Empowering Women to Choose Breastfeeding. Breastfeeding. the gift that lasts a lifetime. Exam the negative feelings behind a woman s decision to

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1 Empowering Women to Choose Breastfeeding Rose Marie Straeter, MA, IBCLC, RLC Breastfeeding the gift that lasts a lifetime. While breastfeeding may not seem the right choice for every parent, it is the best choice for every baby. ~Amy Spangler Exam the negative feelings behind a woman s decision to choose artificial infant milk rather than breast milk 1

2 Provide information that will impact their decision to choose breastfeeding Communicate with women regarding their ability to breastfeed What factors influence a woman s decision to breastfeed? 2

3 Societal Factors External Factors Physical Factors Marketing Perception Lack of Support How do you motivate? What can you say to impact their decision to breastfeed? Education is Essential! 3

4 How to Present the Education Effective Communication Asking Questions Never ask a question you already know the answer to. That can create mistrust. 4

5 The notion of harmony is giving everyone enough space to be who they are. That s what listening does... Jack Ricchiuto If I look confused, it s because I m thinking. - Samuel Goldwyn ATTENDING BEHAVIOR 1. Eye contact 2. Body placement 3. Gestures 4. Legs and feet 5. Facial expression/voice tone 5

6 GOOD ATTENDING BEHAVIOR 1. Indicates interest in the other person 2. Models the behavior you wish others to display 3. Conveys understanding and therefore builds rapport Those behaviors that say, I m paying attention to you. READING BODY LANGUAGE (NONVERBAL BEHAVIOR) 1. Accurate Feedback 2. Insight into effects of confrontation 3. Basis for starting a conversation 4. Basis for confrontation of discrepancy Identifying Feelings Builds rapport. Puts her in touch with what she's experiencing. Frees her to be receptive to suggestions or information. Empowers her by giving a new basis for making decisions. "YOU FEEL..." 6

7 Open-Ended requests elicit more information Tell me more about Describe What do you think the problem is? How do you think this came about? Do you have any hunches? How Important is Attitude? Initial Questionnaire or referral sheet Ask interest level

8 Rate your interest below for breastfeeding (check the box) No Interest I ve thought about Breastfeeding but I m not sure I want to breastfeed but I have questions Yes, I definitely want to breastfeed Assessment following a breastfeeding class or one on one educational opportunity. On a scale of 1-10 (10 being very interested, 5 some interest, 1 no interest) Before this class how did you rate your interest in breastfeeding? After this class how do you rate your interest in breastfeeding? Ask them to set a goal If you ask how long do If you ask how long do you want to breastfeed you will get the following answers 8

9 *Until the baby stops *As long as necessary *As long as I can *Until the baby gets teeth *Recommended time What is your goal regarding breastfeeding? (circle your goal) 6 weeks 3 months 6 months 9 months 12 months 18 months 24 months Tell us any concerns you have regarding breastfeeding 9

10 Realistic Expectations Getting them off to a good start. Support is it really important? Forms of Support Office/Clinic visits Support Groups Phone Text Facebook 10

11 References Burnham, S. (2011). The art of intuition: Cultivating your inner wisdom. Los Angeles, CA: Tarcher. Chabrol, H., Walburg, V., Teissedre, F., Armitager, J., & Santrisse, K. (2004). Influence of mother s perceptions on the choice to breastfeed or bottle-feed: perceptions and feeding choice. Journal of reproductive and infant psychology, 22 (3), doi: Retrieved from Chuang, C., Chang, P., Chen, Y., Hsieh, W., Hurng, B., Lin, S., & Chen, P. (2010, April). Maternal return to work and breastfeeding: A population-based cohort study. International Journal of Nursing Studies, 47 (4), Communication Skills. (File last modified on Unknown ). [Microsoft Word File]. Fairbrother, N., & Stanger-Ross, I. (2010). Reproductive-Aged Women s Knowledge and Attitudes Regarding Infant-Feeding Practices: An Experimental Evaluation. Journal of Human Lactation, 26, doi: / Hannon, P. R., & Annual Meeting of Academy of Breastfeeding Medicine, (2000, June). African-American and Lactina adolescent of mothers infant feeding decision and breastfeeding practices: A qualitative study. Journal of Adolescent Health, 26 (6). Hughes, R. (1999). Use of a social marketing strategy to promote community acceptance of breastfeeding in public. Australian Journal of Nutrition and Dietetics, 56:2, Hurley, K. M., Black, M. M., Papas, M. A., & Quigg, A. M. (2008, April). Variation in breastfeeding behaviours, perceptions, and experiences by race/ethnicity among a low-income statewide sample of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants in the United States.. Maternal Child Nutrition, 4 (2), Jones, G., Steketee, R. W., Black, R. E., & Morris, Z. A. (2003). How many child deaths can we prevent this year?. Lancet, 362, Li, R., Fridinger, F., & Grummer-Strawn, L. (2002). Public perceptions on breastfeeding constraints. Journal of Human Lactation, 18, doi: / Marrone, S., Vogeltanz-Holm, N., & Holm, J. (2008). Attitudes, knowledge, and intentions related to breastfeeding among University undergraduate women and men. Journal of Human Lactation, 24, doi: / Martens, P. J. (2000). Does breastfeeding education affect nursing staff beliefs, Exclusive breastfeeding rates and baby-friendly hospital initiative compliance? The experience of a small, rural Canadian hospital. Journal of Human Lactation, 16, doi: / Mossman, M., Heaman, M., Dennis, C., & Morris, M. (2008). The influence of adolescent mothers breastfeeding confidence and attitudes on breastfeeding initiation and duration. Journal of Human Lactation, 24, doi: / Park, Y. K., Meier, E. R., & Song, W. O. (2003). Characteristics of teenage mothers and predictors of breastfeeding initiation in the Michigan WIC program in Journal of Human Lactation, doi: / Raj, V. K., & Plicta, S. B. (1998). The role of aocial aupport in breastfeeding promotion: A literature review. Journal of Human Lactation, 14, doi: / Rowe-Murray, H. J., & Fisher, J. R. (2002, June). Baby friendly hospital practices: cesarean section is a persistant barrier to early initation of breastfeeding. Birth, 29 (2), Ryser, F. G. (2004). Breastfeeding attitudes, intention, and initiation in lowincome women: the effect of the Best Start program. Journal of Human Lactation, 20, doi: / Scott, J. A., & Mostyn, T. (2003). Women s experiences of breastfeeding in a bottle-feeding culture. Journal of Human Lactation, 19, doi: / Tarrant, R. C., Younger, K. M., Sheridan-Pereira, M., White, M. J., & Kearney, J. M. (2010, June). The prevalence and determinants of breast-feeding initiation and duration in a sample of women in Ireland. Public Health Nutrition, 13 (6), US Department of Health and Human Services. (2011). The Surgeon General s Call to Action to Support Breastfeeding. Washington, DC: U.S. Government Printing Office. Wickham, E. L. (2010). Maternal perceptions and infant feeding decisions (Doctoral dissertation). Available from ProQuest Dissertations & Theses. Yeon, B., Middlestadt, S. E., Peng, J. C., & Fly, A. D. (2007, April). A theorybased qualitative study to elicit beliefs underlying the behavior of breastfeeding exclusively for six months. FASEB Journal, 21 (5), A686-A