Compiled by: Sarah DeCato, BSN, RN, CLC MSN Graduate Student,
New Mexico State University 4/10/20121
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Collaborators: Maine Roads to Quality & The State of Maine
Breastfeeding Stakeholders Committee 4/10/20122
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Why is it necessary to support breastfeeding in the childcare
setting? 4/10/20123
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Caring for Our Children (CFOC), 3 rd ed. 4/10/20124
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Women in the Workforce The good worker versus the good mother
4/10/20125
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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. 4/10/20126
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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. 4/10/20127
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Employers benefits Average annual savings equal $400 per
breastfed baby (lower medical costs with fewer health insurance
claims) Decreased turnover Lower absenteeism Productivity
improvement Increased morale and loyalty to employer It's the Law
Source:
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 4/10/20128
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Breastfeeding friendly workplaces Supports a mother in decision
to breastfeed upon return to work Provides accessible location for
pumping Provides flexible work schedule Source: adapted from Texas
Department of State Health Services
http://www.dshs.state.tx.us/default.shtm
http://www.dshs.state.tx.us/default.shtm 4/10/20129
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Maine Labor Law For an employee who is a nursing mother, the
employer shall for three years after the birth of a child: provide
adequate unpaid break time, or permit an employee to use paid break
time or meal time each day to express breast milk for her nursing
child. make reasonable efforts to provide a clean room or other
location, other than a bathroom, where an employee may express
breast milk in privacy. An employer may be exempted from this
section if providing time or an appropriate private space for
expressing breast milk would substantially disrupt the employer's
operations. An employer shall not retaliate or discriminate against
an employee who exercises the right provided under this section.
Source:
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
4/10/201210
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Additional breastfeeding protection in Maine: The Nursing in
Public Law Maine law (5MRSA 4634) provides protection for women who
nurse in public. A mother may breastfeed her baby in any location,
public or private, where the mother is otherwise authorized to be.
Source:
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
4/10/201211
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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. 4/10/201212
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Childcare settings Develop workplace policy Identify a clean,
private place with access to electric outlets and a chair. Orient
employees and parents to the policy Offer flexible breaks to
nursing staff Source:
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
4/10/201213
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Breastfeeding Culture 4/10/201214
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Breastfeeding Culture 4/10/201215
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Breastfeeding Culture 4/10/201216
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Sample Childcare Center Breastfeeding Policy 1. Breastfeeding
mothers shall be provided a place to breastfeed or express their
milk. This area provides an electrical outlet, comfortable chair,
and nearby access to running water. Source: Adapted from the
Mississippi breastfeeding Coalitions Building Breastfeeding
Friendly Communities project by the Wisconsin Department of health
and Family Services in collaboration with the Wisconsin
Breastfeeding Coalition Division of Public Health Nutrition
Section; www.dhfs.state.wi.us/WICwww.dhfs.state.wi.us/WIC
4/10/201217
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Breastfeeding Policy cont. 2. A refrigerator will be made
available for storage of expressed breast milk. Breastfeeding
mothers and employees may store their expressed milk in the center
refrigerator. Mothers should provide their own containers, clearly
labeled with the name and date. The center will follow guidelines
from the American Academy of Pediatrics and Centers for Disease
Control in ensuring that breast milk is properly treated to avoid
waste. Universal precautions are not required in handling human
milk. Source: Adapted from the Mississippi breastfeeding Coalitions
Building Breastfeeding Friendly Communities project by the
Wisconsin Department of health and Family Services in collaboration
with the Wisconsin Breastfeeding Coalition Division of Public
Health Nutrition Section;
www.dhfs.state.wi.us/WICwww.dhfs.state.wi.us/WIC 4/10/201218
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Breastfeeding Policy cont. 3. Sensitivity will be shown to
breastfeeding mothers and their babies. The childcare center is
committed to providing ongoing support to breastfeeding mothers,
including providing an opportunity to breastfeed their baby in the
morning and evening, and holding off giving a bottle, if possible,
when mom is due to arrive. Artificial baby milks (formula) and
solid foods will not be provided unless the mother has requested.
Babies will be held closely when feeding and bottles will never be
propped. Source: Adapted from the Mississippi breastfeeding
Coalitions Building Breastfeeding Friendly Communities project by
the Wisconsin Department of health and Family Services in
collaboration with the Wisconsin Breastfeeding Coalition Division
of Public Health Nutrition Section;
www.dhfs.state.wi.us/WICwww.dhfs.state.wi.us/WIC 4/10/201219
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Breastfeeding Policy cont. 4. Staff shall be trained in
handling human milk. 5. Breastfeeding employees shall be provided
flexible breaks to accommodate breastfeeding or milk expression. 6.
Breastfeeding promotion information will be displayed. 7. Handbook
includes Baby Friendly Facility (BF). Source: Adapted from the
Mississippi breastfeeding Coalitions Building Breastfeeding
Friendly Communities project by the Wisconsin Department of health
and Family Services in collaboration with the Wisconsin
Breastfeeding Coalition Division of Public Health Nutrition
Section; www.dhfs.state.wi.us/WICwww.dhfs.state.wi.us/WIC
4/10/201220
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Breastfeeding Friendly Facility Source: Wisconsin Nutrition,
Physical Activity and Obesity Program
http://dhs.wisconsin.gov/health/physicalactivity
http://dhs.wisconsin.gov/health/physicalactivity 4/10/201221
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Signage Source: The International Breastfeeding Symbol
4/10/201222
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Additional Resources in Maine Child Care Health Consultant
(CCHC) Network Allyson Dean, Maine Roads to Quality 207-780-5833,
[email protected]@usm.maine.edu State of Maine Public Health
Nursing 1-877-763-0438 Maine State Breastfeeding Coalition
http://mainestatebreastfeedingcoalition.org/ WIC offices
http://www.maine.gov/dhhs/mecdc/local-public-health/wic/ La Leche
League http://www.llli.org/ Local Hospitals Maternity Units
Lactation Consultants (IBCLCs) 4/10/201223
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4/10/201224
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Getting started Breastfeeding education Breastfeeding
environment Breastfeeding policy 4/10/201225
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Why is it necessary to support breastfeeding in the childcare
setting? 4/10/201226
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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
(2005). Breastfeeding and the use of human milk; Policy statement.
Pediatrics, 115(2), pp 496-506. http://www.aap.org
http://www.aap.org Carothers, K. (2010). Best Milk. Katalac Books
LLC. Retrieved from
http://www.bestmilkbook.com/http://www.bestmilkbook.com/ The
International Breastfeeding Symbol. Retrieved from
http://www.breastfeedingsymbol.org/download/http://www.breastfeedingsymbol.org/download/
Maine Centers for Disease Control and Prevention; 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
Martin, C. (1995) We like to nurse. Hohm Press: Arizona.
Mississippi breastfeeding Coalitions Building Breastfeeding
Friendly Communities project by the Wisconsin Department of health
and Family Services in collaboration with the Wisconsin
Breastfeeding Coalition Division of Public Health Nutrition
Section. Retrieved from
www.dhfs.state.wi.us/WICwww.dhfs.state.wi.us/WIC 4/10/201227
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References cont. Nemours. Lets Move! Childcare. Retrieved from
http://healthykidshealthyfuture.org/welcome.htmlhttp://healthykidshealthyfuture.org/welcome.html
Payne, D. & Nicholls, D. (2009). Managing breastfeeding and
work: a Foucauldian secondary analysis. Journal of Advanced
Nursing, 66(8), 18101818.doi: 10.1111/j.1365-2648.2009.05156.x
Texas Department of State Health Services. Retrieved from
http://www.dshs.state.tx.us/wichd/bf/childcare.shtmhttp://www.dshs.state.tx.us/wichd/bf/childcare.shtm
Warren, D. (2007). Best fast food; Mothers milk. Oasis
Publications: Sarasota, FL. 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.pdfhttp://www.dhs.wisconsin.gov/health/physicalactivity/pdf_files/BreastfeedingFriendlyChildCareCenters.pdf
Young, M. (2009). We like to nurse too. Hohm Press: Arizona.
4/10/201228