Evidence-Based Strategies to Promote and Support Breastfeeding
CDC DNPAO Breastfeeding Work Group
State Nutrition, Physical Activity, and Obesity ProgramsAnnual Training Meeting
March 18, 2010
Percent Initiating Breastfeeding Among Children Born in 2006
Source: http://www.cdc.gov/breastfeeding/data/NIS_data/2006/map_1.htm
Percent Breastfeeding at 6 Months Among Children Born in 2006
Source: http://www.cdc.gov/breastfeeding/data/NIS_data/2006/map_2.htm
Blacks - Initiation
Whites - Initiation
Blacks - 6 months
Whites - 6 months
0
20
40
60
80
100
1983 1988 1993 1998 2003Year
Black-White Gap in Breastfeeding
Data Sources: Pre-2000 – Ross Mothers’ Survey; 2000-present – CDC National Immunization Survey
Perc
ent
CDC Breastfeeding Strategies
CDC Breastfeeding Strategies
CDC Breastfeeding Strategies – Peer Support
Definition: Local programs that provide mothers with the knowledge & training they need to give breastfeeding information and support to other mothers in their communities.
Evidence: Peer support increases breastfeeding initiation, duration, and exclusivity.
Definition: Strategies to improve health professionals’ abilities to include recommended breastfeeding support in the care they provide.
Evidence: Professional support increases breastfeeding duration & exclusivity, especially when provided with other support interventions.
CDC Breastfeeding Strategies – Professional Support
Definition: Inclusion of breastfeeding education in maternal education programs.
Evidence: Educating mothers increases breastfeeding initiation & duration.
CDC Breastfeeding Strategies – Maternal Education
Definition: Tools to communicate about & support breastfeeding programs.
Evidence: Media campaigns & social marketing may improve attitudes towards breastfeeding.
CDC Breastfeeding Strategies – Media & Social Marketing
CDC Breastfeeding Strategies
CDC Breastfeeding Strategies
CDC Breastfeeding Strategies – Maternity Care
Definition: Policies to improve health care practices that influence breastfeeding initiation, duration, and exclusivity.
Evidence: Institutional changes effectively increase breastfeeding initiation, duration, and exclusivity.
CDC Breastfeeding Strategies – Maternity Care
Approach: Implement the Ten Steps to Successful Breastfeeding.
Collaborate with strategic partners to identify opportunities to support mothers to breastfeed:
California State Example
Suzanne Haydu, MPH, RDLeona Shields, PHN, RN, NP, MFT
Definition: Policies and programs to support employed mothers to begin and continue breastfeeding.
CDC Breastfeeding Strategies – Employment
Evidence: Continued breastfeeding depends on women’s ability to breastfeed/express milk during work hours.
Approach: Implementpolicies and programs thatensure equitable support from employers and child care providers for continued breastfeeding.
CDC Breastfeeding Strategies – Employment
Encourage employers to implement or expand support for employed mothers addressing:
Colorado State Example
Eric Aakko
Georgia Community Example
Carol Hendrix, BS, IBCLC
CDC Breastfeeding Strategies – CoalitionsDefinition: Strategic and multisectoral
national, state, and local collaborations to improve breastfeeding rates.
Evidence: Emerging, with strong evidence from related health topics that multisectoral collaboration enhances effectiveness, sustainability, and reach of health promotion efforts.
CDC Breastfeeding Strategies – Coalitions
Approach: Engage state and local breastfeeding coalitions as strategic partners in statewide obesity prevention programs.
Leverage partnerships to more effectively meet mutually identified goals:
Washington State Example
Kyle Unland
In Conclusion…• Evidence-based strategies exist across SEM
– Policy and environmental approach increases health equity
• Funded states’ BF priorities:– Policy and environmental strategies to improve
maternity care and support for employed mothers– Collaboration with state and local BF coalitions
• Partner states are excellent sources of information and lessons learned– Expertise in specific settings can be applied
elsewhere
For Further Information:(see handout for details)
CDC Breastfeeding Info: www.cdc.gov/breastfeeding
US Breastfeeding Committee: www.usbreastfeeding.org
Maternity Care:State and national data from the CDC mPINC Survey
Employment:CDC Healthier Worksite Initiative
HHS Business Case for Breastfeeding
National Business Group on Health
Coalitions:US Breastfeeding Committee
In your handout:
US Breastfeeding Committee Strategic Plan
Maternity Care:Principles of Health Care Ethics and the WHO/UNICEF 10 Steps to Successful Breastfeeding
Employment:National Business Group on Health Issue Brief: Workplace Breastfeeding Programs: Employer Case Studies
Coalitions:CoalitionsWork™ Tools and Resources
CDC Breastfeeding Work GroupCo-LeadsCarol MacGowan (770) 488-5626 [email protected] Katherine Shealy (770) 488-5449 [email protected]
Division Members
The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.