New Hampshire
Breastfeeding
Resource Guide for
Parents and Professionals
New Hampshire Department of Health and Human Services, Division of Public
Health Services, WIC Nutrition Program
For more information call 1-800-852-3310 Ext. 0571
[email protected]
8/2013
2
Table of Contents
Preface
3
General Breastfeeding Information
Benefit of Breastfeeding
Professional Statements on Breastfeeding
The Baby Friendly Hospital Initiative
National & International Organizations
The International Code of Marketing of Breast milk Substitutes
United States Donor Human Milk Banks
Worksite Lactation Support
5
6
8
9
13
14
17
New Hampshire Breastfeeding Promotion and Support Resources
New Hampshire Breastfeeding Legislation
New Hampshire Breastfeeding Task Force
WIC Nutrition Programs and Breastfeeding Coordinators
Community Health Centers
Child Care Provider Literature
Breast pump Information and Rentals
Community Breastfeeding Promotion and Support Services by County
20
21
23
25
26
27
30
Breastfeeding Resources for Professionals and Parents
Information on Lactation for Professionals
Lactation Education and Training Programs
Breastfeeding Publications
Breastfeeding Media
Breastfeeding Education Materials
Breastfeeding Books for Parents
Breastfeeding Books for Children and Families
45
47
50
57
58
60
61
3
New Hampshire Breastfeeding Resource Guide
This is a guide for those who are working with pregnant women, postpartum women, and
infants. It is a tool to answer such questions as:
• How can I learn more about breastfeeding?
• Where can I send a woman for breastfeeding classes?
• Where can I find a pump for a new mother?
• How can a mother get special help for a breastfeeding problem?
• Where can I find reputable books/websites about breastfeeding?
• What is being done to promote breastfeeding?
This guide does not claim to be inclusive of all breastfeeding services available in New
Hampshire. We have provided information to a broad network of breastfeeding promotion,
protection, and support resources. You may reproduce any part of this document, with credit
given to the New Hampshire Department of Health and Human Services.
Send updates and corrections to:
Lissa Sirois, RD, IBCLC
Breastfeeding Promotion Coordinator
Department of Health and Human Services
Division of Public Health Services
Healthy Eating and Physical Activity Section
29 Hazen Drive
Concord, NH 03301-6504
1.800.852.3310 ext 0571 or 603.271.0571
Fax-603.271.4779
mailto:[email protected]
A special ‘Thank You’ to Jolene Sell and Laura Salinas, Keene State College Dietetic Interns for
helping to update the 2013 Breastfeeding Resource Guide.
We would also like to encourage and congratulate all the women who have breastfed in the
past, are currently breastfeeding, or plan to breastfeed one day!
4
GENERAL BREASTFEEDING INFORMATION
5
BENEFITS OF BREASTFEEDING
Breastfeeding is a free, clean and easy way to feed a newborn infant. It provides a strong basis
for healthy growth and development, and it helps build a special closeness between a mother
and her baby.
Breastfeeding can reduce an infant’s development of food allergies and certain infectious
diseases, including gastroenteritis, immunologic disorders and upper respiratory infections, as
well as malocclusion (crooked teeth).
Breastfed babies have a lower risk for Sudden Infant Death Syndrome (SIDS).
Breastfeeding lowers the risk of developing breast cancer for both mother and daughter.
Breastfeeding may lower the risk of childhood and adolescent obesity.
Breastfeeding benefits the nation’s economy. By using breast
milk, a free natural resource, cost savings of $3-4 billion for the
health care system and an additional $2 billion plus in household
savings is possible. In fact, the United States Breastfeeding
Committee estimates $3.6 to $7 billion excess
dollars are spent every year on conditions and
diseases that are preventable by
breastfeeding.
Breastfeeding conserves the planet’s
resources. According to the United
States Breastfeeding Committee, 110
billion BTU’s of energy (approximately $2
million) are used annually in processing,
packaging and transporting breast milk
substitutes.
6
PROFESSIONAL STATEMENTS ABOUT BREASTFEEDINGS
Many of these national organizations have professional statements and position papers
available for free download on their website.
American Academy of Pediatrics (AAP)
“Breastfeeding and human milk are the normative standards for infant feeding and nutrition.
Given the documented short- and long-term medical and neurodevelopmental advantages of
breastfeeding, infant nutrition should be considered a public health issue and not only a
lifestyle choice. The American Academy of Pediatrics reaffirms its recommendation of
exclusive breastfeeding for about 6 months, followed by continued breastfeeding as
complementary foods are introduced, with continuation of breastfeeding for 1 year or longer
as mutually desired by mother and infant.”
American Academy of Family Physicians (AAFP)
”Breastfeeding is the physiological norm for both mothers and their children. Breast milk offers
medical and psychological benefits not available from human milk substitutes. The AAFP
recommends that all babies, with rare exceptions, be breastfed and/or receive expressed
human milk exclusively for the first six months of life. Breastfeeding should continue with the
addition of complementary foods throughout the second half of the first year. Breastfeeding
beyond the first year offers considerable benefits to both mother and child, and should
continue as long as mutually desired.”
American College of Obstetricians and Gynecologists (ACOG)
”Evidence continues to mount regarding the value of breastfeeding for both women and their
infants. The American College of Obstetricians and Gynecologists strongly supports
breastfeeding and calls on its Fellows, other health care professionals caring for women and
their infants, hospitals, and employers to support women in choosing to breastfeed their
infants.”
Academy of Nutrition and Dietetics (AND)
“Exclusive breastfeeding provides optimal nutrition and health protection for the first 6
months of life and breastfeeding with complementary foods from 6 months until at least 12
months of age is the ideal feeding pattern for infants.”
Academy of Nutrition and Dietetics (AND)
“Exclusive breastfeeding provides optimal nutrition and health protection for the first 6
months of life and breastfeeding with complementary foods from 6 months until at least 12
months of age is the ideal feeding pattern for infants.”
7
Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN)
“AWHONN supports breastfeeding as the optimal method of infant nutrition. AWHONN
believes that women should be encouraged to breastfeed and receive instruction and support
from the entire health care team to successfully initiate and sustain breastfeeding. Discussions
with the woman and her significant others concerning breastfeeding should begin during the
preconception period and continue through the first year of life or longer.”
International Lactation Consultant Association (ILCA)
“ILCA affirms the right of all women to breastfeed their infants, of all infants to receive human
milk, and of all men and women to assist mothers in protecting these rights. Many unnecessary
obstacles stand in the way of women who wish to breastfeed. ILCA seeks to draw attention to
key findings of recent research and the clinical implications of those findings. ILCA’s
recommendations are based on rigorous published research wherever possible and on
collected experience and wisdom where gaps in research-based knowledge exist. ILCA invites
those concerned with the well-being of families to consider these statements and to enter into
dialogue with the Association over possible future amendments and additions. ILCA urges all
health workers to adopt this position statement as their own, and to work to implement its
recommendations as standard practice in their own setting.”
National WIC Association (NWA)
“Promoting breastfeeding as the norm for infant feeding continues to be a major priority in the
WIC Program. All WIC staff has a role in promoting and providing support for the successful
initiation and continuation of breastfeeding in the first year of life and beyond. NWA supports
human milk as the best infant nutrition for the first year of life and beyond with the
introduction of solid foods at the appropriate age. NWA challenges all WIC staff to actively
promote breastfeeding as the norm for infant feeding. Infants fed human milk receive multiple
health, nutritional, environmental and economic benefits compared to infants fed breast milk
substitutes.”
United States Breastfeeding Committee
“Healthy full term infants shall be exclusively breastfed for the first six months.”
World Health Organizations, WHO/UNICEF and UNESCO
“If all babies and young children were breastfed exclusively for their first six months of life and
then given nutritious complementary food with continued breastfeeding up to two years of
age, the lives of an additional 1.5 million children under age five would be saved every year.”
8
SUPPORT IS THE KEY TO BREASTFEEDING SUCCESS
9
THE BABY FRIENDLY HOSPITAL INITIATIVE
The Baby-Friendly Hospital Initiative (BFHI), a UNICEF/WHO global program, encourages and
recognizes hospitals and birthing centers that offer an optimal level of care for lactation. The BFHI
assists hospitals in giving breastfeeding mothers the information, confidence, and skills needed to
successfully initiate and continue breastfeeding their babies and gives special recognition to hospitals
that have done so, the Baby-Friendly Award. Baby Friendly USA is the national authority for the BFHI
in the United States.
Hospitals can work toward improving breastfeeding practices. In turn, hospitals will receive a Certificate
of Intent for their commitment to creating an environment supportive of the Ten Steps to Successful
Breastfeeding. (Call Baby-Friendly USA at 508-888-8092 or visit their website at
www.babyfriendlyusa.org to receive information about the steps to take to receive a certificate of
intent.) Becoming Baby-Friendly is a time consuming commitment that requires the cooperation of the
hospital administration team as well as the nursing staff.
Receiving the Baby-Friendly Award requires an on-site survey, which is conducted after the hospital or
birthing center indicates its readiness for assessment. Only after the hospital or birthing center has
successfully implemented all of The Ten Steps, according to the assessment process, does it receive the
designation of being a Baby-Friendly Hospital.
According to UNICEF/WHO, every facility providing maternity services and care for newborns should
strive for the following Ten Steps:
1.
Have a written breastfeeding policy that is routinely communicated to all health care staff.
2.
Train all health care staff in skills necessary to implement this policy.
3.
Inform all pregnant women about the benefits and management of breastfeeding.
4.
Help mothers initiate breastfeeding within one half hour of birth.
5.
Show mothers how to breastfeed and how to maintain lactation, even if they are separated
from their infants.
6.
Give newborn infants no food or drink other than breast milk, unless medically indicated.
7.
Practice “rooming in”-- allow mothers and infants to remain together 24 hours a day.
8.
Encourage breastfeeding on demand.
9.
Give no pacifiers or artificial nipples to breastfeeding infants.
10.
Foster the establishment of breastfeeding support groups and refer mothers to them on
discharge from the hospital or clinic.
Currently, there are four Baby-Friendly Hospitals in the state of New Hampshire:
Alice Peck Day Memorial Hospital, Lebanon, NH
Concord Hospital, Concord, NH
Mary Hitchcock Memorial Hospital, Lebanon, NH
St. Joseph Hospital, Nashua, NH
10
NATIONAL AND INTERNATIONAL ORGANIZATIONS
The following organizations have multiple resources available on their website, including
position papers, education materials, self-study modules, journal articles, conference schedule,
and contact information.
National Organizations
Academy of Breastfeeding Medicine
140 Huguenot Street, 3rd Floor
New Rochelle, NY 10801
Toll free (800) 990.4ABM
Phone (914) 740.2115
(914) 740.2101 Attn: ABM (fax)
Website: www.bfmed.org
Publishes Breastfeeding Medicine.
American College of Obstetricians and
Gynecologists
409 12th Street, SW
Washington, DC 20024
(202) 638.5577
Website: www.acog.org
Healthy Children’s Center for Breastfeeding
327 Quaker Meeting House Road
East Sandwich, MA 02537
Phone: 508-888-8044
Fax: 508-888-8050
Website: www.healthychildren.cc/
Baby Friendly USA
449 Rte. 6A PO Box 1015
East Sandwich, MA 02537
Phone: (508) 888.8092
Fax: (508) 484-1716
Website: www.babyfriendlyusa.org
Email: [email protected]
Academy of Nutrition and Dietetics
120 South Riverside Plaza, Suite 2000
Chicago, Illinois 60606-6995
Toll free: 800-877-1600
Website: www.eatright.org/
Academy of Pediatrics
141 NW Point Boulevard
Elk Grove Village, IL 60007 1098
Phone: (847) 434-4000
Toll Free: (800) 433.9016
Website: www.aap.org
Email: [email protected]
Publishes Pediatrics.
Healthy Mothers, Healthy Babies Coalition
4401 Ford Avenue
Alexandria, VA 22302
Phone: (703) 837.4792
Fax: (703) 664.0485
Website: www.hmhb.org
Email: [email protected]
doulas of North America
35 E. Wacker Drive, Suite 850
Chicago, IL 60601-2106
Phone: (888) 788.DONA (3662)
Fax: (312) 644.8557
Website: www.dona.org
Maternal and Child Health Bureau
Health Resources Services Administration
US Department of Health and Human Svcs
Parklawn Building Room 18-05
11
5600 Fishers Lane, Rockville, MD 20857
Website: www.mchb.hrsa.gov
National Alliance for Breastfeeding
Advocacy
Barbara Heiser, RN, IBCLC, BSN,
Founder & Director
9684 Oak Hill Drive
Ellicott City, MD 21043
Email: [email protected]
Marsha Walker
Email: [email protected]
Website: http://www.nababreastfeeding.org
Human Milk Banking Association of North
Camp Bowie Boulevard, Suite 114-88
Fort Worth, TX 76107
Phone: (817) 810.9984
Fax: (817) 810.0087
Website: www.hmbana.org
Maternal and Child Health Bureau
Health Resources Services Administration
US Department of Health and Human
Services
Parklawn Building Room 18-05
5600 Fishers Lane, Rockville, Maryland
20857
Website: www.mchb.hrsa.gov
National Organization of Mothers of Twins
Clubs, Inc. (NOMOTC)
NOMOTC EXECUTIVE OFFICE
2000 Mallory Lane, Suite 130-600
Franklin, TN 37067-8231
Phone: 248.231.4480
Website: www.nomotc.org
Email: [email protected]
National Women’s Health Information
Center Office on Women’s Health
US DHHS
Phone: 1.800.994.9662
Website: www.womenshealth.gov/
United States Breastfeeding Committee
2025 M Street NW, Suite 800
Washington, DC 20036
Phone 202.367.1132
Fax 202.367.2132
Email: [email protected]
Website: www.usbreastfeeding.org/
National Center for Education in Maternal
and Child Health
Georgetown University
Box 571272 Washington, D.C. 20057-1272
Phone: 202.784.9770
Email: [email protected]
Website: www.ncemch.org
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International Organizations
INFACT Canada (Infant Feeding Action
Coalition)
520 Colborne Street
London, ON, CANADA
N6B 2T5
Phone: 416.595.9819
Website: www.infactcanada.ca
La Leche League International
957 N. Plum Grove Rd.
Schaumburg, IL 60173
Voice mail: (847)519.730
Toll free: 800-LALECHE (525-3243)
Fax: 847-969-0460
Website: www.llli.org/
International Board of Lactation Consultant
Examiners (IBLCE)
6402 Arlington Blvd, Suite 350,
Falls Church, Virginia 22042 USA
Phone: 703.560.7330
Fax: 703.560.7332
Website: www.iblce.org/
World Alliance of Breastfeeding Action
(WABA)
PO Box 1200
10850 Penang, Malaysia
Phone: 604-658-4816
Fax: 604-657-2655
Website: www.waba.org.
Email: [email protected]
International Childbirth Education
Association
1500 Sunday Drive, Suite 102
Raleigh, NC 27607
Phone: 919.863.9487
Toll free 800.624.4934
Website: www.icea.org
Well Start International
PO Box 602
Blue Jay, CA 9231
Website: www.wellstart.org
WHO (World Health Organization)
World Health Organization
Avenue Appia 20
1211 Geneva 27
Switzerland
Website: www.who.int/en/
International Lactation Consultant
Association (ILCA)
2501 Aerial Center Parkway, Suite 103
Morrisville, NC, 27560, USA
Phone: 919.861.5577
Toll Free: 1.888.ILCA.IS.U (452.2478)
Fax: 919.459.2075
Website: www.ilca.org
Email: [email protected]
13
WE ALL HAVE A ROLE IN SUPPORTING BREASTFEEDING
14
The International Code of Marketing of Breast milk Substitutes
One of the factors that have long been identified as playing a significant role in the decline in
breastfeeding is the marketing and promotion of infant feeding products, breast milk
substitutes, artificial milk, soft foods, feeding bottles, dummies and teats. In 1981, the World
Health Assembly adopted the International Code of Marketing of Breast milk Substitutes
aimed at halting marketing practices for products that interfered with breastfeeding.
Governments were encouraged to adopt the Code in their own countries. United States
President Bill Clinton signed the World Health Assembly (WHA) Resolution 47.5 in May 1994,
which reaffirmed the 1981 WHO Code and called for an end to free and subsidized breast milk
substitutes in all parts of the health care system. President Clinton’s signing of WHA 47.5,
however, has gone almost unnoticed in the US. Following are the 10 key provisions of the code
that are considered a violation if not followed. The Code applies to artificial breast milk for
babies and other products used to feed babies, especially when they are marketed for use in a
bottle.
Ten Key Provisions of the International Code:
1.
Products should not be advertised or otherwise promoted to the public.
2.
Mothers and pregnant women and their families should not be given samples of
products.
3.
Health care providers should not be given free or subsidized supplies of products and
must not promote products.
4.
People responsible for marketing products should not try to contact mothers or
pregnant women or their families.
5.
The labels on products should not use words or pictures, including pictures of infants, to
idealize the use of the products.
6.
Health workers should not be given gifts.
7.
Health workers should not be given samples of products, except for professional
evaluation or research at the institution level.
8.
Material for health workers should contain only scientific and factual information and
must not imply or create a belief that bottle-feeding is equivalent or superior to
breastfeeding.
9.
All information and educational materials for pregnant women and mothers, including
labels, should explain the benefits and superiority of breastfeeding, the social and
financial implications of its use, and the health hazards of the unnecessary or improper
use of formula.
10.
All products should be of a high quality and take account of the climate and storage
conditions of the country where they are used.
Complete document at www.who.int/nutrition/publications/infantfeeding/9241541601/en/
15
United States Donor Human Milk Banks
A donor human milk bank is a service established for the purpose of collecting, screening,
processing, storing, and distributing donated human milk to meet the specific medical needs
of individuals for whom human milk is prescribed by physicians. There are nine milk banks in
the United States recognized by the Human Milk Banking Association of North America. Donor
human milk is a safe and effective source of nutrition for infants. All donors must be healthy
lactating women with a healthy breastfed baby and have an excess of breast-milk. All donors
are screened for health behaviors and undergo a blood test for communicable and infectious
diseases. Donors are taught how to express their milk using sanitary collection methods.
Donated milk once received at the milk bank is heat treated to destroy any bacteria or viruses.
Frozen, heat-treated milk can be dispensed upon a physician’s prescription. The Human Milk
Banking Association of North America coordinates milk banking activities and publishes the
following guidelines:
Human Milk Banking Association of North America 2006. Best Practice for Pumping, Storing
and Handling of Mother's Own Milk in Hospital and at Home.
Human Milk Banking Association of North America, 2007. Guidelines for the Establishment
and Operation of a Donor Human Milk Bank, Fort Worth, TX
Website: www.hmbana.org
Human Milk Banking Association of North America (HMBANA)
4455 Camp Bowie Blvd. Ste. 114-88
Fort Worth, TX 76107
Phone: (817) 810.9984
Fax: (817) 810.0087
HUMAN MILK BANKS
Mothers Milk Bank of New England
MMBNE
P.O. Box 60-0091,
225 Nevada St
Newtonville, MA 02460
Phone: (781)535.7594
Website: www.milkbankne.org/
The Mothers’ Milk Bank
Christiana Care Hospital
PO Box 6001
4755 Ogletown-Stanton Road
Newark, DE 19718
Phone: (302) 733-.000
Website: www.christianacare.org/
16
Mother’s Milk Bank
751 South Bascom
San Jose, CA 95128
Toll free: 877-375-6645
Phone: 408.998.4550
Fax: 408.297.9208
Website: www.sanjosemilkbank.com
Mothers Milk Bank at Austin
2911 Medical Arts Street, Suite 12 Austin,
TX 78705
Phone: 512.494.0800
Toll free: 877.813.6455
Fax: 512.494.0880
Website: www.milkbank.org
Indiana Mothers’ Milk Bank, Inc
4755 Kingsway Drive Suite 120
Indianapolis, Indiana 46205
Phone: 317.536.1670
Toll free: 877.829.7470
Fax: 317.536.1676
Website: www.immb.org
Heart of America Mothers' Milk Bank
At Saint Luke’s Hospital
4401 Wornail Rd.
Kansas City, MO 64111
Phone: (816)932-4888
Bronson Mothers' Milk Bank
601 John Street
Suite N1300
Kalamazoo, MI 49007
Phone (269) 341-6146
FAX (269) 341-8365
www.bronsonhealth.com
Mothers’ Milk Bank
Presbyterian/St. Luke’s Medical Center
1719 East 19th Avenue
Denver, CO 80218
Phone: (303) 839.6000
Website: www.milkbankcolorado.org
Ohio Health Mothers' Milk Bank
4850 E. Main St.
Columbus, OH 43213
Phone (614) 566-0630
FAX (614) 566-8074
www.ohiohealth.com
Wake Medical Mother’s Milk Bank
Wake Medical Center
3000 New Bern Ave
Raleigh, NC 27610
Phone: 919-350-8000
Website: www.wakemed.org/
Mothers’ Milk Bank of North Texas
600 West Magnolia Avenue
Fort Worth, Texas 76104
Phone: 817.810.0071
Toll Free: 866.810.0071
Fax: 817.810.0087
Website: www.texasmilkbank.org/
Mother's Milk Bank of Iowa
119 2nd Street, Suite 400
Coralville, IA 52241
Phone: 319-384-9929
Toll free: 877-891-5347
Fax:31-384-9933
www.uichildrens.org/mothers-milk-bank
17
WORKSITE LACTATION SUPPORT
On March 23, 2010 the Patient Protection and Affordable Care Act took effect. Included in the
PPACA is the requirement for employers to provide “reasonable break time for an employee to
express breast milk for her nursing child for 1 year after the child’s birth each time such
employee has need to express the milk.”
Employers are also required to provide “a place, other than a bathroom, that is shielded from
view and free from intrusion from coworkers and the public, which may be used by an
employee to express breast milk.” This law amended Section 7 of the Fair Labor Standards Act.
The FLSA requirement of break time for nursing mothers to express breast milk does not
preempt State laws that provide greater protections to employees (for example, providing
compensated break time, providing break time for exempt employees, or providing break time
beyond 1 year after the child’s birth). At this time, NH does not have a worksite lactation law;
therefore employers must adhere to the federal requirement.
To print the fact sheet: www.dol.gov/whd/regs/compliance/whdfs73.pdf
Additional worksite lactation resources are available on the following websites:
New Hampshire Department of Health and Human Services
Division of Public Health Services
Healthy Eating and Physical Activity Section
29 Hazen Drive, Concord, NH 03301-6504
Lissa Sirois, RD, IBCLC State Breastfeeding Promotion Coordinator
Phone: 603-271-0571
Toll free: 1-800-852-3310 Ext. 0571
Email: [email protected]
Website: www.dhhs.state.nh.us/dphs/nhp/wic/breastfeeding.htm
United States Department of Health and Human Services
Health Resources and Services Administration
HRSA Information Center
P.O. Box 2910
Merrifield, VA 22118
Toll free: 1-888-ASK-HRSA (275-4772)
Website: www.hrsa.gov/
The Business Case for Breastfeeding: Steps for Creating a Breastfeeding Friendly Worksite.
18
United States Breastfeeding Committee
2025 M Street NW, Suite 800
Washington, DC 20036-3309
Phone 202-367-1132
Fax 202-367-2132
Website: www.usbreastfeeding.org/
Workplace Accommodations to Support and Protect Breastfeeding
19
BREASTFEEDING PROMOTION AND SUPPORT SERVICES
20
New Hampshire Breastfeeding Legislation
NH House Bill 441
This bill sets forth the right of a mother to breastfeed her child in public.
Sponsors: Rep. M. Fuller Clark, Rock 36; Rep. T. Reardon, Merr 23; Rep. Rabideau,
Rock 16; Rep Gile, Merr 16; Rep. Keans, Straf 16; Sen. Wheeler, Dist 21.
STATE OF NEW HAMPSHIRE
In the year of Our Lord One Thousand Nine Hundred and Ninety-Nine, AN ACT relative to a
mother’s right to breastfeed.
Findings:
The general court finds that breastfeeding is the best method of infant nutrition. The
American Academy of Pediatrics recommends that children from birth to age one should be
breastfed, unless under particular circumstance as is medically inadvisable. WHO and UNICEF
have established as one of their goals for the decade the encouragement of breastfeeding.
The general court finds that medical research shows that human milk and breastfeeding of
infants provide many health benefits for a child such as lower rates of death including sudden
infant death (SIDS) and decreased incidence and/or severity of diarrhea, respiratory illness,
bacterial and viral infections including meningitis, ear infections, urinary tract infections,
gastrointestinal infections and chronic digestive diseases, childhood leukemia and other
cancers, diabetes, allergies, obesity and developmental delays. Breastfeeding also provides
significant benefits to the health of the mother, including a reduced risk of breast and ovarian
cancers, postpartum bleeding, osteoporosis and hip fractures in the postmenopausal period,
an earlier return to pre-pregnant weight, delayed resumption of ovulation with increased child
spacing, and the psychological benefit of an enhanced emotional relationship or bonding
between mother and child.
The general court further finds that in addition to the health benefits for the mother and child,
breastfeeding provides significant social and economic benefits to the state, including reduced
health care costs and reduced absenteeism for care attributable to child illness.
Therefore, the general court finds that breastfeeding a baby is an important and basic act of
nurture that must be encouraged in the interests of maternal and child health and family
values.
RSA 132:10-d Breast-feeding a child does not constitute an act of indecent exposure and to
restrict or limit the right of a mother to breast-feed her child is discriminatory.
Signed by Governor Jeanne Shaheen on June 10, 1999.
21
NEW HAMPSHIRE BREASTFEEDING TASK FORCE
Website: www.nhbreastfeedingtaskforce.org/
Facebook: New Hampshire Breastfeeding Task Force
Twitter: @NHBreastfeeding
For the children of New Hampshire to be healthy and strong, they must receive the best
possible nutrition when they are infants. The New Hampshire Breastfeeding Task Force
encourages breastfeeding because:
• Breast milk provides an ideal balance of nutrients for the human infant.
• The nutrients in breast milk are easily absorbed and digested.
• Breast milk contains immune factors and anti-infective properties.
• Breastfed infants have fewer allergies.
• Breastfeeding allows infants to regulate their own food intake.
• Breastfeeding completes the natural reproductive cycle of the mother by promoting
involution of the uterus.
• Breastfeeding promotes bonding between mother and infant.
The NH Breastfeeding Task Force strives to meet the national objectives for breastfeeding
prevalence and duration as outlined by the U.S. Surgeon General, Department of Health and
Human Services in the Healthy People 2020: National Health Promotion and Disease Report.
To achieve these objectives, states must have 81.9% of its infants breastfed at hospital
discharge with 60.6% of those infants still breastfeeding at six months and 34.1% of those
infants breastfeeding until one year of age. 46.2% of NH infants should be exclusively
breastfed for 3 months and 25.5% should receive nothing but breast milk for the first 6 months
of life. In order to reach these goals, we support the following strategies:
•
Inform expectant parents of the advantages of breastfeeding to both mother and
infant.
• Provide expectant mothers with information on how to prepare for, initiate, and
maintain lactation.
• Encourage practices that support breastfeeding in all sectors of the health care system.
• Institute policies in worksites that create an environment fostering success in
breastfeeding.
• Increase public awareness of the benefits of breastfeeding.
• Increase community services that support breastfeeding.
• Keep health professionals informed of available breastfeeding services and information
in the state.
Promoting, Protecting, and Supporting Breastfeeding in New Hampshire.
22
WIC NUTRITION OFFICES AND BREASTFEEDING COORDINATORS
WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) is a nutrition
program for pregnant, breastfeeding, and postpartum women and children under 5 years of
age, who are income eligible. WIC provides free nutritious foods, nutrition education, health
care referrals, and breastfeeding promotion and support. Breastfeeding services include
consultation from nutritionists, breastfeeding coordinators, lactation counselors, and
breastfeeding peer counselors. Breastfeeding mothers receive printed breastfeeding materials
as well as access to free manual and electric breast pumps, additional healthy foods, and
unlimited breastfeeding support
STATE AGENCY COORDINATORS
Lissa Sirois, RD, IBCLC
WIC Breastfeeding Promotion Coordinator
603.271.0571 or 800.852.3310 Ext. 0571
Email: [email protected]
Frances McLaughlin, MEd, RD
WIC Nutrition Coordinator
603.271.4252 or 800.852.3310 Ext. 4252
Email: [email protected]
LOCAL AGENCY WIC PROGRAM BREASTFEEDING COORDINATORS
9 Crystal Ave
Community Action Program Belknap, Coos,
Derry NH 03038
Grafton and Merrimack Counties
Derry Phone: 855.295.4105
Jamie Huddleston, BS, IBCLC
Raymond Phone: 800.974.2303
2 Industrial Park Drive
Concord NH 03302
Phone: 603.225.2050 or 800.578.2050
Goodwin Community Health
Carroll and Strafford Counties
Denise Lozier, RD, CLC
Southern NH Services
311 Route 108
Hillsborough and Rockingham Counties
Somersworth NH 03867
Breastfeeding Coordinator:
Helen Mason, BS, CLC
Phone: 603.332.4358 or 1.855.332.4358
40 Pine Street
Southwestern Community Services
Manchester NH 03108
Cheshire and Sullivan Counties
Phone: 603.668.8010 or 800.322.1073
Brandi Wadleigh, BS, CLC
134 Allds Street
63 Community Way
Keene NH 03431
Nashua NH 03060
Phone: 603.889.3440 or 877.211.0723
Phone 603.352.7512 or 800.529.0005
23
CHILD CARE PROVIDERS
Child care providers play an important role in supporting breastfeeding families. With more
than 50% of mothers with young children returning to work and placing their children in the
care of someone other than a parent, child care centers need to have adequate training, a
positive attitude and a welcoming environment for breastfeeding mothers and babies.
United States Breastfeeding Committee
Breastfeeding and Child Care (2002) USBC Publications
Research has demonstrated that knowledgeable support is essential for helping mothers
establish and continue breastfeeding as they return to work or school and make use of
childcare services.
www.usbreastfeeding.org/AboutUs/PublicationsPositionStatements/tabid/70/Default.aspx
United States Department of Agriculture, Food and Nutrition Service
Feeding Infants: A Guide for Use in the Child Nutrition Programs
The guide presents information on infant development, nutrition for infants, and
breastfeeding.
Website: www.fns.usda.gov/tn/resources/feeding_infants.pdf
WIC Works Resource System
An online training and education center for professionals.
Website: http://wicworks.nal.usda.gov/
National Resource Center for Health and
Safety in Child Care and Early Education
13120 E. 19th Avenue
PO Box 6511
Aurora, CO 80045
Phone: 1.800.598.KIDS(5437)
Fax: (303) 724.0960
Website: www.nrckids.org/
Let’s Move! Childcare
Resources for child care centers to establish breastfeeding friendly policies and practices.
www.healthykidshealthyfuture.org/welcome.html
24
BREAST PUMP INFORMATION AND RENTALS
Breast Pump Information
Breast pumps come in a variety of styles and price ranges. They are used to help mothers
express their milk in a variety of situations:
• Prematurity or other medical condition
• Returning to work
• Temporary inability to breastfeed, or mom and baby are temporarily separated
• Illness of the infant or mother which inhibits nursing
• Establish, maintain or increase milk supply
The choice of a pump depends on its use and should be efficient, comfortable, accessible,
affordable, easy to clean, and easy to use. The issues most frequently mentioned by mothers
when they are choosing a pump are the amount of milk that can be pumped and the time it
takes to pump. Selection depends on its purpose, with options of manual breast pumps;
battery operated breast pumps, as well as electric breast pumps. Electric breast pumps are
available to purchase or rent. They are available as hospital grade multi-user and single user
breast pumps.
Manual breast pumps are frequently used for occasional milk expression. Some mother’s find
that hand expression works as well or better for them.
Battery operated breast pumps generate vacuum with a small battery operated motor and
are appropriate for occasional pumping and for a mother with an abundant milk supply or rapid
milk ejection reflex. This type of pump is not adequate for a mothering returning to part time
or full time employment.
Electric breast pumps come in different sizes and generally have automatic cycling. Electric
breast pumps are best suited for mothers who are returning to work, who are pumping for
preterm infants, or in special situations where the milk supply is being induced or augmented
because the baby has not been established at the breast. The electric pumps have a double
collection kit that allows both breasts to be expressed simultaneously thereby reducing the
time spent pumping. Some electric breast pumps are available as multi-user or single user
pumps.
Beginning in 2013, with the Affordable Care Act’s new coverage of preventive health-care
services for women, many insurance plans now provide equipment and services to promote
breast-feeding. This means that breast pumps and lactation counseling can be utilized at no
25
additional cost. The type of breast pump may vary from health plan to health plan. Contact
your health plan for more information.
In 2011, a ruling issued by the IRS considers the cost of a breast pump as a tax-deductible
medical expense. Women are able to use money set aside in pretax spending accounts to buy
or rent breast pumps and equipment. For women that do not have flexible spending accounts,
the cost of breast pumps and equipment are tax deductible if their total medical costs are more
than 7.5 % of their adjusted gross income.
BREAST PUMP RENTAL SERVICES BY COUNTY
BELKNAP COUNTY
Keene Medical Products, Inc.
66 Airport Road
Concord, NH 03301-5205
Phone: 603-224-0135
HILLSBOROUGH COUNTY
Catholic Medical Center
100 McGregor Street
Manchester, NH 03102
Phone: 603-668-3545
CHESHIRE COUNTY
Cheshire Medical Center
580 Court Street
Keene, NH 03431
Phone: 603-354-5400
Southern NH Regional Medical Center
8 Prospect Street
Nashua, NH 03060
Phone: 603-577-2000
St. Joseph’s Hospital
172 Kinsley Street
Nashua, NH 03061
Phone: 603-595-3168
Keene Medical Products, Inc.
275 Washington Street
Keene, NH 03431-4366
Phone: 603-357-3222
GRAFTON COUNTY
Alice Peck Day Memorial Hospital
10 Alice Peck Day Drive
Lebanon, NH 03766
Phone: 603-448-3121
Elliot, Childbirth Education Department
1 Elliot Way
Manchester, NH 03103
Phone: 603-669-5300
Dartmouth Hitchcock Medical Center
1 Medical Center Drive
Lebanon, NH 03756
Phone: 603-650-5000
COOS COUNTY
Keene Medical Products, Inc.
603 Main Street
Gorham, NH 03581
Phone: 603-752-7694
26
Keene Medical Products, Inc.
P.O. Box 439
240 Meriden Road
Lebanon, NH 03766-0439
Phone: 603-448-0422
Cottage Hospital Birthing Center
90 Swift Water Road
Woodsville, NH 03785
Phone: 603 -747 9000
MERRIMACK COUNTY
Concord Hospital
250 Pleasant Street
Concord, NH 03301
Phone: 603-227-7000 ext. 4909
Keene Medical Products, Inc.
66 Airport Road
Concord, NH 03301-5205
Phone: 603-224-0135
ROCKINGHAM COUNTY
Keene Medical Products, Inc.
6 Robert Ave, Unit 1
Portsmouth, NH 03801
Phone: 603-431-6006
Parkland Medical Center
1 Parkland Drive
Derry, NH 03038
Phone: 603-421-2064
STRAFFORD COUNTY
Wentworth-Douglas Hospital
789 Central Avenue
Dover, NH 03820
Phone: 603.740.2233
27
PRENATAL AND POSTPARTUM BREASTFEEDING PROMOTION
AND SUPPORT PROGRAMS AND SERVICES
BELKNAP COUNTY
Lakes Regional
General Hospital
80 Highland Street
Laconia, NH 03246
Phone: 603-524-3211 Ext.3744
Website: www.lrgh.org
Lakes Region Lactation Services, LLC
Celina Dykstra, IBCLC
Private practice, home visits
Phone: 603-498-0535
Email: [email protected]
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Jamie Huddleston, BS,IBCLC, Breastfeeding Coordinator
Belknap-Merrimack Counties Community Action Program
Phone: 603-225-2050 or 1-800-578-2050
Lakes Region La Leche League, List Leader: Celina Dykstra
Phone: 603-715-1900
Email: [email protected]
CARROLL COUNTY
Memorial Hospital
3073 White Mountain Highway
North Conway, NH 03860
Phone: 603.356.5461 ext 2146
Website: www.memorialhospitalnh.org
VNA/Hospice of Southern Carroll County
Good Beginnings Program
240 South Main Street
28
Wolfeboro, NH 03894
Phone: 603.569.2729 Ext. 324
Website:www.centralvna.org
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Denise Lozier, RD, CLC, Breastfeeding Coordinator
Goodwin Community Health
Phone: 603.332.4358 or 1.855.332.4358
CHESHIRE COUNTY
Cheshire Medical Center/Dartmouth-Hitchcock
580 Court Street
Keene, NH 03431
Phone: 603-354-5480
Website: www.cheshire-med.com
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Brandi Wadleigh, BS, CLC, Breastfeeding Coordinator
Southwestern Community Services
Phone: 1.800.529.0005 or 603.352.7512 ext. 4233
GRAFTON COUNTY
Alice Peck Day Hospital
125 Mascoma Street
Lebanon, NH 03766
Phone: 603.448.7413
Website: www.alicepeckday.org/
Cottage Hospital Birthing Center
90 Swiftwater Road
Woodsville, NH 03785
Phone: 603.747.9000 Ext. 9145
Website: www.cottagehospital.org/
29
Dartmouth-Hitchcock Medical Center Women’s Health Resource Center
1 Medical Center Drive
Lebanon, NH 03756
Phone: 603.650.2600
Website: www.dhmc.org
Littleton Regional Hospital
Birth & Parenting Program
600 Saint Johnsbury Road
Littleton, NH 03561
Phone: 603.444.9335
Website: www.littletonnhhospital.org
Speare Memorial Hospital
16 Hospital Road
Plymouth, NH 03264
Phone: 603.238.2213
Website: www.spearehospital.com
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Jamie Huddleston, BS, IBCLC, Breastfeeding Coordinator
Belknap-Merrimack Counties Community Action Program
Phone: 603.225.2050 or 1.800.578.2050
HILLSBOROUGH COUNTY
Nini Bambini
166 South River Road
Bedford, NH 03110
Phone: 603-666-6464
Website: www.ninibambini.com
Catholic Medical Center
100 McGregor Ave
Manchester, NH 03102
Phone: 603-626-2626
Website: www.catholicmedicalcenter.org
30
Elliot Hospital
1 Elliot Way
Manchester, NH 03103
Phone:603-663-4567
Website: www.elliothospital.org
Southern NH Medical Center
8 Prospect Street
Nashua, NH 03060
Phone: 603-577-2255
Website: www.snhmc.org
St. Joseph Hospital
172 Kinsley Street
Nashua, NH 03060
Phone: 603-595-3162
Website: www.stjosephhospital.com
Manchester Obstetrical Associates
Phone: 603.622.3162
Nashua Pediatrics
Phone: 603-889-6671
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Helen Mason, BS, CLC, Breastfeeding Coordinator
Southern New Hampshire Services
Manchester Office Phone: 603.647.4470 Ext. 6074
Nashua Office Phone: 603.889.3440 Ext. 22
MERRIMACK COUNTY
Concord Hospital
250 Pleasant Street
Concord, NH 03301
Phone: 603.230.7300
Website: www.concordhospital.org
31
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Jamie Huddleston, BS, IBCLC, Breastfeeding Coordinator
Belknap-Merrimack Counties Community Action Program
Phone: 603.225.2050 or 1.800.578.2050
ROCKINGHAM COUNTY
Exeter Hospital Family Center
5 Alumni Drive
Exeter, NH 03833
Phone: 603-580-6668
Website: www.exeterhospital.com
Parkland Medical Center
1 Parkland Drive
Derry, NH 03038
Phone: 603-421-2064
Website: www.parklandmc.com
Portsmouth Regional Hospital
333 Borthwick Avenue
Portsmouth, NH 03801
Phone: 603-433-4086
Website: www.portsmouthhospital.com
Seacoast Lactation Services
Wendy Jordan, BS, IBCLC
Phone: 603-531-3628
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Helen Mason, BS, CLC, Breastfeeding Coordinator
Southern New Hampshire Services
9 Crystal Ave
Derry, NH 03038
Phone: 603-965-3029
32
STRAFFORD COUNTY
Frisbie Memorial Hospital
11 Whitehall Road
Rochester, NH 03867
Phone: 603-330-7941
Website: www.frisbiehospital.com
Wentworth Douglass Hospital
789 Central Ave
Dover, NH 03820
Phone: 603-740-2858
Website: www.wdhospital.com
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Denise Lozier, RD, CLC, Breastfeeding Coordinator
Goodwin Community Health
Phone: 603.332.4358 or 1.855.332.4358
SULLIVAN COUNTY
WIC BREASTFEEDING PEER COUNSELING PROGRAM
Brandi Wadleigh, BS, CLC, Breastfeeding Coordinator
Southwestern Community Services
1.800.529.0005 or 603.352.7512
33
THE BEST SUPPORT STARTS PRENATALY
34
RESOURCES FOR PROFESSIONALS
What is a Lactation Professional?
Breastfeeding assistance may come from:
1. A breastfeeding/lactation counselor or peer counselor, who is trained to provide
basic breastfeeding information and peer support for common situations.
2. A lactation consultant, IBCLC, who is a trained and educated health professional
who is able to manage more difficult or unusual breastfeeding situations.
What is a Breastfeeding Peer Counselor?
Many women who have breastfed their own children have enjoyed it so much that they want
to help other women have the same enjoyable experience. These women attend training
courses and learn about the experiences of many mothers, so they understand breastfeeding
beyond their own personal experience. These women may belong to breastfeeding support
groups such as La Leche League. Breastfeeding peer counselors are knowledgeable about
breastfeeding and the normal situations that arise during the course of breastfeeding. They
are available by telephone to answer questions and may participate in a breastfeeding support
group that meets in the WIC office. These monthly meetings provide a place for mothers to
come together with their babies to discuss breastfeeding and parenting. When a
breastfeeding counselor encounters a problem that is beyond her skill set, she will refer to the
primary health care provider or a lactation consultant. Breastfeeding counselors are
sometimes community volunteers or WIC staff. Some may work for a small stipend while
others volunteer their time for free. WIC breastfeeding peer counselors are hired to teach
women about breastfeeding during their prenatal period. WIC provides an 18 hour training for
their breastfeeding counselors by a certified lactation consultant. Many WIC breastfeeding
peer counselors have also taken a 40 hour certified lactation counselor course which gives
them the credential and title, CLC, certified lactation counselor.
What is a Certified Lactation Counselor?
A Certified Lactation Counselor (CLC), certification is the premier National Certification in
Lactation Management for the United States. CLC certification holders have demonstrated
competence in the lactation skills, knowledge and attitudes that are essential to helping
women in the United States and have agrees to comply with The Academy of Lactation Policy
and Practice code of ethics. The Lactation Counselor Training course is recognized by ANCC as
a Nursing Skills Competency Program.
35
CLC certification means that a person has received training and competency verification in
breastfeeding and human lactation support including assessing the latching and feeding
process, providing corrective interventions, counseling mothers, understanding and applying
knowledge of milk production including in special circumstances and other commonly
encountered situations. All of this gives CLCs a strong foundation with which to help moms
and babies.
What is a Lactation Consultant?
A lactation consultant, different from a lactation counselor, is an allied health care provider
who possesses the necessary skills, experience, knowledge, and attitude to facilitate
breastfeeding. She is a person who has received special training and certification in
breastfeeding counseling. Lactation consultants utilize a problem solving process to provide
appropriate information, suggestions, and referrals in a variety of settings including hospitals,
clinics, and physician’s offices. They assess the mother and baby while breastfeeding, develop
care plans, report to the mother’s and baby’s primary care providers, as well as arrange followup appointments. The lactation consultant field began in 1985 with a certifying examination.
Those who pass an international exam become International Board Certified Lactation
Consultants, IBCLC. Certified lactation consultants are growing in recognition by health care
professionals as experts in breastfeeding management for usual and unusual situations.
Professional lactation consultants receive payment for their services. Many lactation
consultants also provide educational programs and updated resources for health care
professionals. Breastfeeding counselors and lactation consultants may work closely together
when a mother is experiencing a breastfeeding problem. For more information on how to
become an IBCLC, visit www.ibcle.org
What is a Postpartum Doula?
Postpartum doulas provide in-home support to new parents, usually including breastfeeding
support, newborn care, meal preparation, and other household tasks. Some doulas are also
nurses, midwives, and mothers themselves. They specialize in postpartum maternal/child
health issues and can help identify when professional assistance is necessary, referring
mothers to their physician or community resources such as lactation consultants,
breastfeeding counselors, and support groups.
36
LACTATION EDUCATION AND TRAINING PROGRAMS
Prior to taking the International Board Certifying Lactation exam, candidates must meet
breastfeeding/lactation education requirements, in addition to hands-on experience. Basic
and advanced lactation management courses are available through the following providers:
Breastfeeding Support Consultants
44 N. Cornell
Villa Park, IL 60181
Phone: 630.547.5057
E-mail: [email protected]
Website: www.bsccenter.org
The Breastfeeding Counselor course is for peer counselors and health workers who seek core
knowledge and skills to help a mother breastfeed. The goal is for the student to achieve a
basic understanding of breastfeeding management and counseling techniques.
Healthy Children’s Center for Breastfeeding
327 Quaker Meeting House Road, East Sandwich, MA 02537
Phone: 508.888.8044
Email: [email protected]
Website: www.healthychildren.cc
Course is a 5-day program offered several times per year around the country. Comprehensive
breastfeeding management training course, which includes practical skills, strategies, and tips
for special circumstances, as well as public health strategies that work to promote
breastfeeding success.
La Leche League International, Inc. Peer Counselor Program
957 N. Plum Grove Road
Schaumburg, IL 60173
Phone: 1.847.519.7730 or 1.800.525.3243
Fax: 1.847.969.0460
Website: www.llli.org/ed/PeerCounsel.html
The purpose of the LLLI Peer Counselor program is to develop support systems within targeted
communities that will provide ongoing access to breastfeeding information and support by
training those interested in learning more about breastfeeding promotion, management,
support and techniques to help mothers to breastfeed.
37
The Boston Association for Childbirth Education
P.O. Box 29, Newtonville, MA 02460
Phone: 617.244.5102
Email: [email protected]
Website: www.bace-nmc.org
Comprehensive training prepares participants to counsel breastfeeding women. Topics
include anatomy and physiology of the breast, skin-to-skin kangaroo care and baby-led latch,
medications and breastfeeding, common problems with some solutions, as well as postpartum
adjustment and family dynamics.
Breastfeeding Support Consultants
44 N. Cornell
Villa Park, IL 60181
Phone: 630-547-5057
Website: www.bsccenter.org
Long distance learning programs.
Evergreen Perinatal Education
402 Detwiller Lane
Bellevue, WA 98004
Phone: 425.455.3231
Website: www.evergreenperinataleducation.com
Course enables participants to provide accurate, current and consistent information about
breastfeeding and lactation and support new families in feeding their babies from birth
through the process of weaning. Each participant will be given the knowledge to work with
other healthcare providers to ensure continuity of care for the breastfeeding mother and her
infant(s).
Lactation Education Resources
5614 Dover St.
Churchton, MD 20733
Phone: 703-868-1849
Fax: 443-607-8898
Website: www.leron-line.com
The Lactation Consultant Training Program consists of a series of online webcast courses to
prepare for lactation consultant practice and for the IBLCE certification exam. Begin at any
time.
38
SELF-STUDY MODULES
Healthy Children’s Center for Breastfeeding
327 Quaker Meeting House Road, East Sandwich, MA 02537
Phone: 508.888.8044
Website: www.healthychildren.cc
International Lactation Consultant Association (ILCA)
2501 Aerial Center Parkway, Suite 103
Morrisville, NC, 27560, USA
Toll Free: 1.888.ILCA.IS.U (452.2478)
Website: www.ilca.org
Email: [email protected]
Certifying Exam
International Board of Lactation Professionals
6402 Arlington Boulevard Suite 350
Falls Church, VA 22042-2356
Phone: 703.560.7330
Fax: 703.560.7332
Website: www.iblce.org
39
SUPPORT FROM YOUR FAMILY IS CRITICAL
40
Breastfeeding Publications
The American Academy of Breastfeeding Medicine
140 Huguenot Street, 3rd floor, New Rochelle, New York 10801
Phone: 914-740-2115, Website: www.bfmed.org
Protocols include:
• Guidelines for Glucose Monitoring and Treatment of Hypoglycemia in Neonates
• Guidelines for Hospital Discharge of the Breastfeeding Newborn and Mother
• Guidelines for Supplementary Feedings in the Healthy Breastfed Neonate
• Mastitis
• Peri-partum Breastfeeding Management for the Healthy Mother and Infant
• Guideline on Co-Sleeping and Breastfeeding
• Model Breastfeeding Policy
• Human Milk Storage Information for Home Use for Healthy Full-Term Infants
• Use of Galactogogues in Initiating or Augmenting Maternal Milk Supply
• Breastfeeding the Near Term Infant
• Neonatal Ankyloglossia
• Transitioning the Breastfeeding/Breastmilk-fed Premature Infant to Home
• Contraception and Breastfeeding
• The Breastfeeding-Friendly Physician: Optimizing Care for Infants and Children
• Analgesia and Anesthesia for the Breastfeeding Mother
• Breastfeeding the Hypotonic Infant
• Guidelines for Breastfeeding Infants with Cleft Lip and Cleft Palate
• Use of Antidepressants in Nursing Mothers
• Breastfeeding Promotion in the Prenatal Setting
• Engorgement
• Guidelines for Breastfeeding and the Drug-Dependent Woman
The American Academy of Pediatrics
141 Northwest Point Blvd.
Grove Village, IL 60007
Phone: 847-434-4000
Website: www.aap.org
-Click on breastfeeding located under Children’s Health Topics to view policy
statements/articles.
• Breastfeeding and the Use of Human Milk
41
•
•
•
•
•
The Transfer of Drugs and other Chemicals into Human Milk
Clinical Practice Guideline: Management of Hyperbilirubinemia in the Newborn 35 or
More Weeks of Gestation
Prevention of Pediatric Overweight and Obesity
Prevention of Rickets and Vitamins D Deficiency in Infants, Children, and Adolescents
Technical Report: An Evidenced-based Review of Important Issues Concerning
Neonatal Hyperbilirubinemia
42
Breastfeeding Media
Breastfeeding DVDs- English
A Preemie Needs His Mother: First Steps to Breastfeeding Your Premature Baby –Jane Morton
Told through mothers of premature babies, a comprehensive guide to the benefits of
breastmilk for the premature, hand expression and breast pumping to increase production,
transitioning the baby from tube feeding to breastfeeding.
Running time: 56 Minutes (two parts)
Website: http://www.breastmilksolutions.com
Baby Led Breastfeeding – The Mother-Baby Dance
With Christina M. Smillie, MD
In Baby-Led Breastfeeding, we see mothers learning to breastfeed naturally by letting their
babies show them how.
Running time: 16 Minutes
Website: www.geddesproduction.com
Better Breastfeeding: A Guide for Teens
Engaging new program to help educators show teen moms how easy and natural
breastfeeding can be. (Available in Spanish)
Running time: 25 Minutes
Website: www.injoyvideos.com
Better Breastfeeding: Your Guide to a Healthy Start (Available in Spanish)
How-to breastfeed video provides everything parents need to give their baby the healthiest
start in life.
Running time: 25 Minutes
Website: www.injoyvideos.com
Born With a Cleft - A Feeding Guide
Shows children with different forms of cleft lip or palate and how some are breastfed and
others fed with alternative methods.
Running time: 25 Minutes
Website: www.mothersdirect.com.au/
43
Breastfeeding: A Guide to Successful Positioning
Teaching the principles of good breastfeeding can prevent most breastfeeding problems.
Running time: 12 Minutes
Website: www.childbirthgraphics.com
Breastfeeding: A Magical Bond of Love
(WIC Hispanic Breastfeeding and Promotion Project) (Available in Spanish)
Award-winning video-novella follows a discussion about breastfeeding among WIC mothers
and family members.
Running time: 14 Minutes
Website: www.nal.usda.gov/wicworks/Learning_Center/support_bond.htm
Breastfeeding: Coping with the First Week
Features Chloe Fisher helping new mothers learn how to breastfeed.
Running time: 30 Minutes
Website: www.growingwithbaby.org
Breastfeeding: Dealing With the Problems
Many breastfeeding difficulties result from improper latch, which can cause sore nipples,
engorgement, mastitis, deep breast pain, and insufficient milk supply.
Running time: 24 Minutes
Website: www.childbirthgraphics.com
Breastfeeding: How-To
The How to video shows new parents how to handle the awkwardness and newness of
newborn and early breastfeeding and continues on through older, more experienced babies.
(Available in Spanish)
Running time: 24 Minutes
Website: www.vida-health.com/
Breastfeeding: Why To
The Why-To video is a motivational program outlining the health benefits of breastfeeding.
(Available in Spanish)
Running time: 19 Minutes
Website: www.vida-health.com/
44
Breastfeeding: Mom and I Can Do That!
DVD explains the importance of letting the baby become accustomed to his/her new world
through all five senses.
Website: www.ibreastfeeding.com/
Breastfeeding, a Guide to Getting Started – Jane Morton
The ABCs of Breastfeeding, a beautifully illustrated instructional booklet is included.
Running time: 30 Minutes
Website: www.breastmilksolutions.com
Breastfeeding and Basketball
Program addresses the benefits of breastfeeding for men, for supporting and encouraging
partners.
Running time: 8 Minutes
Website: www.injoyvideos.com
Breastfeeding Best Practice: Teaching Latch & Early Management
Increases an organization’s breastfeeding initiation and duration rates by incorporating new
program into current staff training procedures.
Running time: 30 minutes
Website: www.injoyvideos.com
Breastfeeding for Working Mothers: Planning, Preparing, and Pumping
In just 20 minutes, one can teach moms how to talk to a supervisor, find the ideal place to
pump, safely store milk, and much more.
Running time: 20 Minutes
Website: www.injoyvideos.com
Breastfeeding Management, Educational Tools for Physicians and Other Professionals – Jane
Morton
Video clips and handouts for those who are learning or teaching bedside breastfeeding
management.
Website: www.breastmilksolutions.com
Breastfeeding Techniques That Work
A series of 9 tapes by Kittie Frantz
(Available in Spanish)
Running time: 15 to 51 minutes.
Website: www.geddesproduction.com/
45
Breastfeeding: You Can Do It!
Explains the benefits of breastfeeding, how to get ready for it, how to latch and get started and
frequently asked questions.
www.breastfeedingdvds.com
Delivery Self Attachment
By Lennart Righard, MD
Video depicts a newborn's ability at birth to crawl up to a breast and attach himself.
(Available in Spanish)
Running time: 6 Minutes
Website: www.geddesproduction.com/
Dr. Jack Newman's Visual Guide to BF
DVD helps to understand how breastfeeding works in a step-by-step comprehensive format.
Running time: 45 Minutes
Website: www.ibreastfeeding.com/
Establishing Your Breastfeeding Relationship (Available in Spanish)
Video is designed for healthy moms who have made the decision to breastfeed, and focuses on
the first few weeks of nursing.
Running time: 20 Minutes
Website: www.milner-fenwick.com/
Feeding Your Baby: Birth to One
Teaches parents about age-appropriate food choices for babies and the importance of positive,
nurturing eating experiences.
(Available in Spanish)
Running time: 21 Minutes
Website: www.milner-fenwick.com/
Follow Me Mum: The Key to Successful Breastfeeding
Video is the culmination of 31 years of fascination, study, and experience in the art of
empowering women to attach their baby comfortably and effectively without assistance.
(Available in Spanish)
Running time: 20 Minutes
Website: www.ibreastfeeding.com/
46
Giving You the Best That I Got, Baby
Designed to motivate women to choose breastfeeding, this video uses role models to address
concerns women have about breastfeeding.
Running time: 14 Minutes (VHS Only)
Phone: 410-659-6259
E-mail requests to: [email protected]
Kangaroo Mother Care
By Nils Bergman, MD
"How-To, Why-To" video that summarizes the newborn thrives best on his mother's chest.
(Available in Spanish)
Running time: 21 minutes
Website: www.geddesproduction.com/
Kangaroo Mother Care II
By Nils Bergman, MD
Dr. Bergman clearly and simply presents what happens to a human newborn when she/he is
separated from the mother.
Running time: 51 Minutes
Website: www.geddesproduction.com
Learning to Be Baby-Friendly
A DVD of Evergreen Hospital’s experience in becoming the first US Baby-Friendly Hospital.
Website: www.babyfriendlyusa.org
Making Enough Milk, The Key to Successful Breastfeeding...Planning for Day One- Jane
Morton
This video is a must for every expectant and new mother, for those who plan to use a breast
pump, for mothers who struggle with low milk supply, and for professionals who teach or help
breastfeeding mothers.
Running time: 29 Minutes
Website: www.breastmilksolutions.com
Mother & Baby: Getting it Right
Video featuring teaching positioning and attachment techniques to an antenatal class and
helping three mothers attach their babies to the breast.
Running time: 20 Minutes (VHS Only)
Website: www.mothersdirect.com.au/
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Mother & Baby…The First Week
Video shows parents what to expect and what is normal in the first week after the baby is born,
so that they will quickly seek assistance if the abnormal occurs.
Running time: 19 Minutes (VHS Only)
Website: www.mothersdirect.com.au/
She Needs You
Explanation and hands on technique of latch on.
Running time: 20 Minutes
Website: www.healthychildren.cc/
14 Steps to Better Breastfeeding
Concise, yet complete guide that teaches mothers the essential information they need to know
to breastfeed successfully.
(Available in Spanish)
Running time: 18 minutes
Website: www.milner-fenwick.com/
Skin to Skin in the first Hour After Birth: Practical Advice for Staff after Vaginal and Cesarean
Birth
Intended to assist staff in providing appropriate, individualize, baby adapted care for the full
term infant using skin to skin within the first hour after birth.
Website: www.healthychildren.cc
The Magical Hour. Holding Your Baby Skin to Skin in the First Hour After Birth
The benefits of holding your newborn skin to skin immediately following birth, and the nine
stages during the first hour.
Website: www.healthychildren.cc
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Breastfeeding DVDs- Spanish
Amamantando de su bebe: poscicionamieto
(Breastfeeding you Baby: Positioning)
Instructional video presents basic steps for proper positioning and latch-on plus supportive
comments about breastfeeding from celebrity mothers.
Running time: 15 Minutes (VHS Only)
Website: www.llli.org/
Amamantando desde el principio
(Getting Started with Breastfeeding)
Video by the Northwest Georgia
Breastfeeding Coalition is helpful for all
parents who want to learn the basics of
breastfeeding. It includes tips for getting
baby to the breast, positioning, and how to tell if baby is getting enough milk.
Running time: 10 minutes (VHS only)
Website: www.llli.org/
Guia Materna Para La Alimentacion Con el Pecho
Lesson created to be taught to an audience where in the end they will know two ways to avoid
sore nipples, two ways to discreetly breastfeed in public, as well as know two places to call for
breastfeeding help and information. Handouts included.
Running time: 16 minutes
From the Texas Department of Health, WIC
Use Texas WIC Materials order form to fax your request
Website: www.dshs.state.tx.us/
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Breastfeeding Educational Materials in Print
Available for purchase or download
Breastfeeding Posters
Childbirth Graphics
WRS Group, Ltd.
PO Box 21207
Waco, TX 76702-1207
Phone: 254-776-6461 ext. 287
Toll free: 800-299-3366 ext. 287
Fax: 254-776-0640
Toll free fax: 888-977-7653
Website: www.childbirthgraphics.com/
INFACT CANADA
Infant Feeding Action Coalition
10 Trinity Square, Toronto
M5G 1B1 CANADA
Phone: 416-595-9819
Website: www.infactcanada.ca/Resource_Centre.htm
International Childbirth Education Association (ICEA)
ICEA Book center
1500 Sunday Drive, Suite 102
Raleigh, NC 27607
Toll Free: 800-624-4934
Fax: 919-787-4916
Website: www.icea.org
Email: [email protected]
La Leche League International
PO Box 4079
Schaumburg, IL 60168-4079
Voice mail: 847-519-7730
Toll free: 800-LALECHE (525-3243)
Fax: 847-969-0460
Spanish materials available.
Website: www.llli.org
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Noodle Soup
4614 Prospect Ave. # 328
Cleveland, OH 44103-4377
Toll free: 1-800-795-9295
Website: www.noodlesoup.com
Medela, Inc. Breastfeeding U.S.
1101 Corporate Dr.
McHenry, IL 60050
Phone: 800-435-8316
Fax: 815-363-1246
Website: www.medela.com
The American Academy of Pediatrics
141 Northwest Point Boulevard
Elk Grove Village, IL 60007-1098
Phone: 847-434-4000
Fax: 847-434-8000
Website: www.aap.org
WIC Works Resource System
Food and Nutrition Information Center
National Agriculture Library
10301 Baltimore Avenue
Beltsville, MD 20705
Phone: 301-504-6096
Website: www.nal.usda.gov/wicworks/Learning_Center/loving_support.html
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Breastfeeding Books for Parents
Listed below are breastfeeding books that talk about the benefits of breastfeeding as well as
some of the everyday challenges that new moms face during the post-partum period. These
books are written for a general audience.
•
Your Guide to a Healthy, Happy Baby (2005)
Amy Spangler
•
Eat Well, Lose Weight While Breastfeeding (2006)
•
The Nursing Mother’s Companion (2005)
•
Nursing Your Baby (2005)
•
The Womanly Art of Breastfeeding (2010, 8th Edition)
International
•
Nursing Mother, Working Mother (2007)
•
Mothering Multiples: Breastfeeding and Caring for Twins and More (2007)
Karen Kerkhoff Gromada
•
Great Expectations: The Essential Guide to Breastfeeding (2009)
•
Breastfeeding: Getting Breastfeeding Right for You (2000)
•
Why Should I Nurse My Baby? (English, Spanish, French & Haitian) (2009)
Pamela K. Wiggins
Eileen Behan
Kathleen Huggins
Karen Pryor & Gale Pryor
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La Leche League
Gale Pryor
Marianne Neifert
Mary Renfrew
Breastfeeding Books for Children and Families
Parents often ask, “How do I explain to my older child what breastfeeding is?” Often children
who have never seen a mom and baby nurse before have lots of great questions. The best
thing you can do is to be open and explain to your child in simple language you are feeding the
baby milk from your breasts. Tell them you breastfed them as a baby too. Using children’s
books to read about breastfeeding will help your child to understand. After a couple of
questions and seeing it happen again and again, the novelty will wear off, and your child (girls
and boys) might even try nursing their own dolls. Below are some great books for reading with
your child.
•
Breastmilk Makes My Tummy Yummy by C. Moen
•
I’m Made of Mama’s Milk by M. Olsen
•
Maggie’s Weaning by M.J. Deutschbein
•
Mama’s Milk / Mama Me Alimenta by M.E. Ross
•
Michelle: The Nursing Toddler – A Story About Sharing Love by J.M. Pinczuk
•
Mommy Breastfeeds My Baby Brother by M. Repkin
•
Near Mama’s Heart by C. Newman
•
The Best Gifts by M.B. Skrypuch
•
We Like to Nurse by C. Martin
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Corrections and suggestions may be sent to [email protected]
New Hampshire Department of Health and Human Services, Division of Public Health Services,
WIC Nutrition Program
For more information call 1-800-WIC-4321
WIC is an equal opportunity provider.
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