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Includes national and state breastfeeding report card comparisons (pre-COVID vs COVID), discusses milk substitute shortages and supply-chain vulnerability, and summarizes evidence that trained-personnel support improves breastfeeding duration and 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are the presentation’s key objectives?","Question",{"text":63,"@type":64},"It focuses on the impact of infant feeding through social and environmental sustainability, strategies to support breastfeeding/infant feeding from the primary care office, and ways lactation support is reimbursed for primary care providers and IBCLCs.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the presentation compare breastfeeding rates before and during COVID-19?",{"text":68,"@type":64},"It contrasts pre-COVID and pandemic breastfeeding rates using data presented as percentage trends for outcomes such as any breastfeeding at 1, 3, and 6 months.",{"name":70,"@type":61,"acceptedAnswer":71},"What evidence does the presentation cite regarding the effect of breastfeeding support?",{"text":72,"@type":64},"It cites a Cochrane Review (2017) indicating that support by trained personnel increases the duration and exclusivity of breastfeeding, including features like face-to-face contact and 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FAAFM, IBCLC  \nAugust 2, 2022  \nDisclosure  \nI have nothing to disclose. However, I will be talking about several on-line and in-person breastfeeding education resources for which I do not have any affiliation other than being a physician member.  \nThe planners and speaker for this educational activity have no relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.  \nObjectives  \n▫ Appreciate the impact of infant feeding within the framework of social and environmental sustainability  \n▫ Identify at least two strategies to support breastfeeding/infant feeding from the primary care office with ways to elevate support in the future  \n▫ Identify several ways in which lactation support is reimbursed to primary care providers and IBCLC’s  \nOutline  \n▫  \n▫  \n▫  \n▫  \nInfant feeding in the US today  \nIsland Hospital Center for Maternal and Infant Care Integrating lactation support into clinical practice Compensation and Reimbursement  \nCurrent Breastfeeding Practices in the US, WA, WY, MS  \nBreastfeeding Report Card, 2020  \n100  \n90  \n80  \n70  \n60  \n50  \n40  \n30  \n20  \n10  \n0  \n\n|  |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| 92.5 90 |  |  |  |  |\n| 84.1 | 74.6 |  |  |  |\n| 70 | 64.8 |  |  |  |\n|  | 58.3 | 58 |  |  |\n|  | 49.6 | 51.7\u003Cbr>46.9 |  |  |\n|  | 38.6 35.3 38 | 34.8 |  |  |\n|  |  | 28.9 31.8\u003Cbr>25.6 |  |  |\n|  | 20.3 | 18.1 | 19.2 14.9 | 16.9 17.5 |\n|  |  |  |  |  |\n|  |  |  | |  |\n| Ever Breastfed | Breastfeeding 6 Breastfeeding 12 | Exclusive through 3 Exclusive through 6 | Infants who got |  |\n|  | months months | months months | formula before 2 |  |\n\n(Pre-COVID)-By %  \n%  \ndays of age  \n US National  Washington  Wyoming  Mississippi  \nCDC’s Breastfeeding Report Card, 2020 [https://www.cdc.gov/breastfeeding/data/reportcard.htm](https://www.cdc.gov/breastfeeding/data/reportcard.htm)  \nCOVID and Breastfeeding Rates  \nPre-COVID vs. COVID  \nBreastfeeding Rates-By %  \n100 %  \n90  \n80706050403020100  \n\n|  |  |  |\n| --- | --- | --- |\n| 79.7\u003Cbr>77.0 |  |  |\n|  |  |  |\n|  | 64.6\u003Cbr>56.8 |  |\n|  |  | 48.7 |\n|  |  | 38.6 |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n| Any BF 1 month | Any BF 3 months | Any BF 6 mo |\n\nPre-pandemic  Pandemic  \nMilk Substitute Shortages  \n▫ Abbot laboratories voluntary recall in February 2022  \n▫ Shortages due to stockpiling from 2020  \n▫ Decreased production due to decreased demand in 2021  \n▫ Exposed vulnerability of infant food supply chain and impact of maternal health policies  \n▫ Family efforts to re-lactate, milk share, and obtain infant formula  \nImpact of Breastfeeding Support  \n▫ Cochrane Review, 2017  \n▫ Any support by trained personnel (MD, RN, IBCLC) increased duration and exclusivity of breastfeeding.  \n▫ Exclusivity – face-to-face contact, volunteer support, predictable schedule of 4-8 visits and high “background” rates of breastfeeding  \nSupport for healthy breastfeeding mothers with healthy term babies McFadden, A et. Al. 28 Feb 2017  \n[https://doi.org/10.1002/14651858.CD001141.pub5](https://doi.org/10.1002/14651858.CD001141.pub5)  \n▫ In-Office Support of Breastfeeding  \n▫ Measured BF rates pre-and post-implementation of the Academy of Breastfeeding Medicine protocol “The Breastfeeding-Friendly Physician’s Office, Part 1 : Optimizing Care for Infants and Children”  \n▫ Statistically significant increase (10%) in exclusive breastfeeding at 5 time points in pediatric practice  \nCorriveau SK, Drake EE, Kellams AL, Rovnyak VG. Evaluation of an office protocol to increase exclusivity of breastfeeding. Pediatrics. 2013 May;131(5):942-50. doi: 10.1542/peds.2012-1310. Epub 2013 Apr 1. PMID: 23545382  \nIsland Hospital Center for Maternal and Infant Care  \nGoals:  \n▫ Breastfeeding Medicine Specialty consultative service only  \n▫ Provide a component of men","cbCaihDjwC6voz10","https://ap.wps.com/l/cbCaihDjwC6voz10","pdf",3842719,43,"English","# Disclosure\n# Objectives\n# Outline\n## Infant feeding in the US today\n## Island Hospital Center for Maternal and Infant Care\n## Current Breastfeeding Practices in the US, WA, WY, MS\n## Compensation and Reimbursement\n## COVID and Breastfeeding Rates\n## Milk Substitute Shortages\n## Impact of Breastfeeding Support\n## Island Hospital Model","[{\"question\":\"What are the presentation’s key objectives?\",\"answer\":\"It focuses on the impact of infant feeding through social and environmental sustainability, strategies to support breastfeeding/infant feeding from the primary care office, and ways lactation support is reimbursed for primary care providers and IBCLCs.\"},{\"question\":\"How does the presentation compare breastfeeding rates before and during COVID-19?\",\"answer\":\"It contrasts pre-COVID and pandemic breastfeeding rates using data presented as percentage trends for outcomes such as any breastfeeding at 1, 3, and 6 months.\"},{\"question\":\"What evidence does the presentation cite regarding the effect of breastfeeding support?\",\"answer\":\"It cites a Cochrane Review (2017) indicating that support by trained personnel increases the duration and exclusivity of breastfeeding, including features like face-to-face contact and predictable schedules.\"}]","Supporting Breastfeeding Families Implementing a Primary Care Office Strategy | PDF",1790553008,108]