressed milk.Excess heat can destroy the nutrient quality of the expressed milk.

Do not re-freeze breast milk once it has been thawed. Do not re-freeze breast milk once it has been thawed.

Follow up: Palm Beach CountyFollow up: Palm Beach County

Storage Duration of Fresh Human Milk for Use with Storage Duration of Fresh Human Milk for Use with Healthy Full Term InfantsHealthy Full Term Infants

Follow Up Osceola and Orange Follow Up Osceola and Orange CountiesCounties

No facilities currently had any No facilities currently had any infants, wherein breastfeeding infants, wherein breastfeeding policies could be implemented. policies could be implemented.

Infants were expected in the Infants were expected in the upcoming months for a few centers, upcoming months for a few centers, however, this project would already however, this project would already be complete.be complete.

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ReferencesJavanparast, S., Newman, L., Sweet, L. and McIntyre, E. (2012). Analysis of breastfeeding policies and practices in childcare centers in Adelaide, South Austraila. Maternal Child Health, 16, 1276-1283. doi: 10.1007/s10995-011-0887-5Lantera, S., Polkki, T., &Pietila, A. M. (2011). A descriptive qualitative review of the barriers relating to breast-feeding counseling. International Journal of Nursing Practice, 17, 72-84.Manhire, K., Horrocks, G., Tangiora, A. (2012). Breastfeeding knowledge and education needs of early childhood centre staff. Community Practitioner, 85(9), 30-33. Marsden, A., &Abayomi, J. (2012). Attitudes of employees working in public places toward breastfeeding. British Journal of Midwifery, 20(4), 271-277.O’Conner, M. (1998). Breastfeeding benefits and barriers. Retrieved from http://www.breastfeedingbasics.org/cgi-bin/deliver.cgi/content/Introduction/ Office of the Surgeon General. (2011). Barriers to Breastfeeding in the United States. Available from: http://www.ncbi.nlm.nih.gov/books/NBK52688/Pechlivani, F., &Vivilaki, V. (2012). Breastfeeding and breast cancer. Health Science Journal, 6(4), 610-617.Rempel, L. A., & Moore, K. C. (2012). Peer-led prenatal breast-feeding education: A viable alternative to nurse-led education. Midwifery, 28, 73-79.US Department of Health and Human Services. (2010). Breastfeeding: Why breastfeeding is Important. Retrieved from http://www.womenshealth.gov/breastfeeding/why- breastfeeding-is-important/

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