Bailey’s
Golden Start
Breastfeeding
Curriculum for
Nursing Students
 Objectives 17:
Providing support in a
variety of settings
 Objectives 18:
Impact of public
health
 Objectives 19:
Evaluation of own
community – discuss
ways to support
breastfeeding where
student works and
lives
Section 7
Section Seven Contents:
 Objectives 17-19
 Topics
Providing support - Role of registered
nurse
Public health programs and their impact
Factors that impact breastfeeding within
different settings
2
Objective 17
 Discuss the role of
the registered
nurse in providing
support to
mothers in a
variety of settings
Image used with permission; Marissa Funkhouser’s
Mom’s Group, Summer 2012.
3
Support to Mother Prenatally
 What can you do as a nurse if
you are working in a clinic seeing
pregnant moms before they
deliver in the hospital?
4
Support to
Inpatient
Families
 What can you
do as a nurse
if you are
working in a
hospital
working with
families who
have just
delivered?
http://wicworks.nal.usda.gov/wicwor
ks/resources/images.html
5
Dads Need Support Too
 Remind
Dad/Partner that
their assistance
with breastfeeding
and the care of
baby is vital.
mage used with permission from Marissa Funkhouser; Baby Addyson
and Daddy, Summer 2012.
6
Support to Mothers and Families
When They are Discharged Home
 Review the following
website:
http://www.co.ottertail.mn.us/publicheal
th/goldenstart/
Image taken by Jennifer DeJong; Brad and Carolyn,
Spring 2008.
7
Objective 18
 Discuss how
public health
programs in
particular
impact
breastfeeding
and
education
8
Public Funding
• Through public funding from the
“Communities Putting Prevention to Work
Initiative,” several states and communities
have expanded their breastfeeding
promotional activities, hired additional staff
(FTEs) and engaged new partners. For
example, funded states and communities
have worked with hospitals to improve
maternity care practices and have provided
guidance to hospitals seeking Baby-Friendly
designation. They have also worked with
employers and child care providers to help
employed women continue to breastfeed.
9
Government Can and Has:
• Promoted maternity care policies and
practices that have increased
breastfeeding rates.
• Tracked hospital policies and practices
that support mothers to be able to
breastfeed.
• Helped hospitals implement The Ten Steps
to Successful Breastfeeding.
10
What is the Role of
the Public Health
Nurse in Promoting
and Protecting
Breastfeeding?
Image used with permission from
http://wicworks.nal.usda.gov/wicwor
ks/resources/images.html
11
12
Public Health Nurses take Action
to Improve or Protect Health
 Interventions are actions that PHNs take on
behalf of individuals, families, systems, and
communities to improve or protect health
status.
13
Nurse-Administered Public Health
Interventions include Breastfeeding
Promotion and Support


Nurse-led health promotion efforts that are perceived as
primarily contributing to quality of life in the short run
include, but are not limited to, breastfeeding support
(Pugh, Milligan, Frick, Spatz, & Bronner, 2002), hypertension
prevention and control (Hill et al., 2003), coronary heart
disease (Allen et al., 2002), obesity and diabetes control
(D'Eramo-Melkus et al., 2004).
All of these examples are nurse administered and are
public health interventions focused on changing health
behaviors, particularly promoting positive health
behaviors, relevant to morbidity.
14
Grow and Glow Breastfeeding
Training for WIC Staff
15
Objective 19
 Evaluate the
factors that
impact
breastfeeding in
your community
and discuss ways
to support
breastfeeding
where you work
and live
16
Image used with permission from http://wicworks.nal.usda.gov/wicworks/resources/images.html
What Impact
does a
Mother’s
Employment
have on
Breastfeeding?
17
What impact do Childcare
Programs have on Breastfeeding?
 Child care providers play an
important role in supporting
employed, breastfeeding
mothers.
 Child care regulations first
appeared on The Breastfeeding
Report Card in 2010.
 States that received optimal
scores were those whose
regulations fully comply with
national standards regarding
breastfeeding, including making
arrangements for a mother to be
able to feed her child on-site.
Image used with permission from
http://wicworks.nal.usda.gov/wicworks/resources/images.html
18
The 5th Goal of Michelle Obama’s
“Let’s Move” Campaign:
 Found at
http://www.healthykidshealthyfuture.org/startearly/thegoal.html
1.
2.
3.
4.
5.
Physical Activity: Provide 1-2 hours of physical activity
throughout the day, including outside play when possible.
Screen Time: None under age 2. For 2 and up, work to limit to 30
minutes/week during child care. Aim for no more than 1-2
hours/day of quality screen time at home.
Food: Try to serve fruits or vegetables at every meal. Eat meals
family-style whenever possible. Avoid serving fried foods.
Beverages: When you can, give water during meals and all day.
Avoid sugary drinks. Two and up, serve low- or non-fat milk and
4-6 ounces max of 100% juice a day.
Infant Feeding: Provide breast milk to infants of mothers who
wish to breastfeed. Welcome mothers to nurse mid-day and
support parents’ decision with infant feeding.
19
Supporting Breastfeeding in Child Care
Programs: The Eager to Learn Program
 Here is an example of how the MN Childcare Resource and Referral is
supporting breastfeeding education for childcare centers. The course is
described as follows:
 This online course will introduce the importance of breastfeeding to children,
mothers, and child care programs. Topics will include benefits of
breastfeeding, risks of not breastfeeding, breastfeeding guidelines, and safe
handling and storage of breast milk.
 Participants will identify ways for child care providers to support breastfeeding
families. Participants will also learn strategies to improve breastfeeding
promotion and support in both home and center-based child care settings.





CDA Content Area 1; Core Competency Area VI;
Meets Parent Aware Training Requirement
Chat Sessions: Tuesdays from 7:00-7:45 p.m. CST.
Cost: 60.00; credit for 12 hours of training
To register go to www.eagertolearn.org
20
What Impact does the Mother’s
Community have on Breastfeeding?
 In Goldade et al.’s (2008) longitudinal qualitative study of 44
low-income, smoking women in the U.S., an issue reported by
more than three-fourths of the sample (79%) was the stigma
of breastfeeding in public. Results showed that despite 36
(82%) of respondents stating that they intended to
breastfeed for an average of eight months, rates of initiation
and duration were much lower than intentions. By six months
postpartum, only two women were breastfeeding
exclusively.
 Authors noted that low-income mothers spent a lot of time in
public places, such as healthcare offices, on public
transportation, and in grocery stores that they frequented
often to buy small purchases that they could carry home
without the use of a car.
21
WIC Infant-Feeding Practices
Study Findings and Results
 In McCann et al.’s (2007) WIC Infant Feeding
Practices Study, which was a one-year longitudinal
national study of WIC participants, 61% of mothers
reported concern about not wanting to breastfeed
in public. One reason for this response from lactating
mothers may be reflected by the national
HealthStyles surveys conducted in 1999 and 2003,
where one-third of the general population agreed
that “mothers who breastfeed should do so in
private places only,” and just under half agreed that
“I am comfortable when mothers breastfeed their
babies near me in a public place, such as a
shopping center, bus station, etc.”
22
Breastfeeding Continues to
be a Hot Topic in the News
 Across The Globe, Men And Women Are Staging
Protests In Order To Get Facebook To Change Its
Policies Against Images Of Breastfeeding.
http://www.youtube.com/watch?v=HIDjgiNOav0
&feature=related
http://www.youtube.com/watch?v=m3NkJSRlWwg
23
Military Moms in the News
 Military Moms
Breastfeed
 Article at
http://shine.yahoo.com/parentin
g/military-moms-breastfeedinguniform-stir-controversey214500503.html;_ylt=Ao5EGKXF5L
fHQ3TNlXItxbGWJvJ_;_ylg=X3oD
MTFiMjR1MWs4BHBzdGFpZAMyN
GU4ZmViMC00ZTQxLTMzNGUtOT
Y5YS01Yzk4Y2E5ZmE2YjE-;_ylv=3
Photo: Brynja Sigurdardottir
24
How Would You Respond Now?
 In 2009, Fairbrother and Stanger-Ross
reported their findings of an experimental
design that assessed the knowledge,
attitudes, and infant feeding intentions of
Canadian, female undergraduate students
(n = 285). Surveys were randomly distributed
to students. One version contained a
snapshot of a woman breastfeeding an
infant (n = 131) and the other a woman
bottle feeding (n = 154).
25
Undergraduate Student Results
 Although findings indicated that the majority of the
respondents had themselves been breastfed (84%)
and they intended to breastfeed their own infants
(97%), and that participants reported more positive
attitudes toward the photographs of the
breastfeeding woman when compared to the
bottle feeding visual depiction, they expressed less
positive views of the woman who breastfed in public
compared with the woman who bottle fed in public.
 So, I ask: How has this education changed you?
 If you were in the study above, how would you react
today, following this training?
26
Questions/Comments?
 Before you leave today, take a
moment to write a 1-minute reflection
of what you’ve learned.
 What is your Take-Home?
27
End of:
 Objectives 17: Providing
support in a variety of
settings
 Objectives 18: Impact of
public health
 Objectives 19: Evaluation
of own community –
discuss ways to support
breastfeeding where
student works and lives
Next:
References
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