Anne Whitmire

1
Keeping It Simple Breastfeeding Education

• Anne Whitmire
• Breastfeeding Coordinator
• Arizona Department of Health Services

2
Strategic Plan

• 2009
• Client Education
• Hotline
• Book
• Staff Education
• Regional Trainings
• LATCH-AZ
• Health Provider Outreach
• Adopt an Doctor

3
Client Education

• Hotline
• Breastfeeding Book

4
Breastfeeding Hotline
5
What is it?

• Enhancement of Arizona Department of Health
  Services Pregnancy and Breastfeeding Hotline
• Staffed by Bi-lingual International Board
  Certified Lactation Consultant (IBCLC)
• 24 hours a day
• 7 days a week

6
Calls in 2008

• Between January 1 and November 30, 2008.
• 954 Calls (excludes business hours)
• Highest
• July
• 123
• Lowest
• January
• 66

7
Identifiers

• County
• WIC
• Yes/No

8
Times

• Most Calls
• 5oo PM 1000 PM
• Late Night
• 5 per month between 100AM 500 AM
• Weekends/Holidays
• Consistent all day

9
County

• Urban
• Maricopa
• Pima
• Rural
• Pinal
• Yuma
• Santa Cruz

10
Length of the Call

• Over 70 of the calls are 2 4 minutes.
• Time
• Question
• Answer
• Identifiers
• Referral

11
WIC vs. Non-WIC

• 78 of the call are from WIC clients
• Others get number from hospitals, friends and
  family members.

12
Reason for the Call

• Top 6
• Technique
• Nursing Schedules
• Premature
• Pumping
• Medical
• Medications
• OTC
• Diet
• Alcohol
• Indian Food
• Sushi

13
Breastfeeding Keep it Simple
14
Deciding to Breastfeed
15
Getting Ready to Breastfeed
16
Beginning to Breastfeed
17
Taking Care of Your Baby
18
Breastfeeding Special Babies
19
Taking Care of Yourself
20
Returning to Work or School
21
Getting Help
22
Breastfeeding Bingo
23
What are some tips for breastfeeding in front of
others if the mother is uncomfortable?
24
Answer5
25
What are nursing strikes?
26
Answer48
27
What color is Colostrum?
28
Answer17
29
What are the signs that the baby is ready to
eat?
30
Answer29
31
What are some tips for weaning slowly?
32
Answer44
33
How do you keep a baby safe from SIDS?
34
Answer37
35
Can a mother still lose weight and breastfeed?
36
Answer65
37
How should a mother choose which breastpump would
be best for her?
38
Answer80
39
How can you tell that the baby is getting enough
to eat?
40
Answer34
41
Is there any special precautions that a mother
needs to take if she is planning to drink
alcohol?
42
Answer62
43
Where can a mother find help with breastfeeding?
44
Answer84
45
How long can breastmilk remain at room
temperature?
46
Answer81
47
What are some tips on handling sore nipples?
48
Answer58
49
What is a La Leche League Leader?
50
Answer90
51
Can a mother continue to breastfeed if she finds
out that she is pregnant?
52
Answer70
53
Just In Case

• 5
• 48
• 17
• 29
• 44
• 37
• 65
• 80

• 34
• 62
• 81
• 58
• 90
• 70

54
Staff Education

• Regional Trainings
• May/June
• How to talk about the Food Package changes while
  still encouraging breastfeeding.

55
LATCH-AZ

• Topic
• Health Risk Messages
• The Art of Persuasion
• February 17
• 830 - 1130
• Tucson/Video-conference
• University Medical Center
• February 18
• 100 400
• Phoenix
• Banner Desert

56
Health Provider Outreach
57
Next Steps (Tentative)

• Ongoing
• Refer to the Breastfeeding Hotline
• Quarterly
• Hot Topic Bookmark
• LATCH-AZ
• Annually
• Survey
• Staff
• Clients

58
LUNCH!!!!!!!!!!