Got this info today from Dr Hale's monthly newsletter. Lots of articles about
health care workers, pediatricians, midwives, and nurses taking courses in
breastfeeding management. If you don't already subscribe to his newsletter, i
highly recommend it.
Training health care workers to counsel breastfeeding mothers.Savage F,
Daelmans B.
PIP: WHO and UNICEF have designed a 40-hour counseling course for
maternal-child health workers that aims to impart the skills needed to assist
mothers to breast feed their infant. Course participants receive training in the
following communication and counseling techniques: accepting what a mother
feels as valid, recognizing and praising things a mother is doing right, giving
practical guidance, using simple language, making suggestions rather than
commands, and limiting the information provided so as not to overwhelm the
mother. In addition, health workers are trained on the attachment and
positioning techniques that promote successful breast feeding. Such
techniques include having the infant's chin touch the breast, more areola
exposed above than below the infant's mouth, close contact with the mother's
body, and arrangement of the baby's head and body in a straight line.
Common concerns, such as mothers' fears that they are not producing enough
milk, sore nipples, and breast feeding practices when an infant is sick, are
addressed. At the conclusion of the training, health workers apply the skills
they have learned in maternity wards and maternal-child health clinics.
PMID: 12288576 [PubMed - indexed for MEDLINE
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