Why Breastfeeding Policies

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Why Breastfeeding Policies?

• International Campaigns
• WHO
• campaign against the extravagant and untrue
  marketing of breast milk substitutes (WHO Code)
• UNICEF
• campaign to develop ways to support breastfeeding
  mothers in the hospital and after discharge
  (Baby-Friendly Hospital).

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National Campaigns

• DHHS
• Surgeon Generals Workshops on Human Lactation
• Blueprint for Action on Breastfeeding
• USDA
• Nutrition Services Standard
• National Ad Campaign
• Inform citizens of risks of not breastfeeding.

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California Campaigns

• Medi-Cal
• Covers the cost of breast pumps and breast milk
• WIC
• Assembled specialists in many fields to promote,
  protect and support breastfeeding.

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Private Organizations

• American Academy of Pediatrics
• Association of Family Practice Physicians
• American Dietetic Association
• OB-Gyn
• WABA.

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Who
AAFP
YOU
US - DHHS
World Health Organization
UNICEF
WIC
AAP
USDA
ADA
Supports Breastfeeding
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California Historical Perspective

• In 1994, a Statewide Committee on Breastfeeding
  Promotion and Family Health was convened. A 26
  member multidisciplinary multicultural committee
  was formed representing
• Academia
• Hospitals
• Managed Care Organizations
• Public Agencies
• Foundations
• Community Organizations
• Lactation Consultants

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The Result
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Fundamental Recommendation

• Develop model standards of breastfeeding
  promotion and support for the WIC program based
  on best practices, and ensure that these
  standards are implemented uniformly throughout
  the state.

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We are here to CELEBRATE!

• Having healthier mothers and babies thanks to the
  hard work of California WIC
• Policies shape practices and California WIC is
  shaping breastfeeding support.

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Breastfeeding Promotion and Support WPM 600

• Overview

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WPM 600 Purpose

• Provides a framework for the development of local
  agency policies and services
• Identifies the breastfeeding goals and objectives
  of the WIC program.

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WPM 600 Position Statement on Breastfeeding

• Breastfeeding is the NORM
• Exclusive breastfeeding for approximately the
  first 6 months
• Complementary foods around 6 months
• Breastfeeding at 12 months and beyond
• Reduction in the use of breast milk substitutes.

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WIC Participants Rights

• Cannot be denied WIC services INCLUDING the
  distribution of food instruments (formula)
• Respect for the mothers decision on how to feed
  her baby
• Receive breastfeeding education and support.

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WPM 600 Breastfeeding Vision

• The norm for infant feeding will be exclusive
  breastfeeding for the first 6 months of life
• with continued breastfeeding through the
  infants first birthday.

• Every woman enrolled in California WIC will
• have the information, resources and support to
  breastfeed for at least 12 months and as long as
  mutually desired.

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WPM 600 Breastfeeding Mission Statement

• The California WIC Program promotes, supports and
  protects exclusive breastfeeding for
  approximately the first 6 months of life and
  continued breastfeeding for at least the first
  year of life.

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WPM 600 Measurable Breastfeeding Goals

• Goal for Exclusive Breastfeeding
• increase the percentage of infants enrolled in
  WIC that do not receive formula in the first
  year of life.
• Goal for Combination Breastfeeding
• decrease the amount of formula consumed among
  breastfed WIC infants.
• Goal for any Breastfeeding
• increase the percentage of infants enrolled in
  WIC receiving any amount of breastmilk in the
  first year of life.

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WPM 600 Ten Steps to Successful Breastfeeding
Promotion and Support

• One step at a time
• One policy at a time

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1. Develop and implement a written breastfeeding
policy that recommends exclusive breastfeeding
and is routinely communicated to all WIC staff
and contracted employees.
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2. Train all staff in the necessary skills to
implement the breastfeeding policy.            
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3. Provide culturally appropriate,
learner-centered breastfeeding education
to ensure participants make an informed
infant feeding decision.
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4. Provide encouragement and support for mothers
to exclusively breastfeed for approximately the
first six months and to continue to breastfeed
through the infants first birthday, and
thereafter for as long as mutually desired.
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5. Create a breastfeeding friendly site/workplace
for WIC participants and staff that clearly
endorses breastfeeding as the norm for infant
feeding.
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6. Foster mother-to-mother support for
breastfeeding.
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7. Identify and refer participants to appropriate
breastfeeding resources.  
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 8. Work collaboratively with breastfeeding
coalitions, hospitals, healthcare providers,
maternal and child public health programs,
community groups, employers, and policy makers to
ensure breastfeeding messages
are consistent and up-to-date and to increase
overall support for breastfeeding outside of the
WIC environment.
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 9. Develop annual goals to increase
breastfeeding rates and strategies to achieve
these goals.
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 10. Monitor and evaluate breastfeeding promotion
and support activities on an on-going basis.
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How will this affect us?

• Healthier mothers - as participants and
  employees.

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How will this affect us?

• Healthier babies.

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How will this affect us?

• Healthier communities.

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WPM 610-10 (Yellow) Breastfeeding Friendly
Environment

• Read the policy Agency Environment
• What questions or comments do you have?
• Watch the examples in the following presentation.

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Whats Wrong With This Picture?

• Breastfeeding Policy Implementation Workshop

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Waiting Room
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Babies need Bottles
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Doll on her back with bottle
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What about this picture?
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Heres another one...
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What else to look out for?
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And more...
Nursing well worth a TRY
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It isnt a Rose Garden...
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but it isnt THIS bad Page 119
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When bottle feeding looks THIS GOOD! Page 121
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Which would YOU choose?
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A picture is worth
A thousand words.
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Keep in mind the WHO Code
And show...
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Discrete moms
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Confident moms
Teen moms
Nursing anywhere
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Babies of different ages and ethnicities
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Avoid incorrect positioning