Hi Lorie:
In our local WIC program we developed a BF group which we call Infant
Feeding Groups (IFG).  After the individual certification appointment each
pregnant woman has, she is scheduled for an IFG.  These groups are modeled
on the Best Start Program's* recommendations and materials.  Specifically,
we use a focus group discussion to draw out what women think and know about
BF and ABM.  We encourage women to tell the stories they've heard, pro &
con.  We then use the points that come up to give short, targeted messages
about BF.  We also use this forum to pass out basic information on formula,
focusing on its cost (financial, health, etc), the fact that all WIC
clients will need to purchase formula on their own, and the importance of
careful preparation.

We do not do alot of teaching about BF management in the IFG, except
demonstrations of basic good positioning and latch, and information about
supply and demand.  I offer this as survival information that all women
should know in case they were ever stranded with an infant.  I find that
even the most anti-BF moms receptive to this info with a survival focus.
For those unsure moms, I also throw in a suggestion that "you really don't
have to decide what you're doing until the baby is born.  Then, close the
door/curtains, and just give it a try.  You don't have to tell anyone."

We've found these groups much more beneficial with our clients than
"classroom lecture" type groups.  Most of the time, women start relating to
each other quite well.  We share information on a mother-to-mother basis,
and encourage diversity of opinion.  Often, women come to the group with
very closed body language (remember, they have not chosen to come to this
group--they come to get their WIC checks.)  They often leave with a smile.
At the end of the group, women are offered the opportunity to sign up for a
BF peer counselor.  They are all scheduled for an individual appointment
with the nutritionist to review their plans before their EDD. This is where
we teach more management details.  I think these groups are working well,
because several women have now attended more than one group with a
subsequent pregnancy.  When I offer them the opportunity to skip the IFG,
several have said "No, that was fun.  I want to go and share what I know
now."  Empowerment in action!!


Cindy Turner-Maffei, Cape Cod WIC Program, who apologizes heartily to my
unfortunate past clients for the horribly lengthy, unnecessarily
informative, near PhD level BF classes offered in my younger days.  Mea
culpa!!

*Best Start:  [log in to unmask], 1-800-277-4975

***Cindy Turner-Maffei, MA, IBCLC, aka [log in to unmask]***
Lactation Consultant/WIC Nutritionist/Cape Cod, MA, USA