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Why buy the cow when you get

mamas milk for free?


Erika Belloso Starr Gibson
Alex Hinton Lauren Gable
Ashley Griffin
Nutritional Demands with Lactation
High caloric and protein intake
A breastfeeding mother requires an extra 300-400 calories above her pre-pregnancy needs for the
first 12 months of breastfeeding
Protein requirements in pregnancy rise to 1.1 g/kg/day (71 g), amounting to more than a 50%
increase in protein intake to allow for fetal growth and milk production.
Increased amounts of vitamins A, C, E, and certain B vitamins (thiamine, riboflavin, niacin, pyridoxine,
choline, cobalamin, and folate).
Folate is especially important because it helps in the prevention of neural tube defects, but should
also be consumed in adequate amounts.

MyPlate has a
checklist calculator in
which you can
calculate caloric
needs special for
women who are
lactating full-time,
some of the time, or
doing formula
Nutritional Concerns with Lactation
Not getting enough nutrition
can affect both mother and
baby
A restricted maternal diet
containing less than 20 g total
fat may produce essential
fatty acid deficiency in the
infant if supplemental
essential fatty acids are not
provided.
Some nutritional concerns,
mainly with mothers following
a vegetarian diet is that they
may be low in vitamin D, and
calcium
This can result in bone
demineralization
Vitamin B-12 is another
nutrient that can be low in
vegetarian mothers
This can result in
neurological damage
CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT
Program Series Description
Goals for the program:
Educate pregnant women who are planning to breastfeed
Explain physiology terminology during the process of lactation
Talk about the stages of lactation, complications, and support for returning to work
Address lactation misconceptions
Program Series Description: Week 1
Learning Objective #1 Agenda
I. Introduce the program ~15 minutes
Describe mammary gland A. The program facilitators
development and the stages of B. The goals of the program
lactogenesis C. Learning Activity #1
Learning Objective #2 II. Review learning objectives ~2 minutes
Define the Letdown Reflex and the III. Describe mammary gland development ~8 minutes
roles of prolactin and oxytocin in A. Explain the structure of the mammary gland:
lactation ducts, lobes, alveoli
B. Explain how the structures and hormone
Learning Activity #1: Icebreaker
levels change
Introductions and individual goals
IV. Discuss the stages of lactogenesis ~10 minutes
Learning Activity # 2: Concept Map A. The timeframe of each stage and what
Create a concept map that relates occurs
mammary gland development, V. Describe the Letdown Reflex ~10 minutes
lactogenesis, and let down reflex A. The roles prolactin and oxytocin play in milk
secretion and milk production
VI. Learning Activity #2 ~10 minutes
VII. Questions ~5 minutes
Program Series Description: Week 2
Learning Objective #1 Agenda
Identify and explain the I. Review learning objectives ~2 minutes
II. Recap week 1 ~5 minutes
composition of breastmilk and the
III. Describe the composition of breast milk ~5 minutes
nutrients found in it
A. Explain the timeline of colostrum, transitional,
Learning Objective #2 and mature milk
Demonstrate the proper use of a IV. Discuss the nutrients found in breastmilk ~15 minutes
breast pump A. Water, lipids, proteins, vitamins etc.
Learning Activity #1: Jeopardy Game V. Learning Activity #1 ~10 minutes
Topics: lactogenesis, mammary VI. Describe how a mothers diet affects breast milk ~5
gland development, hormones, minutes
A. The taste and the infant's interest in new foods
breast milk composition, breast
VII. Explain how to use a breast pump ~10 minutes
milk nutrients
A. Lactation away from home
Learning Activity # 2: Demonstration B. Learning Activity #2
Demonstrate how to properly use VIII. Questions ~5 minutes
a breast pump
Program Series Description: Week 3
Learning Objective #1 Agenda
I. Review learning objectives ~2 minutes
Describe how breastfeeding II. Recap week 2 ~5 minutes
contributes to weight loss III. Describe how breastfeeding benefits the mother ~8
Learning Objective #2 minutes
Discuss the benefits of breastfeeding A. Explain how breastfeeding contributes to
for the infant and breastfeeding healthy weight loss, changes in caloric intake
recommendations IV. Discuss the benefits of breastfeeding for the
infant~10 minutes
Learning Activity #1: Calculations
A. Immunity passes from mother to infant,
Daily caloric intake, protein and fluid
bonding
needs
V. Discuss the duration of breastfeeding ~5 minutes
Learning Activity # 2: Portion Size Quiz A. American Academy of Pediatrics, US Surgeon
Visuals and pictures General, and Academy of Nutrition and
Dietetics recommendations
VI. Learning Activity #1 ~10 minutes
VII. Learning Activity # 2 ~8 minutes
VIII. Questions ~5 minutes
Program Series Description: Week 4
Learning Objective #1 Agenda
I. Review learning objectives ~2 minutes
Define how alcohol and drugs appear II. Recap week 3 ~2 minutes
in breast milk III. Discuss breastfeeding misconceptions ~10 minutes
Learning Objective #2 A. Learning Activity #1
Discuss problems that women may B. Explain the effects of drugs and alcohol on
experience with lactation such as breast milk
mastitis, low milk supply, plugged IV. Discuss the rooting and oral search reflex and
suckling ~8 minutes
ducts
A. Demonstrate proper positioning that allows
Learning Activity #1: Think Pair Share
letdown and milk production
Discuss what the participants have V. Discuss potential breastfeeding complications ~20
heard about breastfeeding minutes
Learning Activity # 2: Matching A. Milk production complications, pain
Match complications with their B. Pain and discomfort
symptoms and treatments C. Formula Use
VI. Learning Activity #2 ~5 minutes
VII. Questions ~5 minutes
VIII. End of Program Questionnaire ~5 minutes
Education Materials

Tips: https://wicworks.fns.usda.gov/wicworks/Topics/BreastfeedingFactSheet.pdf
Other Education Materials

Dos and Donts:


https://www.womenshealth.gov/files/assets/docs/charts-checklists-guides/preg
nancy-dos-donts.pdf
http://www.c-uphd.org/documents/maternal/community-services-resource-guid
e-with-milk-bank-poster.pdf
Stages for Lactation
http://www.breastfeeding-problems.com/stages-of-lactation.html
Work: Break Time for Nursing Mothers under the FLSA :
https://www.dol.gov/whd/regs/compliance/whdfs73.pdf
Description of Evaluation Tool
Description of Evaluation Tool
Marketing & Social Media Plan:
Marketing
Hospital programs that offer support to mothers that are breastfeeding
Ex. Carle, Champaign-Urbana Public Health District
Advertisement
Facebook
Twitter
Local parks
Hospitals
School buildings
Daycares
This advertisement strategies will reach out to more mothers and attract current lactating mothers
Geared towards
Mothers and their partners who are currently lactating or intend to lactate in the future
Rationale
Our program provides all the necessary information because it teaches mothers how to properly breastfeed and
also teaches them about the complications and importance of breastfeeding.
Flier
Program Implementation & Future Direction
Implementation
The program will be community based
Churches, community centers, schools etc.
Evolution of Content
Content will be evaluated by facilitators based on:
Participant feedback
Observations of the facilitators
Questions and goals
Guest speakers from the community
Speakers from WIC, mothers who have breastfed
The Programs Future
Four weekly meetings, beginning the first Saturday of every month
Conflict sessions: following Sunday after every session
References:
1. BSRC. Breastfeeding Program Sample Evaluation Forms.
http://www.beststart.org/resources/breastfeeding/EvalSampleForms_ENG_fnl.pdf. Published
2016. Accessed May 2017.
2. USDA. Tips for Breastfeeding Moms.
https://wicworks.fns.usda.gov/wicworks/Topics/BreastfeedingFactSheet.pdf. Published
December 2016. Accessed May 2017.
3. WH. Dos and Donts. Dos and Donts.
https://www.womenshealth.gov/files/assets/docs/charts-checklists-guides/pregnancy-dos-dont
s.pdf. Published 2009. Accessed 2017.
4. Breastfeeding Resources in Champaign County and Surrounding Areas . Breastfeeding
Resources in Champaign County and Surrounding Areas .
http://www.c-uphd.org/documents/maternal/community-services-resource-guide-with-milk-ba
nk-poster.pdf . Accessed 2017.
5. Stages of lactation namely Mammogenesis, Lactogenesis 1, 2 and 3 & involution. Got
breastfeeding problems? Here is all the breastfeeding information you need.
http://www.breastfeeding-problems.com/stages-of-lactation.html. Accessed May 2017.
References:

6. USDLWHD. Fact Sheet #73: Break Time for Nursing Mothers under the FLSA .
https://www.dol.gov/whd/regs/compliance/whdfs73.pdf . Accessed 2017.
7. Nutritional Requirements Throughout the Life Cycle: Pregnancy and Lactation. NutritionMD.org
:: Nutritional Requirements Throughout the Life Cycle: Pregnancy and Lactation.
http://www.nutritionmd.org/health_care_providers/general_nutrition/lifetime_pregnancy.html.
Accessed May 2017.
8. Specker BL. Nutritional concerns of lactating women consuming vegetarian diets. The American
journal of clinical nutrition. https://www.ncbi.nlm.nih.gov/pubmed/8172121. Published May
1994. Accessed May 2017.
9. Nutrition and Lactation. GLOWM.
https://www.glowm.com/section_view/heading/Nutrition%20and%20Lactation/item/146#28425
. Published 2011. Accessed May 2017.