victorian breastfeeding guidelines assoc prof lisa amir ms anita moorhead mch conference 18...
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Victorian Breastfeeding
Guidelines
Assoc Prof Lisa Amir Ms Anita Moorhead
MCH Conference18 September 2014
Victorian Breastfeeding Guidelines
Victorian Breastfeeding Guidelines
• Review commenced 2011 • Consistent with NHMRC • Consult• Rewrite • NHMRC- delayed release• Publish – 2014
Aims • align with current international evidence and guidelines regarding breastfeeding, infant feeding, and the provision of breastfeeding advice and support to parents
• be consistent with the revised National Health and Medical Research Council’s Infant Feeding Guidelines for Health Workers
• be informed and reviewed by experts in the field
• meet the information needs of the target audiences including MCH Service staff, midwifery staff and other health practitioners
• include guidance pertaining to breastfeeding and smoking, alcohol and drug use, and HIV and Hepatitis infected breastfeeding mothers.
Victorian Breastfeeding Guidelines
Victorian Breastfeeding Guidelines • The Victorian Breastfeeding Guidelines are designed to
be used in conjunction with the National Health and Medical Research Council, Infant Feeding Guidelines – Information for Health Workers (2012).
• For some breastfeeding conditions the Victorian Breastfeeding Guidelines will provide detailed advice and guidance that will be a concise and useful resource for health professionals.
Victorian Breastfeeding Guidelines
Review process:• Public forum• Key consultations • Advisory panel• Literature review
Victorian Breastfeeding Guidelines Review Public Forum
Royal Women’s Hospital Conference Centre
21 July 2011Department of Education and Early Childhood
Development, Royal Women’s Hospital and Mother & Child Health Research,
La Trobe University
Victorian Breastfeeding Guidelines
How breastfeeding works – updated physiologyBreastfeeding advice during pregnancyEstablishing breastfeeding – guidance for best practice• Skin to skin• The first breastfeed • Natural pattern of breastfeeding• Rooming in • Monitoring infant’s progress
Victorian Breastfeeding Guidelines Routine breastfeeding assessment – for mother and baby• History taking and examination• Nipple issues• Breast issues- including mastitis guidance • Milk supply issues• Maternal illness and breastfeeding Infant-related breastfeeding issues• Preterm and care of the late preterm baby in the maternity
setting• Multiples• Unsettled
Victorian Breastfeeding Guidelines Alternative methods of infant feeding when breastfeeding is not possible • Expressing and storage, infant formula feeding, donor milk and
breast milk banks
Continuing breastfeeding • Breastfeeding and sexuality• Return to paid employment • Medicines and drug & alcohol• Websites about pregnancy and parenting• Diet• Breastfeeding and solids
Community support and information services
DEECD Breastfeeding resources• Australian National Breastfeeding Strategy 2010 - 2015 - recognises the importance of breastfeeding
and provides a framework for priorities and action for Australian governments at all levels• Victorian Breastfeeding Guidelines (pdf - 989.34kb) - a source of evidenced-based breastfeeding
information for health professionals• Breastfeeding in Victoria: Report 2010 (pdf - 1.36mb) - part of the Victorian Breastfeeding Research
Project• Increased Rate of Breastfeeding - the Catalogue of Evidence 2008 on breastfeeding• Giving Breastfeeding a Boost 2005 - community-based approaches to improving breastfeeding rates
literature review
Telephone support• Maternal and Child Health Line - available 24 hours a day on 13baby or 132229. • Mum to Mum - a 24 hour breastfeeding helpline, available on 1800 mum 2 mum or 1800 686 2 686
Web links• Australian Breastfeeding Association - provides a range of support and information on breastfeeding• Raising Children Network - offers lots of information on breastfeeding• Better Health Channel - provides health and medical information to improve health and wellbeing
including breastfeeding• Having a Baby in Victoria - provides information and options on maternity care available• Information designed to specifically support Indigenous families:• Australian Indigenous Health Info Net - health promotion resources
Victorian Breastfeeding Guidelines • Victorian women receive perinatal care from a range of
health professionals that include midwives, general practitioners, nurses, obstetricians, paediatricians, and maternal and child health nurses.
• Women often describe breastfeeding information and advice as inconsistent.
• These guidelines are a source of evidence-based breastfeeding information for health professionals to use when working with women and their families during the continuum of breastfeeding.
Advisory panel
Member Representing Member Representing
Vickie Veitch DEECD Dr Kylie Blackwell Community Paediatrician
Dr Jenny Proimos Paediatrician /DEECD Chris Scott Midwife/ private sector
Helen Adams Lactation Consultant Gene-Anne Curtin Consumer
Pam Heselev MCHN/ IBCLC Assoc Prof Sue Jacobs Neonatologist
Jenny Roberts Lactation Consultant Leva Azadi Dietician /Dept. Health
Meg Jarvis Lactation Consultant Dr Jenni James IBCLC/Academic/Midwife
Joanne Gilbert Regional Midwife Dr Anita Bearzatto GP/IBCLC
Kerri McEgan Lactation Consultant Milk Banking
Kate Mortensen Australian Breastfeeding Association
Nanette Shone Australian Breastfeeding Association
Victorian Breastfeeding Guidelines
Distribution • MCHN’s• Maternity services • General Practitioners - RACGP• Online! – DEECD http://www.education.vic.gov.au/Documents/childhood/Victorian%20Breastfeeding%20Guidelines%20FINAL%2020140730.pdf
Victorian Breastfeeding Guidelines
Anita Moorhead and Associate Professor Lisa Amir would like to recognise the key writers and contributors and DEECD collaborators:• Judith Russell, Ruth Berkowitz and Fiona
McLardie-Hore.• Mary Caruana, Jennifer Halliday and Manjri Raval.
DEECD: Anne Colahan, Karene Fairbairn, Jenny Proimos, Claire Leske