BFCI - New Zealand Breastfeeding Authority: Home Page
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Transcript BFCI - New Zealand Breastfeeding Authority: Home Page
BFCI
The Seven Point Plan
Point One:
Have a written breastfeeding policy
that is routinely communicated to all
staff and volunteers
The Policy:
What should it cover?
At minimum it should include:
- The 7 Point Plan
- Compliance to the International Code of
Marketing of Breast-milk Substitutes
- Reflect the guiding principles of the BFCI
Implementation Guide for Health Services
Point One: The Policy
Consultation
-
Must be shown by documentation
Treaty of Waitangi included/intertwined
Extensive consultation evidenced!
Sign-off date noted
Displayed in all areas
Different languages
Education about policy for all staff and volunteers
Other policies to support policy eg: Staff employment
policy.
- Measured effectiveness of the policy
Point 2:
Train all providers in the knowledge
and skills necessary to implement the
breastfeeding policy.
“ If you think
education is expensive,
try ignorance”
Areas of knowledge
Guiding principles of The Seven Point Plan
Content of The Seven Point Plan
Basic information on breastfeeding support
and management
Skill development related to breastfeeding
support and management
Attitudes and barriers to breastfeeding
Community resources for breastfeeding
Staff educated to the level of their role
Policy orientation on commencing work
New staff – education available within
6months
Required Education:
Specialist Staff (working with mothers)
At the time of assessment 80% need to
have completed the minimum of 21 hours as
stipulated in the standards for Step Two (this
includes information from pregnancy through to
complementary foods)
Demonstrates appropriate clinical skills
Continuing education equates to 4 hours
annually
Some Groups/individuals may choose to
refer to a Lactation Consultant or other
breastfeeding advisor.
They need to show:
Evidence of referral system
Equates to 2 hours education for each
year of employment (assessed for the
previous 3 years)
Continuing education equates to 2
hours annually
All other staff:
Equates to one hour for each
year of employment – assessed
over the previous 3 years
ongoing education equates to 1
hour annually
Point Three:
Inform all pregnant women and their
families about the benefits
and management of
breastfeeding.
Antenatal Education should include:
Importance of breastfeeding
Importance of exclusive breastfeeding until 6
months
Importance of feeding at the breast
Health consequences of artificial feeding
Risks and costs of artificial baby milks
Contraception (compatible with breastfeeding)
The Ten Steps to Successful Breastfeeding
Support in the work place during pregnancy and
breastfeeding
The challenge of re-lactation
The Service must also…….
Recognize the importance of educating the
woman who has decided to, or needs to,
feed her baby artificial baby milk.
Point Four
Support mothers to establish and
maintain exclusive breastfeeding to six
months
How?
Good antenatal education +
Good establishment of breastfeeding +
Good breastfeeding support
Examples……
Antenatally:
Realistic breastfeeding expectations
Personal expectations
Social preparation
Knowledge of support systems available
……establishment
Aware of the importance of exclusivity of
feeding at the breast
Knowledge of breastfeeding management
Frequent contact for assessment of
progress
Early identification of any breastfeeding
‘hiccoughs’
Awareness of safe and unsafe sleep
practices
……….support
Aware of how to access assistance at any
time over the 24 hours of a day if
necessary!
Encouragement to attend peer
breastfeeding groups
Given appropriate information about
maintenance of lactation if separation
necessary
Offered timely advice about contraception,
compatible with breastfeeding
Mothers Not Breastfeeding
Given individual (including partner/family as
necessary) support and education covering:
Safe preparation and handling of formula
Sterilization of equipment
Safe feeding techniques
Discussion about co-sleeping
Point Five
Encourage sustained breastfeeding
beyond six months, to two years or
more, alongside the introduction of
appropriate, adequate and safe
complementary foods
Principles:
Maintain breastfeeding
Practice responsive feeding
Prepare, store complementary food safely
Increase amount gradually while
breastfeeding
Ensure consistency of food appropriate to
age
Adapt meal frequency/density to age
cont’d…….
Cont’d……..
Ensure nutrient content of foods meets
infants needs
Use fortified products if needed
Adapt feeding during/after illness
Information offered concerning
breastfeeding in the workplace
Information available about contraception
and co-sleeping
Sustain breastfeeding until natural weaning
occurs – don’t offer to breastfeed – but don’t
refuse!
Point Six
Provide a welcoming atmosphere for
breastfeeding families
How?
Welcome to breastfeed in public areas of
the service
Private space available if requested – clean,
quiet with a comfortable chair
Educate staff about mothers right to
breastfeed
Notices displayed stating mothers are
welcome to breastfeed – posted in
appropriate languages of the service…….
Continued……….
Culturally appropriate area and information
Evidence of consultation with each mother
to ascertain their needs can be seen
Feedback/suggestions opportunity for
mothers
“Code” compliant handouts and information
available to take home
Services which do not work from a site
need to meet these requirements
whenever they deliver the service for example – a Lactation Consultant
visiting a woman in her home needs to
have an evaluation form (assessment
of presenting condition) and a feedback
form for the mother
Point Seven
Promote collaboration among health
services and between health services
and the local community
Wow! This is great!!!
Requires involvement of entities outside
the service – the service will:
Avail themselves to any opportunity to
collaborate with others
Community consultation with Policies
Have strong systems in place at the
interface …. hospitals, LMC’s, Plunket etc
Use written referrals which contain
information about B/f status & B/f issues
Services need to work together…
To support the breastfeeding dyad
Share information
Have discussions
Give feedback
……this ensures continued support
Breastfeeding Resources….
Mother – to – mother
Parent support
Lactation Consultants
Breastfeeding Clinics
Maori Health Agencies
Pacific Health Agencies
Practice nurses ……………
….and there’s more …..
Midwives
Doctors
Nutritionists
Pharmacists
Dental services
Health promoters
Antenatally…….
Refer women to voluntary groups
Assist them to set up own informal
support networks
The service can show commitment to
the BFCI by…….
Supporting World Breastfeeding Week
Letters to the editor
Supporting breastfeeding campaigns
Identifying and overcoming
breastfeeding barriers within the
community
Working together
References:
BFCI Documents for Aotearoa New Zealand
BFHI 2004, Baby-Friendly goals expand to
community and pre-service training. Baby Friendly
and beyond - Integrated care for mother and child
2: 1.
UNICEF UK Baby Friendly Initiative 2008, The
seven point plan for sustaining breastfeeding in the
community.
IYCF Model Chapter for textbooks for Medical
Students,(2009) Session 4 & 5