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

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

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

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

6. Our Nations Youth 4/10/125

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

8. 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

9. Preventing SIDS 4/10/128

10. 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

11. 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

12. 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

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

14. 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 2020 4/10/1213

15. 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 2020 4/10/1214

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

17. 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 4.5324.56125.062.67 Maine19.4118.9Not optimal 1.005.64 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

18. Attachment and bonding 4/10/1217

19. Creating healthier children 4/10/1218

20. 4/10/1219

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

22. 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: 10.1542/peds. 2011-2284. American Academy of Pediatrics (2005). Breastfeeding and the use of human milk; Policy statement. Pediatrics, 115(2), pp 496-506. http://www.aap.orghttp://www.aap.org Baby friendly hospital initative, U.S.A. Retrieved from http://www.babyfriendlyusa.org/eng/index.htmlhttp://www.babyfriendlyusa.org/eng/index.html California Dept. of Health and Human Services, WIC. Retrieved from http://www.cdph.ca.gov/programs/wicworks/pages/default.aspx http://www.cdph.ca.gov/programs/wicworks/pages/default.aspx Centers for Disease Control and Prevention. Breastfeeding Report Card- United States. 2011. Retrieved from http://www.cdc.gov/breastfeeding/data/reportcard.htm http://www.cdc.gov/breastfeeding/data/reportcard.htm Derbyshire, D. (2008) Breastfeeding does help mother’s bond with babies-because it releases the ‘love’ hormone. Retrieved from http://www.dailymail.co.uk/health/article-1036151/Breast-feeding-DOES-help-mothers-bond-babies-- releases-love-hormone.htmlhttp://www.dailymail.co.uk/health/article-1036151/Breast-feeding-DOES-help-mothers-bond-babies-- releases-love-hormone.html Nemours. Let’s Move! Childcare. Retrieved from http://healthykidshealthyfuture.org/welcome.htmlhttp://healthykidshealthyfuture.org/welcome.html 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 http://www.maine.gov/dhhs/mecdc/local-public- health/wic/families/bf-workplace.shtmlhttp://www.maine.gov/dhhs/mecdc/local-public- health/wic/families/bf-workplace.shtml 4/10/1221

23. References cont. Michels, D. (1998). Mother nature loves breastmilk. Retrieved from http://www.breastfeeding.com/reading_room/mother_nature.html http://www.breastfeeding.com/reading_room/mother_nature.html United States Breastfeeding Committee. Breastfeeding and child care. Retrieved from http://www.usbreastfeeding.org/Employment/ChildCareFacilities/tabid/107/Default.aspx U.S. Department of Health and Human Services. Healthy People 2020. http://www.healthypeople.gov/2020/default.aspx Wisconsin Nutrition, Physical Activity, and Obesity Program. Ten steps to breastfeeding friendly childcare centers; A resource kit. Retrieved from http://www.dhs.wisconsin.gov/health/physicalactivity/pdf_files/BreastfeedingFriendlyChildCareCenters.pdf http://www.dhs.wisconsin.gov/health/physicalactivity/pdf_files/BreastfeedingFriendlyChildCareCenters.pdf 4/10/1222