quarterly™
Transcription
quarterly™
humanquarterly milk ™ third quarter | 2013 every drop counts Research. Trends in online education support making changes to prenatal and breastfeeding education programs. Knowledge. Practically Speaking with Allison Roper LICSW— Public Health Advisor for the Office of Disease Prevention and Health Promotion. Outcomes. Transforming care delivery generates outstanding breastfeeding rate increases for New York State Regional Perinatal Center, Winthrop University Hospital. Changing Course: New Prenatal Education to Support Breastfeeding Success ™ editorial: changing course Every Drop Counts ™ The pace at which changes are breastfeeding mothers throughout burden of navigating insurance benefits occurring in healthcare is astounding. the country. As a trusted resource for under ACA, Medela can help with a The implementation of the Patient breastfeeding research and education, simple solution to direct mothers how Protection and Affordable Care we’ve taken steps to provide and share to obtain the information they need. Act (ACA) and the newly available the new information we’ve learned, so breastfeeding support benefits to that you can easily share it with your mothers is a giant step in the right patients. We’ve provided a means to direction, with the potential to increase increase the available education for breastfeeding initiation and duration healthcare providers and for mothers to rates across the country. And while better prepare for breastfeeding. the desired end state reflects all of our goals, the pathway has been less than clear. No one was certain about what to expect from ACA, and since its implementation, we’ve seen the landscape of our business undergo significant changes, including an increase in demand for our products. We’ve seen healthcare providers facing new questions regarding insurance reimbursement, and millions of new mothers will receive breastpumps 2 education and ongoing lactation support. I hope you enjoy this edition latest information about ACA, Medela of expectant mothers are partaking in Breastfeeding University and education prenatal birthing education courses programs, research and product news anymore. In an effort to fill the gap to support our healthcare provider and provide breastfeeding support to partners. these mothers, we’ve recently launched Medela Breastfeeding University, our online breastfeeding education program to help mothers prepare for their Thank you for your continued support of breastfeeding mothers and babies. Kind regards, breastfeeding journey. regarding insurance reimbursement so that we serve and to the millions of to support them with breastfeeding benefits provided under ACA, only 34% We’ve also conducted research commitment to the healthcare providers get the right breastpump, but also of Human Milk Quarterly, with the education. products is only one part of Medela’s we need to help mothers not only Research tells us that despite the without receiving breastfeeding Providing breastfeeding support As partners in promoting breastfeeding, that mothers know the questions they need to ask regarding their breastpump benefit. And for healthcare providers who have had to bear the additional Carolin Archibald President, Medela, Inc. table of contents 4in this issue news . . . . . . . . . . . . . . . . 4 cover story . . . . . . . . . . . . 12 Breastfeeding Advocates Honored by Medela Changing Course: New Parental Education to Support Breastfeeding Success 2013 Breastfeeding Hall of Excellence Inductees Announced. news . . . . . . . . . . . . . . . . 6 Introducing Medela Breastfeeding University Medela’s new online breastfeeding preparation program walks moms through important breastfeeding topics. news . . . . . . . . . . . . . . . . 7 Medela Named Company of the Year March of Dimes honors Medela with Jonas Salk Health Leadership Award. news . . . . . . . . . . . . . . . . 7 New Preemie Awareness Month Program Share your best practices with Medela for a chance to win Medela NICU products. outcomes . . . . . . . . . . . . . 8 Increasing Breastfeeding by Changing Care Delivery New York State Regional Perinatal Center, Winthrop University Hospital increases exclusive breastfeeding rate by 38 percent through changes in daily practices. partners . . . . . . . . . . . . . 10 Medela and Hard Rock Team Up Medela and Hard Rock Hotel partner to benefit charitable program for families at Ann & Robert H Lurie Children’s Hospital. Sixty-eight percent of all women giving birth today are “millennial moms”. What are millennial moms and why is it important to understand them? Moreover, how do they look for health information and seek health education? Answers to all these questions highlight the need to review the delivery of prenatal and breastfeeding education in an effort to support successful breastfeeding. 6 practically speaking . . . . . . . 18 With Allison Roper, LICSW As a Health Advisor for the Office of Disease Prevention and Health Promotion, Roper talks with Human Milk Quarterly about the breastfeeding goals within the Healthy People 2020 Initiative, the Affordable Care Act, and resources for continued breastfeeding support. education . . . . . . . . . . . . . 22 • Introducing the Human Milk Monthly webinar series • New Online Courses: – What is the Evidence for the Joint Commission Core Perinatal Measure on Exclusive Breastfeeding During The Maternity Hospitalization – Cost Benefits of Breastfeeding and the Use of Human Milk 8 12 product focus. . . . . . . . . . . 25 Protecting the mom-baby connection is key for maintaining breastfeeding duration once mom and baby are discharged. Learn about how Medela plays a role from hospital to home in supporting breastfeeding success. Chief Editor: Claudette Yasell claudette.yasell@medela.com Clarification: In our previous issue on page 12, we included a photo depicting a Medela Special Needs Feeder. This photo was taken in collaboration with the clinician who was observing the feeding. Each feeding situation is different and flow can be adjusted to meet baby’s needs. Medela recommends following the instructions for use included for the Special Needs Feeder. 3 news: hall of excellence 2013 Breastfeeding Advocates Honored by Medela Breastfeeding Hall of Excellence Inductees Announced Medela is proud to announce the induction of three honorees to the Breastfeeding Hall of Excellence. The inductees, Sherry Payne, MSN, RN, Sherry Payne representation by our inductees of the many different roles family, friends MSN, RN, CNE, IBCLC, Kansas City, MO and professionals can play in a mom’s Payne, a nurse and lactation consultant, breastfeeding journey,” said Carolin is dedicated to raising breastfeeding Archibald, president of Medela. “We rates within all communities and have added another new category in particularly among women of color. our Breastfeeding Hall of Excellence To provide support, education and to recognize community leaders. intervention, she founded Uzazi Village This demonstrates the growing and in 2012. The organization serves increasingly passionate commitment women free of charge with volunteer breastfeeding advocates play in both CNE, IBCLC, David Duresky and V. lactation consultants and breastfeeding traditional and non-traditional roles. Kuroji Patrick will each be awarded a peer educators. Chocolate Milk Café, The CDC’s Breastfeeding Report geared toward African-American $5,000 grant to fund research, sponsor Cards show an upward trend in women, is one of two breastfeeding continuing education, purchase U.S. breastfeeding initiation, which support groups Uzazi Village runs. equipment for use in their practice or increased from 73.8 percent in 2004 donate to the breastfeeding charity of to 76.5 percent in 2010. At Medela, their choice. we know this trend has a lot to do For parents of a newborn, the baby’s care can at times be overwhelming. While rewarding and beneficial for with breastfeeding advocates like the ones we honor today. We look forward to helping to meet national goals for breastfeeding duration so babies and moms may obtain the full health challenges, but a supportive network benefits of breastfeeding.” journey. Passion and compassion are Medela takes pride in honoring the hard that U.S.-based lactation consultants and breastfeeding advocates show every day through their work in the community. that comes from breastfeeding.” – Sherry Payne Professional Inductee: Lactation Consultant Inductee: inductee work, dedication and best practices want other women to know the power 2013 Breastfeeding Hall of Excellence Inductees: 2013 at the core of Medela’s philosophy. home and successfully breastfed. I inductee make the difference in the breastfeeding “Six of my nine children were born at 2013 mother and baby, nursing can pose of family, friends and professionals can 4 “It is so exciting to see the David Duresky Lighthouse Point, Florida As a former research analyst for a children’s organization looking for scalable solutions to obesity, Duresky news: hall of excellence discovered that breastfeeding had a became his wife’s biggest breastfeeding promoting use of human milk in the positive impact on efforts to address advocate. Through his own experience, NICU; Carol Chamblin, who has a child obesity, as well as on other Patrick understood the important role doctor of nursing practice and a health and emotional issues. In his that fathers can play in increasing focus on lactation support by nurses current role as quality assurance and breastfeeding rates and developed a in the pediatrician’s office; and Julie training manager at Broward Healthy breastfeeding children’s book with a Hamilton, MA, CLC, founder of Start Coalition, a non-profit supporting father depicted as actively involved Julie’s Village (juliesvillage.org) and pregnant women, mothers and babies, with his breastfed child. He is also 2010 Mrs. Nashville, whose platform Duresky launched a training program for dedicated to providing education is breastfeeding preparedness. breastfeeding. The program has trained to the underserved communities in, Nominations were accepted in three breastfeeding educators in Broward and around, Washington, DC, where categories: Lactation Consultant (LC), County and now incorporates a exclusive breastfeeding at three months Professional Breastfeeding Advocate workbook for use in the field and will be is only 32.1 percent, according to the and Community Breastfeeding shared across the state at the Florida CDC’s 2013 Breastfeeding Report Advocate. Those nominated in the Department of Health conference. Card. LC category must be a practicing “While I know that there are women “Fathers are parents too and we simply who cannot breastfeed for medical do not see enough imagery supporting and other reasons, I refuse to accept the critical role they play in a breastfed the reality that millions of children child’s life. I want to help change that.” could be healthier and happier through – V. Kuroji Patrick breastfeeding, but are not.” – David Duresky Breastfeeding Hall of Excellence Community Inductee: Since the program began in 2006 2013 inductee V. Kuroji Patrick (known then as the Lactation Consultant Hall of Excellence), Medela has recognized professionals who exemplify best practices and outstanding dedication to their International Board Certified Lactation Consultant in the United States and be nominated by a peer and breastfeeding mother for their role as an exceptional professional. For more information on the program, visit BreastfeedingHallofExcellence.com. Our panel of Judges profession and/or cause. Medela has Carol Chamblin expanded the program to honor other DNP, APN, RN, IBCLC healthcare professionals, recently, Bethesda, Maryland the company added a community Father of four, Patrick recalls his breastfeeding advocate category. mother breaking from cultural norms in the 1970s to breastfeed him and Inductees were chosen by an his brothers. Through a series of independent judging panel comprised polling he conducted within his own of respected lactation consultants, family and network prior to becoming health professionals and community a father, Patrick soon realized that breastfeeding advocates including: breastfeeding was an integral part Lori Wood, a neonatal clinical nurse of his children’s health and quickly specialist whose primary focus is Lori Wood Julie Hamilton MSN, CNS, RNC-NIC, IBCLC MA, CLC 5 news: breastfeeding university Medela Launches Breastfeeding University New Online Tool Helps Moms Prepare for Breastfeeding Waiting for a new baby’s arrival is an exciting time, with expectant parents eager for information and plenty of time on their hands (before late night feedings and diaper changes consume them post-delivery). That’s why Medela is bringing breastfeeding education to moms-to-be with the launch of its online education program, Medela Breastfeeding University. Developed by healthcare professionals and based on the most current breastfeeding research, Medela Breastfeeding University will walk moms through what to expect during pregnancy as well as how to initiate breastfeeding at the hospital, how breastfeeding transition to home and work, and works, the benefits, advocate for herself and her baby. potential obstacles, “There is so much to think about when you are expecting a baby,” said Carolin Archibald, president of Medela, Inc. “The Affordable Care Act now provides breastpumps to moms, but prenatal education is key to setting expectations and helping mom understand what tools and support she should seek during her breastfeeding experience. We want to help moms succeed by ensuring they receive breastfeeding education, even if they can’t make it to a local class.” 6 what to expect at the hospital, how to transition home, how to transition to work, what to do if the baby is in the NICU, and how to know if your baby is getting enough milk. It also includes information for fathers and grandparents so they can support mother and baby. Registered users can refer back to the program as often as needed. The $25 registration fee for the program will be donated by Medela to Ronald McDonald House Charities® (RMHC®), The course is comprised of 10 a nonprofit organization that provides segments (7-12 min. each) which cover stability and vital resources to families to help them get and keep their children healthy and happy. Over 40 percent of the children RMHC serves are infants who need the loving touch and care from their Moms and Dads in order to heal. To register for Medela Breastfeeding University, visit medelabreastfeedingu.com. For more information on Medela, visit www.medela.com. news: national preemie awareness Medela Launches National Preemie Awareness Month Call for Case Studies Medela knows how much NICU healthcare providers are committed to stabilizing the health of critically ill infants in the NICU. To promote National Prematurity Awareness Month this upcoming November, we want to celebrate your successes. Faced with minimizing length of stay in the NICU, increasing human milk intake, and decreasing rates of Necrotizing Enterocolotis (NEC), you have a partner in Medela to help make these goals achievable. Human milk is like medicine to premature infants who are physically vulnerable. To recognize the critical role that you play in providing them access to human milk, Medela will recognize two facilities that have been successful in bettering NICU outcomes by increasing human milk consumption using Medela products or education. For National Preemie Awareness Month this year, Medela wants to know how our partnership has influenced results at your facility. Did your NICU staff attend a course given by The Medela Education team? Have you changed your NICU policies to reflect more efficient milk storage or warming? Have you been using Preemiet? What was the result? Tell us about it. Two case studies will be selected; the first place winner will receive $10, 000 in Medela products and the second place winner will receive $5,000 in Medela products. Case study submissions will be accepted until October 18, 2013. For information about case study criteria see the official guidelines at http://www.medelabreastfeedingus.com/preemie-awareness-month-rules. Medela Chosen Company of the Year Bestowed March of Dimes Jonas Salk Health Leadership Award On September 17, 2013, Medela was recognized by The March of Dimes with a Jonas Salk Health Leadership Award for 2013 Company of the Year. The Jonas Salk Health Leadership Awards honor the dedication and commitment of outstanding healthcare professionals and organizations. Medela was selected for this award based on its efforts to go above and beyond in education, awareness and community development efforts for moms and babies. “We are extremely proud to be recognized as Company of the Year by March of Dimes. Our destiny statement ‘…to enhance mother and baby health through the life-giving benefits of breastmilk’ works hand in hand with March of Dimes’ commitment to improving the health of babies. We know that our individual and combined efforts are making a difference in infant and maternal health,” says Carolin Archibald, president of Medela, Inc. The March of Dimes Jonas Salk Health Leadership Award is given to maternal and infant health professionals in five key disciplines: Health Management, Physician, Nurse, Research and Public & Community Health. Its intent is to recognize individuals and organizations that continue the legacy of the March of Dimes mission of improving the health of babies. Breastfeeding Friendly Medela strongly supports the Baby-Friendly Hospital Initiative and extends congratulations to those accounts that have recently achieved this honorable designation. Congratulations! • Lawrence & Memorial Hospital New London, CT • Waccamaw Community Hospital Murrells Inlet, SC The Medela Education Team designs programs in support of Breastfeeding Friendly Initiatives. Visit www.medelaeducation. com for more details. 7 outcomes: transforming care delivery Increasing Breastfeeding through Transformation of Care Delivery are considering improving their own breastfeeding policies, study author Eileen Magri, PhD (c), RN, NE-BC, Director of Nursing, Maternal Child Health at Winthrop University Hospital said she would advise a “Review of all processes that are currently being followed.” She adds, “It was difficult at first [for us] to admit that although we took pride in a great maternity service, we were not practicing according to the research and evidence. Once we admitted that our own practice was a barrier to supporting mothers’ feeding decisions, we were able to move forward.” 8 New York State Regional Perinatal Center, Winthrop University Hospital, recently achieved an increase in exclusive breastfeeding from 6% to 44%. An outstanding result, their case study, Transforming a Care Delivery Model to Increase Breastfeeding, was published in the May/June 2013 issue of the American Journal of Maternal Child Nursing. According to the authors, the objectives of the project were: The significant increase in breastfeeding they reported was achieved through changing the care delivery model, as the title suggests, within the medical center to better support exclusive breastfeeding. For the study, all aspects of mother/baby care were evaluated and changed to meet the breastfeeding recommendations as outlined by the World Health Organization (WHO) and New York State Department of Health. 5)change the culture and social norm relative to breastfeeding. 1)increase exclusive breastfeeding; 2)improve hospital breastfeeding policies, practices and systems; 3)increase staff skills and knowledge of breastfeeding support through education; 4)empower, educate and support new mothers to successfully breastfeed; An initial and thorough review of the hospital practices and staff knowledge related to breastfeeding revealed a failure to meet criteria as defined in the Ten Steps to Successful Breastfeeding as supported by American Academy of Pediatrics (AAP) and WHO. When asked about the project and how she would advise other facilities who “Once we admitted that our own practice was a barrier to supporting Eileen Magri mothers’ feeding decisions, we were able to move forward.” The first area to be approached in the study was newborn care practices in Labor and Delivery (L&D). The study reported that mothers and their newborns were routinely separated after the first hour of life and routine care was given to the newborns while the mothers recovered. This process kept mothers and babies separated for more than 6 hours, according to the study. After careful observation, it was decided that the transition care of the healthy newborn would be completed outcomes: transforming care delivery With evaluation, changes in practice and a strong desire to help mothers exclusively breastfeed, results were extremely positive: Skin-to-Skin contact for newborns within 1 hour for vaginal births and within 2 hours for cesarean sections reached 90% and has been sustained. – Rooming–in increased from 0% to over 70%. – Exclusive breastfeeding increased from 6% to 44%. These results are very encouraging for other institutions; that they can make similar changes that will make a difference in breastmilk feeding. Magri adds, “The staff is very proud of their accomplishments and is still working very hard to make every mother successful.” increased to 44 % eeding Nursing staff were also given complimentary access to an online 18-hour breastfeeding course during the study and within 12 months, 100% of the maternity nursing staff completed The Ten Steps to Successful Breastfeeding On-Line Course. Since the study was completed, the course is now included in basic orientation for new nurses. – from 6% stf The second area to be evaluated was the postpartum unit. For convenience purposes, physicians usually checked both boxes, for fomula and breastmilk, on the newborn feeding order sheet, which encouraged supplementation with formula. The changes to hospital practice included discontinuing the option of formula feeding on the order sheet. Upon admission, the mother is asked her feeding preference and the staff is now required to inform the mother before supplementing a breastfeeding baby with formula. In addition, a physician order is required. Giving out gift packs to new mothers at discharge which included formula is a practice that has also been discontinued. Rooming-in was also encouraged in post-partum care. Rooming-in was not being practiced at the facility at all. There were barriers to this change, both logistically, and from the staff side, but ultimately, these were overcome. The original practice was to return all newborns to the nursery at 10 pm. This nightly routine was eliminated and replaced with a return to the nursery only at the request of the mother. This approach proved successful. Magri credits a team approach for this success and the success of the entire project. “Staff involvement in decision making and how to re-design their care delivery model was key.” ea in L&D, instead of in the nursery. According to Magri, this was the most difficult change that was undertaken. “The component of change that was difficult and required the most time to implement was moving transition care from the traditional nursery setting to the delivery room. This required many tests of change and observation time by the transition nurses to be sure the workflow was correct. After that was established, the rest of the staff was trained.” excl e usiv br 9 partners: affordable care act Partners in Promoting Breastfeeding Medela and Hard Rock Hotel Chicago, Charitable Program Benefits Families at Ann & Robert H. Lurie Children’s Hospital of Chicago, Through The Jackson Chance Foundation This Mother’s Day, Medela announced a very unique partnership—with Hard Rock Hotel in Chicago. At first glance, the headline suggests the unlikeliest of pairings, but it began with a common goal—enhancing mother and baby health through the life-giving benefits of breastmilk. When the idea to support a nursing mothers amenity program came to Medela, the answer was YES! In partnership with Medela, the Hard Rock Hotel Chicago developed the Nursing Mothers Amenity Program to better meet the unique needs of guests who are breastfeeding or ‘pumping’ while traveling. The thoughtful in-room amenities are available to travelers with proceeds from the program benefitting local families of children in the Neonatal Intensive Care Unit (NICU) at Ann & Robert H. Lurie Children’s Hospital of Chicago through The Jackson Chance Foundation, an Illinois non-profit dedicated to providing support to NICU families, allowing them to spend more time with their baby. Medela provided a hospital grade Symphony® breastpump and breastfeeding Accessory Starter Sets, which include: Quick Clean™ MicroSteam™ Bags, Quick Clean Wipes, Pump and Save™ Bags and Disposable Bra Pads. In addition to the pump and supplies, the Nursing Mothers Amenity Program also features convenient inroom amenities such as microwaves, mini-refrigerators, ice packs for transportation and mini cooler bags. 10 Medela and Hard Rock Hotel in Chicago, Illinois partner to provide the unique amenities that nursing mothers need while traveling (Guitar not included). partners: affordable care act The Nursing Mothers Amenity Program costs $30, with proceeds directly benefitting local families with children in Ann & Robert H. Lurie Children’s Hospital of Chicago through The Jackson Chance Foundation. “We created the Nursing Mothers Amenity Program in hopes of making travel a little bit easier on the already busy mom,” said Carrie Meghie, EVP of Becker Ventures and General Manager of Hard Rock Hotel Chicago. “By supplying many of the items breastfeeding mothers need, not only will Hard Rock Hotel Chicago be helping mothers that are staying with us, but proceeds from the Nursing Mothers Amenity Program will benefit families with children in the NICU at Lurie Children’s Hospital of Chicago through The Jackson Chance Foundation.” The hotel’s concierge staff is also trained with the know-how to source additional nursing-specific requests such as shipping expressed milk. “Support from the community is so critical to moms who are trying to breastfeed,” said Carolin Archibald, president of Medela, Inc. “We are proud to partner with Hard Rock Hotel Chicago Jackson’s Story Our beloved son, Jackson Chance, came to us on 11.11.11 @ 11:11 pm. He was as special as his birthday was unique. Jackson spent his entire life in the NICU. We were blessed to have him in our lives for 10 amazing but short months. We were fortunate to have the resources and support that allowed us to spend not only significant but quality time with him. The NICU was our family’s home away from home, and we know firsthand the challenges parents face while having a child in the hospital. Jackson Chance was born 10 weeks premature and spent all Carrie and Terry Meghie, with Jackson. but 48 hours of his life in the hospital. He was a fighter and a very happy baby. We were fortunate to have the support and resources to spend each and every day with him in the hospital. We truly made the hospital his home. We always thought Jackson would come home and live a long life with us. We never considered the possibility that he would not make it home until right at the very end. Jackson passed away in his mother’s arms while holding his father’s hand on September 7, 2012 just shy of 10 months. Jackson had Bronchopulmonary dysplasia (BPD), a chronic lung condition that affects newborn babies who were either put on a breathing machine after birth or were born very early (prematurely). The Jackson Chance Foundation The few lucky ones who got to meet Jackson were truly amazed by his spirit. He was by far, the happiest baby I have ever met. We believe that the time we were able to spend with him not only contributed to his happiness but also greatly enhanced and extended his life. has created and is funding the NICU Jackson gave us more joy in 10 months than we could hope for in a lifetime. to help mothers who are traveling, in addition to the families at Lurie.” Transportation Program at Ann & Robert H. Lurie Children’s Hospital of Chicago. The NICU Transportation Program will provide complimentary transportation to all families of NICU babies. JCF has recently raised enough funds to launch the program. We hope that Jackson’s memory will continue to live on by touching similar families. We were able to find so much joy in the NICU and create an environment where the hospital became an extended family to us and Jackson. We believe, without a doubt, that this contributed to Jackson having so much happiness in his short life. We hope others are able to experience this as well. Our goal at the Jackson Chance Foundation is to help others “Enjoy the Moment!” just like Jackson did. 11 cover story: changing course Changing Course—A Look at the Need for Changing Childbirth and Breastfeeding Education to Support Breastfeeding Success for Today’s Millennial Moms Introducing Medela Breastfeeding University by Claudette Yasell Sixty-eight percent of all women giving birth today are “millennial moms.”1 What are millennial moms and why is it important to understand them? Just as the terms “baby boomers” and “gen x-ers” have become commonplace, millennial moms are gaining ground. The group developed its own identity and has had major impacts on areas such as technology, marketing and healthcare. Research indicates that healthcare decisions for the millennial mom are made quite differently from those for other groups, historically. Their expectations of healthcare providers are changing, but policymakers, in turn, are also asking a lot of these moms. The U.S. Department of Health and Human Services initiative Healthy People 2020 goals regarding breastfeeding reflect initiation rates of 81.9 percent and exclusive breastfeeding for 6 months at 25.5 percent.2 In addition, the Patient Protection and Affordable Care Act (ACA) is giving mothers access to no-cost breastpumps they’ll use to support their commitment to breastfeeding their children while maintaining their lifestyle or back-to-work routine. In theory, it makes perfect sense that offering accessibility to breastpumps will, in fact, increase breastfeeding initiation and duration rates, but a key factor to support this linear projection is missing: breastfeeding education to buttress breastfeeding success. 12 cover story: changing course Notwithstanding the valiant efforts of breastfeeding supporters via individual lactation consultations and onsite prenatal education programs, the 2013 Breastfeeding Report Card from the Centers for Disease Control (CDC) reports mothers are only achieving a 76.5 percent initiation rate, and at 6 months there are only 16.4 percent of infants that have been exclusively breastfed.3 Other research indicates that despite 85 percent of moms planning to exclusively breastfeed for three months, only 34 percent of these mothers are reaching that goal.4 So where are the gaps and where are the opportunities to shore up breastfeeding education to meet a mother’s needs and support her success? One option is to look at the ways in which millennial moms pursue education. The results are surprising and show that fewer and fewer mothers are getting childbirth education prenatally. In light of this, Medela is proud to introduce Medela Breastfeeding University-offering breastfeeding education to moms in a whole new way, and offering a tool to support healthcare providers’ postnatal efforts to promote and support breastfeeding. While nothing can replace the one-on-one lactation consultation to evaluate latch and feeding at the breast, Medela • She demands quick access and immediate action • She looks for quick responses to accommodate her hectic schedule • She’s moving away from high-anxiety parenting toward an alternative, less stressful and ultimately rewarding style • She uses the Internet as a gathering space for social Breastfeeding University offers mothers comprehensive interaction and a resource to do a deeper dive into her top breastfeeding education prenatally, commensurate with the issues and concerns way millennial moms pursue information. Meet the Millennial Mom Millennial moms have been the object of many studies to evaluate everything from their sleeping and buying habits to • She is an expert multi-tasker • She is likely a student—53 percent of millennial moms are students their parenting methods and Facebook activity. A synopsis Virtually Educated of a selection of these studies and census data offers the Higher education is a great example of an industry that following information and characteristics of the millennial successfully evolved to better serve its technology driven mom.1, 5-8 student population. A ten-year study tracking online • She was born between 1977 and 1996 education from 2002-2011 at higher education institutions in the United States reports that the proportion of all students • She belongs to a population of 55.5 million taking at least one online course is at 32 percent.9 It will likely • She grew up on the speed of the internet and shorter increase if the trend continues. Translating that to an actual commercial messaging number is astounding. The number of students taking at least Continued 13 cover story: changing course one online course when the study began was 1.6 million. This been steadily falling for many years. A series of reports figure has increased by more than 5 million to a new total of published based on three National US Surveys of Women’s 6.7 million students in 2011. Childbearing Experiences, Listening to Mothers I, II and III, Educators quickly recognized the trend toward online 14 published in 2002, 2006 and most recently in May 2013, are education and responded accordingly. In 2002, less than one devoted to understanding experiences and perspectives of half of all higher education institutions reported in the study childbearing women and using this knowledge to improve that online education was critical to their long-term strategy. maternity care policy, practice, education and research.10-12 That number is now close to 70 percent. It is difficult to Current findings indicate that only 34 percent of mothers ignore the parallel conclusions that can be drawn regarding reported taking a childbirth education class with this how education is accessed by this generation, regardless of pregnancy, compared to 36 percent reported in the first the subject matter, as well as the growing importance it has Listening to Mothers study. Listening to Mothers II found achieved on the priority list of educators. that just 56 percent of first-time mothers attended childbirth Childbirth Resources education classes, compared with 70 percent reported in Interestingly, traditional enrollments at higher education the first study. Measuring types and frequencies of childbirth institutions dipped this year for the very first time, but education classes taken by moms for the first time in the enrollments in onsite childbirth education classes have most recent study, 49 percent of mothers reported taking cover story: changing course Searching for Answers Fewer and fewer women are turning to classes or books for childbirth-related information. They are going online. According to the Pew Internet & American Life Project, 83 percent of Internet users have looked online for health information. Data released by Pew show many people are now using mobile phones to search for health information -- 29 percent of mobile phone owners age 18 to 29, and 17 percent of mobile phone owners overall.14 Supporting data can be found in Listening to Mothers III. Mothers reported that a laptop or desktop computer with Internet access was the most commonly used device for accessing online information about pregnancy and childbirth-82 percent typically used it at least once a week, followed by smartphones at 64 percent, tablets at 35 percent and a regular mobile phone with Internet access at 33 percent.12 According to Google’s former Health Strategist, Dr. Roni Zeiger, “On any given day, more people are posing health questions to Google than posing health questions to their doctors.” And one last piece of helpful information: weekly classes across multiple weeks, and the rest of the mothers reported their classes were completed in one (24 “Pregnancy” is No. 7 on Yahoo’s list of top health related searches.14 Connected with Medela Moms percent) or two (26 percent) days. In addition to Medela’s evidence-based pursuit of clinical Another study, Contemporary Dilemmas in American information to support product development, Medela also Childbirth Education: Findings from a Comparative maintains a strong bond with consumers. Breastfeeding Ethnographic Study, reported similar results that “attendance mothers who use Medela products are actively engaged at childbirth classes has significantly dropped.” on a social level with the Medela Moments Blog; Medela Researchers observed that more women are working full- online Facebook and Twitter communities; the Medela time and, in addition to having technologically-medicated breastfeeding app for iPhone--iBreastfeed, and on lifestyles, couples are increasingly overwhelmed by the Medela.com for information on the benefits of breastfeeding, demands of work and home. The study also reported that important ACA information, and other breastfeeding 13 low-income women were not well-represented in the classes resources. and were more likely than middle-income women to report Medela’s Facebook community is over 89,000 followers “television” as their primary information source on pregnancy strong and is highly engaged. Medela moms look to each and childbirth. other and to Medela for answers to common questions; Continued 15 cover story: changing course help with resolving breastfeeding issues and for a forum to Breastfeeding University, a unique and comprehensive share experiences in a breastfeeding community of moms. breastfeeding preparation program that can be accessed The Medela Moments Blog was awarded an E-Healthcare by expectant mothers in the comfort of their own home or Leadership Award—Silver winner in the category of best convenience of their mobile phone. social networking. The Medela.com website continues to trend upward in site visits and provides moms the latest information on their ACA benefits for breastfeeding support. Developed by healthcare professionals and based on the most current breastfeeding research, Medela Breastfeeding University walks mothers through what to expect during pregnancy as well More moms than ever are accessing as how to initiate breastfeeding at medela.com on their mobile phones the hospital, transition to home and many, more than 25,000 Medela and work, and advocate for moms, in fact, are using iBreastfeed. herself and her baby. Consumer Search recognized Medela’s iBreastfeed app as one of the top five useful breastfeeding apps for nursing moms. Using the app, moms can get information on the benefits of breastmilk, breastfeeding and pumping tips, breastmilk storage 94 percent of students said the course better prepared them for breastfeeding guidelines and instant access to other online resources. They can keep a breastfeeding log and even have the ability to send the log to their doctor. iBreastfeed is a truly indespensible app for breastfeeding moms. Medela Breastfeeding University Based on the trends in online education, childbirth education and in our own online community, Medela developed Medela 16 Prenatal education is key to setting expectations and helping mom understand what tools and support she should seek during her breastfeeding experience. The goal of Medela Breastfeeding University is to help moms succeed by ensuring they receive breastfeeding education, even if they can’t make it to a local class. The course is comprised of 10 segments (7-12 min. each) which cover how breastfeeding works, the benefits, potential cover story: changing course obstacles, what to expect at the hospital, how to transition • 29 percent did/will change their registry based on what they learned home, how to transition to work, what to do if the baby is in the NICU and how to know if the baby is getting enough milk. It also includes information for fathers and grandparents so they can support mother and baby. Registered users can refer back to the program as often as needed. The program is offered in both English and Spanish. • 100 percent would recommend this course to others Enrolling in Medela Breastfeeding University Medela Breastfeeding University is designed to work in tandem with the healthcare provider community. Hospital accounts and lactation consultants are encouraged to review Early Feedback the program and offer it to patients prenatally. Contact your Since Medela Breastfeeding University was launched local Medela representative for more information on Medela earlier this year, it has been promoted in various media, via Breastfeeding University. bloggers, news release, Facebook, on Medela.com and to Medela professional accounts, just to name a few. Results thus far have been very encouraging and Medela continues to enroll students each day. Early results from participants: • 94 percent said the course better prepared them for breastfeeding • 41 percent changed their breastfeeding goals because of what they learned in the course • 100 percent feel they know the right questions to ask for breastfeeding support in the hospital • 94 percent learned new information from the course • 94 percent feel better about asking for breastfeeding support in the hospital References 1. Meredith. Communicating with Millennial Moms. 21 Sept. 2010. Web. 21 Aug. 2013. http://usnlive.com/MPG_Custom_Solutions_WIC_Research_Presentation_rev9.20.10.pdf 9. 2. U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. Healthy People 2020. Washington, DC. Available at [www.healthypeople.gov]. Accessed [9/5/2013]. 10. Declercq ER, Sakala C, Corry MP, Applebaum S, Risher P. Listening to Mothers: Report of the First National U.S. Survey of Women’s Childbearing Experiences. New York: Maternity Center Association, October 2002. 3. Breastfeeding Report Card 2013. CDC. Published online July 31, 2013. Full text. 11. Declercq ER, Sakala C, Corry MP, Applebaum S. Listening to Mothers II: Report of the Second National U.S. Survey of Women’s Childbearing Experiences. New York: Childbirth Connection, October 2006. 4. Perrine C, Scanlon, K, et al: Baby-Friendly Hospital Practices and Meeting Exclusive Breastfeeding Intention. J Pediatrics 2012; 10.1542:2011-3633. 5. 10 Things About Echo Boomers. Yankelovich Monitor Think Tank, Q2, 2008. 6. Lucid Marketing. How US Moms Share and Spread Health Information Report, 2011. http://www. lucidmarketing.com/mothers-rely-on-friends-email-facebook-for-health-information/ 7. US Census Bureau, Current Population Survey. 8. Evans, Brandon.” Why Millennial Moms are Supplanting College Students as the Most Connected and Technology Dependent Population.” November 2009. MR Youth, RepNation Media. Accessed 9/5/13. http://www.cmo.com/sites/default/files/MillennialMom101.pdf I. Elaine Allen, Ph.D. and Jeff Seaman, Ph.D.: Changing Course: Ten years of tracking online education in the United States. Babson Survey Research Group, January 2013. 12. Declercq ER, Sakala C, Corry MP, Applebaum S, Herrlich A. Listening to Mothers III: Report of the Third National U.S. Survey of Women’s Childbearing Experiences. New York: Childbirth Connection, May 2013. 13. Morton C, Hsu, C: Contemporary Dilemmas in American Childbirth Education: Findings from a Comparative Ethnographic Study. J Perinatal Education, 16(4), 25-37,doi:10.1624/10581240 7X245614. 14. Cohen, Elizabeth. “Your top health searches, asked and answered.” cnn.com. CNN, 21 Oct. 2010. Web. 19 Aug. 2013. 17 practically speaking: allison roper, LICSW Practically Speaking… with Allison Roper, LICSW Allison Roper serves as a Public Health Advisor for the Office of Disease Prevention and Health Promotion. In this role, she promotes and supports Healthy People 2020, a set of national health objectives for the decade. Ms. Roper is part of a coordinated team working to advance the health of the nation through the adoption of Healthy People 2020 and its critical resources. specific measurable objectives with A targets to be achieved by the year covers 42 disease prevention and 2020. health promotion topic areas. Over disease prevention issues, and includes Medela: Data is important to show us where What is Healthy People 2020 and why strategies, data can’t move the needle is it important to our nation’s health? all the way. Healthypeople.gov now has Allison: a new tool entitled “Evidence-based Roper: Since its inception in 1979, Healthy People has served as a “roadmap” for nationwide health promotion and disease prevention efforts through the use of sciencebased national objectives that monitor our Nation’s progress over time, allowing us to see trends and to motivate, guide and focus action. Healthy People 2020 engages a network of multi-disciplinary, multisectoral stakeholders at all levels, creates a comprehensive strategic framework for health promotion and 18 we are and where we need to focus our efforts. But without resources and Resources.” These resources serve as a directory for users to identify those strategies that they can apply to their own communities. We also have a new feature called the “Sharing Library.” This library houses implementation stories of strategies and programs that effectively impact Healthy People 2020 objectives. One of our goals with these stories is to share new and innovative ideas to help Healthy People is governed by 4 overarching goals and 1200 objectives are organized under these topic areas. The majority of these objectives have targets that we aim to reach by 2020. One of the 42 topic areas focuses on Maternal, Infant, and Child Health (MICH). This topic area covers a wide range of health, including breastfeeding. Of the 72 objectives in the MICH topic area, 8 focus specifically on breastfeeding. These 8 objectives and their respective targets are designed to help our nation make improvements in breastfeeding initiation rates, exclusive breastfeeding, duration of breastfeeding, and worksite and hospital support for breastfeeding. communities get started on their own The specific objectives and 2020 successful implementation. targets are: (21.1 – 24 in Healthy Q People 2020) Can you please provide a brief description of the breastfeeding goals? 21.1 Increase the proportion of infants who are ever breastfed to 81.9% practically speaking: allison roper, LICSW 21.2 Increase the proportion of infants who are breastfed at 6 months to 60.6% increased from 16% in 2000 to 27% in schedule with data collection occurring 2010. By working together to support at different intervals, there is no set time 21.3 Increase the proportion of infants who are breastfed at 1 year to 32.1% women who initiate breastfeeding, we that all objectives are updated. Instead, are confident we will meet the Healthy we update the data on healthypeople. People 2020 targets for duration. gov on a rolling basis to ensure that we Q can provide the most up-to-date and 21.4 Increase the proportion of infants who are breastfed exclusively through 3 months 46.2% 21.5 Increase the proportion of infants who are breastfed exclusively through 6 months 25.5% A How do you think health care reform will help achieve these goals? The Affordable Care Act helps make prevention affordable 22* Increase the proportion of and accessible for all Americans employers that have worksite by requiring most health plans to lactation support programs to 38% cover and eliminate cost sharing for 23* Reduce the proportion of preventive services recommended breastfed newborns who receive by the U.S. Preventive Services Task formula supplementation within the first 2 days of life to 14.2% Force, the Advisory Committee on 24* Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and babies to 8.1% accurate progress whenever possible. The CDC’s Division of Nutrition, Physical Activity, and Obesity also releases a Breastfeeding Report Card each August. The report provides updated national and state-specific data on the 8 breastfeeding indicators as well as other indicators of breastfeeding support (http://www.cdc.gov/breastfeeding/ data/reportcard.htm). Futures Guidelines recommended by Q the American Academy of Pediatrics. How can health professionals get Immunization Practices, and the Bright Pregnant and postpartum women now How can others get involved in supporting Healthy People? involved? What can Healthy People 2020 Consortium members do? * New objectives to support institutional have access to comprehensive lactation opportunities to promote breastfeeding. support and counseling from trained Q providers, as well as breastfeeding A equipment without copays. You can of groups on the ground making a learn more about the Affordable Care difference in the lives of everyday Act at www.hhs.gov/healthcare. people. The Healthy People Consortium Q is an opportunity for many types of We seem to be making gains in increasing breastfeeding initiation rates. How are we doing in terms of reaching the Healthy People 2020 goals for duration rates? A We have made gains in breastfeeding initiation and How is progress tracked? When will the progress reports be done? Healthy People can only be successful through the work agencies and organizations to expand the reach of Healthy People across the nation. The Consortium is an important percentage of U.S. infants who initiated A breastfeeding in 2010 was high at partners, including the Center for regions, states, counties, cities, and 76.5%, up from 70.3% in 2000. While Disease Control and Prevention’s (CDC) neighborhoods. Healthy People is able rates of duration are lower, we have National Center for Health Statistics to leverage the resources of these made continued progress over the (NCHS). NCHS helps the MICH committed partners and ensure that its last ten years. Among infants born in workgroup to analyze appropriate data impact is meaningful at multiple levels. 2010, 49% were breastfeeding at 6 sources on a regular basis to track months of age, up from 35% in 2000. the progress being made. Since each The breastfeeding rate at 12 months data source operates on a different duration over the past decade. The Healthy People 2020 works closely with all of its federal component of Healthy People because it allows us to broaden our reach to No Consortium partnership looks exactly like another. Continued 19 practically speaking: allison roper, LICSW Q Medela also reaches many moms who have/are breastfeeding or who are planning to breastfeed. Are there any particular messages/ tips you would like to share with them? How can moms get involved to support Healthy People? A Just like with Healthy People, it is important that moms and families set their own goals related to breastfeeding and implement effective strategies to reach those goals. Now more than ever there are multiple tools available to help families do just that and be successful. Understanding the ACA is critical for families to take advantage of all of the benefits it has to offer, including support for breastfeeding. There is a wealth of information on HealthCare.gov to help families understand the new law and learn more about the Health Insurance Marketplace open for enrollment on October 1st. Thanks to the Marketplace, for the very first time, consumers will be able to go to one place to search for health coverage options. Consortium partners get involved with Healthy People in many different ways. Partners are encouraged to think about what kind of partnership activities make the most sense for them. Healthy People 2020 is a great tool to help professionals and the public improve the health of our nation. As we implement Healthy People 2020 and strive towards a set of shared goals, we can begin to make a Consortium partners support Healthy People through their difference in our communities and create a society in which everyday work: people live long, healthy lives. •Educate others on Healthy People 2020 To support African-American women in overcoming the •Promote the adoption of Healthy People 2020 in the community barriers they face to start and continue breastfeeding, the •Promotion of Healthy People 2020 can be in conjunction with other initiatives or strategies campaign, It’s Only Natural, earlier this year. It’s Only Natural •Development of supplemental and companion materials the benefits of breastfeeding and how they can make it work •Provide feedback to support and improve Healthy People 2020 in their lives. •Cross-collaborate with other Consortium community partners •Share implementation story •Contribute ideas to the Prevention Portal for cross-collaboration 20 Q A Is there anything else you would like to share? Department of Health and Human Services launched a new provides these new moms with practical information, such as practically speaking: allison roper, LICSW CDC Releases New Resource: The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies The CDC recently published The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies in an effort to continue to support healthcare professionals as they strive to increase breastfeeding rates and reach the goals outlined by the Healthy People 2020 Initiative. The document covers a number of different strategies that can be used to support breastfeeding. For each strategy, a comprehensive definition is provided, as well as rationale explaining why it is important. The CDC draws on peer- Strategies to Prevent Obesity and Other Chronic Diseases The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies reviewed literature and current practice to summarize the strategy’s effectiveness. Additionally, key considerations are given for each strategy, that include information that may be important for healthcare providers to keep in mind during the planning, implementation, or evaluation phases of any strategy. To facilitate the use of this information, there are action steps and examples of programs that have been successful using these strategies, as well as additional resources that can be used to support the strategy and its implementation. National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition, Physical Activity, and Obesity ACA Information for Your Patients Getting asked frequently about breastpump coverage under the Affordable Care Act (ACA)? You can direct your patients to Medela’s up-to-date resource for ACA information. 21 education: live courses classes and events Prepare Mothers for Breastfeeding Success with Medela’s Professional Education Programs Medela offers education programs and resources that can help prepare new mothers for successful breastfeeding experiences. Live and online programs are available for you and your staff. Medela’s extensive research program initiates and supports clinical research by the world’s leading lactation scientists and clinical specialists. This research allows the Medela Education Team to bring you the latest research on breast milk science. Visit www.MedelaEducation.com to review the complete list of courses offered online or live near your location. To schedule a program, call 1-800-435-8316 extension 2486. Live Courses Striving for Excellence in Hospital Lactation Care: How to Address Critical Windows of Opportunity for Term and Preterm Situations Presented by: Jean Rhodes, PhD, CNM, IBCLC Paula Sisk PhD, RD, IBCLC Event Details Date: Tuesday, November 5, 2013 Program: 8:30 am – 4:00 pm Registration and continental breakfast from 8:00 am – 8:30 am Lunch included Location: Scottsdale Healthcare Shea Conference Center Brady Conference Room 9003 E. Shea Blvd Scottsdale, AZ 85260 Registration Fees: $100 Standard $75 Scottsdale Healthcare employees with promo code To Register: http://www.medelabreastfeedingus.com/ for-professionals/Education/Programs/Detail/394 Continuing Education Credits: 6.0 Nursing Contact Hours 6.0 Dietitian Category II CPE Questions: Lori Satran (480) 323-3529 lsatran@shc.org Darby Mistak (623) 215-5714 darby.mistak@medela.com Supporting Premature Infant Nutrition in the NICU Presented by: Jae Kim, MD, PhD Lisa Stellwagen, MD Event Details Date: Friday, November 22, 2013 22 Program: 8:15 am – 5:00 pm Registration and continental breakfast from 7:30 am – 8:15 am Lunch included Location: Advocate Christ Medical Center Auditorium 4440 West 95th Street Oak Lawn, IL 60453 Registration Fees: $125 – Standard $75 Advocate Associate & student rate available To Register: Go to http://www.medelabreastfeedingus.com/forprofessionals/Education/Programs/Detail/390 Continuing Education Credits: 7.0 Nursing Contact Hours 7.0 Dietitian Category II CPE Questions: Wendy Walczak wendy.walczak@gmail.com Kelly Murray (847) 975-9548 kelly.murray@medela.com Edythe Pettenger edythe.pettenger@advocatehealth.com The Use of Human Milk & Breastfeeding Education for the NICU Nurse Presented by: Diane Spatz PhD, RN-BC, FAAN Event Details Date: Friday, November 8, 2013 Program: 8:30 am – 4:45 pm Registration and continental breakfast from 7:30 am – 8:30 am Lunch included Location: Dominican Center at Maywood Conference Room 1 2025 Fulton Street East Grand Rapids, MI 49503 education: live courses Registration Fees: $100 Standard Location: Orlando Regional Medical Center To Register: Go to http://www.medelabreastfeedingus.com/for- professionals/Education/Programs/Detail/464 1414 Kuhl Avenue Orlando, FL 32806 Registration Fees: $75 Standard $50 Early Bird before November 16 To Register: Go to http://www.medelabreastfeedingus.com/forprofessionals/Education/Programs/Detail/465 Continuing Education Credits: 6.0 Nursing Contact Hours 6.0 Dietitian Category II CPE Questions: Sherry Yonge (561) 891-9098 sherry.yonge@medela.com 7.0 Nursing Contact Hours Continuing Education Credits: 7.0 Dietitian Category II CPE Questions: Jonelle Lund (616) 685-5602 lundjl@mercyhealth.com Georgia Therrien (815) 353-2263 georgia.therrien@medela.com Spartanburg’s Day of Breastfeeding Education Presented by: Irene Zoppi RN, MSN, IBCLC Jennine Higa (321) 843-5013 jennine.higa@orlandohealth.com Patricia Woods (321) 841-6830 patricia.woods@orlandohealth.com Event Details Date: Friday, November 8, 2013 Program: 8:00 am – 4:30 pm 7:30 am Registration Lunch included Location: Spartanburg Regional Medical Center Tyner Auditorium 101 E. Wood Street Spartanburg, SC 29303 Human Milk in the NICU: Evidence-Based Principles, Tool-Kits, Talking Points and Case Studies Presented by: Sara Jo Dyer, MBA, WHNP-BC, BSN, RN Paula Meier PhD, RN, FAAN Diane Spatz PhD, RN-BC, FAAN Registration Fees: $60 Standard Multi-purpose Rooms $30 Spartanburg Regional Medical To Register: Go to http://www.medelabreastfeedingus.com/for- Event Details Date: Monday, December 9, 2013 Program: 9:00 am – 4:30 pm professionals/Education/Programs/Detail/461 Center Employees & student rate available Continuing Education Credits: 6.0 Nursing Contact Hours 6.0 Dietitian Category II CPE Questions: Colleen Gilmore (864) 560-2294 cgilmore@srhs.com Human Milk Use: Evidence-Based Principles, Tool-Kits, Talking Points and Case Studies Presented by: Mai T. Phung MD, FAAP Paula Meier PhD, RN, FAAN Diane Spatz PhD, RN-BC, FAAN Event Details Date: Monday, December 2, 2013 Program: 9:00 am – 4:30 pm Registration and continental breaskfast from 8:00 am – 9:00 am Lunch included Registration and continental breaskfast from 8:00 am – 9:00 am Lunch included Location: Northeast Georgia Medical Center Walters Auditorium 743 Spring Street NE Gainesville, GA 30501 Registration Fees: $75 Standard $50 Early Bird before November 11 $25 Northeast Georgia Medical Center Employees (with promo code) To Register: Go to http://www.medelabreastfeedingus.com/ for-professionals/Education/Programs/Detail/467 Continuing Education Credits: 6.0 Nursing Contact Hours 6.0 Dietitian Category II CPE Questions: Barbara Curl (678) 477-6066 barbara.curl@medela.com Jennifer N. Johnson (770) 219-1495 jennifer.johnson@nghs.com Continued 23 education: online courses Online Education NEW What is the Evidence for the Joint Commission Core Perinatal Measure on Exclusive Breastfeeding During The Maternity Hospitalization Presented by: Paula P. Meier, RN, PhD, FAAN Program Description: This 1.5 hour class provides the evidence supporting the Joint Commission’s Core Perinatal Measure for exclusive breast milk feeding in the hospital. Topics will focus on arming clinicians with research-based updates on the protective qualities of colostrum, the physiology of establishing adequate maternal milk volumes, unique human infant sucking patterns, risks of supplementation with formula and risks associated with pacifier usage. Cost Benefits of Breastfeeding and the Use of Human Milk Presented by: Jean Rhodes CNM, PhD, IBCLC Full course information: http://www.medelabreastfeedingus.com/for-professionals/ Education/Courses/Detail/51 Introducing Human Milk Monthly Webinars The Medela Education Team is now offering a monthly webinar series: Human Milk Monthly. You can sign up to get the latest in breastfeeding research and clinical information conveniently and timely. Human Milk Monthly Webinars will cover a variety of topics relevant from NICU to well-baby. The first webinar in the series, Infection Control, was a great success. The next webinar will be held in October. HUMAN MILK QUARTERLY SPECIAL Topic: Nutritional Benefits of Human Milk and Infection Control Date: Wednesday, October 16, 2013 Receive 50% off using Promo Code: HMQPS6SYC Offer expires : 12/31/13 To Register: http://www.medelabreastfeedingus.com/ for-professionals/Education/Programs/Detail/413 Registration Fees: $30.00 – Standard $15.00 with promo code Continuing Education: 1.5 Nursing Contact Hours 1.5 Dietitian Category II CPE Location: Live on your computer! HUMAN MILK QUARTERLY SPECIAL Use this promotion code when you register for $5.00 off! HMQWA2ANR To Register: http://www.medelabreastfeedingus.com/ for-professionals/Education/Programs/Detail/447 The Value of Human Milk in the NICU: Reducing Preterm Morbidities and NEC Registration Fee: $20.00 – Standard $15.00 with promo code Presented by: Jean Rhodes CNM, PhD, IBCLC Full course information: http://www.medelabreastfeedingus.com/for-professionals/ Education/Courses/Detail/43 Continuing Education Credits: 1.0 Nursing Contact Hour 1.0 Dietitian Category II CPE The Value of Human Milk in the NICU: Cognitive and Neurodevelopmental Effects of Human Milk in Preterm Infants Presented by: Jean Rhodes CNM, PhD, IBCLC Full course information: http://www.medelabreastfeedingus.com/for-professionals/ Education/Courses/Detail/44 24 Time: 1:00 pm – 2:00 pm Central Standard Time product focus: mom /baby connection Protect the connection using the Medela products that support direct mother ection onn C y ab Ini tia te & & ct p & Co lle ed Fe in inta Ma Mo m /B breastfeeding baby tect Pro Pr e Measure Breastfeeding Success Improved technology provides simple, reliable & accurate test weight results to support your efforts in establishing breastfeeding success. Simple 1-2-3 push-button weight measurement and easy-to-read LCD display. Reliable Compensates for moving baby. Accurate Displays weight in 2 gram increments. 25 product focus: mom /baby connection Breast Care Solutions That Protect The Mom/Baby Connection Everyday breast care Tender Care™ Lanolin Advanced Nipple Therapy™ 100% Cotton Washable Nursing Pads Disposable Nursing Bra Pads • Soothing relief for dry, sore and tender nipples. • Natural fibers promote air flow for healthy skin. • Absorbs more so you •100% safe for mom • No-shift design keeps • Individually wrapped and baby. • Glides on smoothly and gently - no-mess application. 26 pads in place. • Includes laundry bag for easy washing. use less. for convenience. • Available in boxes of 30, 60 and 120. product focus: mom /baby connection Breastfeeding challenges Nipple care SoftShells™ Nipple Shields and Contact™ Nipple Shields mom/baby photo here • For latch-on difficulties or flat/inverted nipples. • Available for sore nipples and for flat/inverted nipples. • Contact nipple shields have a special • Protects nipples from further irritation. • Superior comfort with soft, flexible backs. design for closer contact with your baby. • Available in different sizes – consult a lactation professional for assistance. • More flattering appearance under clothes than other shells. • Consult a lactation professional for assistance. Tender Care™ Hydrogel Pads Advanced Nipple Therapy TheraShells™ • Cools on contact - instant relief for sore nipples. • Two solutions in one – for sore nipples and flat/inverted nipples. • Consult a lactation professional • Contoured shape for a comfortable fit. • Reusable for up to 24 hours. for assistance. *Target warming temperature of 30-38 °F. Temperatures may vary depending on actual container used. Device is optimized for syringes and Medela sterile 80 mL breastmilk containers. **Disposable inserts are a single-patient item for up to 12 hours of use. 27 Medela, Inc., 1101 Corporate Drive, McHenry, IL 60050 Phone: (800) 435-8316 or (815) 363-1166 Fax: (800) 995-7867 Email: customer.service@medela.com www.medela.com Medela and Symphony are registered trademarks of Medela Holding AG. Human Milk Quarterly, Every drop counts, Quick Clean, Micro-Steam, Pump & Save, Tender Care, Advanced Nipple Therapy, SoftShells, TheraShells, Contact are trademarks of Medela, Inc. March of Dimes is a registered trademark of March of Dimes Foundation. 1547882 A 1013 © 2013 Medela, Inc.