Baby Friendly Initiative Conference Programme 2016€¦ · 11:45 What’s new in postpartum depression research: A 2016 review Dr Kathleen Kendall-Tackett, PhD, IBCLC, FAPA 12:45

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UNICEF UK BABY FRIENDLY INITIATIVE ANNUAL CONFERENCE 2016

UNICEF UK BABY FRIENDLY INITIATIVE ANNUAL CONFERENCE3–4 November 2016 Birmingham International Convention Centre (ICC)

THE BABYFRIENDLYINITIATIVE

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UNICEF UK BABY FRIENDLY INITIATIVE ANNUAL CONFERENCE 2016UNICEF UK BABY FRIENDLY INITIATIVE ANNUAL CONFERENCE 2016

WELCOME 3

CONFERENCE TIMETABLE 4

SPEAKER BIOGRAPHIES 5

CHAIR BIOGRAPHIES 7

DAY 1 ABSTRACTS 8

DAY 2 ABSTRACTS 10

NEW RESOURCES 12

TRAINING COURSES 13

ABOUT UNICEF 14

EXHIBITOR PROFILES 15

NOTES 21

CONFERENCE INFORMATION 23

FLOOR PLAN BACK COVER

EXHIBITOR LIST BACK COVER

For further information on the Baby Friendly Initiative

Phone 020 7375 6144Email [email protected] babyfriendly.org.ukTwitter @babyfriendly

OVERVIEW OF THE NEW ACHIEVING SUSTAINABILITY STANDARDS CONTENTS

Dear all,

Thank you so much for joining us at our conference this year and for your support over the last 12 months. From signing up to our Call to Action campaign, to progressing on your journey towards accreditation, you’ve all played a part in improving the care of babies, their mothers and families, and in creating an environment in which breastfeeding and responsive relationships between parents and babies are welcomed and normalised.

We have a brilliant range of speakers and exhibitors for you this year, bringing you the latest research and debates around supporting infant feeding, developing loving parent-infant relationships and ensuring best outcomes for babies. We hope you find them entertaining, informative and thought-provoking.

We’re also showcasing examples of best practice and innovation with our poster presentations in the main foyer.

Over the past year many facilities have moved forward in their transition towards implementing new, more holistic Baby Friendly standards, which put babies’ physical and emotional well-being right at the heart of services. A key aspect of this new phase has focused on improving care for the most vulnerable babies, and we were delighted to award the first UK neonatal unit with full Baby Friendly accreditation earlier this year. During the conference we’ll be looking to the future by sharing our new Achieving Sustainability standards, designed to support implementation of Baby Friendly practices in the long term and ensure that this high quality, child rights-based care can be maintained over time.

We hope you enjoy the next two days and leave us feeling entertained and inspired.

Turn to page 12 to find out about the new Achieving Sustainability guidance document

Sue Ashmore, Programme Director, Unicef UK’s Baby Friendly Initiative

WELCOME

THEME 1: LEADERSHIP

There is a named Baby Friendly lead/team with sufficient knowledge, skills and hours to meet their objectives

There is a mechanism for the Baby Friendly lead/team to remain up-to-date with their education and skills

A Baby Friendly Guardian with sufficient seniority and engagement is in post

The leadership structures support proportionate responsibility and accountability

All relevant managers are educated to support the maintenance of the standards.

THEME 2: CULTURE

There is support for ongoing staff learning

There are mechanisms in place to support a positive culture, such as staff recognition schemes, mechanisms for staff to feedback concerns and systems to enable parents’ and families’ feedback to be heard and acted upon.

THEME 3: MONITORING

Mechanisms exist to ensure that:

Baby Friendly audits are carried out regularly according to service needs

All relevant data is available and is accessed

Data is analysed effectively and collectively to give an overall picture

Action plans are developed in response to findings

Relevant data is routinely reported to the leadership team

Relevant data is routinely reported to Unicef UK.

THEME 4: PROGRESSION

There is evidence to demonstrate that the service is responsive to change

There is evidence to demonstrate that outcomes have improved

The needs of babies, their mothers and families are met through effective integrated working.

DEVELOP A LEADERSHIP TEAM THAT PROMOTES THE BABY FRIENDLY STANDARDS

FOSTER AN ORGANISATIONAL CULTURE THAT PROTECTS THE BABY FRIENDLY STANDARDS

CONSTRUCT ROBUST MONITORING PROCESSES TO SUPPORT THE BABY FRIENDLY STANDARDS

CONTINUE TO DEVELOP THE SERVICE IN ORDER TO SUSTAIN THE BABY FRIENDLY STANDARDS

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DAY 1 Sue Ashmore is Programme Director of Unicef UK’s Baby Friendly Initiative. With a background in midwifery, Sue has directed the Baby Friendly Initiative on a strategic level for 10 years, introducing new standards to ensure that babies’ physical and emotional well-being is at the heart of the programme. Sue leads on external and internal relations and supports facilities with implementing and maintaining the standards.

Dr Nigel Rollins joined the Department of Maternal, Newborn, Child and Adolescent Health at WHO in July 2008. He trained as a paediatrician in Belfast, Northern Ireland, and his work focuses on interventions to improve child survival, growth and development. This includes implementation research to improve coverage and quality of care and also the prevention of mother-to-child transmission of HIV and infant feeding. Prior to joining WHO, Dr Rollins was professor and head of the Centre for Maternal and Child Health at the University of KwaZulu-Natal (UKZN), Durban, South Africa, where he lived and worked for 14 years.

Dr Kathleen Kendall-Tackett is a health psychologist and International Board Certified Lactation Consultant, and the owner and Editor-in-Chief of Praeclarus Press, a small press specialising in women’s health. Dr Kendall-Tackett is also Editor-in-Chief of two peer-reviewed journals: Clinical Lactation and Psychological Trauma. She is Fellow of the American Psychological Association in Health and Trauma Psychology, past President of the APA Division of Trauma Psychology, and a member of the Board for the Advancement of Psychology in the Public Interest. Dr Kendall-Tackett specialises in women’s-health research including breastfeeding, depression, trauma, and health psychology, and has won many awards for her work including the 2016 Outstanding Service to the Field of Trauma Psychology from the American Psychological Association’s Division 56. Dr Kendall-Tackett is currently completing her 35th book, The Phantom of the Opera: A Social History of the World’s Most Popular Musical.

Jane Dickens is a health visitor and Parent Infant Mental Health Champion for Bradford District Care Trust. During her 10 years’ experience as a specialist breastfeeding midwife at Calderdale’s Baby Café, Jane and her team modelled compassionate ways of working to support the women who accessed the service. Over this time she became very aware of the importance of the mother-infant relationship, as well as the influence of the mother’s key relationships on her well-being and parenting. She decided to explore the parent-infant relationship further; now, in her health visiting role, she works closely with the Perinatal Mental Health Lead to develop exciting new ways of working with health professionals and families, with the parent-infant relationship being held at the heart of service provision.

Anne Woods is a Deputy Programme Director of Unicef UK’s Baby Friendly Initiative. She is responsible for managing the assessment procedure and providing support for healthcare facilities implementing and maintaining the Baby Friendly standards. Anne also works as a lead assessor and facilitator of the various courses that Baby Friendly provides. She has been heavily involved in the recent review of the Baby Friendly standards. With a background in midwifery spanning more than 20 years, Anne has a wealth of experience in all aspects of midwifery, including as an infant feeding coordinator, supervisor and practice educator.

Jacky Syme is the Service Development Lead for 0-19 services in Bedfordshire, with a role to implement the Healthy Child Programme. She started out as a midwife over 30 years ago, where her passion for supporting breastfeeding started. As a health visitor for the last 20 years she became the Baby Friendly coordinator for Bedfordshire Community Services and set about making breastfeeding everybody’s business in Bedfordshire. In 2013 the health visitors of Bedfordshire, with support from the children’s centres, were accredited as Baby Friendly and reaccredited in 2015. Jacky is proud to be the National Infant Feeding Network (NIFN) Lead for the East of England and became a fellow of the Institute of Health Visiting in 2014 for her work implementing the Baby Friendly standards and supporting change management across the service.

Laura Abbott is a Senior Lecturer in Midwifery at The University of Hertfordshire and leads on a number of post graduate and undergraduate modules, including complex social issues and perinatal mental health. Laura is undertaking a professional doctorate entitled The Incarcerated Pregnancy, researching the experiences of women who are pregnant in prison. Laura’s year-long fieldwork has included observations and interviews in three female prisons in England. Laura received the Jean Davies award in 2014 from The Iolanthe Midwifery Trust for her work with vulnerable women and she volunteers for the charity Birth Companions, supporting women in prison. With Birth Companions she co-authored The Birth Charter for pregnant women in England

CONFERENCE TIMETABLE SPEAKER BIOGRAPHIES

For the second year running we are hosting poster presentations at the conference. These have been selected to showcase exciting and innovative examples of improving care for mothers and babies from across the UK. Please visit the posters in the main foyer during break times. For full details, see the insert in your delegate bag.

DAY 1: Thursday 3 NovemberChair: Morning: Linda Wolfson, Maternal and Infant Nutrition Coordinator, Scottish Government

Afternoon: Karen Thompson, Consultant in Public Health, Public Health Wales

9:30 Update and overview Sue Ashmore, Programme Director, Unicef UK Baby Friendly Initiative

10:15 The impact of breastfeeding on maternal and child health in the 21st century: The Lancet breastfeeding series Dr Nigel Rollins, Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization (WHO)

11.00 Break

11:45 What’s new in postpartum depression research: A 2016 review Dr Kathleen Kendall-Tackett, PhD, IBCLC, FAPA

12:45 Bradford’s revolution: Bringing the evidence of parent-infant relationship research to the people who matter: The story of the parent-infant relationship resource cards Jane Dickens, Health Visitor / Parent Infant Mental Health Champion, Bradford District Care Trust

1:15 Lunch

2:30 Achieving Sustainability Anne Woods, Deputy Programme Director, Unicef UK Baby Friendly Initiative

3:15 Antenatal conversations – the journey to reaccreditation Jacky Syme, South Essex Partnership NHS Foundation Trust (SEPT) Community Services

3:45 Break

4:30 Having a baby in prison: Women’s need to love, care for and breastfeed their baby Laura Abbott, Senior Lecturer in Midwifery, University of Hertfordshire

5:00 A reading from her new book Nobody Told Me: Poetry and Parenthood Hollie McNish

5:30 End of day one and drinks reception

DAY 2: Friday 4 NovemberChair: Morning: Alison Burton, National Lead for Maternity and Early Years in Public Health England

Afternoon: Janet Calvert, Health and Social Wellbeing Improvement Manager, Public Health Agency Northern Ireland

9:30 The neuropsychological effects of sleep training and its implications for breastfeeding Dr Kathleen Kendall-Tackett, Ph.D, IBCLC

10:30 Break

11:15 Examining psychological, social and cultural barriers to responsive breastfeeding: Who really decides how women feed their babies and what can we do about it? Dr Amy Brown, Associate Professor Child Public Health, Swansea University

12:00 Reducing avoidable term neonatal admissions: Keeping babies and mothers together Dr Sanjeev Deshpande, Consultant Neonatologist, Shrewsbury & Telford Hospital NHS Trust

12:45 Lunch

2:00 The Baby Friendly Neonatal Standards – a Consultant Neonatologist perspective Dr Laura De Rooy, Consultant Neonatologist, St George’s University Hospitals NHS Foundation Trust

2:45 Scientific and factual? Challenging information provided to health professionals by the breastmilk substitute industry Dr Helen Crawley, Director, First Steps Nutrition Trust

3.45 Closing remarks Sue Ashmore, Programme Director, Unicef UK Baby Friendly Initiative

4:00 End of conference

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and Wales, which was published in May 2016. Laura has presented her research nationally and internationally to a multi-disciplinary audience and has written a number of publications.

Hollie McNish is a UK poet who straddles the boundaries between the literary, poetic and pop scenes. Her poem Embarrassed, about women’s experiences of breastfeeding, has had more than 1 million views on YouTube and was tweeted to fans by the singer Pink. Her album Versus was released in October 2014, recorded at Abbey Road Studios, London. Her second collection of poems, Cherry Pie, was released by Burning Eye Books in 2015 and her latest collection of diaries and poems on parenthood, Nobody Told Me, was published in February 2016 by Blackfriars, to five-star reviews. The Scotsman stated, “the world needs this book”.

DAY 2

Dr Kathleen Kendall-TackettKathleen spoke on Day 1 – see page 5.

Dr Amy Brown is an Associate Professor in Child Public Health at Swansea University where she leads the MSc in Child Public Health. With a background in psychology, her research explores the issue of why, despite few physiological impediments to breastfeeding, significant numbers of new mothers who express a desire to breastfeed stop doing so in the early days and weeks, often because they feel they did not have enough milk or were unable to breastfeed. Dr Brown seeks to understand from a psychosocial perspective why this may be happening. In the long term Dr Brown seeks to explore how the importance of responsive feeding can be promoted, and how women can be enabled to overcome challenges to responsive feeding.

Dr Sanjeev Deshpande has been a Consultant Neonatologist at Shrewsbury and Telford Hospital NHS Trust for over 20 years. His research interests include neonatal metabolic adaptation, neonatal hypoglycaemia and neonatal nutrition. He has published many research papers in these and other neonatal domains. He is also Honorary Treasurer of the British Association of Perinatal Medicine (BAPM), and is closely involved with many policy decisions in neonatal medicine. He is keenly interested in enhancing breastfeeding support for premature and sick babies, and his team has achieved very high rates locally.

Dr Laura De Rooy is a Consultant Neonatologist at St George’s Hospital in London. She has worked there since 2003. She has always been interested in neonatal nutrition, specifically in the impact of human milk and breastfeeding on hypoglycaemia in the newborn. She worked on the Diabetes in Pregnancy Confidential Enquiry as a member of the neonatal enquiry steering group (2007), and also as a member of the consensus standards group for the Centre for Maternal and Child Enquiries (CMACE) and Royal College of Obstetricians and Gynaecologists (RCOG)’s joint guideline: Management of Women with Obesity in Pregnancy (2010). She recently obtained her MSc in Clinical Nutrition from the University of Roehampton (2015). She is passionate about minimising mother-baby separation on the neonatal unit, and is locally known as the ’breastfeeding bossy boots’.

Dr Helen Crawley is a registered public health nutritionist and dietitian with over 30 years’ experience in human nutrition, research, policy development and teaching. Helen is currently Director of the public health nutrition charity First Steps Nutrition Trust, and is Honorary Research Fellow at the Centre for Food Policy, City University. First Steps Nutrition Trust is an independent charity that provides expert, evidence-based resources on nutrition from pre-conception to five years, as well as resources for those working in Unicef UK Baby Friendly accredited settings. Helen recently sat on a WHO group defining inappropriate marketing of foods for infants and children, she lobbies at CODEX (where international food standards are set) for better standards for foods for infants and children worldwide, and has been on National Institute for Health and Care Excellence (NICE) panels on maternal and child nutrition and Healthy Start vitamins in the UK.

DAY 1 Morning: Linda Wolfson

Linda works part-time for the Scottish Government to re-focus and coordinate the implementation of its Maternal and Infant Nutrition Framework. This includes a number of work streams including preconception, folic acid, vitamin D and Healthy Start, pregnancy and infant and child nutrition. Two of her main areas are improving Scottish mothers’ breastfeeding experiences and outcomes and managing the Scottish Infant Feeding Survey. She is the Scottish Government observer on the Scientific Advisory Committee on Nutrition (SACN) / Sub-group on Maternal and Child Nutrition (SMCN) and sits on the Unicef UK Designation Committee.

She is also NHS Greater Glasgow and Clyde Health Board Lead in Maternal and Infant Nutrition. Linda became involved with implementing Unicef UK’s Baby Friendly maternity standards from 1997 and then, as Health Board Lead, supported six maternity units and 10 Community Health Partnerships to achieve and maintain Baby Friendly accreditation. She is now supporting the infant feeding advisors who have now achieved Stage 2 in four neonatal units. She has also influenced and supported the development of the Scotland-wide donor milk bank. She is still a practicing midwife and infant feeding advisor and supports women at breastfeeding and frenotomy clinics.

Afternoon: Karen Thompson

Karen comes from a nursing background. Following nurse training at Guy’s Hospital in London she took on roles in community and primary care, including District Nursing Sister and Breast Cancer Nurse Specialist. While working in the community, Karen developed a keen interest in population health and prevention. As part of her role in breast cancer care she undertook a Masters in Health Promotion and Health Education, which presented an opportunity to move out of the clinical arena and work as a Senior Health Promotion Specialist. This ultimately led to Karen retraining as a Public Health Specialist. She has worked as a Consultant in Public Health for the last 8 years and recently joined the Health Improvement Division at Public Health Wales. Her portfolio includes Early Years, Obesity Prevention, Physical Activity and Educational Settings.

DAY 2 Morning: Janet Calvert

Janet Calvert is a registered midwife who has worked in a leadership role in the area of breastfeeding in Northern Ireland (NI) since 2002. She is currently employed as a Health and Social Well-being Improvement Manager for the Public Health Agency NI and is implementation lead for the NI Breastfeeding Strategy. She is also the Professional Lead for the Baby Friendly Initiative in Northern Ireland and Chair of the National Infant Feeding Network NI. Janet is passionate about supporting best practice and continually improving the information and support provided to parents in order to obtain the best possible outcomes for all mothers and babies.

Afternoon: Alison Burton

Alison started her career as a nurse working in the City of London and Hackney before moving to Oxfordshire. She went on to train as a health visitor and then a school nurse. Alison has worked in clinical practice for over 20 years and moved into public health in 2004 as the lead for children and young people’s public health programmes. In 2008 she was awarded a Masters degree in Child Public Health from the Institute of Child Health University College London. Before moving to her national role in Public Health England, Alison held a regional post in NHS England commissioning public health programmes including screening, immunisations, Health Visiting and Family Nurse Partnerships for the Thames Valley.

CHAIR BIOGRAPHIES

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DAY 1

Update and overview Sue Ashmore

This presentation will open the conference and give an overview of some significant events related to breastfeeding and parent-infant relationships, as well as an update on the Baby Friendly Initiative’s work during 2016. Plans for new Achieving Sustainability standards and the Gold Award will be shared, a consultation on the idea of a Baby Friendly Foundation will be launched, and new resources and services will be announced. Congratulations to all services that have received an accreditation this year; all new accreditations will be celebrated in the annual awards roll.

The impact of breastfeeding on maternal and child health in the 21st century: The Lancet breastfeeding seriesDr Nigel Rollins

“It is not understanding that destroys wonder, it is familiarity.” (John Stuart Mill, 1865)

Breastfeeding is the single-most effective intervention to prevent infant and child mortality. It also profoundly influences early health and child development and improves school attainment. The relevance of breastfeeding to all populations is further highlighted by the growing number of premature adult deaths due to non-communicable diseases and the potential for breastfeeding to mitigate these risks. Additionally, analyses demonstrate the value of breastfeeding for the health of women through reducing the risk of breast and ovarian cancer. New research is also helping to explain and provide a biological plausibility for these outcomes and to estimate the economic gains associated with breastfeeding. Yet, despite these benefits, rates of exclusive and continued breastfeeding have not changed substantially over the past 20 years.

Systematic reviews demonstrate that breastfeeding practices are highly responsive to interventions. When health systems and communities coordinate efforts, rates of exclusive and continued breastfeeding increase more than when interventions are delivered through one approach only; country examples also show that these improvements can occur at scale. However, the financial interests and influence of the breastmilk substitute industry undermine normative values towards breastfeeding and the infant feeding practices of individual mothers, and interventions to redress these influences are extremely challenging.

Improving breastfeeding practices at population-level requires governments, health professionals, employers, communities and families to accept a shared responsibility for protecting, promoting and supporting breastfeeding and enabling mothers to feed their infants and young children as they would choose.

What’s new in postpartum depression research: A 2016 reviewDr Kathleen Kendall-Tackett

A 2016 review of the literature on postpartum/postnatal depression revealed some emerging trends in this ever-changing field. For example, postpartum depression organisations often state that it affects 10 per cent of new mothers. Recent studies have found much higher rates, often as high as 30 to 40 per cent. Women at highest risk – those who are young, from ethnic minorities, and who have experienced adversity and violence – are often not included in the 10 per cent statistic, which seriously underestimates the problem. Other groups at high risk are immigrants, mothers who have survived natural disasters or those who are abused by their intimate partners. Depression research is particularly relevant for breastfeeding advocates, because depression is a major cause of breastfeeding cessation. Yet exclusive breastfeeding protects maternal mental health. Depression during pregnancy is also concerning because it increases the risk of preterm birth – the number one cause of infant mortality worldwide. Finally, many common birth interventions, such as epidurals, increase the risk of both depression and breastfeeding problems.

Bradford’s revolution: Bringing the evidence of parent-infant relationship research to the people who matter: The story of the parent-infant relationship resource cardsJane Dickens

In Bradford we are bringing the evidence around the impact of the parent-infant relationship on the baby’s social and emotional development directly to families and, by doing so, providing inspiration to parents and professionals alike. We wanted to support parents to understand their baby as an intentional, responsive and exquisitely sensitive and social being.

ABSTRACTS

This is the story of the Parent-Infant Relationship Resource Cards, which embed our Parent-Infant Relationship Training directly into practice. The cards consist mainly of pictures of babies, some with a parent. We believe that using a visual means of supporting parents to understand their baby in a creative and versatile way improves professionals’ relationship-building with parents, helps build trust, and makes a subtle yet enduring and beneficial impact on the parent-infant relationship and ultimately the child’s long term well-being.

Achieving SustainabilityAnne Woods

New and more holistic child rights-based standards relating to the care of babies, mothers and their families were introduced by Unicef UK’s Baby Friendly Initiative in 2012 and rolled out from 2014. This conference marks the mid-point in the transition period, which has been in place to support facilities to achieve these new standards over a realistic time frame.

Building on these new standards, a further piece of work was undertaken to look at how to enable facilities to maintain and improve the Baby Friendly standards in the long term – thus ‘Achieving Sustainability’. A consultation on this was launched at last year’s conference and the results of this have already been widely shared.

This presentation will launch the Achieving Sustainability standards, which provide an organisational roadmap for how to implement the standards in a way that is both effective in the short term and sustainable over time. The presentation will also launch the agreed assessment process, exploring what the assessment will look like and how this can be incorporated into current assessment timelines. It will begin the discussion about what follows on beyond this assessment, including a suggested system for how we could reduce the need for external assessments by developing a self-sustaining system of monitoring and support.

Antenatal conversations – the journey to reaccreditationJacky Syme

This talk will explore South Essex health visiting service’s journey to being reaccredited as Baby Friendly, with particular emphasis on implementing the antenatal standards. For health visitors who lead on the implementation of the Healthy Child Programme, antenatal contact is a gift of an opportunity to ensure that all parents understand how breastfeeding is so much more than food for their baby.

Having achieved the Baby Friendly standards, including the antenatal standards for health visiting, it was a shock to say the least when the antenatal conversation did not pass muster at reaccreditation. Although only slightly under the ‘mark’ and the only standard unmet, we embarked on retracing our steps to identify what support was needed for staff to feel competent and confident to have conversations with parents who may not always be too keen for new information.

The decision to be formally reassessed, the need for different and wider-reaching training and the challenges of presenting this when our staff thought they were already capable communicators, were interesting and probably full of more don’ts than dos. The question is: “What is it like for parents to be on the receiving end of our guidance and advice?”

Having a baby in prison: Women’s need to love, care for and breastfeed their baby Laura Abbott

“Even though you’re pregnant and you love the baby – It’s also the biggest fear, that you might not be able keep it.”

Pregnant women make up approximately 6 to 7 per cent of the female prison population. Many of these women have lived complex lives with difficult childhoods and have often been victims themselves. Researching the experience of pregnant women in prison through interviewing and observing the environment has highlighted a number of important themes when considering bonding, breastfeeding and attachment. Women who have been given additional help from charities such as Birth Companions have benefitted from breastfeeding and emotional support.

Each story is unique but for some women, especially those who are able to remain with their babies, prison can be an opportunity for change. While pregnant, a number of women who chose to be interviewed talked about the ambiguity of having a bond with their unborn baby versus the dread of potential separation. Prison is a stressful place for a pregnant woman who may be many miles away from her family and can be left feeling isolated. Post birth, some women, despite being separated, were able to provide breastmilk through expressing. This talk will bring to life some of these narratives from women, usually invisible to society and hidden behind the high walls and locked doors of the prison environment.

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DAY 2

The neuropsychological effects of sleep training and its implications for breastfeedingDr Kathleen Kendall-Tackett

Sleep training continues to be a popular parenting philosophy with its roots in American Behaviorism. The idea behind this approach is that if you want to stop a behavior, don’t ‘reinforce’ it, which increases the likelihood that it will reoccur. Under this school of thought, if you pick up a crying baby, you are just reinforcing the likelihood that the baby will cry more often – especially at night. Recent research has suggested that there is ‘no apparent harm’ to this approach. But is that true? This presentation will describe recent research in neuroscience on the importance of responsive early parenting on brain development, and harmful effects of leaving babies to cry. Non-responsive parenting raises babies’ cortisol levels. Cortisol is toxic to brain cells, particularly in the hippocampus. This research is also put in the context of current American Academy of Pediatrics (AAP) recommendations to keep babies in the parents’ room during the first six months, and how solitary sleep increases babies’ risk of Sudden Infant Death Syndrome (SIDS).

Examining psychological, social and cultural barriers to responsive breastfeeding Dr Amy Brown

Breastfeeding rates in the UK are significantly lower than in many other western countries. Many women report that they stop breastfeeding before they are ready due to pain or physical difficulties. However, there is no reason why physiological inability to breastfeed should be higher in the UK than elsewhere.

What is actually happening is that women’s experiences of breastfeeding are leading to high levels of physiological difficulties due to a society that does not support responsive breastfeeding. Although we might promote breastfeeding, we do not enable it.

Starting from a lack of funding and therefore support in the early days, women go on to experience a range of barriers such as encouragement to get their baby into a routine, pressure to get their pre-baby lives back and negative public attitudes to breastfeeding in public. These experiences, both direct and subtle, can all damage a new mother’s milk supply through promoting delays in feeding or using ‘just one’ bottle to avoid negativity.

The key issue is that these barriers are not the individual mother’s fault or responsibility, yet many interventions to promote breastfeeding focus solely on the mother. What is needed is a radical societal level public health campaign to create a society that encourages, protects and enables breastfeeding rather than destroying the behavior it claims to promote.

Reducing avoidable term neonatal admissions: Keeping babies and mothers togetherDr Sanjeev Deshpande

Between 2011 and 2015, the number of babies born at term in England declined by ~4 per cent; yet, the number of term babies admitted to the neonatal unit – and separated from their mothers – increased by over 30 per cent. Hypoglycaemia was the principle reason for admissions in one of 10 such babies admitted. This is rather surprising since adherence to the Unicef UK Baby Friendly guidance on neonatal hypoglycaemia should have resulted in fewer term infants having blood glucose monitoring and fewer still needing admission to the neonatal unit. This presentation will discuss the results of the analysis of the anonymised patient-level data on term neonatal admissions in England over a three-year period, and highlight profiles of babies at-risk of admissions for hypoglycaemia, deviation from currently recommended guidance and variation between providers. It will outline the opportunities for keeping babies and mothers together through evidence-based practice and service improvements.

The Baby Friendly Neonatal Standards – a Consultant Neonatologist perspectiveDr Laura De Rooy

The business of the neonatal unit (and that of the neonatal consultant) is saving the lives of sick and premature infants. However, while recent evidence indicates that neonatal units in the UK have understood the importance of human milk for the smallest and most vulnerable infants, there is still much work to be done in promoting and enabling breastfeeding for all infants within the remit of the neonatal unit (and yes, that includes that poor relation, the postnatal ward!). The new Baby Friendly standards for neonatal units encapsulate what good practice should look like in neonatal care, both in terms of excellent medical and nursing care in the present, and care of families in the future – for families, the story does not end on the last day that the doors of the neonatal unit close behind you and your baby. In this talk I will explore some of the challenges faced by the team at St George’s in London at the start of our Baby Friendly journey.

ABSTRACTS

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Scientific and factual? Challenging information provided to health professionals by the breastmilk substitute industryDr Helen Crawley

Breastmilk substitute companies have long known that getting brand support or endorsement from a health professional is a priceless marketing tool. They spend a lot of time and money to ensure that health professionals are given their side of the story in terms of product benefits, and there is no mechanism in the UK to challenge advertising to health professionals if it is not accurate and true. If we have greater awareness of the misinformation provided by companies, will health professionals challenge this within the organisations they are members of, and in the literature they read?

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Foundation Consultation – take the online surveyThis document outlines a proposal for taking forward the work of the Baby Friendly Initiative. We would really like to know what you think. Therefore, if you work with babies and their mothers in any capacity we would be grateful if you could read this document (available from the Baby Friendly website) and complete the online survey: www.surveymonkey.co.uk/r/bffoundation

Achieving Sustainability Guidance Document – pilotThis document will guide units through new Achieving Sustainability standards, designed to support longer-term implementation of the Baby Friendly standards. Achieving Sustainability provides an organisational roadmap for how to implement the standards in a way that is both effective in the short term and sustainable over time. Services that meet the standards will be ‘Reaccredited as Baby Friendly with Sustainability’ and receive a Gold Award. A summary of the standards is in your delegate bag, copies of the pilot document are available at the Baby Friendly exhibition stand and at unicef.uk/sustainability, and the full guidance will be launched in 2017.

Call to ActionOur Call to Action campaign urges UK governments to take action to remove the barriers to breastfeeding and create a supportive, enabling environment for breastfeeding. The Call to Action document and supporting papers, available at our exhibition stand, highlight the public health imperative of protecting, promoting and supporting breastfeeding in the UK, and explain four key steps that governments should take to improve the UK’s breastfeeding rates. Available free from our exhibition stand and the Baby Friendly website.

We Welcome BreastfeedingA key part of our Call to Action campaign is recognising the role that we can all play in creating a culture where breastfeeding is protected and normalised. These fun and colourful badges, posters and window stickers are a great way of showing public support for breastfeeding and helping to develop a welcoming environment for women to breastfeed. Free badge in your delegate bag. Available exclusively to buy at conference – purchase from our exhibition stand.

COMING SOON: Caring for your baby at night Newly designed, this booklet gives parents clear, accessible advice on taking care of their baby at night safely and responsively. It covers getting some rest, night feeding, safe sleeping environments and helping baby to settle.Purchase and download from the Baby Friendly website.

COMING SOON: Co-sleeping and SIDS: A Guide for Health ProfessionalsThis infographic and guidance is designed to support health professionals when discussing co-sleeping and SIDS with parents. Giving an accessible overview of the risks and common misconceptions, as well as advice on sensible, parent-centred communication, the guide helps professionals to address this complex issue and look for practical solutions with parents. Free to view and download at unicef.uk/safesleeping

Responsive feeding infosheetThis infosheet supports health professionals to give helpful, practical advice to parents on feeding their baby responsively and developing a strong parent-infant bond. Covering a range of topics from responsive breastfeeding in the early days to how to bottle feed responsively, the document demonstrates how responsive feeding can help parents build a close and loving relationship with their baby. Available free from our exhibition stand and the Baby Friendly website.

University audit toolThis new university audit tool is designed to help universities establish whether their education programmes for student midwives and/or health visitors/specialist public health nurses meet the standards for Baby Friendly accreditation. Purchase from the Baby Friendly website.

NEW FOR 2016: Breastfeeding and Relationship Building: University lecturersThis new course supports university lecturers involved in midwifery and health visiting education programmes, helping them to better understand and implement the Baby Friendly standards. This adds to the existing Breastfeeding and Relationship Building courses for maternity, health visiting and children’s centre staff. They focus on a mother-centred approach to care, through effective communication strategies.

Embedding Baby Friendly standards in neonatal careThis course is designed to provide neonatal staff with the knowledge and practical skills they need to support mothers to initiate and maintain lactation within the neonatal setting. There is a strong focus on the importance of family-centred care with reference to the NHS Toolkit for High Quality Neonatal Services and the Bliss Baby Charter Standards.

Audit workshops These one-day workshops equip infant feeding advisors and other key workers to audit the care their facility provides for breastfeeding mothers and babies against the Baby Friendly standards. Three different formats are offered (maternity, neonatal and health visiting & children’s centres). All aspects of the auditing process are considered and the audit tool developed by the Baby Friendly Initiative is used as an example to enable participants to explore issues of questionnaire design, sampling, interviewing, scoring, presentation and interpretation of results, as well as action planning to improve care and maintain progress.

Taking Baby Friendly to the next level: A course for infant feeding leadsThis interactive course aims to provide guidance to support anyone involved with implementing Baby Friendly standards to do so efficiently and effectively. One course is available for maternity and neonatal staff and another for health visiting and children’s centre staff.

NEW RESOURCES AND DOCUMENTS TRAINING COURSES

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Visit the Baby Friendly website to book individual places on our courses, or to buy an in-house course for a group of your staff email [email protected]

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AMEDA® Breastpumps and Breastfeeding Accessories Stand 5Central Medical Supplies are the exclusive UK distributor for Ameda® breastpumps and breastfeeding equipment. Ameda® technology has been the subject of a number of independent clinical studies since 1956, with results published in peer-reviewed journals. Ameda® is proud to adhere to the International Code of Marketing of Breast-Milk Substitutes. Ameda® offers a range of breastpumps suitable for both hospital and personal use and the official Ameda® pumpsets contain a unique silicone diaphram that creates a solid barrier protecting the pump and collected breastmilk from potential viruses and bacteria while pumping – accept no imitations!

ameda.com

Ardo Medical Limited Stand 10Ardo has years of experience working with healthcare professionals, and our products are recommended by many leading hospitals, children’s centres and milk banks. Ardo manufactures the innovative Carum, Calypso and Amaryll breastpump range, developing products that offer expressing mums all the flexibility and comfort they need. All pumpsets incorporate Vacuum Seal technology, a closed collection system that eliminates the risk of cross contamination. Visit our stand and find out how we can help you.

01823 336362 ardomedical.co.uk

[email protected]

Association of Breastfeeding Mothers Stand 15We are a voluntary organisation and registered charity. Most of our members are mums who are breastfeeding or who have breastfed their children. We train mums to become counsellors, offering skilled mother-to-mother breastfeeding support and up-to-date information. We also provide a mother-supporter course that covers basic breastfeeding knowledge. We are a joint partner on the National Breastfeeding Helpline, and can provide antenatal education and other forms of training.

0300 330 5453abm.me.uk

[email protected]

Baby Milk Action / IBFAN UK Stand 2Baby Milk Action is a non-profit organisation that aims to protect health, save infant lives and end the avoidable suffering caused by inappropriate infant feeding. We work within a global network to strengthen independent, transparent and effective controls on the marketing of the baby feeding industry worldwide. We advocate the implementation of the WHO International Code of Marketing of Breastmilk Substitutes and subsequent relevant Resolutions which aim to protect all babies, whether breastfed or fed on artificial baby milk, by ensuring provision of accurate, independent information. We encourage members of the public and health workers to monitor the promotion of baby foods and to help stop harmful practices.

01223 464420 babymilkaction.org

[email protected]

ABOUT UNICEF EXHIBITOR PROFILES

For 70 years, Unicef has been there for children in danger. And we will continue today and tomorrow, until every child is safe.

Unicef was born in 1946 to help protect children from hunger and disease after World War 2. And today, we’re still helping children in some of the world’s most dangerous places.

Over the past 70 years, Unicef has helped to vaccinate, educate and protect more children than any other humanitarian organisation. We have kept children safe from violence, disease, hunger and the chaos of war and disaster. We’re world leaders at influencing laws, policies and customs to protect children. And the UN Convention on the Rights of the Child gives Unicef the responsibility to provide expert advice and assistance to governments and others on children’s rights.

With your help, we can make the world a safer place for children.

As Unicef turns 70, we face the greatest humanitarian crisis since World War 2. In response, we have launched our largest ever appeal for Syria’s children. They have been through so much. They have lost family, friends, homes and schools. They have fled with nothing. Many have made terrifying journeys in search of safety, been hurt and seen family killed. And now winter is here. These children face freezing temperatures, with no way of keeping warm. Cold and frightened, without shelter and blankets these children will struggle to survive. Help us make sure no child is left out in the cold this winter.

Visit unicef.uk/safe-warm

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Febromed GmBH & Co KG Stand 3Febromed is one of the leading delivery-room specialists in Europe, producing equipment to support women in labour. Research shows that giving birth in the natural, vertical position has positive effects on the mother and the baby, including fewer episiotomies, less labour pain and less perineal/vaginal trauma. In an upright position babies show less frequent abnormal heart rate patterns and a higher umbilical arterial pH.

Febromed products support the mother-to-be in any stage of labour to adopt any position she likes. And our partner seat enables the partner to be involved in the birthing process. Febromed products are modular constructed, designed ergonomically, flexible in use and easy to handle.

0049 (0) 2522 30532 febromed.de

[email protected]

First Steps Nutrition Trust Stand 17First Steps Nutrition Trust is a small national charity providing expert and independent information on the importance of good nutrition from pre-conception to five years. All the information we produce is free and open for all to access, and we support Unicef UK’s Baby Friendly Initiative through the provision of information on infant milks, introduction to solids and on working within the WHO Code of Marketing of Breastmilk Substitutes. Find out more about us at firststepsnutrition.org Contact us at [email protected] and follow us on twitter @1stepsnutrition.

firststepsnutrition.org [email protected]

Infant Sleep Information Source Stand 9The ISIS website (funded by an ESRC grant, and created by the Durham University Sleep Lab team) provides free access to up-to-date research-based evidence about how, why and where babies sleep, and sleep safety, in accessible and relevant formats for UK parents and health professionals. We also provide research summaries and responses, a cited references list, downloadable and printable materials, a free app for Apple and Android phones and tablets, and offer safe sleep workshops to health care professionals and volunteers working with parents.

isisonline.org.uk

Lactation Consultants of Great Britain Stand 25The professional association for Internationally Certified Lactation Consultants (IBCLCs). We have national and international representation, advocate for the needs of breastfeeding families, provide educational opportunities, encourage aspiring IBCLCs, e.g. through conference scholarships and aim to raise the profile of IBCLCs. We welcome membership applications from all with a shared commitment and interest. We are currently undertaking a survey of the work of IBCLCs across Great Britain: please visit our stall to find out more!

lcgb.org [email protected]

Best Beginnings Stand 22Best Beginnings, a growing national charity, works to reduce birth inequalities and give all children in the UK the best start in life, whatever their background. Our focus is conception to a child’s third birthday, the critical window of opportunity for maximising a child’s physical, emotional, language and developmental needs. We create engaging, evidence-based digital and other resources, free to parents and professionals throughout the UK, including the famous Baby Buddy smartphone app.

020 7443 7895 bestbeginnings.org.uk

[email protected]

Bliss Stand 11Bliss is the charity that exists to ensure that all babies born premature or sick in the UK have the best possible chance of survival and of reaching their full potential. We provide support for parents and families, work directly with healthcare professionals to improve care and campaign to ensure the needs of babies and their families are always heard.

020 7378 [email protected]

Breast Start App Stand 6Wirral Community NHS Foundation Trust’s Breast Start App has been designed to support local breastfeeding mums. The trust’s Infant Feeding Lead, Clare Whitehead, has led on the development to ensure that it meets the needs of newly breastfeeding mothers and the requirements of Unicef UK’s Baby Friendly Initiative.

The app can be purchased by NHS or Local Authority organisations and personalised with local data – 24 organisations to date have already purchased Breast Start. It supports many families across the UK and has over 9,000 downloads. Many women and their families are already benefitting from the easy to use and interactive app.

Interested? Visit the team on their stand. You can also find more information about the app on the trust’s website wirralct.nhs.uk

wirralct.nhs.uk

Class Learning Ltd / Class Learning Stand 7Class Learning has been representing Jones & Bartlett Learning in Europe since 1991. We understand how important it is for practitioners and those in the academic field to keep up-to-date with the changing face of midwifery education. Our core subject area is breastfeeding and human lactation and we now publish a wide range of titles suitable for both the midwifery student and the practitioner.

01278 427800classlearning.co.uk

[email protected]

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Pinter & Martin Publishers Stand 14Pinter & Martin is an independent publishing company based in London. We publish authors who challenge the status quo and specialise in pregnancy, birth and parenting and psychology.

New titles for 2016 include Breastfeeding Uncovered by conference speaker Amy Brown, Why the Politics of Breastfeeding Matter by Gabrielle Palmer and The State of Medicine by Margaret McCartney.

pinterandmartin.com

Pollenn CIC (Real Baby Milk) Stand 19Real Baby Milk (a project of Pollenn CIC) holds the Social Enterprise Mark which is proof of our commitment to social value. 2016 again sees the launch of new products designed with our health and children’s centre professionals in mind and we have updated and included additional content in our popular Essential Guide to Feeding and Caring for your Baby. Come along to our stand to see our range of excellent resources, and meet with old faces and new!

realbabymilk.org

Seca Stand 16seca, the global leader in medical weighing and measuring, offers a range of quality, robust and accurate class III medically approved scales and height measures, with products specifically designed for health visitors and midwives, whether that be portable or clinic based.

The seca 384 – 20kg capacity / seca 385 – 50kg capacity, portable baby / infant 2 in 1 scales are perfect for measuring babies and infants. They are lightweight and portable, with a detachable tray for weighing in a reclining or standing position.

Visit the seca stand for a product demonstration and more information on our range.

0121 643 9349 seca.com

[email protected]

Sterifeed Stand 13We are the market leader for safe Human Milk Pasteurisation equipment with over 250 installations in donor milk banks and hospitals around the world. In addition to our equipment range we offer breastmilk collection and storage bottles, infant feeding cups and obstetric products which include the U-bag, Cord Clamps/Clipper and Amnihook.

Human milk for preterm babies is our priority and our products are designed to assist in the safe collection, storage and use of this precious milk. As part of our range we offer a complete barcode tracking system, human milk analyser, refrigeration and warming equipment. If you would like further information on any of our products we would like to invite you to visit our stand.

sterifeed.com

La Leche League GB Stand 24LLL is a UK and international charity providing free mother-to-mother support for all breastfeeding mums at every stage of their breastfeeding journey, via our helpline, through social media, online help forms and face-to-face at local meetings. We believe that mothering through breastfeeding is the most natural and effective way of understanding and satisfying the needs of the baby. In the last year our 239 internationally accredited volunteer leaders (breastfeeding counsellors):

led discussion meetings in 80 groups supported 12,000 mums face-to-face took 10,000 helpline calls answered 650 online help forms facilitated 40 Facebook groups providing round the clock information and support.

We also supply materials for families, breastfeeding counsellors and health professionals via our online shop, including books on breastfeeding and parenting, reference books, study materials, DVDs and our own comprehensive range of LLLGB published information sheets and booklets.

laleche.org.uk

NCT / MIDIRS Stand 8NCT provides services to commissioners for delivery to parents to help them reach local outcome targets. These services include accredited breastfeeding peer support training, Baby Cafés and training for breastfeeding champions within children’s centres.

MIDIRS is a charity whose mission is to support midwives and students in providing a better birth experience. We achieve this through disseminating high-quality, evidence-based information via MIDIRS Midwifery Digest and MIDIRS Reference Database. nct.org.uk

midirs.org.uk

Newton Stovold Associates (NSA UK) Stand 12The award-winning Babybay is a bedside cot for home use, bolting securely on to a parent’s bed, ensuring that new mums can sleep within inches of their new baby without all the associated risks of co-sleeping. The Medicare Babybay has been developed specifically for hospital use. Height adjustable and mobile, it sits right alongside a mum’s bed making the new baby visible and within arm’s reach at all times. The close proximity makes settling and soothing easier and accessibility for feeding easier for mums. Babybay Medicare has been rigorously tested to withstand chlorine based cleaning agents and is now being used at a growing number of UK hospitals and birthing centres. Highly recommended by new mums, health visitors, midwives and infant feeding specialists, visit NSAuk to see the Babybay and meet the team.

01483 527799nsauk.com

[email protected]

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The Breastfeeding Network Stand 18The Breastfeeding Network was established in 1997 to offer independent support and information to breastfeeding women and their families. We run 17 projects across England and Scotland encompassing peer support and training. We manage the National Breastfeeding Helpline in partnership with the Association of Breastfeeding Mothers (ABM), offer helplines in other languages and a webchat service. We are very proud of our Drugs in Breastmilk service, providing information for families and health professionals on the use of medication during breastfeeding.

National Breastfeeding Helpline: 0300 100 0212 (open 9.30am-9.30pm 365 days a year)

0844 412 0995 breastfeedingnetwork.org.uk

[email protected]

The Practising Midwife Stand 20TPM is the leading publication for health professionals connected with pregnancy, birth and beyond. Our challenging themes support practising midwives and subscribers benefit from a wide range of eLearn (CPD certificated) modules on our website to help you at every stage of your education and career, as well as community discussion, blogs and archives of past articles.

practisingmidwife.co.uk

The Royal College of Midwives (RCM) Stand 1The RCM is the only professional organisation and trade union dedicated to serving midwifery and the whole midwifery team. We provide workplace advice and support, professional and clinical guidance and information, and learning opportunities with our broad range of events, conferences and online resources. The RCM is committed to supporting members to help women give every baby the best possible start in life.

rcm.org.uk

United Kingdom Association for Milk Banking (UKAMB) Stand 21The United Kingdom Association for Milk Banking (UKAMB) is a charity working to support the provision of rigorously-screened, safe donor breastmilk for all babies who need it. Breastmilk is vital for the survival of sick and premature infants, reducing the risk of contracting serious infections and complications such as necrotizing enterocolitis (NEC). Please see the UKAMB website for further information on the work of UK Milk Banks.

ukamb.org [email protected]

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Cash machine A cash machine is located next to the cloakroom.

CertificatesCertificates of attendance are available in the main foyer at the end of the conference (or end of day 1 for delegates attending that day only).

CloakroomThe cloakroom is located just off the main concourse of the ICC – delegates can deposit items free of charge.

Delegate badgesPlease ensure badges are worn at all times.

Delegate notice boardA board for messages and notices will be located in the exhibition area – the full delegate list will also be displayed here.

EvaluationsDelegates are invited to complete this online evaluation of their conference experience: surveymonkey.co.uk/r/bfi2016conf

This link will also be emailed to delegates at the end of the conference.

First aidPlease notify a member of the ICC hosting team if assistance is required. There is a first aid room – in case of a medical emergency you can dial Ext. 2222 from any of the venue phones.

Mother and baby roomA room is available for delegates with babies to watch the conference presentations. It is located in the media suite close to the auditorium.

Photography and mobile phonesPlease ensure mobile phones are off or on silent during all conference sessions and please refrain from using flash photography. There will be an official conference photographer attending, if you don’t wish to be photographed please let them know.

WiFiWiFi is provided free of charge for all delegates. Select the ICC Free WiFi network.

Follow us on Twitter: @babyfriendly Use the hashtag: #bfconf

CONFERENCE INFORMATION

Right now, millions of children are in danger. They face violence, disease, hunger and the chaos of war and disaster. Together we have the power to change that.

The support you give to Unicef during your lifetime is invaluable. It helps us to keep children safe, wherever they are and whatever they need. But how can you protect the children of the future?

By leaving a gift in your Will, you can make a real difference for tomorrow’s children. We cannot predict the conflicts and dangers that destroy children’s lives, but your legacy gift can help us be prepared for them. A gift of any size will help us continue our vital work and transform the lives of the world’s most vulnerable children.

Unicef supporter Iain Place says: “I will not be alive to witness my biggest donation to Unicef, but after I have gone, somewhere in this world I hope I might help Unicef give the gift of life to a child, or educate them, or maybe just make them forget the horrors that surround them for an all-too-brief time, and play.”

Find out more at unicef.uk/legacies

LEAVE A SAFER WORLD FOR CHILDREN

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UNICEF UK BABY FRIENDLY INITIATIVE ANNUAL CONFERENCE 2016

Exhibitor display name Stand no

Ameda Breastpumps & Breastfeeding Accessories 5

Ardo Medical Limited 10

Association of Breastfeeding Mothers 15

Baby Milk Action 2

Best Beginnings 22

Bliss 11

Breast Start App 6

Class Publishing Ltd / Class Learning 7

febromed GmbH & Co KG 3

First Steps Nutrition 17

Infant Sleep Information Source 9

La Leche League GB 24

Lactation Consultants of Great Britain 25

NCT / MIDIRS 8

Newton Stovold Associates (NSA UK) 12

Pinter & Martin Publishers 14

Pollenn CIC (Real Baby Milk) 19

seca 16

Sterifeed 13

The Association of Tongue-tie Practitioners 23

The Breastfeeding Network 18

The Practising Midwife 20

The Royal College of Midwives 1

UKAMB 21

Unicef UK and Baby Friendly Initiative 4

THE FLOOR PLAN

EXHIBITOR LIST

Next year’s annual conference will take place at the Telford International Centre on 22-23 November 2017

With thanks to

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EXHIBITION AREA

Documents

Baby Friendly Initiative Conference Programme 2016€¦ · 11:45 What’s new in postpartum depression research: A 2016 review Dr Kathleen Kendall-Tackett, PhD, IBCLC, FAPA 12:45