Thank hank y you ou Minnesota Department of Health (MDH) WIC Program MDH Office of Statewide Health Improvement Initiatives Dakota County Public Health Crow River Area Breastfeeding Coalition
Welco come Kathy Nowack Director Public Health Nursing Service McLeod County Kermit Terlinden County Commissioner McLeod County
Hom ome v visit isiting ing nu nurses ses p prog ogram to t prom omote ex exclu clusiv sive b brea east stfe feeding ing - 1919 ▪ Encouraged 1:1 help ▪ Significant increase in breastfeeding initiation & duration ▪ 20% decrease in infant mortality Dr. Julius Parker Sedgwick Chair, Department of Pediatrics University of Minnesota, 1912 Photo Courtesy of University of Minnesota Archives Wolf, J. American Journal of Public Health. December 2003, Vol 93, No. 12: 2000-2010.
“breastfeed eastfeeding ing . . . . . . a publi ublic heal ealth th issu issue and and not not onl only a lifesty ifestyle ch choice” oice” 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. AAP 2012 Breastfeeding Policy Statement: PEDIATRICS Volume 129, Number 3, March 2012 e827
Exces cess Hea ealt lth Ris isks Associated wi with No Not Brea eastfeeding (%) (%) 300 257 250 200 178 138 150 100 100 67 64 56 47 35 32 50 27 23 18 4 0 Adapted from Surgeon General’s Call to Action to Support Breastfeeding, 2011 http://www.surgeongeneral.gov/topics/breastfeeding/
Breastfeed eastfeedin ing Rates tes in in Minnesota Minnesota CDC Breastfeeding Report Card, 2013 90 81.9 80 76.5 73.5 70 60.6 60 49 49 47.2 50 46.2 37.7 40 34.1 30 27 25.5 23.5 23.1 20 16.4 10 0 Ever BF BF 6 mos BF 12 mos Exclusive 3mos Exclusive 6 mos US MN HP2020 National Immunization Survey, Provisional Data, 2010 births
Breastfeed eastfeedin ing Initia Initiation tion b by Race/ ace/Eth thnicity nicity in in Minnesota ta WI WIC 100% 90% 80% Healthy People 2020 Americ ican In India ian N NH 70% Healthy People 2010 Asia ian N NH 60% Black ck/ A Africa can-A n-Amer erica can N n NH 50% White N NH Multiple R e Races ces N NH 40% His ispanic 30% 20% 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 http:// www.health.state.mn.us/divs/fh/wic/statistics/bfheet0312.pdf
Bar Barrie iers to to Br Breastfe tfeeding ng in in US • Lack of Knowledge • Social Norms • Poor Family and Social Support • Embarrassment • Lactation Problems • Employment and Child Care • Barriers Related to Health Services The Surgeon General’s Call to Action to Support Breastfeeding, 2011
Wh What Can an B Brea east stfee feedin ing C Coali oalition ons Do? D o? Public Health Mothers & Families Infrastructure Research & Communities Surveillance Employment Health Care US Surgeon General’s Call to Action to Support Breastfeeding: Executive Summary
Ch Chang nging the Env nvir ironme nment to Make Ma ke Cultural Aspects of Ten Steps for Breastfeeding Breas astfeeding ing Easie ier Breastfeeding in MN Friendly Public Health American Indian Tribes Departments Postpartum Follow-up Commons Health & Community Hospital Connections Challenge Northeast MN SHIP Breastfeeding ECHO Videos & Medications: A Pharmacist’s Perspective Golden Start Breastfeedi Lactation Breastfeeding Nursing ng Rooms at U of Initiative Curriculum Strategies M – SHIP 3
Where we are now . . .
Where we want to be . . .
http://www.bfmedneo.com/BreastMassageVideo.as px
Teach Me How to Breastfeed http://www.youtube.com/watch?v=YvvPpa3qb8o
Update
Vision Breastfeeding: Healthy Babies, Healthy Families, Healthy Communities Mission Working collaboratively to create an environment in Minnesota where breastfeeding is recognized and supported as vital to the health and development of children and families.
Purpose • work collaboratively to increase the initiation, duration, and exclusivity of breastfeeding in Minnesota • promote public awareness and support for breastfeeding as the cultural norm • increase awareness of and compliance with the WHO Code • develop networks for sharing information among groups concerned about improving the health of mothers and babies through breastfeeding • serve as a resource for health care professionals and the general public through dissemination of information and materials on breastfeeding topics • encourage the development of local breastfeeding coalitions • raise charitable funds for the above • engage in such other activities as are consistent with the foregoing
Minnes Minnesota Loca cal Brea eastfeeding ng Co Coali litions ns as s of of Sep eptemb tember er 201 2013 Bec Becker C County ty Coalition Coa on • Believe vers i in Breastf tfeeding ( (Douglas C Coun unty Hennepi pin C Coun unty • • Breastf tfeeding Coaliti C tion) Hubb bbard Cou County • Blue ue Ea Earth th Coun C unty Kan Kandiyohi C County ty • • Breastf tfeeding C Coaliti tion o of Rich Richland a and nd Wilk W ilkin in C Count nties Li Lincoln / Ly / Lyon on / Mu / Murray / Pipeston / one Counties Cou • • Carve ver-Scott B Breastf tfeeding Coaliti tion Mowe Mower Cou County • • Ca Cass Cou County Nort North Ce Central B Breastfe feeding Ne Networ work (A (Ait itkin, Crow Cr ow Wi Wing, • • Cent ntral M Minn innesota Breast B stfeeding Coalit litio ion (Sh Sherbu rburn rne, , Morrison Morr on, Tod T odd, and a Wadena Wa Counties) Cou • Ano noka, Mille M ille Lacs cs, Wright, S Ste tearns, an and Ben Benton Northland Nort Breastfe B feeding Coalition Coa on (S (St. L Louis s a and • Coun unti ties) Carlton Ca on Cou Counties i in MN MN and Dou Douglas Cou County i in WI WI) Cook Cook County Cou Ma Maternal Ch Child Health H Grou Gr oup Olmst lmsted A Area Breast stfeeding Coalit C litio ion • • Crow Riv River Area A Breastfeedin B ing C Coali lition (inclu (inc ludes Pol olk Cou County • • McLeod, M Meeke ker, a and Sibley S Coun unties) Ramsey County Cou • Dakota Da County Cou Renvi ville C Coun unty Breastf tfeeding & & Health thy F Families Task • • Eas ast C Cen entr tral Br Breastfeeding Coa Coalition on (Ch ( Chisago, K , Kanabec, , Force Fo ce • Isa Isanti, i, a and nd P Pine ine Coun unties) Todd dd W Wadena na Healthy H Connect ctions ns • Farg rgo-Mo Moorh rhead Area A B Breastfe feeding A Associa iation (Clay Washi hington Coun unty ty B Breastf tfeeding C Coaliti tion • • County Cou in i MN MN and Cass Ca Cou County in ND ND) Wino inona Count C nty • Fo Fond nd d du Lac Re Rese servation Breastfeedin B ing T Task Fo Force • Freebo born rn Cou County • Goodhue ue W Wabasha ha P Pierce C Coun unty ty Breastfeeding B •
Growth of breastfeeding coalitions in Minnesota Nu Number mber of f Number Nu mber of f Coalitio ions ns Cou Counties es 2008 25 35 2009 25 35 2010 24 35 2011 27 40 2012 29 44 2013 29 55
201 2013 Minnes Minnesota Brea eastfeeding ng Coali Co lition Memb Membership Brea Br eastfeed eding Organi nization ( (voting ng member) r) Associ ciate Organiz nizatio ion (non-votin ing member) m r) Believers in Breastfeeding (Douglas County Anoka County Community Health & Environmental Breastfeeding Coalition) Services – Family Home Visiting/Public Carver-Scott Breastfeeding Coalition Health Central Minnesota Breastfeeding Coalition Clay County Public Health Crow River Area Breastfeeding Coalition Essentia Health – Deer River Dakota County Public Health Department Fairview Health Services East Central Minnesota Breastfeeding Coalition Isanti County WIC Program Goodhue County Breastfeeding Coalition Otter Tail County Public Health Hennepin County Breastfeeding Coalition Minnesota WIC Program La Leche League of Minnesota and the Dakotas Todd Wadena Healthy Connections Northland Breastfeeding Coalition Olmsted Area Breastfeeding Coalition Corpo rporate P Part rtner ( (no non-votin ing m member) Polk County Coalition Renville County Breastfeeding & Healthy Families Task Force Washington County Breastfeeding Coalition
Become a member organization http://www.mnbreastfeedingcoalition.org
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