Victorian Breastfeeding

Guidelines

Assoc Prof Lisa Amir Ms Anita Moorhead

MCH Conference18 September 2014

Victorian Breastfeeding Guidelines

Victorian Breastfeeding Guidelines

• Review commenced 2011 • Consistent with NHMRC • Consult• Rewrite • NHMRC- delayed release• Publish – 2014

Aims • align with current international evidence and guidelines regarding breastfeeding, infant feeding, and the provision of breastfeeding advice and support to parents

• be consistent with the revised National Health and Medical Research Council’s Infant Feeding Guidelines for Health Workers

• be informed and reviewed by experts in the field

• meet the information needs of the target audiences including MCH Service staff, midwifery staff and other health practitioners

• include guidance pertaining to breastfeeding and smoking, alcohol and drug use, and HIV and Hepatitis infected breastfeeding mothers.

Victorian Breastfeeding Guidelines

Victorian Breastfeeding Guidelines • The Victorian Breastfeeding Guidelines are designed to

be used in conjunction with the National Health and Medical Research Council, Infant Feeding Guidelines – Information for Health Workers (2012).

• For some breastfeeding conditions the Victorian Breastfeeding Guidelines will provide detailed advice and guidance that will be a concise and useful resource for health professionals.

Victorian Breastfeeding Guidelines

Review process:• Public forum• Key consultations • Advisory panel• Literature review

Victorian Breastfeeding Guidelines Review Public Forum

Royal Women’s Hospital Conference Centre

21 July 2011Department of Education and Early Childhood

Development, Royal Women’s Hospital and Mother & Child Health Research,

La Trobe University

Victorian Breastfeeding Guidelines

How breastfeeding works – updated physiologyBreastfeeding advice during pregnancyEstablishing breastfeeding – guidance for best practice• Skin to skin• The first breastfeed • Natural pattern of breastfeeding• Rooming in • Monitoring infant’s progress

Victorian Breastfeeding Guidelines Routine breastfeeding assessment – for mother and baby• History taking and examination• Nipple issues• Breast issues- including mastitis guidance • Milk supply issues• Maternal illness and breastfeeding Infant-related breastfeeding issues• Preterm and care of the late preterm baby in the maternity

setting• Multiples• Unsettled

Victorian Breastfeeding Guidelines Alternative methods of infant feeding when breastfeeding is not possible • Expressing and storage, infant formula feeding, donor milk and

breast milk banks

Continuing breastfeeding • Breastfeeding and sexuality• Return to paid employment • Medicines and drug & alcohol• Websites about pregnancy and parenting• Diet• Breastfeeding and solids

Community support and information services

DEECD Breastfeeding resources• Australian National Breastfeeding Strategy 2010 - 2015 - recognises the importance of breastfeeding

and provides a framework for priorities and action for Australian governments at all levels• Victorian Breastfeeding Guidelines (pdf - 989.34kb) - a source of evidenced-based breastfeeding

information for health professionals• Breastfeeding in Victoria: Report 2010 (pdf - 1.36mb) - part of the Victorian Breastfeeding Research

Project• Increased Rate of Breastfeeding - the Catalogue of Evidence 2008 on breastfeeding• Giving Breastfeeding a Boost 2005 - community-based approaches to improving breastfeeding rates

literature review

Telephone support• Maternal and Child Health Line - available 24 hours a day on 13baby or 132229. • Mum to Mum - a 24 hour breastfeeding helpline, available on 1800 mum 2 mum or 1800 686 2 686

Web links• Australian Breastfeeding Association - provides a range of support and information on breastfeeding• Raising Children Network - offers lots of information on breastfeeding• Better Health Channel - provides health and medical information to improve health and wellbeing

including breastfeeding• Having a Baby in Victoria - provides information and options on maternity care available• Information designed to specifically support Indigenous families:• Australian Indigenous Health Info Net - health promotion resources

Victorian Breastfeeding Guidelines • Victorian women receive perinatal care from a range of

health professionals that include midwives, general practitioners, nurses, obstetricians, paediatricians, and maternal and child health nurses.

• Women often describe breastfeeding information and advice as inconsistent.

• These guidelines are a source of evidence-based breastfeeding information for health professionals to use when working with women and their families during the continuum of breastfeeding.

Advisory panel

Member Representing Member Representing

Vickie Veitch DEECD Dr Kylie Blackwell Community Paediatrician

Dr Jenny Proimos Paediatrician /DEECD Chris Scott Midwife/ private sector

Helen Adams Lactation Consultant Gene-Anne Curtin Consumer

Pam Heselev MCHN/ IBCLC Assoc Prof Sue Jacobs Neonatologist

Jenny Roberts Lactation Consultant Leva Azadi Dietician /Dept. Health

Meg Jarvis Lactation Consultant Dr Jenni James IBCLC/Academic/Midwife

Joanne Gilbert Regional Midwife Dr Anita Bearzatto GP/IBCLC

Kerri McEgan Lactation Consultant Milk Banking

Kate Mortensen Australian Breastfeeding Association

Nanette Shone Australian Breastfeeding Association

Victorian Breastfeeding Guidelines

Distribution • MCHN’s• Maternity services • General Practitioners - RACGP• Online! – DEECD http://www.education.vic.gov.au/Documents/childhood/Victorian%20Breastfeeding%20Guidelines%20FINAL%2020140730.pdf

Victorian Breastfeeding Guidelines

Anita Moorhead and Associate Professor Lisa Amir would like to recognise the key writers and contributors and DEECD collaborators:• Judith Russell, Ruth Berkowitz and Fiona

McLardie-Hore.• Mary Caruana, Jennifer Halliday and Manjri Raval.

DEECD: Anne Colahan, Karene Fairbairn, Jenny Proimos, Claire Leske