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“Why buy the cow when you get

mama’s 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
III. Describe the composition of breast milk ~5 minutes
the 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 mother’s diet affects breast milk ~5
gland development, hormones, minutes
breast milk composition, breast A. The taste and the infant's interest in new foods
milk nutrients VII. Explain how to use a breast pump ~10 minutes
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
❖ Learning Activity #1: Calculations infant~10 minutes
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
Agenda
❖ Learning Objective #1 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
ducts suckling ~8 minutes
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/pregnancy-dos-donts.pdf
http://www.c-uphd.org/documents/maternal/community-services-resource-
guide-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 Program’s 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. Do’s and Don’ts. Do’s and Don’ts. https://www.womenshealth.gov/files/assets/docs/charts-
checklists-guides/pregnancy-dos-donts.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-bank-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#2842
5. Published 2011. Accessed May 2017.