Georgia Chapter American Academy of Pediatrics

 

 

DEDICATED TO THE HEALTH OF ALL CHILDREN

Winner of Outstanding Chapter Award 1966, 1996, 2000 & 2004   
Become an EPIC Trainer

Schedule a free EPIC Breastfeeding Program

Barriers to Breastfeeding

Breastfeeding Benefits

Georgia Breastfeeding Rates

Infant Outcomes of Breastfeeding

Maternal Outcomes

Resources

Upcoming Seminars

 

 

 

 

 

 

 

The Georgia Chapter is excited to expand its availability of breastfeeding resources to Georgia’s Pediatricians.  Robert Wiskind, MD is the Chapter’s Breastfeeding Coordinator and is the Chairman of both the EPIC Breastfeeding Curriculum Committee and the Physicians Breastfeeding Committee. Kristy Fors, RN, IBCLC is the Director of the EPIC Breastfeeding Education Program.  The EPIC Breastfeeding Program curriculum has been developed with the guidance and expertise from the Curriculum Committee that is comprised of physicians and breastfeeding experts. The EPIC Breastfeeding Program is a ground-breaking state funded initiative and was launched in July 2007.  We are confident that the Breastfeeding program will follow in the footsteps of the well established and successful EPIC Immunization Program.  Please contact Kristy Fors at kfors@gaaap.org for further information on breastfeeding resources or questions.

  

Background

Breastfeeding is acknowledged as the preferred method of infant feeding by the American Academy of Pediatrics, the American College of Obstetrics and Gynecology, the National Association of Pediatric Nurse Practitioners, the National Healthy Mother/Healthy Babies and others.

Scientific research overwhelming indicates that breastfeeding is the superior method of feeding. Breastfeeding significantly lower rates of diarrhea, ear infections and lowers respiratory illness. There are a number of studies that show a protective effect of human milk feeding against necrotizing enterocolitis, sudden infant death syndrome, allergic disease, early childhood caries, insulin-dependent diabetes, and obesity. Developmentally, breastfed infants have better visual acuity, and evidence suggests that their cognitive development is very good!

Breastfeeding Benefits

Breastfeeding, Maternal & Infant Health Outcomes in Developed Countries – AHRQ Review Summary April 2007

•         Comprehensive, systematic review of studies conducted in developed countries

–        Screened >9,000 abstracts

–        43 primary studies on infant health outcomes

–        43 primary studies on maternal health outcomes

–        29 systematic reviews or meta-analyses covering approx. 400 individual studies

Breastfeeding, Maternal & Infant Health Outcomes in Developed Countries – AHRQ Review Summary April 2007

Infant Outcomes

•         Breastfeeding is associated with a reduced risk of: hammock

–        Sudden infant death syndrome (SIDS)

–        Obesity

–        Type 1 and 2 diabetes

–        Childhood leukemia

–        Asthma

–        Acute otitis media

–        Non-specific gastroenteritis

–        Severe lower respiratory tract infections

–        Atopic dermatitis

_     Necrotizing entercolitis (NEC)

 

Maternal Outcomes

•         Breastfeeding is associated with a reduced risk of:

–        Type 2 diabetes

–        Breast cancer

–        Ovarian cancer

–        Early cessation/not breastfeeding is associated with an increased risk of:

–        Postpartum depression

 

Barriers to Breastfeeding

Special attention should be given to barriers to breastfeeding for all women especially African American and other minority women.  Below are several barriers to breastfeeding that where identified in focus group findings.

  • Embarrassment
  • Lack of social support
  • Worried about not enough milk
  • Lack of support at work or school
  • Worried about having to eat well
  • Lack of information

Studies show that mothers who receive advice, information and encouragement from their physicians to breastfeed are more likely to breastfeed than those who do not receive such advice. The American Academy of Pediatrics Policy Statement outlines physicians’ roles in the promotion and protection of breastfeeding. View it on the web by accessing http://www.aap.org/policy/re9729.html

Maternity Care Practices Survey done by the CDC conveys that a mother’s ability to successfully breastfeed her baby is strongly affected by the practices and policies of the hospital that she delivers her baby.  Previous CDC research shows that women who are subjected to the best possible in hospital breastfeeding practices are eight times as likely to continue breastfeeding for at least six weeks compared to women who have a less favorable in-hospital experience.  Postponing the initial breastfeeding experience beyond the first hour of life, giving supplementary feedings in addition to breastfeeding and feeding the baby on a specific schedule all appear to strongly interfere with the successful initiation of breastfeeding. DeGirolamo AM, Grummer-Strawn LM, Fein S. Maternity Care Practices:  Implications for Breastfeeding.  Birth. 2001, 28: 94-100.

 

Georgia Breastfeeding Rates 2003-2005

 

 Help the Georgia Chapter -AAP make Georgia a healthier state by scheduling an EPIC Breastfeeding Program.  Let’s increase our states breastfeeding rates together. Click here to download request form or call 404-881-5095 for details.

 

Are you a breastfeeding advocate?

Would you like to train other providers to be breastfeeding supporters?

The new EPIC Breastfeeding Program is now seeking Physicians, Lactation Counselors & Nurses with an interest in lactation support to become trainers in the program.  We need trainers in all parts of the states and especially in the following targeted counties:  Muscogee, Clayton, Chatham, Bibb, Houston and Lowndes.  To become an EPIC Breastfeeding Trainer, email Kristy Fors, RN, IBCLC at kfors@gaaap.org or call (404) 881-5095.  Click here to download the trainer registration form.

 

Resources

Breastfeeding Handout:  The Georgia Physician Breastfeeding Advisory Committee (PBAC) is a collaborative effort among Family Physicians, OB/GYNs, Pediatricians, and lactation experts to promote breastfeeding in the state.  We have developed a patient handout, which you are encouraged to copy and distribute, to assist our patients in initiating breastfeeding successfully and continuing to nurse for a significant time period. You can access the handout by visiting: http://www.gaaap.org/duringpregnancyhandout.pdf)

             Links to Other Breastfeeding Information:     

 

·        AAP Breastfeeding Initiatives  http://www.aap.org/breastfeeding/healthProf.cfm 

·        AAP Breastfeeding Resources http://aappolicy.aapublications.org/cgi/content/abstract/pediatrics;115/2/496

·        AAP Provisional Breastfeeding Section http://www.aap.org/breastfeeding/

·        Baby Friendly Hospital Initiative, USA http://www.babyfriendlyusa.org

·        BPPOP Teleconferences http://www.aap.org/breastfeeding/teleconference.cfm

·        Breastfeeding.com http://www.breastfeeding.com/

·        Breastfeeding online http://www.breastfeedingonline.com

·        CDC Breastfeeding site http://www.cdc.gov/breastfeeding/

·       CDC Guide to Breastfeeding Interventions:    http://www.cdc.gov/breastfeeding_interventions.pdf

·        CDC’s Lactation Support Program Toolkit  http://www.cdc.gov/nccdphp/dnpa/hwi/toolkits/lactation/index.htm

·       Clinical Care Path for Breastfeeding http://www.state.nj.us/health/fhs/wic/forprofclincarebreast.pdf

·        Codeine and Breast milk http://www.ibreastfeeding.com/currentnewsletter.pdf

·        Cost Benefits of Breastfeeding www.prairienet.org/laleche/bfcost.html

·        Dr. Jack Newman’s Breastfeeding Resources http://www.kellymom.com/newman/18MD_unsupportive.html

·         Dr. Jane Morton at Stanford http://newborns.stanford.edu/Breastfeeding/ABCs.html#ABCs

·         Economic Benefits of Breastfeeding (USDA) http://www.ers.usda.gov/publications/fanrr13

·        Food and Drug Administration http://www.fda.gov

·        Georgia Department of Human Resources (DHR), Nutrition Section, Breastfeeding website; http://health.state.ga.us/programs/nutrition/breastfeeding/index.shtml 

·        Georgia District Breastfeeding Coordinators; (For contact information for your State and local representative, click here)

·        Healthy Mothers Health Babies of Georgia PowerLine; http://www.hmhbga.org/

·        Human Milk Banking Association of North America (HMBANA) http://www.hmbana.org

·        International Lactation Consultant Association (ILCA) http://www.ilca.org      

·        Kangaroo Mother Care http://www.kangaroomothercare.com

·        La Leche League Breastfeeding Information http://www.lalecheleague.org/links.html/m=0,4  

·        Medications and Breastfeeding http://toxnet.nlm.nih.gov/cgi-      bin/sis/htmlgen/LACT

·        National Women's Health Information Center http://www.4woman.gov/breastfeeding/

·        Promom (Promotion of Mother’s Milk, Inc.) http://www.promom.org

·        Southeastern Lactation Consultant Association (SELCA) Community Lactation Services http://www.selca.info/.

·        State Breastfeeding Information http://health.state.ga.us/programs/nutrition/

·        Wellstart International http://www.wellstart.org

·        Women’s Health and Breastfeeding Hotline http://www.4woman.gov/breastfeeding/index.cfm/page=Campaign

              

 Important Telephone Numbers:

 

Georgia Poison Control Center; Grady Memorial Hospital, Atlanta, GA.;

(404) 616-9000 or (800) 282-5846. Answers to questions on Drugs and Lactation.

 

      Healthy Mothers Health Babies of Georgia PowerLine; (770) 451-0020 and

      1-800-822-2539 (WIC and Lactation Referrals)

 

      La Leche League International Breastfeeding Hotline (877) 452-5324

 

      Women’s Health and Breastfeeding Hotline (800)-994-WOMAN

 

 

Books and Manuals

·         Breastfeeding: A guide for the Medical Profession, by Ruth Lawrence C.V. Mosby Co., St. Louis, MO. 1999.

·         Breastfeeding: A Parent’s Guide, Amy Spangler; Amy Spangler, 2006.

·         Breastfeeding and Human Lactation, by Jan Riordan; Jones & Barlett, Publishers, Sudbury, MA. 2005.

·         The Breastfeeding Answer Book Pocket Guide Edition, by La Leche League International; La Leche League International, Schaumburg, IL. 2005

·         Medication and Mothers’ Milk, by Thomas Hale; Hale Publishing, Amarillo, TX. 2006.


Videotapes/ Videoclips/ DVD’s

      DVD Baby Led Breastfeeding by Christina Smillie MD with Kittie Frantz, self attachment

Dr. Jane Morton at Stanford University http://newborns.stanford.edu/Breastfeeding/ABCs.html#ABCs

      Self attachment/Breastcrawl  http://breastcrawl.org/

  A AAP Breastfeeding Policy Statement www.aap.org/policy/re9729.html

 

Upcoming Seminars

Click Here for a listing of Breastfeeding Seminars and Conferences.