Strengthening collaboration between Public Health and Primary Health Care to meet Baby-Friendly Initiative Teresa Cozzella June 2014
Conflict of Interest
Disclosure of Commercial Support Presenter Disclosure Presenter:
Teresa Cozzella, Public Health Nurse, IBCLC
Relationships with commercial interests: • Grants/Research Support: None • Speakers Bureau/Honoraria: None • Consulting Fees: None • Other: None
Introduction Breastfeeding exclusively to 6 months and continuing for 2 years or longer is the optimal way to feed infants and children
Baby Friendly Initiative
Step 3: Inform pregnant women and their families about the benefits and management of breastfeeding
Infant Feeding Survey 2010 To assess parenting choices and behaviours related to infant feeding among parents in York Region in the child’s first year of life
York Region Infant Feeding Survey Sub-analysis (2012) Significant finding: The intention to supplement is associated with decreased duration of breastfeeding
Prenatal Breastfeeding Education
Decrease the intention to supplement?
Research Women, especially those who are not sure about breastfeeding, want breastfeeding information during pregnancy (Aurora et al., 2000)
Research Women are more likely to decide to breastfeed and maintain their decision when health care providers’ words and actions demonstrate that they value breastfeeding and breastmilk The Baby-Friendly Initiative: Evidence-Informed Key Messages and Resources (2013)
Prenatal Breastfeeding Class Pilot • Increase breastfeeding knowledge and confidence • Increase awareness of community supports • Increase breastfeeding duration and exclusivity rates
Prenatal Breastfeeding Class Pilot Evaluation
Prenatal Breastfeeding Class Pilot Evaluation Results • 85% were in the standard prenatal classes offered by York Region • 97% of all participants were first time mothers
Prenatal Breastfeeding Class Pilot Evaluation Results
Prenatal Breastfeeding Class Pilot Evaluation Results
Prenatal Breastfeeding Class Pilot Evaluation Results Intended duration of breastfeeding BEFORE attending Prenatal Breastfeeding Class 18%
32%
Less than 2 weeks 2 - 6 weeks 50%
Intended duration of breastfeeding AFTER attending Prenatal Breastfeeding Class
14% 36%
6 weeks - 3 months 3 - 6 months
6 - 12 months
12 months or more no plan
50%
Evaluation Summary • Overall effective • Increased the level of breastfeeding confidence • Increase in their intention to breastfeed exclusively and for a longer duration
Questions ?
Thank you ! Teresa Cozzella teresa.cozzella@york.ca
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