7/10/2020 Michigan WIC CPA Training: Breastfeeding Healthier baby Why is it important to Healthier mom support breastfeeding? Healthier community 1
7/10/2020 • 50% decrease in ear infections • 64% decrease in gastroenteritis • 58% decrease in necrotizing enterocolitis • 72% decrease in lower respiratory tract infections • 32% decrease in atopic dermatitis Healthier baby • 73% decrease in sleep‐related deaths (SIDS) • 27% decrease in childhood asthma • 20% decrease in ALL (acute lymphocytic leukemia) and 15% decrease in AML (acute myelogenous leukemia) • 25% decrease in Type I diabetes • 44% decrease in myocardial infarction • 4.3% decrease in breast cancer for every year of breastfeeding • 44% decrease in premenopausal ovarian cancer Healthier mom • 47% decrease in Type 2 diabetes • 22% decrease in hypertension 2
7/10/2020 • If 90% of U.S. families could comply with medical Healthier recommendation to BF exclusively for 6 months, could result in $13 billion in saving per year. community Time for a self‐ assessment: What is your comfort level in discussing breastfeeding? 3
7/10/2020 How can you increase your breastfeeding knowledge and skills? Attend Breastfeeding Basics within one year of hire 4
7/10/2020 Watch Great Lakes Breastfeeding Webinars Access at MiBreastfeeding.org. Provides contact hours for nurses, social workers, dietitians and IBCLC/CLC. Attend CLS course • Offered every 2 years • March 23‐27 th , 2020 5
7/10/2020 Attend Building Bridges training • August 25 th & 26 th in “your town” • September 2nd & 3 rd in Grayling & Gaylord Watch one‐hour Coffective overview video, asap. Watch all 5 Coffective modules within next 3 months. 6
7/10/2020 How can you support breastfeeding in your clinic? Know which breastfeeding education materials are available. 7
7/10/2020 Know which Coffective materials are available and how to obtain them. Create a clinic environment that supports breastfeeding families 8
7/10/2020 MI‐WIC Breastfeeding Documentation https://mediasite.mihealth.org/Mediasite/Play/d6fb9aecb8e243d5b6ed8babe2911c011d 9
7/10/2020 • Ask open‐ended questions • How? • What? • When? • Where? • Assess • Affirm Feelings/ • validate concerns • Educate • Problem‐solve Determining Progress & • Identify other supports Problem‐solving 20 WIC Breastfeeding Support Services CPAs • Assess, provide support and refer PEER COUNSELORS • Role model for breastfeeding • Gives mother‐to‐mother support • Provide BF support within their scope of practice BF CREDENTIALED STAFF (CLS, CLC, IBCLC) can provide further assistance for WIC families 10
7/10/2020 Referral decision tree for breastfeeding What should I do? support Support or refer? Who should I refer to? CPA The CPA’s role is to assess breastfeeding problems, provide basic support and refer as necessary. Referral decision tree Embarrassed CPA or Peer to BF in public for breastfeeding What should I do? support Support or refer? Who should I refer to? CPA 11
7/10/2020 Referral decision tree Embarrassed to BF in public for breastfeeding What should I do? Milk supply support Support or refer? Who BF Credentialed Staff should I refer to? decreasing CPA Referral decision tree Embarrassed to BF in public for breastfeeding What should I do? Milk supply support Support or refer? Who should I refer to? decreasing Returning to work & needs help with CPA or Peer CPA pumping schedule. 12
7/10/2020 Referral decision tree Embarrassed to BF in public for breastfeeding What should I do? support Support or refer? Who Milk supply decreasing should I refer to? Returning to work & needs help with CPA pumping schedule. MD told mom to ‘pump and dump’ BF Credentialed Staff when prescribed new medication. Policy QUESTIONS???? Call the Consultant du Jour 1‐800‐942‐1636 When you hear the phone answered... Touch tone‐ 1. Press 1 2. Press 2 3. Ask for Consultant du Jour Rotary phone‐ 1. Stay on line 2. Ask for Consultant du Jour 27 13
7/10/2020 State WIC Breastfeeding Team Marji Cyrul, MPH, RD, CLS WIC State Breastfeeding Coordinator (517) 335‐9836 CyrulM@Michigan.gov Dionne Moore‐Smith, MPH, RD, IBCLC WIC Breastfeeding Peer Counselor Coordinator MooreSmithD@Michigan.gov (517) 335‐9174 Hanna Thelen WIC Breastfeeding/Nutrition Analyst ThelenH1@Michigan.gov (517) 335‐8631 14
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