Compiled by: Sarah DeCato, MSN, RN, CLC 6/2/20121

Collaborators: Maine Roads to Quality & The 2012 State of Maine Breastfeeding Stakeholder’s Committee 4/10/122

Breastfeeding….I know it’s important, but why? 4/10/123

What does childcare have to do with “it”? 4/10/124

Our Nations Youth 4/10/125

Source: WIC, California Dept. of Health and Human Services 4/10/126

Benefits for Child Decreased risk of obesity Decreased risk of asthma Decreased incidence of insulin and non-insulin dependent diabetes mellitus Decreased infant mortality rates by 21% Decreased incidence of infectious disease Decreased risk of Sudden Infant Death Syndrome (SIDS) Source: AAP. Breastfeeding and the use of Human Milk, 2005 Policy Statement. 4/10/127

Preventing SIDS 4/10/128

Benefits for Mom Costs less than non-natural feeding options Decreased postpartum bleeding Early return to pre-pregnancy weight Decreased risk of breast cancer Decreased risk of ovarian cancer Possible decrease risk of osteoporosis in postmenopausal period Source: AAP. Breastfeeding and the use of Human Milk, 2005 Policy Statement. 4/10/129

Benefits to Society Decreased annual health care costs Decreased tax dollars spent on health care programs Decreased parental employee absenteeism and associated loss of family income Increased attention to family as a whole due to decreased infant illness Source: AAP. Breastfeeding and the use of Human Milk, 2005 Policy Statement. 4/10/1210

Environmental benefits “Breastmilk may look white but actually it’s as green as can be.” Dia L. Michels Mother Nature Loves Breastmilk 4/10/1211

Breastfeeding recommendations Exclusive breastfeeding first 6months Continued breastfeeding to 1year and beyond 4/10/1212

Healthy People 2020 Targets Ever breastfed 6 month duration 12 month duration 3 month exclusive 6 month exclusive Source: U.S. Department of Health and Human Services; Healthy People /10/1213

Healthy People 2020 TargetsCurrent Rates10 year National Goal Ever breastfed73.9%81.9% 6 month duration43.4%60.5% 12 month duration22.7%34.1% 3 month exclusive33.1%44.3% 6 month exclusive13.6%23.7% Source: U.S. Department of Health and Human Services; Healthy People /10/1214

Births at Baby Friendly Hospitals 2011 Sources: Baby-Friendly facilities : Live Births: CDC NCHS 2009 Live Births by Statewww.babyfriendlyusa.org 4/10/1215

CDC Breastfeeding Report Card Percent of live births occurring at Baby Friendly Facilities Percent of breastfed infants receiving formula before 2 days of age State child care center regulation supports lactation *** Number of state health department FTEs** dedicated to breastfeeding Number of IBCLCs* per 1,000 live births U.S. National Maine Not optimal Source: Breastfeeding Report Card 2011, United States: Process Indicators * IBCLC - International Board Certified Lactation Consultant. **FTE - Full-Time Equivalent. ***Based on the PCO/CFOC IA1 standard 4/10/1216

Attachment and bonding 4/10/1217

Creating healthier children 4/10/1218

4/10/1219

Getting started  Breastfeeding education  Breastfeeding environment  Breastfeeding policy 4/10/1220

References American Academy of Pediatrics, American Public Health Association, & National Resource Center for Health and Safety in Child Care (2011). Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of- Home Child Care, 3 nd Ed. Chicago, IL: American Academy of Pediatrics; American Public Health Association. American Academy of Pediatrics (2011). SIDS and other sleep-related infant deaths: Expansion of recommendations for a safe infant sleeping environment. Pediatrics, DOI: /peds American Academy of Pediatrics (2005). Breastfeeding and the use of human milk; Policy statement. Pediatrics, 115(2), pp Baby friendly hospital initative, U.S.A. Retrieved from California Dept. of Health and Human Services, WIC. Retrieved from Centers for Disease Control and Prevention. Breastfeeding Report Card- United States Retrieved from Derbyshire, D. (2008) Breastfeeding does help mother’s bond with babies-because it releases the ‘love’ hormone. Retrieved from releases-love-hormone.htmlhttp:// releases-love-hormone.html Nemours. Let’s Move! Childcare. Retrieved from Maine Center for Disease Control and Prevention; Department of Health and Human Services; Division of Local Public Health. Maine workplaces support nursing moms. Retrieved from health/wic/families/bf-workplace.shtmlhttp:// health/wic/families/bf-workplace.shtml 4/10/1221

References cont. Michels, D. (1998). Mother nature loves breastmilk. Retrieved from United States Breastfeeding Committee. Breastfeeding and child care. Retrieved from U.S. Department of Health and Human Services. Healthy People Wisconsin Nutrition, Physical Activity, and Obesity Program. Ten steps to breastfeeding friendly childcare centers; A resource kit. Retrieved from 4/10/1222