Module 10 Talking with Mothers about Breastfeeding

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(No Transcript)
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Learning Objectives

• List two ways to assist mothers through the
  weaning process
• Name two common issues that arise when nursing an
  older baby

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Growth During the Second Six Months

• Babys weight gain begins to slow during second
  half of the year
• Baby will be 2.5 to 3 times his or her birth
  weight by 12 months
• If mothers are concerned about babys growth,
  yield to the WIC nutritionist

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Curious Baby

• Increased activity and curiosity during second
  half of the year
• Babies are easily distracted
• Mothers may experience sore nipples again

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On Strike

• Facts
• Mother may not know cause
• Mothers may feel baby has rejected her
• Most babies do return to the breast
• Support is very powerful

• Solutions
• Minimize distractions
• Try other positions
• Continue to put babyto breast
• Give expressed breast milk in cup, dropper, spoon

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Teething

• Babies can be fussy when teething
• Teach baby not to chew on mothers breast before
  teeth come in
• Break the suction, if necessary

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Ready for Solids

• Mothers should read WIC materials on starting
  solid foods
• Talk with the nutritionist if she has concerns
  about solid foods
• Breastfeed first and then offer new foods
• Remind mothers of the change in babys bowel
  movements

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Signs of Allergic Reactions

• Typical signs of allergies include
• Diaper rash
• Hives
• Vomiting, diarrhea
• Wheezing, congestion
• Red, watery eyes
• If constipated
• Decrease solids and increase breastfeeding
• YIELD to WIC nutritionist

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Introducing a Cup

• Appropriate drinks in a cup are
• Breast milk
• Water
• WIC approved juices
• WIC nutritionist can teach mothers how to
  introduce a cup

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How Does Weaning Happen?

• WIC encourages breastfeeding through the first
  year of life
• Many mothers are pressured to wean early
• Some people are uncomfortable seeing an older
  baby breastfeeding
• Help the mother explore her feelings about
  weaning

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Reasons not to Wean

• Reasons mothers are sometimes told to wean
• Baby starts teething
• So baby will sleep through the night
• Going back to work or school
• Another pregnancy happens
• An illness occurs
• Mastitis
• Influence of medication
• In most cases breastfeeding can continue

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Gradual Weaning

• Weaning that occurs over several weeks or months,
  rather than abruptly
• Drop the feeding baby is least interested in, and
  wait three to four days to allow her body to
  adjust
• If baby is under one year, contact WIC for
  appropriate infant formula
• For babies over one year
• Dont offer, dont refuse
• Distract baby with other activities
• Postpone feedings
• Have someone other than mother feed baby

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Weaning Quickly

• Remove just enough milk for her comfort, not to
  empty the breast
• Hand expression
• Breast pump
• Chilled cabbage or cold packs
• Firm but non-binding bra
• For baby
• Offer increased cuddle time
• Get someone else to feed baby

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Practicing 3-Step Counseling Skills

• 3-Step Principles
• Ask open-ended questions
• Affirm
• Educate

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When to Contact Mothers

• Monthly calls
• Provide support for nursing an older baby
• Encourage her to keep appointments with WIC and
  healthcare provider

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Opening the Conversation with Mothers

• How is your baby growing?
• How has breastfeeding changed since the early
  months?
• What kinds of things do people say to you about
  breastfeeding?
• What is your plan for starting solid foods?
• How has teething affected breastfeeding?
• Who are your support people for breastfeeding?

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Nursing Through the Second Six Months

• Your tools for helping mothers with
  breastfeeding
• Training
• Personal experience
• Books
• Videos
• WIC breastfeeding experts
• Open mind
• Desire to help others

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• My daughter is 8 months old, 16 lbs, and still
• breastfeeding. She has hit every single milestone
• early. The doctors cannot believe how well shes
• done. She is never sick and she greets everyone
• with a smile and a giggle. I have no doubt in my
• mind that WIC got us where we are today.
• WIC Mother