Preventing Health Disparities by Promoting Breastfeeding Among Oklahoma Native Americans
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Preventing Health Disparities by Promoting Breastfeeding Among Oklahoma Native Americans Karen K. Palumbo, MEd Research Project Coordinator Piers R. Blackett, MD, Elisa T. Lee, PhD, Dana Campbell-Sternlof, Heather Hoffhines, Kelleigh Dean, Stephen Glore Prevention of Obesity in Early Childhood |
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2 | Disclosure Statement
I do not have any financial arrangements or affiliations with any corporate organizations that might constitute a conflict of interest with regard to this continuing education activity. (image: photo of 3 young boys and 3 young men) |
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3 | Prevention of Obesity in Early Childhood
Goal: Explore strategies to prevent overweight and obesity in infants & young children by promoting breastfeeding and healthy feeding practices.
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4 | Infant Feeding Survey
Interview/Survey of mothers and/or caregivers on prevailing & past nutrition practice of 100 toddlers aged 12 to 35 months Data collected was compared to the Feeding Infant and Children Study (Mathematica, 2002) |
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(image: bar graph titled "Caloric Intake for Percentile of Energy Requirement for Age (12-36 months)") |
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(image: bar graph titled "Toddler Consumption of Energy-dense Foods") |
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(image: bar graph titled "Toddler Beverage Consumption") |
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8 | Infant Feeding Survey
Breastfeeding initiation rate for babies born at the Lawton Indian Hospital was 52%, and an overall rate of 59%. |
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9 | Infant Feeding Survey
(image: pie graph titled "Breastfeeding Barriers") |
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10 | Infant Feeding Survey
(image: bar graph titled "Illnesses - Formula Fed vs. Breastfed") |
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11 | Conclusions from Survey
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12 | Intervention Study
Pregnant Native American and Alaskan Native women are recruited to participant in a two-year study. The study promotes breastfeeding and healthy feeding practices for infants and toddlers. |
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(image: photo of brochure titled "Prevention of Obesity in Early Childhood") |
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14 | Intervention Study
Current recruitment: 186 mothers
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(image: photo of a male toddler) |
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16 | Intervention Study
Expectant mothers, and their family members, attend a one-time class during pregnancy. To date, 42 "Baby Feeding" classes have been offered, and 112 mothers and 45 guests have attended. |
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(image: two photos of expectant mothers attending "Baby Feeding" class) |
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18 | Intervention Study
Class topics include:
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(image: photos of a woman practicing a breastfeeding position and another learning how to pump breast milk) |
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(image: photo of two boys filling a bottle) |
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21 | Breastfeeding Initiation and Duration Rates
* CDC's Breastfeeding National Immunization Data |
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22 | Intervention Study
Breastfeeding initiation rate for babies born at the LIH for Pilot study participants is 94%, compared to 52% in the control group. The overall rate is 89% up from 59%. |
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23 | Intervention Study
(image: pie chart titled "Cohort Breastfeeding Barriers") |
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(image: bar graph titled "Survey vs. Cohort Breastfeeding Barriers") |
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25 | Baby Study Challenges
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26 | What can be done to encourage breastfeeding? | ||||||||||||||||||||||||||||
27 | The U.S. Preventive Services Task Force
"…recommends structured breastfeeding education and behavioral counseling programs to promote breastfeeding…" The Guide to Clinical Preventive Services, 2005 |
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Provide Accurate information
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29 | Insure that Birth Setting Practices are Supportive | ||||||||||||||||||||||||||||
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(image: photo of a nurse helping a new mother breastfeed her baby) |
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31 | Recognize and Address the Woman's Concerns | ||||||||||||||||||||||||||||
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(image: photo of a ram on a sheer cliff face) |
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33 | Mothers frequently give up breastfeeding in the learning stages because they have little information, guidance and support. | ||||||||||||||||||||||||||||
34 | Provide and refer for follow-up care to manage challenges to preserve Breastfeeding | ||||||||||||||||||||||||||||
35 | Express Confidence | ||||||||||||||||||||||||||||
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(image: photo of happy baby) |
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Lactation Consultants |
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(image: cover of "Passport To A Healthy Baby") |
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(image: inside pages of "Passport To A Healthy Baby") |
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(image: back cover of "Passport To A Healthy Baby") |
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41 | Medications while Breastfeeding | ||||||||||||||||||||||||||||
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(image: cover of "Medications and Mother's Milk" by Thomas W. Hale, Ph.D.) |
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"Breastfeeding should be continued for at least the first year of life and beyond for as long as mutually desired by mother and child." AAP Policy Statement, 2005 |
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(image: photo of young mother with toddler) |
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"Complementary foods rich in iron should be introduced around 6 months of
age." AAP Policy Statement, 2005 |
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(image: poster "Eat a Rainbow Every Day") |
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47 | The Cost of Not Breastfeeding
The United States Breastfeeding Committee, 2002 |
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48 | Breast milk is FREE | ||||||||||||||||||||||||||||
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Although breastfeeding is natural, it is not instinctive, it must be learned |
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A good breastfeeding relationship takes time. |
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(image: photo of happy baby girl) |
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(image: cover of "HHS Blueprint for Action on Breastfeeding") |
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(image: cover of "Breastfeeding Handbook for Physicians") |
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(image: American Academy of Pediatrics Work Group on Breastfeeding document titled "Breastfeeding and the Use of Human Milk") |
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"A newborn baby has only three demands…warmth in the arms of its mother, food from her breasts, and security in the knowledge of her presence. Breastfeeding satisfies all three." Dr. Grantly Dick-Reed |
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Breastfeeding might not be the best choice for every parent, but… |
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Breastfeeding is the right choice for every baby! |
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(image: photo of sleeping infant wrapped in a bow with a tag that reads "From God!") |
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59 | I'm a lucky Baby
Mom gave me the Best Breastfed babies participating in a study, Prevention of Obesity in Early Childhood, Oklahoma Native American ESPORT Center, University of Oklahoma Health Science Center, funded by the National Center on Minority Health Disparities of the National Institutes of Health(image: photos of 23 children who were breastfed) |
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60 | Acknowledgments
National Center on Minority Health and Health Disparities of the National Institutes of Health |
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61 | Resources
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62 | Resources
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