quarterly™

humanquarterly
milk
™
third quarter | 2013
every drop counts
Research.
Trends in online education
support making changes to
prenatal and breastfeeding
education programs.
Knowledge.
Practically Speaking with
Allison Roper LICSW—
Public Health Advisor
for the Office of Disease
Prevention and Health
Promotion.
Outcomes.
Transforming care delivery
generates outstanding
breastfeeding rate increases
for New York State Regional
Perinatal Center, Winthrop
University Hospital.
Changing Course:
New Prenatal Education to Support
Breastfeeding Success
™
editorial: changing course
Every Drop Counts
™
The pace at which changes are
breastfeeding mothers throughout
burden of navigating insurance benefits
occurring in healthcare is astounding.
the country. As a trusted resource for
under ACA, Medela can help with a
The implementation of the Patient
breastfeeding research and education,
simple solution to direct mothers how
Protection and Affordable Care
we’ve taken steps to provide and share
to obtain the information they need.
Act (ACA) and the newly available
the new information we’ve learned, so
breastfeeding support benefits to
that you can easily share it with your
mothers is a giant step in the right
patients. We’ve provided a means to
direction, with the potential to increase
increase the available education for
breastfeeding initiation and duration
healthcare providers and for mothers to
rates across the country. And while
better prepare for breastfeeding.
the desired end state reflects all of
our goals, the pathway has been less
than clear. No one was certain about
what to expect from ACA, and since
its implementation, we’ve seen the
landscape of our business undergo
significant changes, including an
increase in demand for our products.
We’ve seen healthcare providers facing
new questions regarding insurance
reimbursement, and millions of new
mothers will receive breastpumps
2
education and ongoing lactation
support. I hope you enjoy this edition
latest information about ACA, Medela
of expectant mothers are partaking in
Breastfeeding University and education
prenatal birthing education courses
programs, research and product news
anymore. In an effort to fill the gap
to support our healthcare provider
and provide breastfeeding support to
partners.
these mothers, we’ve recently launched
Medela Breastfeeding University, our
online breastfeeding education program
to help mothers prepare for their
Thank you for your continued support
of breastfeeding mothers and babies.
Kind regards,
breastfeeding journey.
regarding insurance reimbursement so
that we serve and to the millions of
to support them with breastfeeding
benefits provided under ACA, only 34%
We’ve also conducted research
commitment to the healthcare providers
get the right breastpump, but also
of Human Milk Quarterly, with the
education.
products is only one part of Medela’s
we need to help mothers not only
Research tells us that despite the
without receiving breastfeeding
Providing breastfeeding support
As partners in promoting breastfeeding,
that mothers know the questions they
need to ask regarding their breastpump
benefit. And for healthcare providers
who have had to bear the additional
Carolin Archibald
President, Medela, Inc.
table of contents
4in this issue
news . . . . . . . . . . . . . . . . 4
cover story . . . . . . . . . . . . 12
Breastfeeding Advocates
Honored by Medela
Changing Course:
New Parental Education to
Support Breastfeeding Success
2013 Breastfeeding Hall of Excellence
Inductees Announced.
news . . . . . . . . . . . . . . . . 6
Introducing Medela
Breastfeeding University
Medela’s new online breastfeeding
preparation program walks moms through
important breastfeeding topics.
news . . . . . . . . . . . . . . . . 7
Medela Named Company of the Year
March of Dimes honors Medela with Jonas
Salk Health Leadership Award.
news . . . . . . . . . . . . . . . . 7
New Preemie Awareness
Month Program
Share your best practices with
Medela for a chance to win Medela
NICU products.
outcomes
. . . . . . . . . . . . . 8
Increasing Breastfeeding by
Changing Care Delivery
New York State Regional Perinatal
Center, Winthrop University Hospital
increases exclusive breastfeeding rate
by 38 percent through changes in
daily practices.
partners . . . . . . . . . . . . . 10
Medela and Hard Rock Team Up
Medela and Hard Rock Hotel partner
to benefit charitable program for
families at Ann & Robert H Lurie
Children’s Hospital.
Sixty-eight percent of all women giving
birth today are “millennial moms”.
What are millennial moms and why
is it important to understand them?
Moreover, how do they look for health
information and seek health education?
Answers to all these questions highlight
the need to review the delivery of
prenatal and breastfeeding education
in an effort to support successful
breastfeeding.
6
practically speaking . . . . . . . 18
With Allison Roper, LICSW
As a Health Advisor for the Office
of Disease Prevention and Health
Promotion, Roper talks with Human
Milk Quarterly about the breastfeeding
goals within the Healthy People 2020
Initiative, the Affordable Care Act,
and resources for continued
breastfeeding support.
education . . . . . . . . . . . . . 22
• Introducing the Human Milk Monthly
webinar series
• New Online Courses:
– What is the Evidence for the Joint
Commission Core Perinatal
Measure on Exclusive
Breastfeeding During The
Maternity Hospitalization
– Cost Benefits of Breastfeeding
and the Use of Human Milk
8
12
product focus. . . . . . . . . . . 25
Protecting the mom-baby connection
is key for maintaining breastfeeding
duration once mom and baby are
discharged. Learn about how Medela
plays a role from hospital to home in
supporting breastfeeding success.
Chief Editor: Claudette Yasell
[email protected]
Clarification: In our previous issue on page 12, we included
a photo depicting a Medela Special Needs Feeder. This
photo was taken in collaboration with the clinician who was
observing the feeding. Each feeding situation is different
and flow can be adjusted to meet baby’s needs. Medela
recommends following the instructions for use included for
the Special Needs Feeder.
3
news: hall of excellence
2013
Breastfeeding Advocates
Honored by Medela
Breastfeeding Hall of Excellence Inductees Announced
Medela is proud to announce the
induction of three honorees to the
Breastfeeding Hall of Excellence. The
inductees, Sherry Payne, MSN, RN,
Sherry Payne
representation by our inductees of
the many different roles family, friends
MSN, RN, CNE, IBCLC,
Kansas City, MO
and professionals can play in a mom’s
Payne, a nurse and lactation consultant,
breastfeeding journey,” said Carolin
is dedicated to raising breastfeeding
Archibald, president of Medela. “We
rates within all communities and
have added another new category in
particularly among women of color.
our Breastfeeding Hall of Excellence
To provide support, education and
to recognize community leaders.
intervention, she founded Uzazi Village
This demonstrates the growing and
in 2012. The organization serves
increasingly passionate commitment
women free of charge with volunteer
breastfeeding advocates play in both
CNE, IBCLC, David Duresky and V.
lactation consultants and breastfeeding
traditional and non-traditional roles.
Kuroji Patrick will each be awarded a
peer educators. Chocolate Milk Café,
The CDC’s Breastfeeding Report
geared toward African-American
$5,000 grant to fund research, sponsor
Cards show an upward trend in
women, is one of two breastfeeding
continuing education, purchase
U.S. breastfeeding initiation, which
support groups Uzazi Village runs.
equipment for use in their practice or
increased from 73.8 percent in 2004
donate to the breastfeeding charity of
to 76.5 percent in 2010. At Medela,
their choice.
we know this trend has a lot to do
For parents of a newborn, the baby’s
care can at times be overwhelming.
While rewarding and beneficial for
with breastfeeding advocates like the
ones we honor today. We look forward
to helping to meet national goals for
breastfeeding duration so babies
and moms may obtain the full health
challenges, but a supportive network
benefits of breastfeeding.”
journey. Passion and compassion are
Medela takes pride in honoring the hard
that U.S.-based lactation consultants
and breastfeeding advocates show
every day through their work in the
community.
that comes from breastfeeding.”
– Sherry Payne
Professional Inductee:
Lactation Consultant Inductee:
inductee
work, dedication and best practices
want other women to know the power
2013 Breastfeeding Hall of
Excellence Inductees:
2013
at the core of Medela’s philosophy.
home and successfully breastfed. I
inductee
make the difference in the breastfeeding
“Six of my nine children were born at
2013
mother and baby, nursing can pose
of family, friends and professionals can
4
“It is so exciting to see the
David Duresky
Lighthouse Point, Florida
As a former research analyst for a
children’s organization looking for
scalable solutions to obesity, Duresky
news: hall of excellence
discovered that breastfeeding had a
became his wife’s biggest breastfeeding
promoting use of human milk in the
positive impact on efforts to address
advocate. Through his own experience,
NICU; Carol Chamblin, who has a
child obesity, as well as on other
Patrick understood the important role
doctor of nursing practice and a
health and emotional issues. In his
that fathers can play in increasing
focus on lactation support by nurses
current role as quality assurance and
breastfeeding rates and developed a
in the pediatrician’s office; and Julie
training manager at Broward Healthy
breastfeeding children’s book with a
Hamilton, MA, CLC, founder of
Start Coalition, a non-profit supporting
father depicted as actively involved
Julie’s Village (juliesvillage.org) and
pregnant women, mothers and babies,
with his breastfed child. He is also
2010 Mrs. Nashville, whose platform
Duresky launched a training program for
dedicated to providing education
is breastfeeding preparedness.
breastfeeding. The program has trained
to the underserved communities in,
Nominations were accepted in three
breastfeeding educators in Broward
and around, Washington, DC, where
categories: Lactation Consultant (LC),
County and now incorporates a
exclusive breastfeeding at three months
Professional Breastfeeding Advocate
workbook for use in the field and will be
is only 32.1 percent, according to the
and Community Breastfeeding
shared across the state at the Florida
CDC’s 2013 Breastfeeding Report
Advocate. Those nominated in the
Department of Health conference.
Card.
LC category must be a practicing
“While I know that there are women
“Fathers are parents too and we simply
who cannot breastfeed for medical
do not see enough imagery supporting
and other reasons, I refuse to accept
the critical role they play in a breastfed
the reality that millions of children
child’s life. I want to help change that.”
could be healthier and happier through
– V. Kuroji Patrick
breastfeeding, but are not.”
– David Duresky
Breastfeeding Hall of
Excellence
Community Inductee:
Since the program began in 2006
2013
inductee
V. Kuroji Patrick
(known then as the Lactation
Consultant Hall of Excellence),
Medela has recognized professionals
who exemplify best practices and
outstanding dedication to their
International Board Certified Lactation
Consultant in the United States
and be nominated by a peer and
breastfeeding mother for their role
as an exceptional professional. For
more information on the program, visit
BreastfeedingHallofExcellence.com.
Our
panel of
Judges
profession and/or cause. Medela has
Carol Chamblin
expanded the program to honor other
DNP, APN, RN, IBCLC
healthcare professionals, recently,
Bethesda, Maryland
the company added a community
Father of four, Patrick recalls his
breastfeeding advocate category.
mother breaking from cultural norms
in the 1970s to breastfeed him and
Inductees were chosen by an
his brothers. Through a series of
independent judging panel comprised
polling he conducted within his own
of respected lactation consultants,
family and network prior to becoming
health professionals and community
a father, Patrick soon realized that
breastfeeding advocates including:
breastfeeding was an integral part
Lori Wood, a neonatal clinical nurse
of his children’s health and quickly
specialist whose primary focus is
Lori Wood
Julie Hamilton
MSN, CNS, RNC-NIC,
IBCLC
MA, CLC
5
news: breastfeeding university
Medela Launches Breastfeeding University
New Online Tool Helps Moms Prepare for Breastfeeding
Waiting for a new baby’s arrival is
an exciting time, with expectant
parents eager for information
and plenty of time on their hands
(before late night feedings and
diaper changes consume them
post-delivery). That’s why Medela is
bringing breastfeeding education to
moms-to-be with the launch of its
online education program, Medela
Breastfeeding University. Developed
by healthcare professionals
and based on the most current
breastfeeding research, Medela
Breastfeeding University will walk
moms through what to expect
during pregnancy as well as how to
initiate breastfeeding at the hospital,
how breastfeeding
transition to home and work, and
works, the benefits,
advocate for herself and her baby. potential obstacles,
“There is so much to think about when
you are expecting a baby,” said Carolin
Archibald, president of Medela, Inc.
“The Affordable Care Act now provides
breastpumps to moms, but prenatal
education is key to setting expectations
and helping mom understand what
tools and support she should seek
during her breastfeeding experience.
We want to help moms succeed by
ensuring they receive breastfeeding
education, even if they can’t make it to
a local class.”
6
what to expect at the
hospital, how to transition home, how
to transition to work, what to do if the
baby is in the NICU, and how to know
if your baby is getting enough milk. It
also includes information for fathers
and grandparents so they can support
mother and baby. Registered users can
refer back to the program as often as
needed.
The $25 registration fee for the program
will be donated by Medela to Ronald
McDonald House Charities® (RMHC®),
The course is comprised of 10
a nonprofit organization that provides
segments (7-12 min. each) which cover
stability and vital resources to families
to help them get and keep
their children healthy and
happy. Over 40 percent of
the children RMHC serves
are infants who need the loving
touch and care from their Moms and
Dads in order to heal. To register for
Medela Breastfeeding University, visit
medelabreastfeedingu.com. For more
information on Medela, visit
www.medela.com.
news: national preemie awareness
Medela Launches National Preemie Awareness Month
Call for Case Studies
Medela knows how much NICU healthcare providers are committed to stabilizing the health of critically ill infants in the NICU.
To promote National Prematurity Awareness Month this upcoming November, we want to celebrate your successes.
Faced with minimizing length of stay in the NICU, increasing human milk intake, and decreasing rates of Necrotizing
Enterocolotis (NEC), you have a partner in Medela to help make these goals achievable. Human milk is like medicine to
premature infants who are physically vulnerable. To recognize the critical role that you play in providing them access to human
milk, Medela will recognize two facilities that have been successful in bettering NICU outcomes by increasing human milk
consumption using Medela products or education.
For National Preemie Awareness Month this year, Medela wants to know how our partnership has influenced results at your
facility. Did your NICU staff attend a course given by The Medela Education team? Have you changed your NICU policies to
reflect more efficient milk storage or warming? Have you been using Preemiet? What was the result? Tell us about it. Two case
studies will be selected; the first place winner will receive $10, 000 in Medela products and the second place winner will receive
$5,000 in Medela products.
Case study submissions will be accepted until October 18, 2013. For information about case study criteria see the official
guidelines at http://www.medelabreastfeedingus.com/preemie-awareness-month-rules.
Medela Chosen Company of the Year
Bestowed March of Dimes Jonas Salk Health Leadership Award
On September 17, 2013, Medela was recognized by The March of Dimes with a Jonas Salk Health Leadership Award for
2013 Company of the Year. The Jonas Salk Health Leadership Awards honor the dedication and commitment of outstanding
healthcare professionals and organizations. Medela was selected for this award based on its efforts to go above and beyond in
education, awareness and community development efforts for moms and babies.
“We are extremely proud to be recognized as Company of the Year by March
of Dimes. Our destiny statement ‘…to enhance mother and baby health
through the life-giving benefits of breastmilk’ works hand in hand with March
of Dimes’ commitment to improving the health of babies. We know that our
individual and combined efforts are making a difference in infant and maternal
health,” says Carolin Archibald, president of Medela, Inc.
The March of Dimes Jonas Salk Health Leadership Award is given to maternal and infant health professionals in five key
disciplines: Health Management, Physician, Nurse, Research and Public & Community Health. Its intent is to recognize
individuals and organizations that continue the legacy of the March of Dimes mission of improving the health of babies.
Breastfeeding Friendly
Medela strongly supports the Baby-Friendly Hospital
Initiative and extends congratulations to those accounts
that have recently achieved this honorable designation.
Congratulations!
• Lawrence &
Memorial Hospital
New London, CT
• Waccamaw
Community Hospital
Murrells Inlet, SC
The Medela Education
Team designs programs in
support of Breastfeeding
Friendly Initiatives. Visit
www.medelaeducation.
com for more details.
7
outcomes: transforming care delivery
Increasing Breastfeeding through
Transformation of Care Delivery
are considering improving their own
breastfeeding policies, study author
Eileen Magri, PhD (c), RN, NE-BC,
Director of Nursing, Maternal Child
Health at Winthrop University Hospital
said she would advise a “Review of
all processes that are currently being
followed.” She adds, “It was difficult at
first [for us] to admit that although we
took pride in a great maternity service,
we were not practicing according to
the research and evidence. Once we
admitted that our own practice was a
barrier to supporting mothers’ feeding
decisions, we were able to move
forward.”
8
New York State Regional Perinatal
Center, Winthrop University Hospital,
recently achieved an increase in
exclusive breastfeeding from 6% to
44%. An outstanding result, their case
study, Transforming a Care Delivery
Model to Increase Breastfeeding, was
published in the May/June 2013 issue
of the American Journal of Maternal
Child Nursing.
According to the authors, the objectives
of the project were:
The significant increase in breastfeeding
they reported was achieved through
changing the care delivery model, as
the title suggests, within the medical
center to better support exclusive
breastfeeding. For the study, all aspects
of mother/baby care were evaluated
and changed to meet the breastfeeding
recommendations as outlined by the
World Health Organization (WHO) and
New York State Department of Health.
5)change the culture and social norm
relative to breastfeeding.
1)increase exclusive breastfeeding;
2)improve hospital breastfeeding
policies, practices and systems;
3)increase staff skills and knowledge
of breastfeeding support through
education;
4)empower, educate and support new
mothers to successfully breastfeed;
An initial and thorough review of the
hospital practices and staff knowledge
related to breastfeeding revealed a
failure to meet criteria as defined in the
Ten Steps to Successful Breastfeeding
as supported by American Academy
of Pediatrics (AAP) and WHO. When
asked about the project and how
she would advise other facilities who
“Once we
admitted
that our own
practice was
a barrier to
supporting
Eileen Magri
mothers’
feeding decisions, we were
able to move forward.”
The first area to be approached in the
study was newborn care practices
in Labor and Delivery (L&D). The
study reported that mothers and their
newborns were routinely separated
after the first hour of life and routine
care was given to the newborns while
the mothers recovered. This process
kept mothers and babies separated for
more than 6 hours, according to the
study. After careful observation, it was
decided that the transition care of the
healthy newborn would be completed
outcomes: transforming care delivery
With evaluation, changes in
practice and a strong desire
to help mothers exclusively
breastfeed, results were
extremely positive:
Skin-to-Skin contact for newborns
within 1 hour for vaginal births and
within 2 hours for cesarean sections
reached 90% and has been sustained.
– Rooming–in increased from 0% to
over 70%.
– Exclusive breastfeeding increased from 6% to 44%.
These results are very encouraging
for other institutions; that they can
make similar changes that will make a
difference in breastmilk feeding. Magri
adds, “The staff is very proud of their
accomplishments and is still working
very hard to make every mother
successful.”
increased
to
44
%
eeding
Nursing staff were also given
complimentary access to an online
18-hour breastfeeding course during
the study and within 12 months,
100% of the maternity nursing staff
completed The Ten Steps to Successful
Breastfeeding On-Line Course. Since
the study was completed, the course is
now included in basic orientation for
new nurses.
–
from
6%
stf
The second area to be evaluated was
the postpartum unit. For convenience
purposes, physicians usually checked
both boxes, for fomula and breastmilk,
on the newborn feeding order sheet,
which encouraged supplementation
with formula. The changes to hospital
practice included discontinuing the
option of formula feeding on the order
sheet. Upon admission, the mother
is asked her feeding preference and
the staff is now required to inform
the mother before supplementing a
breastfeeding baby with formula. In
addition, a physician order is required.
Giving out gift packs to new mothers
at discharge which included formula
is a practice that has also been
discontinued.
Rooming-in was also encouraged in
post-partum care. Rooming-in was
not being practiced at the facility at
all. There were barriers to this change,
both logistically, and from the staff side,
but ultimately, these were overcome.
The original practice was to return all
newborns to the nursery at 10 pm.
This nightly routine was eliminated and
replaced with a return to the nursery
only at the request of the mother.
This approach proved successful.
Magri credits a team approach for this
success and the success of the entire
project. “Staff involvement in decision
making and how to re-design their care
delivery model was key.”
ea
in L&D, instead of in the nursery.
According to Magri, this was the most
difficult change that was undertaken.
“The component of change that was
difficult and required the most time to
implement was moving transition care
from the traditional nursery setting to
the delivery room. This required many
tests of change and observation time
by the transition nurses to be sure the
workflow was correct. After that was
established, the rest of the staff was
trained.”
excl
e
usiv
br
9
partners: affordable care act
Partners in Promoting Breastfeeding
Medela and Hard Rock Hotel Chicago, Charitable Program Benefits Families at Ann & Robert H. Lurie
Children’s Hospital of Chicago, Through The Jackson Chance Foundation
This Mother’s Day, Medela announced
a very unique partnership—with Hard
Rock Hotel in Chicago. At first glance,
the headline suggests the unlikeliest of
pairings, but it began with a common
goal—enhancing mother and baby
health through the life-giving benefits of
breastmilk. When the idea to support a
nursing mothers amenity program came
to Medela, the answer was YES!
In partnership with Medela, the Hard
Rock Hotel Chicago developed the
Nursing Mothers Amenity Program to
better meet the unique needs of guests
who are breastfeeding or ‘pumping’
while traveling. The thoughtful in-room
amenities are available to travelers with
proceeds from the program benefitting
local families of children in the Neonatal
Intensive Care Unit (NICU) at Ann &
Robert H. Lurie Children’s Hospital of
Chicago through The Jackson Chance
Foundation, an Illinois non-profit
dedicated to providing support to NICU
families, allowing them to spend more
time with their baby.
Medela provided a hospital grade
Symphony® breastpump and
breastfeeding Accessory Starter Sets,
which include: Quick Clean™ MicroSteam™ Bags, Quick Clean Wipes,
Pump and Save™ Bags and Disposable
Bra Pads. In addition to the pump and
supplies, the Nursing Mothers Amenity
Program also features convenient inroom amenities such as microwaves,
mini-refrigerators, ice packs for
transportation and mini cooler bags.
10
Medela and Hard Rock Hotel
in Chicago, Illinois partner to
provide the unique amenities
that nursing mothers need while
traveling (Guitar not included).
partners: affordable care act
The Nursing Mothers Amenity Program
costs $30, with proceeds directly
benefitting local families with children in
Ann & Robert H. Lurie Children’s Hospital
of Chicago through The Jackson Chance
Foundation.
“We created the Nursing Mothers
Amenity Program in hopes of making
travel a little bit easier on the already
busy mom,” said Carrie Meghie, EVP of
Becker Ventures and General Manager of
Hard Rock Hotel Chicago. “By supplying
many of the items breastfeeding mothers
need, not only will Hard Rock Hotel
Chicago be helping mothers that are
staying with us, but proceeds from
the Nursing Mothers Amenity Program
will benefit families with children in the
NICU at Lurie Children’s Hospital of
Chicago through The Jackson Chance
Foundation.”
The hotel’s concierge staff is also trained
with the know-how to source additional
nursing-specific requests such as
shipping expressed milk.
“Support from the community is so
critical to moms who are trying to
breastfeed,” said Carolin Archibald,
president of Medela, Inc. “We are proud
to partner with Hard Rock Hotel Chicago
Jackson’s Story
Our beloved son, Jackson
Chance, came to us on
11.11.11 @ 11:11 pm. He was
as special as his birthday was
unique. Jackson spent his
entire life in the NICU. We were
blessed to have him in our
lives for 10 amazing but short
months. We were fortunate
to have the resources and
support that allowed us to
spend not only significant but
quality time with him. The NICU
was our family’s home away
from home, and we know firsthand the challenges parents
face while having a child in the
hospital.
Jackson Chance was born 10
weeks premature and spent all
Carrie and Terry Meghie, with Jackson.
but 48 hours of his life in the
hospital. He was a fighter and
a very happy baby. We were fortunate to have the support and resources to
spend each and every day with him in the hospital. We truly made the hospital
his home.
We always thought Jackson would come home and live a long life with us.
We never considered the possibility that he would not make it home until right
at the very end. Jackson passed away in his mother’s arms while holding his
father’s hand on September 7, 2012 just shy of 10 months.
Jackson had Bronchopulmonary dysplasia (BPD), a chronic lung condition
that affects newborn babies who were either put on a breathing machine after
birth or were born very early (prematurely).
The Jackson Chance Foundation
The few lucky ones who got to meet Jackson were truly amazed by his spirit.
He was by far, the happiest baby I have ever met. We believe that the time we
were able to spend with him not only contributed to his happiness but also
greatly enhanced and extended his life.
has created and is funding the NICU
Jackson gave us more joy in 10 months than we could hope for in a lifetime.
to help mothers who are traveling, in
addition to the families at Lurie.”
Transportation Program at Ann & Robert
H. Lurie Children’s Hospital of Chicago.
The NICU Transportation Program will
provide complimentary transportation
to all families of NICU babies. JCF has
recently raised enough funds to launch
the program.
We hope that Jackson’s memory will continue to live on by touching similar
families. We were able to find so much joy in the NICU and create an environment
where the hospital became an extended family to us and Jackson. We believe,
without a doubt, that this contributed to Jackson having so much happiness in
his short life. We hope others are able to experience this as well.
Our goal at the Jackson Chance Foundation is to help others “Enjoy the
Moment!” just like Jackson did.
11
cover story: changing course
Changing Course—A Look at
the Need for Changing Childbirth
and Breastfeeding Education to
Support Breastfeeding Success
for Today’s Millennial Moms
Introducing Medela Breastfeeding University
by Claudette Yasell
Sixty-eight percent of all women giving birth today are “millennial moms.”1 What
are millennial moms and why is it important to understand them? Just as the terms “baby
boomers” and “gen x-ers” have become commonplace, millennial moms are gaining
ground. The group developed its own identity and has had major impacts on areas
such as technology, marketing and healthcare. Research indicates that healthcare
decisions for the millennial mom are made quite differently from those for other
groups, historically. Their expectations of healthcare providers are changing, but
policymakers, in turn, are also asking a lot of these moms. The U.S. Department
of Health and Human Services initiative Healthy People 2020 goals regarding
breastfeeding reflect initiation rates of 81.9 percent and exclusive breastfeeding for
6 months at 25.5 percent.2 In addition, the Patient Protection and Affordable Care
Act (ACA) is giving mothers access to no-cost breastpumps they’ll use to support
their commitment to breastfeeding their children while maintaining their lifestyle or
back-to-work routine. In theory, it makes perfect sense that offering accessibility to
breastpumps will, in fact, increase breastfeeding initiation and duration rates, but
a key factor to support this linear projection is missing: breastfeeding education
to buttress breastfeeding success.
12
cover story: changing course
Notwithstanding the valiant efforts of breastfeeding
supporters via individual lactation consultations
and onsite prenatal education programs, the 2013
Breastfeeding Report Card from the Centers for
Disease Control (CDC) reports mothers are only
achieving a 76.5 percent initiation rate, and at 6
months there are only 16.4 percent of infants that
have been exclusively breastfed.3 Other research
indicates that despite 85 percent of moms planning
to exclusively breastfeed for three months, only
34 percent of these mothers are reaching that
goal.4 So where are the gaps and where are the
opportunities to shore up breastfeeding education
to meet a mother’s needs and support her success?
One option is to look at the ways in which millennial
moms pursue education. The results are surprising
and show that fewer and fewer mothers are getting
childbirth education prenatally. In light of this, Medela
is proud to introduce Medela Breastfeeding University-offering breastfeeding education to moms in a whole new
way, and offering a tool to support healthcare providers’
postnatal efforts to promote and support breastfeeding. While
nothing can replace the one-on-one lactation consultation
to evaluate latch and feeding at the breast, Medela
• She demands quick access and immediate action
• She looks for quick responses to accommodate her
hectic schedule
• She’s moving away from high-anxiety parenting toward an
alternative, less stressful and ultimately rewarding style
• She uses the Internet as a gathering space for social
Breastfeeding University offers mothers comprehensive
interaction and a resource to do a deeper dive into her top
breastfeeding education prenatally, commensurate with the
issues and concerns
way millennial moms pursue information.
Meet the Millennial Mom
Millennial moms have been the object of many studies to
evaluate everything from their sleeping and buying habits to
• She is an expert multi-tasker
• She is likely a student—53 percent of millennial moms are
students
their parenting methods and Facebook activity. A synopsis
Virtually Educated
of a selection of these studies and census data offers the
Higher education is a great example of an industry that
following information and characteristics of the millennial
successfully evolved to better serve its technology driven
mom.1, 5-8
student population. A ten-year study tracking online
• She was born between 1977 and 1996
education from 2002-2011 at higher education institutions in
the United States reports that the proportion of all students
• She belongs to a population of 55.5 million
taking at least one online course is at 32 percent.9 It will likely
• She grew up on the speed of the internet and shorter
increase if the trend continues. Translating that to an actual
commercial messaging
number is astounding. The number of students taking at least
Continued
13
cover story: changing course
one online course when the study began was 1.6 million. This
been steadily falling for many years. A series of reports
figure has increased by more than 5 million to a new total of
published based on three National US Surveys of Women’s
6.7 million students in 2011.
Childbearing Experiences, Listening to Mothers I, II and III,
Educators quickly recognized the trend toward online
14
published in 2002, 2006 and most recently in May 2013, are
education and responded accordingly. In 2002, less than one
devoted to understanding experiences and perspectives of
half of all higher education institutions reported in the study
childbearing women and using this knowledge to improve
that online education was critical to their long-term strategy.
maternity care policy, practice, education and research.10-12
That number is now close to 70 percent. It is difficult to
Current findings indicate that only 34 percent of mothers
ignore the parallel conclusions that can be drawn regarding
reported taking a childbirth education class with this
how education is accessed by this generation, regardless of
pregnancy, compared to 36 percent reported in the first
the subject matter, as well as the growing importance it has
Listening to Mothers study. Listening to Mothers II found
achieved on the priority list of educators.
that just 56 percent of first-time mothers attended childbirth
Childbirth Resources
education classes, compared with 70 percent reported in
Interestingly, traditional enrollments at higher education
the first study. Measuring types and frequencies of childbirth
institutions dipped this year for the very first time, but
education classes taken by moms for the first time in the
enrollments in onsite childbirth education classes have
most recent study, 49 percent of mothers reported taking
cover story: changing course
Searching for Answers
Fewer and fewer women are turning to classes or books
for childbirth-related information. They are going online.
According to the Pew Internet & American Life Project,
83 percent of Internet users have looked online for health
information. Data released by Pew show many people are
now using mobile phones to search for health information
-- 29 percent of mobile phone owners age 18 to 29, and
17 percent of mobile phone owners overall.14
Supporting data can be found in Listening to Mothers III.
Mothers reported that a laptop or desktop computer with
Internet access was the most commonly used device
for accessing online information about pregnancy and
childbirth-82 percent typically used it at least once a week,
followed by smartphones at 64 percent, tablets at 35
percent and a regular mobile phone with Internet access at
33 percent.12
According to Google’s former Health Strategist, Dr. Roni
Zeiger, “On any given day, more people are posing health
questions to Google than posing health questions to
their doctors.” And one last piece of helpful information:
weekly classes across multiple weeks, and the rest of the
mothers reported their classes were completed in one (24
“Pregnancy” is No. 7 on Yahoo’s list of top health related
searches.14
Connected with Medela Moms
percent) or two (26 percent) days.
In addition to Medela’s evidence-based pursuit of clinical
Another study, Contemporary Dilemmas in American
information to support product development, Medela also
Childbirth Education: Findings from a Comparative
maintains a strong bond with consumers. Breastfeeding
Ethnographic Study, reported similar results that “attendance
mothers who use Medela products are actively engaged
at childbirth classes has significantly dropped.”
on a social level with the Medela Moments Blog; Medela
Researchers observed that more women are working full-
online Facebook and Twitter communities; the Medela
time and, in addition to having technologically-medicated
breastfeeding app for iPhone--iBreastfeed, and on
lifestyles, couples are increasingly overwhelmed by the
Medela.com for information on the benefits of breastfeeding,
demands of work and home. The study also reported that
important ACA information, and other breastfeeding
13
low-income women were not well-represented in the classes
resources.
and were more likely than middle-income women to report
Medela’s Facebook community is over 89,000 followers
“television” as their primary information source on pregnancy
strong and is highly engaged. Medela moms look to each
and childbirth.
other and to Medela for answers to common questions;
Continued
15
cover story: changing course
help with resolving breastfeeding issues and for a forum to
Breastfeeding University, a unique and comprehensive
share experiences in a breastfeeding community of moms.
breastfeeding preparation program that can be accessed
The Medela Moments Blog was awarded an E-Healthcare
by expectant mothers in the comfort of their own home or
Leadership Award—Silver winner in the category of best
convenience of their mobile phone.
social networking. The Medela.com website continues to
trend upward in site visits and provides moms
the latest information on their ACA benefits for
breastfeeding support.
Developed by healthcare professionals and based on
the most current breastfeeding research, Medela
Breastfeeding University walks mothers through
what to expect during pregnancy as well
More moms than ever are accessing
as how to initiate breastfeeding at
medela.com on their mobile phones
the hospital, transition to home
and many, more than 25,000 Medela
and work, and advocate for
moms, in fact, are using iBreastfeed.
herself and her baby.
Consumer Search recognized
Medela’s iBreastfeed app as one
of the top five useful breastfeeding
apps for nursing moms. Using the app,
moms can get information on the benefits
of breastmilk, breastfeeding and
pumping tips, breastmilk storage
94 percent of students
said the course better
prepared them for
breastfeeding
guidelines and instant access to
other online resources. They
can keep a breastfeeding
log and even have the
ability to send the log to
their doctor. iBreastfeed
is a truly indespensible
app for breastfeeding
moms.
Medela
Breastfeeding
University
Based on the
trends in online
education, childbirth
education and in our
own online community,
Medela developed Medela
16
Prenatal education is key to setting
expectations and helping mom
understand what tools and
support she should seek during
her breastfeeding experience.
The goal of Medela
Breastfeeding University
is to help moms succeed
by ensuring they receive
breastfeeding education, even
if they can’t make it to a
local class.
The course is comprised of
10 segments (7-12 min.
each) which cover how
breastfeeding works,
the benefits, potential
cover story: changing course
obstacles, what to expect at the hospital, how to transition
• 29 percent did/will change their registry based on what
they learned
home, how to transition to work, what to do if the baby is
in the NICU and how to know if the baby is getting enough
milk. It also includes information for fathers and grandparents
so they can support mother and baby. Registered users can
refer back to the program as often as needed. The program
is offered in both English and Spanish.
• 100 percent would recommend this course to others
Enrolling in Medela Breastfeeding University
Medela Breastfeeding University is designed to work in
tandem with the healthcare provider community. Hospital
accounts and lactation consultants are encouraged to review
Early Feedback
the program and offer it to patients prenatally. Contact your
Since Medela Breastfeeding University was launched
local Medela representative for more information on Medela
earlier this year, it has been promoted in various media, via
Breastfeeding University.
bloggers, news release, Facebook, on Medela.com and to
Medela professional accounts, just to name a few. Results
thus far have been very encouraging and Medela continues
to enroll students each day.
Early results from participants:
• 94 percent said the course better prepared them for
breastfeeding
• 41 percent changed their breastfeeding goals because of
what they learned in the course
• 100 percent feel they know the
right questions to ask for
breastfeeding support in the
hospital
• 94 percent learned new information from
the course
• 94 percent feel better about asking for breastfeeding
support in the hospital
References
1. Meredith. Communicating with Millennial Moms. 21 Sept. 2010. Web. 21 Aug. 2013.
http://usnlive.com/MPG_Custom_Solutions_WIC_Research_Presentation_rev9.20.10.pdf
9.
2. U.S. Department of Health and Human Services. Office of Disease Prevention and Health
Promotion. Healthy People 2020. Washington, DC. Available at [www.healthypeople.gov].
Accessed [9/5/2013].
10. Declercq ER, Sakala C, Corry MP, Applebaum S, Risher P. Listening to Mothers: Report of the
First National U.S. Survey of Women’s Childbearing Experiences. New York: Maternity Center
Association, October 2002.
3. Breastfeeding Report Card 2013. CDC. Published online July 31, 2013. Full text.
11. Declercq ER, Sakala C, Corry MP, Applebaum S. Listening to Mothers II: Report of the Second
National U.S. Survey of Women’s Childbearing Experiences. New York: Childbirth Connection,
October 2006.
4. Perrine C, Scanlon, K, et al: Baby-Friendly Hospital Practices and Meeting Exclusive
Breastfeeding Intention. J Pediatrics 2012; 10.1542:2011-3633.
5. 10 Things About Echo Boomers. Yankelovich Monitor Think Tank, Q2, 2008.
6. Lucid Marketing. How US Moms Share and Spread Health Information Report, 2011. http://www.
lucidmarketing.com/mothers-rely-on-friends-email-facebook-for-health-information/
7. US Census Bureau, Current Population Survey.
8. Evans, Brandon.” Why Millennial Moms are Supplanting College Students as the Most Connected
and Technology Dependent Population.” November 2009. MR Youth, RepNation Media.
Accessed 9/5/13. http://www.cmo.com/sites/default/files/MillennialMom101.pdf
I. Elaine Allen, Ph.D. and Jeff Seaman, Ph.D.: Changing Course: Ten years of tracking online
education in the United States. Babson Survey Research Group, January 2013.
12. Declercq ER, Sakala C, Corry MP, Applebaum S, Herrlich A. Listening to Mothers III: Report of
the Third National U.S. Survey of Women’s Childbearing Experiences. New York: Childbirth
Connection, May 2013.
13. Morton C, Hsu, C: Contemporary Dilemmas in American Childbirth Education: Findings from a
Comparative Ethnographic Study. J Perinatal Education, 16(4), 25-37,doi:10.1624/10581240
7X245614.
14. Cohen, Elizabeth. “Your top health searches, asked and answered.” cnn.com. CNN,
21 Oct. 2010. Web. 19 Aug. 2013.
17
practically speaking: allison roper, LICSW
Practically Speaking…
with Allison Roper, LICSW
Allison Roper serves as a Public Health Advisor for the Office of Disease Prevention and Health Promotion. In this role, she promotes and
supports Healthy People 2020, a set of national health objectives for the decade. Ms. Roper is part of a coordinated team working to
advance the health of the nation through the adoption of Healthy People 2020 and its critical resources.
specific measurable objectives with
A
targets to be achieved by the year
covers 42 disease prevention and
2020.
health promotion topic areas. Over
disease prevention issues, and includes
Medela:
Data is important to show us where
What is Healthy People 2020 and why
strategies, data can’t move the needle
is it important to our nation’s health?
all the way. Healthypeople.gov now has
Allison:
a new tool entitled “Evidence-based
Roper: Since its inception in 1979,
Healthy People has served as a
“roadmap” for nationwide health
promotion and disease prevention
efforts through the use of sciencebased national objectives that
monitor our Nation’s progress over
time, allowing us to see trends and
to motivate, guide and focus action.
Healthy People 2020 engages a
network of multi-disciplinary, multisectoral stakeholders at all levels,
creates a comprehensive strategic
framework for health promotion and
18
we are and where we need to focus
our efforts. But without resources and
Resources.” These resources serve as
a directory for users to identify those
strategies that they can apply to their
own communities. We also have a new
feature called the “Sharing Library.” This
library houses implementation stories of
strategies and programs that effectively
impact Healthy People 2020 objectives.
One of our goals with these stories is to
share new and innovative ideas to help
Healthy People is governed by
4 overarching goals and
1200 objectives are organized under
these topic areas. The majority of these
objectives have targets that we aim
to reach by 2020. One of the 42 topic
areas focuses on Maternal, Infant, and
Child Health (MICH). This topic area
covers a wide range of health, including
breastfeeding. Of the 72 objectives
in the MICH topic area, 8 focus
specifically on breastfeeding. These 8
objectives and their respective targets
are designed to help our nation make
improvements in breastfeeding initiation
rates, exclusive breastfeeding, duration
of breastfeeding, and worksite and
hospital support for breastfeeding.
communities get started on their own
The specific objectives and 2020
successful implementation.
targets are: (21.1 – 24 in Healthy
Q
People 2020)
Can you please provide a
brief description of the breastfeeding goals?
21.1 Increase the proportion of infants
who are ever breastfed to 81.9%
practically speaking: allison roper, LICSW
21.2 Increase the proportion of infants
who are breastfed at 6 months
to 60.6%
increased from 16% in 2000 to 27% in
schedule with data collection occurring
2010. By working together to support
at different intervals, there is no set time
21.3 Increase the proportion of infants
who are breastfed at 1 year to 32.1%
women who initiate breastfeeding, we
that all objectives are updated. Instead,
are confident we will meet the Healthy
we update the data on healthypeople.
People 2020 targets for duration.
gov on a rolling basis to ensure that we
Q
can provide the most up-to-date and
21.4 Increase the proportion of infants
who are breastfed exclusively
through 3 months 46.2%
21.5 Increase the proportion of infants
who are breastfed exclusively
through 6 months 25.5%
A
How do you think health
care reform will help achieve
these goals?
The Affordable Care Act helps
make prevention affordable
22* Increase the proportion of
and accessible for all Americans
employers that have worksite
by requiring most health plans to
lactation support programs to 38% cover and eliminate cost sharing for
23* Reduce the proportion of
preventive services recommended
breastfed newborns who receive
by the U.S. Preventive Services Task
formula supplementation within
the first 2 days of life to 14.2%
Force, the Advisory Committee on
24*
Increase the proportion of live
births that occur in facilities that
provide recommended care for
lactating mothers and babies
to 8.1%
accurate progress whenever possible.
The CDC’s Division of Nutrition, Physical
Activity, and Obesity also releases
a Breastfeeding Report Card each
August. The report provides updated
national and state-specific data on the 8
breastfeeding indicators as well as other
indicators of breastfeeding support
(http://www.cdc.gov/breastfeeding/
data/reportcard.htm).
Futures Guidelines recommended by
Q
the American Academy of Pediatrics.
How can health professionals get
Immunization Practices, and the Bright
Pregnant and postpartum women now
How can others get involved in supporting Healthy People?
involved? What can Healthy People
2020 Consortium members do?
* New objectives to support institutional
have access to comprehensive lactation
opportunities to promote breastfeeding.
support and counseling from trained
Q
providers, as well as breastfeeding
A
equipment without copays. You can
of groups on the ground making a
learn more about the Affordable Care
difference in the lives of everyday
Act at www.hhs.gov/healthcare. people. The Healthy People Consortium
Q
is an opportunity for many types of
We seem to be making gains
in increasing breastfeeding
initiation rates. How are we doing in
terms of reaching the Healthy People
2020 goals for duration rates?
A
We have made gains in
breastfeeding initiation and
How is progress tracked?
When will the progress
reports be done?
Healthy People can only be
successful through the work
agencies and organizations to expand
the reach of Healthy People across the
nation. The Consortium is an important
percentage of U.S. infants who initiated
A
breastfeeding in 2010 was high at
partners, including the Center for
regions, states, counties, cities, and
76.5%, up from 70.3% in 2000. While
Disease Control and Prevention’s (CDC)
neighborhoods. Healthy People is able
rates of duration are lower, we have
National Center for Health Statistics
to leverage the resources of these
made continued progress over the
(NCHS). NCHS helps the MICH
committed partners and ensure that its
last ten years. Among infants born in
workgroup to analyze appropriate data
impact is meaningful at multiple levels.
2010, 49% were breastfeeding at 6
sources on a regular basis to track
months of age, up from 35% in 2000.
the progress being made. Since each
The breastfeeding rate at 12 months
data source operates on a different
duration over the past decade. The
Healthy People 2020 works
closely with all of its federal
component of Healthy People because
it allows us to broaden our reach to
No Consortium partnership looks
exactly like another.
Continued
19
practically speaking: allison roper, LICSW
Q
Medela also reaches many moms who have/are
breastfeeding or who are planning to breastfeed.
Are there any particular messages/ tips you would like to
share with them? How can moms get involved to support
Healthy People?
A
Just like with Healthy People, it is important that
moms and families set their own goals related to
breastfeeding and implement effective strategies to reach
those goals. Now more than ever there are multiple tools
available to help families do just that and be successful.
Understanding the ACA is critical for families to take
advantage of all of the benefits it has to offer, including
support for breastfeeding. There is a wealth of information on
HealthCare.gov to help families understand the new law and
learn more about the Health Insurance Marketplace open for
enrollment on October 1st. Thanks to the Marketplace, for
the very first time, consumers will be able to go to one place
to search for health coverage options.
Consortium partners get involved with Healthy People in
many different ways. Partners are encouraged to think about
what kind of partnership activities make the most sense for
them.
Healthy People 2020 is a great tool to help
professionals and the public improve the health
of our nation. As we implement Healthy People 2020 and
strive towards a set of shared goals, we can begin to make a
Consortium partners support Healthy People through their
difference in our communities and create a society in which
everyday work:
people live long, healthy lives.
•Educate others on Healthy People 2020
To support African-American women in overcoming the
•Promote the adoption of Healthy People 2020
in the community
barriers they face to start and continue breastfeeding, the
•Promotion of Healthy People 2020 can be in conjunction
with other initiatives or strategies
campaign, It’s Only Natural, earlier this year. It’s Only Natural
•Development of supplemental and companion materials
the benefits of breastfeeding and how they can make it work
•Provide feedback to support and improve Healthy
People 2020
in their lives.
•Cross-collaborate with other Consortium
community partners
•Share implementation story
•Contribute ideas to the Prevention Portal for
cross-collaboration
20
Q
A
Is there anything else you would like to share?
Department of Health and Human Services launched a new
provides these new moms with practical information, such as
practically speaking: allison roper, LICSW
CDC Releases New Resource: The CDC Guide to
Strategies to Support Breastfeeding Mothers and Babies
The CDC recently published The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies in an effort to
continue to support healthcare professionals as they strive to increase breastfeeding rates and reach the goals outlined by
the Healthy People 2020 Initiative.
The document covers a number of different strategies that can be used to
support breastfeeding. For each strategy, a comprehensive definition is provided,
as well as rationale explaining why it is important. The CDC draws on peer-
Strategies to Prevent Obesity and Other Chronic Diseases
The CDC Guide to Strategies
to Support Breastfeeding
Mothers and Babies
reviewed literature and current practice to summarize the strategy’s effectiveness.
Additionally, key considerations are given for each strategy, that include
information that may be important for healthcare providers to keep in mind during
the planning, implementation, or evaluation phases of any strategy.
To facilitate the use of this information, there are action steps and examples of
programs that have been successful using these strategies, as well as additional
resources that can be used to support the strategy and its implementation.
National Center for Chronic Disease Prevention and Health Promotion
Division of Nutrition, Physical Activity, and Obesity
ACA Information for Your Patients
Getting asked frequently about breastpump coverage under the Affordable Care Act (ACA)? You can direct your patients
to Medela’s up-to-date resource for ACA information.
21
education: live courses
classes and events
Prepare Mothers for Breastfeeding Success with
Medela’s Professional Education Programs
Medela offers education programs and resources that can
help prepare new mothers for successful breastfeeding
experiences. Live and online programs are available for you
and your staff.
Medela’s extensive research program initiates and supports
clinical research by the world’s leading lactation scientists
and clinical specialists. This research allows the Medela
Education Team to bring you the latest research on breast
milk science. Visit www.MedelaEducation.com to review
the complete list of courses offered online or live near your
location. To schedule a program, call 1-800-435-8316
extension 2486.
Live Courses
Striving for Excellence in Hospital Lactation Care:
How to Address Critical Windows of Opportunity for
Term and Preterm Situations
Presented by:
Jean Rhodes, PhD, CNM, IBCLC
Paula Sisk PhD, RD, IBCLC
Event Details
Date: Tuesday, November 5, 2013
Program: 8:30 am – 4:00 pm
Registration and continental breakfast
from 8:00 am – 8:30 am
Lunch included
Location: Scottsdale Healthcare
Shea Conference Center
Brady Conference Room
9003 E. Shea Blvd
Scottsdale, AZ 85260
Registration Fees: $100 Standard
$75 Scottsdale Healthcare employees with promo code
To Register: http://www.medelabreastfeedingus.com/
for-professionals/Education/Programs/Detail/394
Continuing Education Credits:
6.0 Nursing Contact Hours
6.0 Dietitian Category II CPE
Questions: Lori Satran
(480) 323-3529
[email protected]
Darby Mistak
(623) 215-5714
[email protected]
Supporting Premature Infant Nutrition
in the NICU
Presented by:
Jae Kim, MD, PhD
Lisa Stellwagen, MD
Event Details
Date: Friday, November 22, 2013
22
Program: 8:15 am – 5:00 pm
Registration and continental breakfast
from 7:30 am – 8:15 am
Lunch included
Location: Advocate Christ Medical Center
Auditorium
4440 West 95th Street
Oak Lawn, IL 60453
Registration Fees: $125 – Standard
$75 Advocate Associate &
student rate available
To Register: Go to http://www.medelabreastfeedingus.com/forprofessionals/Education/Programs/Detail/390
Continuing Education Credits:
7.0 Nursing Contact Hours
7.0 Dietitian Category II CPE
Questions: Wendy Walczak
[email protected] Kelly Murray
(847) 975-9548
[email protected]
Edythe Pettenger
[email protected]
The Use of Human Milk & Breastfeeding
Education for the NICU Nurse
Presented by:
Diane Spatz PhD, RN-BC, FAAN
Event Details
Date: Friday, November 8, 2013
Program: 8:30 am – 4:45 pm
Registration and continental breakfast
from 7:30 am – 8:30 am
Lunch included
Location: Dominican Center at Maywood
Conference Room 1
2025 Fulton Street East
Grand Rapids, MI 49503
education: live courses
Registration Fees: $100 Standard
Location: Orlando Regional Medical Center
To Register: Go to http://www.medelabreastfeedingus.com/for-
professionals/Education/Programs/Detail/464
1414 Kuhl Avenue
Orlando, FL 32806
Registration Fees: $75 Standard
$50 Early Bird before November 16
To Register: Go to http://www.medelabreastfeedingus.com/forprofessionals/Education/Programs/Detail/465
Continuing Education Credits:
6.0 Nursing Contact Hours
6.0 Dietitian Category II CPE
Questions: Sherry Yonge (561) 891-9098
[email protected] 7.0 Nursing Contact Hours
Continuing Education Credits:
7.0 Dietitian Category II CPE
Questions: Jonelle Lund
(616) 685-5602
[email protected]
Georgia Therrien
(815) 353-2263
[email protected]
Spartanburg’s Day of Breastfeeding Education
Presented by:
Irene Zoppi RN, MSN, IBCLC
Jennine Higa
(321) 843-5013
[email protected]
Patricia Woods
(321) 841-6830
[email protected]
Event Details
Date: Friday, November 8, 2013
Program: 8:00 am – 4:30 pm
7:30 am Registration
Lunch included
Location: Spartanburg Regional Medical Center
Tyner Auditorium
101 E. Wood Street
Spartanburg, SC 29303
Human Milk in the NICU: Evidence-Based
Principles, Tool-Kits, Talking Points and Case Studies
Presented by:
Sara Jo Dyer, MBA, WHNP-BC, BSN, RN
Paula Meier PhD, RN, FAAN
Diane Spatz PhD, RN-BC, FAAN
Registration Fees: $60 Standard
Multi-purpose Rooms
$30 Spartanburg Regional Medical To Register: Go to http://www.medelabreastfeedingus.com/for-
Event Details
Date: Monday, December 9, 2013
Program: 9:00 am – 4:30 pm
professionals/Education/Programs/Detail/461
Center Employees & student rate available
Continuing Education Credits:
6.0 Nursing Contact Hours
6.0 Dietitian Category II CPE
Questions: Colleen Gilmore
(864) 560-2294
[email protected]
Human Milk Use: Evidence-Based Principles,
Tool-Kits, Talking Points and Case Studies
Presented by:
Mai T. Phung MD, FAAP
Paula Meier PhD, RN, FAAN
Diane Spatz PhD, RN-BC, FAAN
Event Details
Date: Monday, December 2, 2013
Program: 9:00 am – 4:30 pm
Registration and continental breaskfast
from 8:00 am – 9:00 am
Lunch included
Registration and continental breaskfast
from 8:00 am – 9:00 am
Lunch included
Location: Northeast Georgia Medical Center
Walters Auditorium
743 Spring Street NE
Gainesville, GA 30501
Registration Fees: $75 Standard
$50 Early Bird before November 11
$25 Northeast Georgia Medical
Center Employees (with promo code)
To Register: Go to http://www.medelabreastfeedingus.com/
for-professionals/Education/Programs/Detail/467
Continuing Education Credits:
6.0 Nursing Contact Hours
6.0 Dietitian Category II CPE
Questions: Barbara Curl (678) 477-6066
[email protected] Jennifer N. Johnson
(770) 219-1495
[email protected]
Continued
23
education: online courses
Online Education
NEW
What is the Evidence for the Joint
Commission Core Perinatal Measure on
Exclusive Breastfeeding During The Maternity
Hospitalization
Presented by:
Paula P. Meier, RN, PhD, FAAN
Program Description:
This 1.5 hour class provides the evidence supporting the Joint
Commission’s Core Perinatal Measure for exclusive breast milk
feeding in the hospital. Topics will focus on arming clinicians with
research-based updates on the protective qualities of colostrum,
the physiology of establishing adequate maternal milk volumes,
unique human infant sucking patterns, risks of supplementation
with formula and risks associated with pacifier usage.
Cost Benefits of Breastfeeding and the Use of
Human Milk
Presented by:
Jean Rhodes CNM, PhD, IBCLC
Full course information:
http://www.medelabreastfeedingus.com/for-professionals/
Education/Courses/Detail/51
Introducing Human Milk
Monthly Webinars
The Medela Education Team is now offering a monthly webinar
series: Human Milk Monthly. You can sign up to get the latest
in breastfeeding research and clinical information conveniently
and timely. Human Milk Monthly Webinars will cover a variety of
topics relevant from NICU to well-baby.
The first webinar in the series, Infection Control, was a great
success.
The next webinar will be held in October.
HUMAN MILK QUARTERLY SPECIAL
Topic: Nutritional Benefits of Human Milk and Infection Control
Date: Wednesday, October 16, 2013
Receive 50% off using Promo Code: HMQPS6SYC
Offer expires : 12/31/13
To Register: http://www.medelabreastfeedingus.com/
for-professionals/Education/Programs/Detail/413
Registration Fees:
$30.00 – Standard
$15.00 with promo code
Continuing Education: 1.5 Nursing Contact Hours
1.5 Dietitian Category II CPE
Location: Live on your computer!
HUMAN MILK QUARTERLY SPECIAL
Use this promotion code when you register for $5.00 off!
HMQWA2ANR
To Register: http://www.medelabreastfeedingus.com/
for-professionals/Education/Programs/Detail/447
The Value of Human Milk in the NICU:
Reducing Preterm Morbidities and NEC
Registration Fee: $20.00 – Standard
$15.00 with promo code
Presented by:
Jean Rhodes CNM, PhD, IBCLC
Full course information:
http://www.medelabreastfeedingus.com/for-professionals/
Education/Courses/Detail/43
Continuing Education Credits: 1.0 Nursing Contact Hour
1.0 Dietitian Category II CPE
The Value of Human Milk in the NICU: Cognitive
and Neurodevelopmental Effects of Human Milk in
Preterm Infants
Presented by:
Jean Rhodes CNM, PhD, IBCLC
Full course information:
http://www.medelabreastfeedingus.com/for-professionals/
Education/Courses/Detail/44
24
Time: 1:00 pm – 2:00 pm Central Standard Time
product focus: mom /baby connection
Protect the connection
using the Medela
products
that support direct mother
ection
onn
C
y
ab
Ini
tia
te
&
&
ct
p
&
Co
lle
ed
Fe
in
inta
Ma
Mo
m
/B
breastfeeding
baby
tect
Pro
Pr
e
Measure Breastfeeding Success
Improved technology provides simple, reliable
& accurate test weight results to support your
efforts in establishing breastfeeding success.
Simple
1-2-3 push-button weight
measurement and easy-to-read
LCD display.
Reliable
Compensates for
moving baby.
Accurate
Displays weight in
2 gram increments.
25
product focus: mom /baby connection
Breast Care Solutions
That Protect The Mom/Baby Connection
Everyday breast care
Tender Care™ Lanolin
Advanced Nipple Therapy™
100% Cotton Washable
Nursing Pads
Disposable Nursing
Bra Pads
• Soothing relief for dry,
sore and tender nipples.
• Natural fibers promote air
flow for healthy skin.
• Absorbs more so you
•100% safe for mom
• No-shift design keeps
• Individually wrapped
and baby.
• Glides on smoothly and gently
- no-mess application.
26
pads in place.
• Includes laundry bag
for easy washing.
use less.
for convenience.
• Available in boxes
of 30, 60 and 120.
product focus: mom /baby connection
Breastfeeding challenges
Nipple care
SoftShells™
Nipple Shields and Contact™ Nipple Shields
mom/baby photo here
• For latch-on difficulties or flat/inverted nipples.
• Available for sore nipples and
for flat/inverted nipples.
• Contact nipple shields have a special
• Protects nipples from further irritation.
• Superior comfort with soft, flexible backs.
design for closer contact with your baby.
• Available in different sizes – consult a
lactation professional for assistance.
• More flattering appearance under
clothes than other shells.
• Consult a lactation professional
for assistance.
Tender Care™ Hydrogel Pads
Advanced Nipple Therapy
TheraShells™
• Cools on contact - instant relief
for sore nipples.
• Two solutions in one – for sore nipples
and flat/inverted nipples.
• Consult a lactation professional
• Contoured shape for a comfortable fit.
• Reusable for up to 24 hours.
for assistance.
*Target warming temperature of 30-38 °F. Temperatures may vary depending on actual
container used. Device is optimized for syringes and Medela sterile 80 mL breastmilk
containers. **Disposable inserts are a single-patient item for up to 12 hours of use.
27
Medela, Inc., 1101 Corporate Drive, McHenry, IL 60050
Phone: (800) 435-8316 or (815) 363-1166 Fax: (800) 995-7867
Email: [email protected] www.medela.com
Medela and Symphony are registered trademarks of Medela Holding AG.
Human Milk Quarterly, Every drop counts, Quick Clean, Micro-Steam, Pump & Save, Tender Care,
Advanced Nipple Therapy, SoftShells, TheraShells, Contact are trademarks of Medela, Inc.
March of Dimes is a registered trademark of March of Dimes Foundation.
1547882 A 1013 © 2013 Medela, Inc.