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From:
Chris Mulford <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 17 Dec 2009 08:28:37 -0500
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Anne Hinze asked about training day care staff about supporting the working and breastfeeding mother. Anne, you have put together a great list of topics, especially about ways to help a breastfed baby be happy without mom and without overfeeding.

Some further suggestions: 
1. Ask the day care administration and staff what their questions are, and be sure to cover them well.

2. Help them discuss the issue of *where* visiting moms will breastfeed. Some mothers may want a private space where they can focus on the baby; others may prefer to be where they can see what goes on at the center. Some day care staff--and even some parents--may feel that breastfeeding should be hidden from the other kids...so that topic needs discussion.

3. Whether or not you discuss this in training, it might be something you bring up in your talks with the administration: what can the center do to promote breastfeeding? A good proportion of people with kids in day care will be pregnant again soon, and the center is a good place to raise awareness. Can they invite a mother support group to meet on-site in the evening? How about some posters? Nursing mother & baby dolls, both human and animal, in the doll corner? You won't be able to keep bottles out of sight--that's too much to ask--but "normal feeding" should be visible at the center too.

At the Child Care Exchange website you can download (for a fee) or purchase hard copies of a pamphlet or a training manual on this topic. http://www.childcareexchange.com/search/?search=breastfeeding 

North Carolina has a section on child care in its state breastfeeding plan, http://www.eatsmartmovemorenc.com/ESMMPlan/Texts/breastfeeding_plan.pdf 

USBC has some resources linked at http://www.usbreastfeeding.org/Workplace/ChildCareFacilities/tabid/107/Default.aspx 

Good luck to you! This is a great opportunity.

Chris Mulford

Chris Mulford, BSN, IBCLC
Project Co-coordinator, the PA-BC Business Case for Breastfeeding
Co-coordinator, Women & Work Task Force, World Alliance for Breastfeeding Action

 “When she gives birth, every woman has the potential resource of breastmilk for two years or more. This ample food resource is perfectly targeted, already distributed to households with the need, and should be controlled by the mother and baby.” --Helen Armstrong (1995) 

-----Original Message-----

Date:    Wed, 16 Dec 2009 17:50:11 -0500
From:    Anne Hinze <[log in to unmask]>
Subject: training day care staff

Hello all,

I have an amazing opportunity to train the staff of a new child care center that is opening at the beginning of January. I approached the owner about training her staff on how to support the working and breastfeeding mother and she was very excited. I gave them a list of issues and topics I'd like to talk about but wanted to know if anyone on here has every done such a training before and if you might have any pointers? 

If you could please respond to me privately (in addition to the list) because we are leaving town tomorrow and I'll have limited internet access.

Here is my working list:

lorida Statutes regarding breastfeeding

proper storage and preparation for breastmilk bottles, recommendations for moms and how much to bring each day, etc

Benefits of breastfeeding for mom and baby

Normal Breastfed baby behavior and eating patterns

Over-feeding breastfed babies (they often consume less than formula fed babies and many times care providers expect bf babies to consume more milk)

Mom's milk supply and factors affecting it.

Timing feedings so baby isn't getting a bottle right before mom comes to pick up and nurse the baby (very frustrating for moms).

Starting solids- most breastfed babies will not start solids until 6 months old and the AAP is moving away from cereal as a first food

Giving "advice" vs. information - how it's harmful to a breastfeeding relationship

Encouraging moms to come nurse on site during lunch breaks, etc.

Ways to soothe fussy babies - (feeding them is not the answer all the time). A lot of times people "cry-feed" meaning they automatically go for a bottle when a baby is fussy... This can waste breastmilk.)  Talk about the 5 S's (swing, swaddle, suck, shhhing, side position) - How using these techniques can help soothe fussy babies.

Feeding cues - crying is a late sign of hunger. 

Weaning - what is normal, what the AAP says and why it's not a good idea to recommend that a baby is ready to stop breastfeeding, etc.

Breastfeeding beyond the first year


Thanks!

Anne, CLEC, LLLL
Florida Panhandle

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End of LACTNET Digest - 16 Dec 2009 - Special issue (#2009-1144)
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