1. Supporting Breastfeeding Families A Guide for Early Care Providers Trainer Name Date of Training

2. Consortium for Infant and Child Health (CINCH) Eastern Virginia Medical School (EVMS) John Rex Endowment W.K. Kellogg Foundation Project Support

3. Introductions Your name, center, and your job at the center What is something you already know about breastfeeding? What would you like to take away from this training?

4. Learning Objectives By the end of the session, participants will be able to: Explore and reflect on own feelings and knowledge about breastfeeding. (Activity 1) Identify benefits and risks of breastfeeding and formula use (Activity 2) Identify barriers to breastfeeding in the child care setting. (Activity 3) Identify child care provider’s role in reducing those barriers. (Activity 3) Use breastfeeding resource materials to gain knowledge and answer questions (Activities 4-5)

5. What do I think and feel about breastfeeding? Activity #1:

6. Agree or Disagree? Breastfeeding makes babies healthier.

7. Agree or Disagree? I feel comfortable handling human milk.

8. Agree or Disagree? Formula is basically as good for babies as breastfeeding.

9. Agree or Disagree? Supporting breastfeeding is part of my job.

10. Agree or Disagree? I can have an impact on how parents in my center feed their children.

11. Agree or Disagree? Breastfeeding is something that should be done in private.

12. Agree or Disagree? If I had another child, I would probably breastfeed.

13. Agree or Disagree? Talking about breastfeeding makes mothers feel guilty.

15. Material borders are color-coded according to their use: For breastfeeding families For all families For center use

16. What do I know about breastfeeding? Activity #2:

17. True or False? Feeding a baby formula instead of mother’s milk increases the chances that the baby will get sick.

18. True or False? If a child is not breastfed, he is more likely to get ear infections.

19. True or False? If a child is not breastfed, she is more likely to get diarrhea.

20. True or False? If a child is not breastfed, he is more likely to die of SIDS.

21. True or False? If a child is not breastfed, she is more likely to become overweight.

22. True or False? Infant formula is missing many of the components in human milk.

23. True or False? The longer a mother breastfeeds, the better it is for her health.

24. True or False? Babies should never be given cereal in a bottle.

25. True or False? Human milk is not a biohazardous substance.

26. True or False? Babies should breastfeed for at least one year.

27. True or False? Babies should be exclusively breastfed (no formula or solid food) for the first six months of life.

28. True or False? Babies should not be fed on a strict schedule.

29. Answers: All statements are TRUE.

30. Breastfed Babies are Healthier Less likely to have diarrhea or pneumonia. Fewer ear infections. Less chance of SIDS. Less chance of diabetes. Less likely to become overweight children.

31. Breastfeeding Mothers are Healthier Lowered risk of Type II diabetes. Lowered risk of breast and ovarian cancer. Lowered risk of rheumatoid arthritis. Lowered risk of heart disease. The longer and more exclusively a woman breastfeeds, the lower her risks.

32. Mother’s milk is best for babies Mother’s milk has many components that cannot be duplicated in formula. Even if a mother’s diet is poor, her milk is still perfect for her baby.

33. Exclusive Breastfeeding for Six Months “Exclusive Breastfeeding” = no formula or solid foods Doctors recommend this for the first six months. Babies grow better and are healthier.

34. Don’t feed cereal in a bottle Breastfed babies do not need solid food before six months. Early solids can upset tummies. Cereal in a bottle is bad for teeth. Early solids can replace milk, which should still be the main source of food.

35. Feed babies in response to their hunger cues Doctors recommend that all babies be fed when they are hungry, rather than on a schedule. Watch the baby, not the clock! Young babies may eat only 2-3 ounces of milk at a feeding. We want babies to learn that when they are hungry, they eat, and then they are full. Scheduled feeding disrupts this learning.

36. Human milk is FOOD You do NOT need to store human milk in a separate refrigerator. You do NOT need to wear gloves to give a bottle of human milk or formula. Contact with human milk is NOT a hazardous exposure. for handling body fluids.

37. Does Handling Human Milk Make You Nervous? for handling body fluids.

39. How much is enough? Doctors recommend breastfeeding for AT LEAST one year. After that, for as long as mother and baby wish (American Academy of Pediatrics) Some mothers may continue to bring expressed milk after their child’s 1st or 2 nd birthday.

45. What’s happening in our center right now? Activity #3:

46. Work in Groups of 3-4 List challenges faced by breastfeeding mothers/families. What is your center already doing to help address these challenges? Brainstorm other ideas for supporting breastfeeding families What resources would help you provide support?

52. Feeding Plan Role Play Activity #4:

53. What is the purpose of a feeding plan?

55. Review And Wrap-Up Activity #5: