Texas Mother-Friendly Worksite Designation and Comprehensive Lactation Support Julie Stagg, MSN, RN Department of State Health Services Office of Program Decision Support [email protected]

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Learning Objectives • • • Describe three reasons employers should support employees to combine work and breastfeeding Describe four minimum requirements to be recognized as a Texas Mother Friendly Worksite Identify three resources for planning a worksite lactation support program 2

Breastfeeding promotion is “among the most cost effective public health interventions, in terms of disability adjusted life years (DALYs) gained.”

–World Bank

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Health Implications for Babies – Obesity – Infectious disease – Skin conditions – Type 1 & Type 2 diabetes – Leukemia – Sudden Infant Death Syndrome 4

Health Implications for Mothers Lower risk of: • Premenopausal breast cancer • Ovarian cancer • Type 2 diabetes • Faster recovery from pregnancy • Healthier employees ~ more productive 5

Texas Breastfeeding Rates 6

Women in the Workforce • 60 % of women work outside home Mothers = fastest growing segment of US workforce – 55 % with children < age 3 are employed – 62 % with children < age 6 are employed – 78 % employed full-time – Growth rate increased 80 % over the last 20 years 7

Breastfeeding and Employment • • • Full-time employment shortens breastfeeding duration Most women wean before end of first month back at work Full-time employment an economic necessity for many 8

Commonly Identified Barriers • • • • • Lack of flexibility in schedule to express milk Lack of accommodations to express milk Lack of secure place to store milk Concerns about support from employer and/or co-workers Real or perceived low/insufficient milk supply 9

Business Case for Breastfeeding • • • • • Win-Win for employers and employees Return on Investment Reduced Absenteeism and Turnover Improved Health and Productivity Greater Job Satisfaction 10

Worksite Lactation Support • • • • • • Time Space Hygiene Storage Written Policy Other 11

Mother-Friendly Worksite Program 12

Texas Breastfeeding Law 13

Phases of Program Development • • • • Assessment Planning Implementation Evaluation 14

Assessment • • • Identify Scope of Assessment Gather Input Identify Resources and Assess Options 15

Planning • • • • • Develop Strategy Develop Capacity Develop Policy Develop Components Establish Evaluation Criteria and Baseline 16

Implementation • • • • Communication Promotion Launch Maintenance 17

• • • Process Impact Outcomes Evaluation 18

Resources

The Business Case for Breastfeeding

www.womenshealth.gov/b reastfeeding/programs/bus iness-case 19

Resources

Centers for Disease Control and Prevention

Healthier Worksite Initiative: Lactation Support Program Toolkit http://www.cdc.gov/nccdphp/dnpa/hwi/tool kits/lactation/index.htm

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Resources

Building Healthy Texans

Statewide Agency Wellness Program: Wellness Activity # 6. Improve Support for Breastfeeding Mothers http://www.wellness.state.tx.us/mothers.htm 21

Resources

Texas Department of State Health Services

Texas Breastfeeding Promotion and the Texas Mother Friendly Worksite Program www.dshs.state.tx.us/wichd/lactate 22

DSHS Breastfeeding Information • • • • • • • • Mother-Friendly Worksite Program DSHS Position Statement on Infant Feeding Breastfeeding Publications and Promotional Items Texas WIC Breastfeeding Audiovisuals Breastfeeding Trainings Statewide Lactation Support Hotline and Directory Childcare Provider Breastfeeding Training Breastmilkcounts.org, etc… 23

ABC Child Development Center…Akin, Gump, Strauss, Hauer & Feld, LLP...

Advanced Micro Devices (AMD)…Avalon Wellness Center…Block Buster, Inc…Broil-R-Corp…C.H. Guenther & Sons, Inc…Clinics and physician’s offices …Dallas Symphony Orchestra…Dempsey Henley SAFP Unit Corrections… Devine Desserts…Duke Energy…Daingerfield-Lone Star ISD…Electronic Data Systems (EDS)…Exxon Mobile Exploration Company-Houston…Fixtures International…Freescale Semiconductor…GameStop, Inc…Guenther House IBM Corp…Leander High School…Lucille Plane State Jail…MicroMain Corp… Mothers’ Milk Bank at Austin…Munsch, Hardt, Kopf, & Harr, PC...North Texas …and counting!

Flour Mills…Pioneer Frozen Foods, Inc… Pizza Hut, Inc…Pleticha Publishing, Inc…Raytheon Company Network Electronic Systems…Solectron Texas…Southern Warehouse Corp…Special Addition Maternity Boutique…State and local governmental agencies…SYSCO Food Services of Houston…Texas A&M University System...

Texas Instruments…Texas Tech University Health Science Center-El Paso…Thompson & Knight LLP…TICOM Geomatics, Inc…Tree Top Learning Centers…University of Texas at Tyler…UT Health Science Center at Houston…Williams Gas Pipeline-Transco… 24

Texas Mother-Friendly Worksite Program Contact Julie Stagg: (512) 458-7111, ext. 6917 [email protected]

http://www.dshs.state.tx.us/wichd/lactate/mother.shtm

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