Community Baby Friendly Policy - BCPFT-CLIN-POL-0814-164 · 2018. 6. 20. · BCPFT-CLIN-POL-0814-164 – Community Baby Friendly Policy Version 1.0 August 2014 5 The Chief Operating

BCPFT-CLIN-POL-0814-164 – Community Baby Friendly Policy

Version 1.0 August 2014

The Community Baby Friendly Policy

Policy Title State previous title where relevant.

Community Baby Friendly Policy

State if Policy New or Revised New Policy Strand Org, HR, Clinical, H&S, Infection Control, Finance For clinical policies only - state index category

Clinical Policy-Index Category: Pre-School Services

Links to National Regulatory Standards: Care Quality Commission(CQC) NHS Litigation Authority (NHSLA) National Institute for Health & Clinical Excellence (NICE)

Care Quality Commission(CQC) NHS Litigation Authority (NHSLA) National Institute for Health & Clinical Excellence (NICE) UNICEF UK Baby Friendly Initiative

Policy Lead/Author Job titles only

Health Visitor Team Leader-BCPFT Breastfeeding Co-ordinator-Public Health-Dudley

Consultation State year and the individuals, groups, committees, service users, working partners etc. you have consulted with

2014: Pre-School Services Manager, Health Visitors, Breastfeeding Buddies, Maternity Services, Public Health, Governance Assurance, Infection Control, Equality & Diversity.

Ratification State ratified by whom - Policy Ratification Group, Executive Committee or Director

Policy Ratification Group

Equality Impact Assessment Yes

Implementation Plan Yes

Month/year policy first developed August 2014

Months/years policy reviewed Keep review dates in chronological order

New Policy

Next review due August 2017

Review details Revisions made, changes etc include page numbers and paragraphs

New Policy

For Corporate Executive Support use

Date Policy First Uploaded to Intranet November 2014

Date Policy Revised & Reloaded to Intranet


Version 1.0 August 2014 2

Ref. Contents Page

1.0 Introduction 3

2.0 Purpose 4

3.0 Objectives 4

4.0 Definitions 4

5.0 Duties 4

6.0 Committee/Group Responsible for Approval of this Policy 5

7.0 Process 5

8.0 Supporting Parenting and Close Relationships 9

9.0 Monitoring Compliance 9

10.0 Standards/Key Performance Indicators 9

11.0 Equality Impact Assessment Training 9

12.0 Training 10

13.0 Data Protection Act and Freedom of Information Act References 10

14.0 References 10

14.1 Legislation 11

15.0 Links to other Policies and Procedures 11

Appendices

Appendix 1 Overview of UNICEF UK Baby Friendly Initiative 12

Appendix 2 Breastfeeding Care Pathway 13

Appendix 3 Infant Feeding – Antenatal Checklist 14

Appendix 4 Plans for Pregnancy and Parenthood 15

Appendix 5 Breast Feeding Assessment Form 16

Appendix 6 Information for Breast Feeding Mothers 17

Appendix 7 Supporting Information-Credited Resources 18

Appendix 8 Training Needs Analysis 19

Review and Amendment Log

Version Reason Status Date Description of Change

V1.0 New Policy for the BCPFT Ratified August 2014 Alignment of policies following TCS.

The Community Baby Friendly Policy



1.0 Introduction

The UNICEF UK Baby Friendly Initiative This policy is needed to support ‘The UNICEF UK Baby Friendly Initiative’ which is an ‘accreditation’ programme based on the Global World Health Organisation/UNICEF Baby Friendly Hospital Initiative. The ‘health and well-being of all babies’ is at the heart of the UNICEF UK Baby Friendly Initiative. A strong mother-baby relationship is the foundation for a baby’s future health and well-being and breastfeeding supports this ‘loving bond’ making a vital difference to health. The UNICEF UK Baby Friendly has therefore set evidence-based practice guidelines to protect, promote and support breastfeeding and to strengthen mother-baby relationships for ‘all’ babies. Background The World Health Organisation (WHO, 2001) recommended that wherever possible infants should be fed exclusively on breast milk from birth to six months of age. The NHS Plan (2000) and Infant Feeding Recommendation (DH, 2004) supports the view to facilitate interventions to promote breastfeeding. Further evidence shows that breastfeeding has a major part to play in Public Health as it promotes health and prevents disease in both infant and mother (Preventing Disease & Saving Resources, 2012). Babies who are breastfed are less likely to develop many illnesses in infancy, childhood and adulthood whilst mothers who breastfeed for longer periods of time have a reduced risk of breast and ovarian cancers. In addition, ‘Every Child Matters-Be Healthy’ (HM Treasury, 2003) promotes breastfeeding as a ‘key objective’. The Department of Health has set a target ‘to deliver an increase of 2% per year in breastfeeding initiation rates, with a particular focus on supporting mothers from disadvantaged groups’ because UK breastfeeding rates have been amongst the lowest in Europe. Dudley Borough has a particularly low breastfeeding rate of 54% (2012-13) at initiation and 28% at 6-8 weeks. In recognition of the need to increase the initiation and duration of breastfeeding in England, NHS Trusts are required to increase their breastfeeding rates (UNICEF UK, 2005). The UNICEF UK Baby Friendly Initiative ‘Best Practice Standards’ are therefore being adopted across the UK, including the Dudley Borough which aim to promote breastfeeding awareness, increase breastfeeding initiation rates and the duration of breastfeeding. Application of This Policy Across NHS Dudley and the Pre-School Services-Black Country Partnership Foundation Trust (BCPFT) are promoting the delivery of this ‘Baby Friendly Policy’ is seen as a vital component of supporting and improving the future health and wellbeing of the population as a whole. It is therefore recognised that the application of this policy is a matter of priority for all Health Visitors, Community Nursery Nurses, Breastfeeding Buddies, GP’s, Children’s Centres and any other additional services to consider during their day to day interactions with parents, carers and their babies.



The Dudley Breastfeeding Action Plan 2012-2014 is further committed to the ‘United Nations Children’s Fund (UNICEF) Baby Friendly Status in partnership with the Pre-School Services within Black Country Partnership Foundation Trust (BCPFT). Note, this policy meets the minimum requirements of the UNICEF UK Baby Friendly Initiative. 2.0 Purpose The purpose of this policy is to ensure that all staff working within the Health Visiting/Pre-School Services within BCPFT, Public Health-Dudley and Local Authority Children’s Centres understand their role and responsibilities in supporting expectant and new mothers and their partners to feed and care for their baby/infants in ways which support optimum health and wellbeing in line with UNICEF UK Baby Friendly Initiative, NICE Clinical Guidelines and local policy guidelines. All staff are expected to comply with this policy.

3.0 Objectives This policy aims to ensure that the care provided improves outcomes for all infants, children and families, specifically to deliver:

1. Greater focus on ensuring the ‘Baby Friendly Initiative’ best practice standards are delivered by all Health Visitors, Community Nursery Nurses, Breastfeeding Buddies, mothers/parents and carers across the whole Dudley Borough to achieve satisfactory nutrition at ‘the start of life’.

2. Increases in breastfeeding rates in Dudley at initiation and at 6-8weeks in line with the Public Health Outcomes Framework 2013-2016 (DH, 2012).

3. Increases in safety standards of preparation and storage of formula feeds in line with nationally agreed guidance amongst mothers/parents/carers who choose to formula feed.

4. Increases in the proportion of parents who introduce solid foods to their baby/infants in line with nationally agreed evidence-based practice guidance.

5. Improvements in parents’ experiences of the quality of care, support and service delivery of the Baby Friendly Initiative.

4.0 Definitions Responsive Feeding: previously referred to as ‘demand’ or ‘baby-led’ feeding is used to describe a feeding relationship which is sensitive, reciprocal, and about more than nutrition.

5.0 Duties The Chief Executive has responsibility for ensuring that the public health contribution to promote the health and wellbeing of children is discharged effectively through the services provided by BCPFT and through working in partnership with relevant agencies and organisations within the Dudley Borough



The Chief Operating Officer will ensure that there are appropriate resources to promote the health and wellbeing of children in Dudley. The Director of the Children’s Division has a strategic responsibility for Health Visiting across the organisation and provides support to enable the operational delivery of this area of work. This ensures that there is a clear line of accountability and governance within the Trust and the provision of services are designed to promote and safeguard the welfare of children. The Children’s Division Senior Management Team has the strategic and clinical lead in all aspects of the Health Visiting Service and will ensure there is adherence to relevant clinical policies, procedures and guidelines.

• That the highest standard of care is provided to support expectant and new mothers and their partners to feed their baby and build strong and loving parent-infant relationships in recognition of the ‘profound’ importance of early relationships to future health and wellbeing.

• To ensure that staff are aware of the ‘significant’ contribution breastfeeding makes to good physical and emotional health outcomes for children and mothers.

• To ensuring that all care is mother, family and ‘child-centred’, non-judgemental and that all mothers’/parents’ decisions are ‘supported and respected’.

Health Visitor Team leaders have the daily operational management of the Health Visiting Service and are required to ensure all staff are suitably trained, to enable them to implement the policy as appropriate to their role.

• That all staff are familiarised with this policy on commencement of their employment and new staff receive training within 6 months of commencement of employment.

• All documentation will fully support the implementation of these standards.

• Parents’ experiences of care will be listened to through: regular audit and parents’ experience surveys etc.

All members of the Health Visiting Team are responsible for complying with this policy and raising any exceptions of service delivery to their managers. 6.0 Committee/Group Responsible for Approval of this Policy The Clinical Policies Group is responsible for the approval of this policy. 7.0 Process Achieving Baby Friendly Accreditation

• These evidence-based standards have been developed for maternity, neonatal, health visiting, public health and children’s centre services. Implementation of these standards will improve the care and support that pregnant women, new mothers and their families receive to build a strong relationship with, and feed and care for their baby.

• Services are encouraged to work ‘collaboratively’ with partner organisations to implement the standards however; accreditation is also available for services working on their own.



• ‘Baby Friendly Accreditation’ is a highly valued award and is achieved through a rigorous external assessment process which gathers evidence that the standards have been implemented.

• To support effective implementation of the standards the assessment process is broken down into three stages; accreditation is achieved when all these stages are reached. Following accreditation, services can then progress to ‘Advanced’ or ‘Beacon’ status. UNICEF UK keeps a league table of UK Services and their progress towards Baby Friendly accreditation.

• It is well documented that ‘Baby Friendly Accreditation’ is effective at increasing breastfeeding rates. It is recommended by the National Institute for Health and Clinical Excellence (NICE) and the UK Government’s Scientific Advisory Committee on Nutrition (SACN) and is an integral part of the ‘Healthy Child Programme: Pregnancy and the First Five Years of Life’.

Promoting Baby Friendly Best Practice Standards All services and providers must consider their own practices and culture against the standards identified within this policy that support the promotion of effective ‘Baby Friendly’ practices within services and make necessary changes locally to promote best practice at all times. Necessary Action includes:

• Ensuring adequate promotion of the opportunities and facilities are available.

• Ensuring all new and existing staff, particularly frontline staff are aware of, and have access to this policy.

• Ensuring all staff are welcoming, friendly and approachable in line with the concepts of ‘The Baby Friendly Initiative’.

• Ensuring all frontline staff are aware of where to signpost mothers/parents who require additional or specialist support and guidance.

• Ensuring that all services have a designated or agreed area where possible for infant feeding.

• Ensuring that all services where possible have separate nappy changing facilities or are able to direct carers to nearby facilities.

• Promoting the intervention of ‘peer support workers’ called ‘Breastfeeding Buddies’ in the antenatal and early postnatal period to support breastfeeding mothers and their partners.

• Adhering to the ‘International Code’ of marketing of breast-milk substitutes, bottles, teats and dummies (WHO, 1981).

Progress of Achieving Baby Friendly Accreditation Within Dudley

• The Dudley Group NHS Foundation Trust is UNICEF BFI accredited. NHS Dudley and the Local Authority achieved Baby Friendly Initiative- Stage 1 assessment in March 2010 and Stage 2 in July 2012.

• Public Health- Dudley, Local Authority Children’s Centres and Black Country Partnership Foundation Trust (BCPFT) are now working towards achieving Stage 3 and will be undertaking UNICEF Stage 3 assessment in August, 2014.



• Prior to the UNICEF Assessment in August, Public Health-Dudley will be undertaking several ‘pre-assessment’ audits as it is a requirement to submit a ‘pre-assessment’ audit to UNICEF prior to the Stage 3 Assessment taking place.

*See Appendix 1: Overview of New UNICEF UK Baby Friendly Initiative Stages/Standards

Care Standards & Breastfeeding Care Pathway This policy also sets out the care the staff working within the BCPFT Health Visiting/Pre-Services are required to deliver to each and every expectant and new mother. It is based on the UNICEF UK Baby Friendly Initiative Standards for Health Visiting Services, relevant NICE Clinical Guidance, the Healthy Child Programme and the Breastfeeding Care Pathway (2010) which reflects UNICEF best practice for hospital and community health care settings. (*See Appendix 2: Breastfeeding Care Pathway (2010)) Pregnancy & Antenatal Contact UNICEF UK Baby Friendly Initiative strongly supports the view that pregnancy is the ‘right’ time for Health Visitors, Breastfeeding Buddies and Nursery Nurses to begin to talk to parents and will therefore assess this aspect of the service when applicable. Where routine antenatal contact is part of the commissioned service, all pregnant women will have the opportunity to discuss feeding and caring for their baby with a member of the health visiting team or suitably trained designated person. The discussion will include the following topics:

• The value of connecting with their baby in utero.

• The value of skin contact for all mothers and babies.

• The importance of responding to their baby’s needs for comfort closeness and feeding after birth and the role that keeping their baby close has in supporting this.

• Feeding, including: - an exploration of what parents already know about breastfeeding. - the value of breastfeeding as protection, comfort and food. - getting breastfeeding off to a good start.

*See Appendix 3: Infant Feeding-Antenatal Checklist & Appendix 4: Plans for Pregnancy & Childhood Postnatal Contact & Continuing Support for Breastfeeding

• A formal breastfeeding assessment using the ‘Breastfeeding Assessment Tool’ found in the ‘Parent-Held Record’ will be carried out at the ‘new birth visit’ at 10-14 days to ensure effective feeding and well-being of the mother and baby. This includes recognition of what is going well and the development, with the mother, of an appropriate plan of care to address any identified needs/issues.

• For those mothers who require additional support for more complex breastfeeding challenges a referral to the specialist service will be made. Describe specialist service and referral pathway to mothers or signpost mothers to more information about the service and referral pathway. Please refer to the ’Breastfeeding Pump Loan Procedure’ when assessments indicate this would be appropriate.

• Mothers are to be given the opportunity for a discussion about their options for continued breastfeeding including ‘responsive feeding’,’ expression of breast milk’



and feeding when out and about or going back to work in accordance to individual needs.

• The Health Visiting Service needs to work in collaboration with other local services such as Children’s Centres to ensure mothers have access to additional support for breastfeeding.

• All breastfeeding mothers will be informed about the local support for breastfeeding; refer to ‘Local Database’ at Family Information Service.

*See Appendix 5: Breastfeeding Assessment Form & Appendix 6: Information for Breastfeeding Mothers (Found in Parent-Held Record) Exclusive Breastfeeding

• Mothers who breastfeed will be provided with information about why exclusive breastfeeding leads to the best outcomes for their baby and why it is particularly important during the establishment of breastfeeding.

• When exclusive breastfeeding is not possible, the value of continuing partial breastfeeding will be emphasised and mothers will be supported to maximise the amount of breastmilk their baby receives.

• Mothers who give other feeds in conjunction with breastfeeding will be enabled to do so as safely as possible and with the least possible disruption to breastfeeding. This will include appropriate information and a discussion regarding the potential impact of the use of a teat when baby bis learning to breastfeed.

Support for Formula Feeding At the ‘New Birth Visit’ mothers/parents who choose to formula feed are to have a discussion about how feeding is going. Recognising that this information will have been discussed with the Maternity Service staff, but may need revisiting or reinforcing; and being sensitive to mother’s previous experience, staff should check that:

• Mothers who are formula feeding have all the information they need to enable them to do so as safely as possible. Staff may need to offer a demonstration and/or discussion about how to prepare infant formula.

• Mothers who formula feed also need to understand about the importance of ‘responsive feeding’ and how to:

- Respond to cues when their baby is hungry. - Invite their baby to draw in the teat rather than forcing the teat into their

baby’s mouth. - Pace the feeds so that their baby is not forced to feed more than they want to. - Recognise their baby’s cues that they have had enough milk and avoid

forcing their baby to take more milk than the baby wants/needs.

Introducing Solid Foods All parents are to have a timely discussion about when and how to introduce solid food including:

• That solid food should be started around 6 months.

• Babies’ signs of developmental readiness for solid food.

• How to introduce solid food to babies.

• Age-appropriate foods for babies.



8.0 Supporting Parenting & Close Relationships

• All parents are to be supported to understand their baby’s needs; including encouraging frequent touch and sensitive verbal/visual communication, keeping babies close, responsive feeding and safe sleeping practice.

• Mothers/parents who choose to formula feed should be encouraged to hold their baby close during feeds and offer the majority of feeds to their baby themselves to help enhance the mother/parent-baby relationship.

• Parents should also be given information about parenting support programmes available at local Children’s Centres.

*See Appendix 7: Supporting Information-Credited Resources 9.0 Monitoring Compliance

• The BCPFT and Public Health- Dudley, requires that compliance with this policy is audited at least annually using the ‘UNICEF UK Baby Friendly Initiative Audit Tool’, 2013 edition.

• Staff involved in overseeing this audit will require training on how to use this tool.

• Audit results are to be reported to the Breastfeeding Co-ordinator-Public Health, Dudley and the Pre-School Services Manager-BCPFT.

• An action plan will be agreed by the Office of Public Health-Dudley Breastfeeding Strategy Group to address any areas of non-compliance or poor initiation or progress that have been identified.

10.0 Standards / Key Performance Indicators

• Outcomes will be monitored by ‘Key Performance Indicators’ or ‘Best Practice Standards’. (See table below).

• Outcomes will be reported by the Breastfeeding Co-ordinator-Public Health, Dudley and Pre-School Services Manager-BCPFT.

Key Performance Indicator: Method of Assessment:

1.Breastfeeding Initiation Rates Audit & Database

2.Breastfeeding Rates at 6-8 weeks Audit & Database

3. Baby Friendly Initiative Compliance & Accreditation

Audit & Database

4. UNICEF Audits (x5) Audit & Database

11.0 Equality Impact Assessment The Black Country Partnership NHS Foundation Trust is committed to ensuring that the way we provide services and the way we recruit and treat staff reflects individual needs, promotes equality and does not discriminate unfairly against any particular individual or group”. The Equality Impact Assessment for this policy has been completed and is readily available on the Intranet. If you require this in a different format e.g. larger print, Braille, different languages or audio tape, please contact the Equality & Diversity Team on tel no: 0121-612-8067 or email: [email protected]



12.0 Training Please refer to the Training Needs Analysis document completed for this policy and the Breastfeeding Co-ordinator, Public Health - Dudley (Appendix 8).

• All new staff are to be familiarised with this policy on commencement of their employment.

• All staff are to receive training to enable them to implement this policy as appropriate to their role.

• New staff are to receive appropriate training within 6 months of commencement of their employment.

• Training regarding the ‘International code of Marketing of Breast-Milk Substitutes is to be implemented throughout the service.

• Appropriate training also needs to ensure that all documentation fully supports the implementation of the ‘Baby Friendly Initiative’.

13.0 Data Protection Act and Freedom of Information Act All staff have a responsibility to ensure that they do not disclose information concerning the Trust’s activities or about service users in its care to unauthorised individuals. This responsibility applies whether you are currently employed or after your employment ends and in certain aspects of your personal life e.g. use of social networking sites etc. The Trust seeks to ensure a high level of transparency in all its business activities but reserves the right not to disclose information where relevant legislation applies. 14.0 References Department of Health (2000) The NHS Plan: DH Department of Health (2003) Every Child Matters: HM Treasury Department of Health (2004) Infant Feeding Recommendations. DH Department of Health (2009) Healthy Child Programme: Pregnancy and the First Five Years of Life: DH Department of Health (2012) Public Health Outcomes Framework For England 2013-16 Breastfeeding Network (2009) Expressing and Storing Breastmilk. Paisley Maternity Action (2011) Continuing to Breastfeed When You Return To Work Maternity Action (2011) Breastfeeding in Public Places NICE (2006) Clinical Guideline 37: Routine Postnatal Care For Women and Their Babies-Evaluation of Baby Friendly Initiative p 38-39 NICE (2006) Promotion of Breastfeeding Initiation & Duration. Evidence into Practice Renfrew et al: Preventing Disease and Saving Resources (UNICEF, 2012)



SACN Infant Feeding Survey 2005: A Commentary on Infant Feeding Practices in the UK; position statement by the Scientific Advisory Committee on Nutrition (2008) UNICEF UK Baby Friendly Accreditation Guide (UNICEF, 2014) UNICEF UK Baby Friendly Sample Infant Feeding Policy-Health Visiting (UNICEF,2013) World Health Organisation (1981) ’International Code of Marketing Breast-milk Substitutes’: WHO 1981 Relevant Web Links: www.nice.org.uk www.unicef.org.uk/BabyFriendly/About-Baby-Friendly/Breastfeeding www.unicef.org.uk/BabyFriendly/Health-Professionals/Care-Pathways/ www.unicef.org.uk/babyfriendly/stage1/stage2/stage3 www.nhs.uk/breastfeeding www.nhs.uk/start4life 14.1 Legislation Legislation to protect the health and safety of new and expectant mothers at work include:

• Sex Discrimination Act-1975

• Workplace (Health, Safety & Welfare) Regulations-1992

• Management of Health and Safety at Work Regulations-1999 (MHSW)

Legislation to protect mothers when breastfeeding in Public Places include:

• The Equality Act-2010

Relevant Web Links: www.maternityaction.org.uk http://breastfeedinglaw.com http://www.babymilkaction.org www.breastfeedingmanifesto.org.uk http://www.hse.gov.uk/mothers/law.htm https://www.gov.uk/goverment/uploads/system/uploads/system/uploads/attachment_dat a/file/263658/2901502_PHOF_Improving_Outcomes_PT1A_v1_1.pdf Page 12 15.0 Links to other Policies and Procedures: BCPFT Safe Sleep Procedure BCPFT Breast Pump Loan Guidelines/Procedure BCPFT Overarching Health Visiting Policy Dudley Group NHS Foundation Trust-Baby Friendly Policy Dudley Maternity Unit-Policy For Breastfeeding Dudley Group NHS Foundation Trust-Breastfeeding Matters Maternity in Action: Continuing to Breastfeed on Return to Work Maternity in Action: Breastfeeding in Public Places



Appendix 1: Overview of UNICEF UK Baby Friendly Initiative Stages Stage 1: Building a firm foundation 1. Have written policies and guidelines to support the standards. 2. Plan an education programme that will allow staff to implement the standards according to their role. 3. Have processes for implementing, auditing and evaluating the standards. 4. Ensure that there is no promotion of breastmilk substitutes, bottles, teats or dummies in any part of the facility or by any of the staff Stage 2: An educated workforce Educate staff to implement the standards according to their role and the service provided Stage 3: Parents’ experiences of maternity services 1. Support pregnant women to recognise the importance of breastfeeding and early relationships for the health and well-being of their baby. 2. Support all mothers and babies to initiate a close relationship and feeding soon after birth. 3. Enable mothers to get breastfeeding off to a good start. 4. Support mothers to make informed decisions regarding the introduction of food or fluids other than breastmilk. 5. Support parents to have a close and loving relationship with their baby Parents’ experiences of neonatal units 1. Support parents to have a close and loving relationship with their baby. 2. Enable babies to receive breastmilk and to breastfeed when possible. 3. Value parents as partners in care. Parents’ experiences of health-visiting/public health nursing services 1. Support pregnant women to recognise the importance of breastfeeding and early relationships for the health and well-being of their baby. 2 .Enable mothers to continue breastfeeding for as long as they wish. 3. Support mothers to make informed decisions regarding the introduction of food or fluids other than breastmilk. 4. Support parents to have a close and loving relationship with their baby. Parents’ experiences of children’s centres 1. Support pregnant women to recognise the importance of breastfeeding and early relationships for the health and well-being of their baby. 2. Protect and support breastfeeding in all areas of the service. 3. Support parents Re:Accreditation: Demostrate innovation to achieve excellent outcomes for mothers, babies & their families





Appendix 3

Infant Feeding – Antenatal Checklist

All of the following topics must be discussed with each pregnant woman by 34 weeks of pregnancy

Discussed Signature Date

Health benefits of breastfeeding

Benefits for the baby …………………………. ………………

Reduced risk of gastro-enteritis, diarrhoea, urinary tract, chest and ear infections, obesity and diabetes. Latest evidence suggests reduced risk of Sudden Infant Death Syndrome and childhood leukaemia.

Benefits for the mother …………………………. ………………

Reduced risk of breast cancer, ovarian cancer and osteoporosis.

No other food or drink needed for 6 months …………………………. ………………

(for maximum health benefits)

‘From bump to breastfeeding’ DVD given …………………………. ………………

(for later discussion, see below)

. . . . . . . . . . . . . . Getting off to a good start

Importance of early skin-to-skin contact …………………………. ………………

(keeps baby warm and calm, promotes bonding, helps with breastfeeding)

Effective positioning and attachment …………………………. ………………

(to ensure adequate milk intake and pain-free feeding)

Baby-led feeding and feeding cues …………………………. ………………

(to ensure adequate milk intake and supply)

Effect of teats, dummies, nipple shields …………………………. ………………

(may interfere with breastfeeding)

Rooming in / keeping baby near …………………………. ………………

(for baby-led feeding and reduction of risk of SIDS)

. . . . . . . . . . . . . . Further discussion

Leaflets given and discussed:

………………………………………………. …………………………. ………………

………………………………………………. …………………………. ………………

………………………………………………. …………………………. ………………

‘From bump to breastfeeding’ DVD discussed (suggest between 28 and 34 weeks) …………………………. ………………







Appendix 6

BCPFT-XXX-XXX-XXXX-XXX – POLICY


Appendix 7 Supporting Information-Credited Resources NHS-Start4life-nhs.uk (Provide ‘free’ resources) Web link: http://www.nhs.uk/start4life/Pages/healthcare-professionals.aspx

*Leaflets available:

• Healthy Habits for Baby and You

• Off to the Best Start

• Building Blocks for a Better Start in Life

• Vitamins and You

• Folic Acid

• Guide to Bottle Feeding

• Introducing Solid Foods

*Posters available:

• Start4life

• Start4life-healthystart

• Start4life-healthystart-emptybelly

NHS Choices-Health A-Z Web link: http://www.nhs.uk/ Website provides information on pregnancy, labour & birth, newborn babies & toddlers Birth to Five Book Downloads available at: http://www.publichealth.hscni.net/publications/birth-five



Appendix 8: Training Needs Analysis for the BCPFT Community Baby Friendly Policy Training Topic

Objective of training

Brief summary of key training content required

Staff Groups applicable to (including numbers)

Delivery method

Frequency Monitoring & Reporting

Dudley Breast feeding Management course and introduction to UNICEF Baby friendly Initiative

To enable staff to implement the UNICEF baby friendly breast feeding standards according to their role.

• Preparation for pregnancy and parenthood

• Breast feeding pathway – antenatal, post natal (in patient and community)

• Infant feeding assessment and checklist

Health visitors and breast feeding buddies, nursery nurses

Half day training sessions, delivered by the POPH breast feeding coordinator

Annual updated Training record is maintained by BCPFT preschool service and OPH breast feeding coordinator. There is a requirement for the training record to be submitted yearly as part of the accreditation process for the implementation of the UNICEF policy (see appendix 1)

Documents

Community Baby Friendly Policy - BCPFT-CLIN-POL-0814-164 · 2018. 6. 20. · BCPFT-CLIN-POL-0814-164 – Community Baby Friendly Policy Version 1.0 August 2014 5 The Chief Operating