Ann-Marie Jane Christian, LLLL, IBCLC

Transcription

2/9/2016
Disclosures
I have no actual or potential conflict of interest in relation
to this presentation.
Presented By:
Ann-Marie J. Christian,
MOM, LLLL, IBCLC
February 4, 2016
I am a Babywearer…Est. 2007
Ann-Marie Christian, 2013
Copyrighted Materials – DO NOT COPY
My husband is a
Babywearer…
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Even my daughter is
a “baby” wearer…
Objectives…
By the end of this session, learners will be able to:
 Describe the biological connection between babywearing and
breastfeeding
 Identify the 5 main types of baby carriers
 Communicate the benefits of babywearing with an emphasis on
those related to breastfeeding
 Share the safety recommendations for proper babywearing
 Develop connections with and utilize their local babywearing
community for ongoing education for healthcare providers,
mothers, families, and caregivers
Today’s Plan…
History of Babywearing
 History
 Biological Connection
 Benefits
 Types
 Safety
 Our Role
 *Hands-on Demos*
babywearingitup.blogspot.com
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Traditional Examples
Chinese Mei Tai
Mexican Rebozo
Hmong
Daim Nyias
What is Babywearing’s
Connection
to Breastfeeding?
Native American Indian Miwok Tribe
http://www.sanjoaquinhistory.org/
4 Types of Mammals
Cache
Follow
Nest
gluten-free-blog.blogspot.com
BIOLOGY
Carry
art.spirithit.com
onlycatsanddogs.com
Flickr.com
Mohrbacher, Breastfeeding Answers Made Simple, 76
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What Type of Mammal Are We?
Humans Are
Carry Mammals
Born to Breastfeed
Born to be Worn
• Most immature at birth
• Need to be held next to mom’s
body for warmth, safety, etc.
• Milk lowest in fat & protein
• Fed ‘round the clock (aka. feed
on demand, cluster feeding…)
• Reflexes (Moro, etc.)
• Continuous Contact Mammals
Mohrbacher, Breastfeeding Answers Made Simple, 76
BABYWEARING
BENEFITS
Natural extension
of skin-to-skin
Dr. Nils Bergman: www.kangaroomothercare.com
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Kangaroo Mother Care &
Neonatal Outcomes
 Increased likelihood of exclusive breastfeeding at
hospital discharge by 50%
 At 1-4 month follow-up, increased likelihood of
exclusive breastfeeding by 39%
BABYWEARING BENEFITS
 Babies cry less (Hunziker, 1986)

In a randomized controlled trial, 99 mother-infant pairs were assigned to an increased carrying or
control group. At the time of peak crying (6 weeks of age), infants who received supplemental
carrying cried and fussed 43% less (1.23 v 2.16 h/d) overall, and 51% less (0.63 v 1.28 hours) during
the evening hours (4 PM to midnight). Similar but smaller decreases occurred at 4, 8, and 12
weeks of age. Decreased crying and fussing were associated with increased contentment and
feeding frequency but no change in feeding duration or sleep. We conclude that supplemental
carrying modifies "normal" crying by reducing the duration and altering the typical pattern of
crying and fussing in the first 3 months of life. The relative lack of carrying in our society may
predispose to crying and colic in normal infants.
 Continues bonding & attachment (Sears, 2003)
 Improves cognitive development (Sears, 2003)
Boundy, Ellen O, et al., “Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis”. Pediatrics, Volume 137, Issue 1, January 2016
Stroller View
Which View Do You Prefer?
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BABYWEARING BENEFITS
 Protect infant’s health
 Helps avoid flat head syndrome
(Littlefield T.R., et. al., 2003)
 Helps develop head & neck
control
Mommybunch.com
• Safety & Security
 Snuggled in close & always in
Carry View
sight
Especially Helpful for Parents with Disabilities
And children with
special needs
http://babywearinginternational.org/wp-content/uploads/2015/05/PMAD-Infographic-01.jpg
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Convenience:
Ultimate “Hands-Free” Option
Some Moms
Can Even Take
Baby to Work
 Care for & play with other
children
 Daily Activities
 i.e. household chores,
errands, shopping, using
computer
 Take public transportation
with ease
 Walk through busy mall, store,
airport
 Get outdoors/exercise
 Breastfeeding on the go
http://www.dailymail.co.uk/
news/article-1314283/LiciaRonzulli-brings-baby-EUParliament.html
Dads, Grandparents, Siblings, and Caregivers too!
TYPES
What’s the BEST?
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Whatever Works for Mom & Baby
 Depends on the mom & situation
5 Basic Types:
Wraps
*Avoid brand promotion/unpaid advertiser *
 Choices are ENDLESS………………………………………..
Pouch
 Things to consider:
Ring Slings
 Age of child
 Purpose
 Cost
Mei Tai (“May Tie”)
ALL CARRIERS TAKE PRACTICE!
Soft Structured Carriers (SSC)
POUCH
WRAPS
 Fixed adult sizing
•Stretch fabric or
woven
•One size fits all
•Multiple ways to carry
•Discreet
breastfeeding
• Example brands:
Moby, Baby Pouch,
Little Frog, Girasol
 Need good fit –
measure carefully
 Compact
 Better for 3+ months
 Ex. Brands: Munchkin
Jelly Bean, Hotslings
Moby (stretchy)
 Hybrid: K’Tan, Fleurville
Woven
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RING SLING (RS)
MEI TEI
 Adjustable
“May Tie”
 Multiple positions
 “Pop-ability”
 Cloth panel with
 All child stages
tie-on straps
 Tail = cover for discreet
 Wear on front,
breastfeeding, shade
back, side
 Ex. Brands: Maya Wrap,
 Ex. Brands: Mei Tai
Balboa Baby Sling,
Handmade (wrap
conversions)
Baby, BabyHawk,
Infantino
ellekaydesigns.ca
SOFT
STRUCTURED
CARRIERS (SSC)
What About Leg Support?
Example Brands:
Ergo, Tula, Bjorn*, Infantino,
Evenflo, Chicco,
www.babyscorner.ca
http://www.megganmamma.com/2013/11/01/why-id-never-put-my-babyin-a-baby-bjorn-carrier/
jumpsac.blogspot.com
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Not Recommended
Thigh NOT
supported to the
knee joint. The
resulting forces on
the hip joint may
contribute to hip
dysplasia.
Better
Thigh is supported
to the knee joint.
The forces on the
hip joint are
minimal because
the legs are
spread, supported,
and the hip is in a
more stable
position.
http://www.hipdysplasia.org/Developmental-Dysplasia-Of-The-Hip/Prevention/Baby-Carriers-Seats-and-OtherEquipment
What about baby facing
IN or OUT?
Not Recommended
Baby carriers that force the
baby’s legs to stay together may
contribute to hip dysplasia.
Better
Baby carriers should support the
thigh and allow the legs to spread
to keep the hip in a stable
position.
http://www.hipdysplasia.org/Developmental-Dysplasia-Of-The-Hip/Prevention/Baby-Carriers-Seats-and-OtherEquipment
9 Reasons NOT to Carry Baby
Facing Out
1. Does not support baby’s legs
2. Difficult to carry – curves away
3. Baby in arched/Hollow back
position = pressure on baby’s spine
4. Undue pressure on groin and may
chaff baby’s inner thighs
5. Overstimulation
6. Lack of head/neck support
7. Temperature regulation difficult
8. Harder to respond to baby’s cues
9. Throw’s off baby’s center of gravity
http://www.bobafamily.com/2011/10/11/nine-reasons-not-to-carry-your-baby-facing-out/
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SAFETY
U.S. Consumer Product Safety
Commission (CPSC)
 March 12, 2010: Infant Deaths Prompt CPSC
Warning About Sling Carriers for Babies
 March 24, 2010: Infantino recalls 1 million
SlingRider & Wendy Bellissimo bag-style slings
 14 deaths in 20 years associated with slingstyle carriers
 12 were < 4 months old
 Many were twins in separate slings
& infants with breathing issues
http://sleepingbaby.net/safety.php
http://www.cpsc.gov/cpscpub/prerel/prhtml10/10165.html
CPSC Findings &
Recommendations
 November 19, 2010: CPSC Educates New Parents on
Safe Babywearing
 This warning is not intended to characterize all slings as
being dangerous to babies. CPSC has identified (1)
specific situations that can pose a risk of serious harm to
babies, and (2) simple safety tips that we hope the
babywearing community can share with new parents.
 Take extra care if baby:




Infant < 4 mo. old
Premature
Low-birthweight
Cold or respiratory problems
Hazards
 Babies contained entirely
within the pouch of a
sling with their face
pressed against the
adult’s body, blocking
their breathing
 Curled, chin-to-chest
position
 Carrying low, at hip
*Note: Suffocation can
occur within minutes
www.cpsc.gov
http://www.thebabywearer.com/articles/HowTo/Positi
oning.pdf
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Keep Baby’s Head
“Close Enough
to Kiss”
Babywearing Safety Recommendations
 Airway Open




Baby’s chin off chest
Upright position (except while breastfeeding)
High and snug to monitor breathing
Close enough to kiss
 Body Positioning
 Appropriate support for neck and back
 Knees higher than bottom (squat position)
 Knee to knee support
 Comfort and Confidence
 Practice with spotter, over bed, low to ground
 Learn from Volunteer Babywearing Educator
http://www.dailymail.co.uk/news/article-1314283/Licia-Ronzulli-bringsbaby-EU-Parliament.html#
What is Our Role?
GOAL = More families babywearing & ALL doing it SAFELY
How can we promote/encourage it?
 Talk the Talk & Walk the Walk:
 Familiarize self with types & safe wearing
 Hold classes & involve BWing moms as “teachers”
Refer families to local groups
and reputable resources…
 Facebook Groups





“Lodi Babywearers”
“Sacramento Babywearers”
“River City Babywearers”
“Davis Babywearers”
“Roseville Babywearers”
 www.babywearinginternational.org
 www.thebabywearer.com
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What info can
you provide?
Brochures for parents
Available in multiple
languages
http://babywearinginternational.org
/what-is-babywearing/safety/
What’s
in Your
waiting
room?
What
pictures
are on
Your
walls?
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Walking the Walk
What else can you think of?
Get Creative!
WIC Watch Magazine, Summer 2010
Online Resources
For More Information
 www.babywearinginternational.com
 www.cpsc.gov
 www.thebabywearer.com
 www.kangaroomothercare.com
References











 www.hipdysplasia.org
 www.mothering.com
 www.askdrsears.com
 www.llli.org




Mohrbacher, NV BFC Conference, (20 January 2010)
Mohrbacher, Breastfeeding Answers Made Simple, 76, 158-159
Gross-Loh, Mothering, July-August 2010, 44-57
Blois, Maria, MD, Babywearing: The Benefits and Beauty of This Ancient Tradition, 2005
La Leche League International, The Womanly Art of Breastfeeding, 2010
Boundy, Ellen O, et al., “Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis”. Pediatrics,
Volume 137, Issue 1, January 2016
Sears, MD, William, The Baby Book: Everything You Need to Know About Your Baby – From Birth to Age Two,
2003
Sears, MD, William, The Attachment Parenting Book, 2001
Hunziker, Urs A. and Ronald G. Barr, Increased Carrying Reduces Infant Crying: A Randomized Controlled
Study, Montreal: The McGill University-Montreal Children's Hospital Research Institute, 1986
Lonstein, Joseph S. "Regulation of Anxiety During the Postpartum Period". Frontiers in Neuroendocrinology,
Volume 28, Issues 2-3, August-September 2007
Anisfeld, E, Casper, V, Nozyce, M and Cunningham, N. "Does Infant Carrying Promote Attachment? An
Experimental Study of the Effects of Increased Physical Contact on the Development of Attachment.” Child
Development, Vol. 61, No. 5, 1617-1627. Oct. 1990
Littlefield, T.R., et al., “Car Seats, Infant Carriers, and Swings: Their Role in Deformational Plagiocephaly,”
Journal of Prosthetics and Orthotics 15, no. 3 (2003): 102-106
US Consumer Product Safety Commission, “Infant Deaths Prompt CPSC Warning about Sling Carriers for
Babies,” press release (12 March 2010): www.cpsc.gov/cpscpub/prerel/prhtml10/10165.html
Infantino LLL, “Infantino Announces Free Replacement of SlingRider and Wendy Bellissimo Baby Carriers,”
press release (24 March 2010): www.infantino.com/CustomerSupport/SlingRiderStatement.php
Hotslings, Maya Wrap, Moby Wrap, Wrapsody, Gypsymama, Together Be, Kangaroo Korner, Taylormade
Slings, Scootababy, Bellala Baby, Catbird Baby, SlingEZee, ZoloWear, HAVA, SlingRings and Sakura Bloom,
“Not All Slings Are Created Equally: Baby Sling & Carrier Manufacturers Speak Out on Baby Sling Safety
Warning,” press release (11 March 2010): www.prweb.com/releases/2010/03/prweb3718984.htm
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A Special Thanks to:
BABYWEARING…
Is for Everyone!
The many families who eagerly shared
their personal babywearing photos
with me for this presentation.
DEMO TIME! 
Breakout Groups
1. Wraps
Gabi Anderson
Stacie Palmtag
Robin MacDonald
Samantha
Woodruff
2. Ring Slings and Pouch
3. Mei Tai (“May Tie”)
4. Soft Structured Carriers (SSC)
Kristi Conner
Kamika McGill
Ashley Owens
Sarah Fogelberg
15

Ann-Marie Jane Christian, LLLL, IBCLC

Transcription

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