Best Practices Medela in Alabama:

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1 News for Professionals Issue 05.0 spring 200 Best Practices Medela in Alabama: Removing Breastfeeding Barriers For more than 25 years, Medela has worked to help mothers provide their babies the life giving benefits of breastmilk. Medela is pleased to announce Making a Difference: Strategies to Improve Breastfeeding Outcomes, a program to increase breastfeeding initiation and duration in Alabama, which has the third lowest breastfeeding initiation rate in the nation. Creating a breastfeeding-friendly professional environment is especially crucial in states like Alabama where many mothers face unique barriers to successful breastfeeding, said Maria Lennon, RN, CNM, Medela Clinical Education Specialist. We hope that this program gives healthcare professionals the clinical tools they need to provide optimal quality care in helping mothers overcome the obstacles of breastfeeding. The program, which runs from March to June, features two day-long breastfeeding conferences for healthcare professionals in Tuscaloosa, Decatur, Mobile, Birmingham and Montgomery. Each day targets a different audience, and focuses on the healthcare professionals that have the most contact with and impact on new mothers. In this Issue Best Practices Medela in Alabama: Removing Breastfeeding Barriers Feature Story Breastmilk as Medicine: Medela in the NICU Events What s New Freestyle... 7 Breastmilk Feeding and Storage Set... Pump In Style Advanced Update... 9 Tender Care Medela Education Department

2 The first day will focus on increasing breastfeeding success in the hospital setting, drawing attendees such as nurse practitioners, newborn nursery nurses, certified nurse-midwives, and NICU and labor and delivery physicians and nurses. The agenda includes sessions on the state of breastfeeding in Alabama, the unique properties of human milk, hospital best practices, breastfeeding challenges, how technology can support breastfeeding, discharge planning improving communication and how to create a baby-friendly hospital. Day two will target prenatal and postnatal professionals such as WIC, Medicaid, OB-GYN office and pediatrician office personnel, focusing on how these professionals can assist low-income mothers. The program will not only cover the state of breastfeeding in Alabama and the uniqueness of breastmilk, but will discuss how mothers Before, during and after birth, new mothers look to their healthcare professionals for breastfeeding help and support while they sometimes struggle to establish a successful nursing routine. make the decision to breastfeed, what a day in the hospital for mother and baby is like, how to help a breastfeeding mother once she goes home, how to improve communication and how to create a baby-friendly clinic. Glenda Dickerson, Patricia Farrell and Maria Lennon will lead the programs. Dickerson is a certified lactation consultant, a registered nurse and the women s services manager at Brookwood Medical Center in Birmingham, Alabama. Farrell is a registered nurse, a certified lactation consultant and a certified professional values analyst in Wytheville, Virginia. Lennon is a Medela clinical education specialist, a certified lactation consultant, a registered nurse and a certified nurse-midwife. She is based in Arizona. Before, during and after birth, new mothers look to their healthcare professionals for breastfeeding help and support while they sometimes struggle to establish a successful nursing routine, Lennon said. Our hope is that after each conference, attendees will walk away with additional clinical knowledge and the tools they need to make a real difference in the lives of new mothers. Medela created the program in conjunction with the Alabama Department of Public Health, the Alabama Medicaid Program, the Alabama Lactation Consultant Association, the Alabama Breastfeeding Committee and the Alabama Chapter of the American Academy of Pediatrics. Some attendees will be eligible for continuing education credits. To learn more about Making a Difference: Strategies to Improve Breastfeeding Outcome or to obtain a registration form contact Cindy Wagner at ext. 579 or cindy.wagner@medela.com. g 2 Home

3 Events 2007: A Year Filled With Breastfeeding Festivities From Las Vegas to Orlando, Cedar Rapids to Birmingham, Medela trekked across the country in 2007 participating in more than 30 national tradeshows and almost 250 local conferences to fulfill its mission of enhancing mother and baby s health through the life-giving benefits of breastmilk. Medela supported organizations such as the American College of Nurse Midwives, the American Academy of Pediatrics and the National WIC Association by providing nursing mother lounges and quality educational programs on breastfeeding. Medela also served as a sponsor of the nursing mothers lounge at the International JPMA Trade Show in Orlando, FL. last April and the ABC Kids Expo in Las Vegas last September. Medela provided Symphony breastpumps, kits and supplies. At the American Academy of Pediatrics Conference in San Francisco in October, Medela also provided funding to outfit the room and hire a lactation consultant to assist mothers. As a result, nursing attendees were able to pump or nurse in a private, clean and comfortable environment. Last year was incredibly successful, and we were thrilled to support the activities of so many quality organizations. dedicated professionals make the difference for new mothers, and Medela is honored to work with them and to support their efforts in promoting breastfeeding. In 2007, Medela inducted three healthcare professionals into its newly created Lactation Consultant Hall of Excellence, a peer-nominated program, which honors the hard-work, dedication and best practices of lactation consultants across the United States. Sylvia Delaney, RN, MS, IBCLC Aimee Gross, ARNP, IBCLC Rebecca Mannel, BS, IBCLC Coming Soon: Medela will announce 200 winners These woman were honored at a ceremony held at Medela s headquarters in McHenry, IL as well as honored at a reception during the annual ILCA conference in August. For more information on the LC Hall of Excellence, or our 2007 Inductees, please visit. g Last year was incredibly successful, and we were thrilled to support the activities of so many quality organizations, said Marla Baker, Medela s Senior Exhibit Coordinator. This year promises to be especially busy, as we ve added new conferences such as NEO Conference 200 to our roster and continue to expand our presence at consumer baby fairs. Today the majority of women in North America choose to breastfeed. This choice reflects the support and hard work of lactation consultants who devote themselves to helping women breastfeed successfully. These Home 3

4 Events 200: Continuing Support of Great Venues For 200, Medela will continue to support many organizations including: Partner Events Save the Date September 15-19, 200 Professional Education in Breastfeeding & Lactation Molly Pessl, BSN, IBCLC & Ginna Wall, RN, MN, IBCLC Evergreen Perinatal Education Continuing Education & Conference Center University of Minnesota, St. Paul Campus Offered by Fairview Health Services of Minneapolis, Minnesota For objectives, agenda & content go to: n the Association of Women s Health, Obstetric and Neonatal Nurses (AWHONN) Los Angeles, CA June 22-24, 200 n the National WIC Association (NWA) Minneapolis, MN May 26-27, 200 and Louisville, KY Sept 23-25, 200 n International Lactation Consultants Association (ILCA) Las Vegas, NV July 23-27, 200 n the National Association of Neonatal Nurses (NANN) Ft. Lauderdale, FL Sept , 200 n the Association of Neonatal Nurses (ANN) Washington, DC Oct. -1, 200 n the American Academy of Pediatrics (AAP) Boston, MA Oct , 200 n Association of European Lactation Consultants (VELB) Vienna, Austria Oct. 1-3, 200 For a full list of events, contact marla.baker@medela.com 4 Home

5 Feature Story Breastmilk as Medicine: Medela in the NICU Medela has always recognized the importance of creating tools to help NICU mothers provide their babies with breastmilk. Breastmilk for these babies is not just a choice it s a vital part of their treatment plan and can help these vulnerable newborns with long-term brain development and growth, as well as protection from infection. But many preemies are unable to breastfeed for quite some time, requiring mother to pump for all of her baby s feedings and the hospital to facilitate the process. But in the end, this hard work is rewarded with the knowledge that every drop of breastmilk she pumps is helping her baby thrive. We recognize that providing breastmilk for a NICU baby is not easy this is a very stressful and emotional time for these mothers and they are being asked to pump anywhere from to 10 times a day, said Amanda Miller, Medela s Business Development Manager. But in the end, this hard work is rewarded with the knowledge that every drop of breastmilk she pumps is helping her baby thrive. Pumping Logs Not only are mothers of preemies asked to pump often, but in the beginning their supply can seem small. The extra stress, discomfort and fatigue that mothers of preemies experience can slow milk production in the beginning, with some mothers just getting a few drops during their initial pumping sessions. The good news is that mothers who persevere usually build an adequate milk supply by the fifth or sixth day after birth. In order to help mothers reach that milestone and beyond, Medela has created a Pumping Log that can be distributed to mothers in the NICU. The Pumping Log serves as a record for the NICU to manage feedings, helps identify potential problems before milk supply becomes an issue and provides a place for mothers to record their thoughts. The booklet begins with a brief introduction: questions mothers should ask of their NICU, the benefits of breastmilk for pre-term infants, tips for starting to pump and obstacles to anticipate. This is followed by space to record the details of the first four weeks of pumping the amount expressed, the pumping time and any Home 5

6 other notes. Each page features terms and tips for mothers, helping them understand what to expect and encouraging them to persist. This Pumping Log was something that mothers of preemies had been asking for, Miller said. The simple act of keeping track of their progress provides guidance and reassurance during this very stressful time. NICU Education Program Medela recognizes that for preemies to successfully receive breastmilk, mother not only has to be committed, but the staff in the NICU must play an integral role. Beginning in April, Medela will launch a nation-wide educational program for NICU professionals: Human Milk: Translating Evidence Into Practice. The course will provide neonatologists, NICU nurse managers, NICU nurses, OBGYN s, labor and delivery nurses, postpartum nurses and medical directors with the tools they need to establish successful breastmilk procedures from birth to discharge. Speakers will provide the latest research on breastmilk science, practical evidence-based breastmilk practices and tools that the audience can take back to their institutions. This Pumping Log was something that mothers of preemies had been asking for. Paula Meier Paula Meier and Diane Spatz will lead the program. Meier is a registered nurse at Rush-Presbyterian St. Luke s Hospital in Chicago and is Rush s director for clinical research and lactation. She founded the Rush Mothers Milk Club, which helps mothers of preemies give their babies breastmilk and provides breastfeeding education after discharge. Spatz is a clinical nurse Diane Lynn Spatz specialist with a focus on lactation at the Children s Hospital of Philadelphia, the top pediatric hospital in the country according to US News & World Report. She has worked extensively on the use of human milk and breastfeeding for vulnerable infants. She also teaches a course on breastfeeding and human lactation to undergraduate nursing students at the University of Pennsylvania School of Nursing. Human Milk: Translating Evidence Into Practice will be held in Washington DC, Dallas and Houston. Cost is $150 for early bird registration or $175 after the early bird cutoff date. Attendees will be eligible for continuing education credits. For more information, or to obtain a registration form, visit g 6 Home

7 What s New freedom is born: To create Freestyle, Medela had to find a way to put twice the power of its smallest breastpump into a package of the same size to allow double pumping. The solution took five years of painstaking research and hundreds of hours of talking to health professionals and observing mother-testers. Video of mothers using the breastpump revealed many valuable lessons about how mothers pump, and many specific suggestions for features were incorporated into the design. Freestyle also features Medela s 2-Phase Expression technology, which is based on research from renowned lactation expert Dr. Peter Hartmann. His research found that breastfeeding babies nurse in two distinct sucking patterns: rapid, light sucks at first, followed by deeper, slower sucks after milk starts to flow. Medela s 2-Phase Expression breastpumps mimic this natural nursing rhythm. The unique combination of a rapid stimulation and a slower expression feels more like baby, and helps mothers comfortably get more milk in less time. The suggested retail price is $ To learn more, visit g Freestyle is Medela s first hands-free, double-electric personal-use breastpump. Designed specifically for today s active mothers, Freestyle is a premium, compact and portable pump. It weighs less than a pound, runs on a rechargeable battery and is powerful enough for daily use as a mother s primary breastpump. Freestyle s hands-free capability allows mother the freedom to perform other tasks while pumping or forgo the hands-free feature and pump in the traditional manner. Home 7

8 What s New BPA-FREE Breastmilk Feeding & Storage Set As the industry leader in breastpumping and breastfeeding, Medela is committed to always doing what is best for mothers and babies. Medela products that come into direct contact with breastmilk, including all breastpump kits and breastshields, all collection and storage bottles, as well as our feeding systems have always been and continue to be made with BPA-free plastic. Medela has expanded its breastmilk feeding offerings to give nursing mothers a more complete to safely get breastmilk from mother s breast to baby s belly. The new breastmilk feeding and storage system features an upgraded Breastmilk Feeding & Storage Set three pack, a new Breastmilk Feeding & Storage single pack and two new nipple three-packs. The Breastmilk Feeding & Storage Set features three newly designed 150ml bottles. The bottles are easier to hold and feature colorful, easy-to-read printed volume markers that clearly show the amount of pumped breastmilk in ounces and in milliliters. As always, Medela s bottles are BPA-free, dishwasher and microwave safe, and designed for long-term breastmilk storage. Additionally, the Breastmilk Feeding & Storage Set includes three of Medela s new slow-flow conventional nipples, made of 100 percent silicone. Medela introduced a slow-flow conventional nipple because it is the type of nipple most mothers prefer, and it fits perfectly with their bottles. The three-pack, which includes three 150ml bottles, slow-flow conventional nipples, collars, travel caps and screw-on lids, has a suggested retail price of $ The single pack has a suggested retail price of $4.99. The nipple threepack has a suggested retail price of $4.99. g Home

9 Medela s Pump In Style Advanced line now features enhanced technical capability and an updated design. The line includes the Shoulder Bag, Backpack and The Metro Bag, and features Medela s patented research-based 2-Phase Expression technology. The new Pump In Style Advanced models: n Allow mothers to easily toggle between the initial Stimulation phase and the Expression phase, a capability previously available only on Medela s hospital-grade Symphony breastpump. n Includes Medela s updated 150ml BPA-free breastmilk collection containers in order to help mothers get their milk from breast to baby s belly. n Feature butter cream accents on the Shoulder Bag and Backpack to match the Metro Bag s modern design, creating a more stylish and universal family of products. n Feature a wider mouth for the Backpack that makes it easier to get contents in and out. n Are offered at a more attractive suggested retail price range, from between $ to $ All Medela products that come in contact with mother s milk are and always have been BPA-free Pump In Style Backpack Pump In Style Shoulder Bag Pump In Style The Metro Bag Home 9

10 What s New Tender Care Medela has launched two new breast care products Tender Care Lanolin and Tender Care Hydro Gel Pads with advanced nipple therapy to address the needs of nursing mothers. For those who struggle to nurse with sore or cracked nipples, the Tender Care line provides soothing and easy-to-use products that help to relieve pain and allow mothers to continue to provide their babies with the health benefits of breastmilk. tender care Tender Care Lanolin glides on smoothly and gently while it soothes and rehydrates sensitive skin. Its ultra creamy texture allows for easier application that will not cause mom to tug at tender skin. Tender Care Lanolin can also be used to soothe minor cuts, burns and abrasions. A 2-ounce tube has a suggested retail price of $9.99. Tender Care Hydro Gel Pads soothe on contact. For optimal hygiene, the pads can be used for up to 24 hours providing tender nipples with extra protection. The pads are contoured for a close, discrete fit, and are reusable so mothers can remove them before nursing and put them back on when finished. Safe for mother and baby, the pads are hypo-allergenic and are easily removed from sensitive skin. Tender Care Hydro Gel Pads have a suggested retail price of $14.99 for a pack of four. g tender care 10 Home

11 What s New Medela Education Department Did you know Medela offers Educational Programs that provide you the opportunity to receive continuing education contact hours for nurses and lactation consultants? Last year we conducted over 250 programs* for your colleagues across the country. All of our programs are developed and delivered with these goals in mind: n Increase breastfeeding initiation and duration n Inform clinicians with best education, best practices, and best clinical evidence n Utilize current research that can impact and enhance your practices There are three easy options to schedule a Medela program or to see if there is an upcoming program in your area. n Medela Education at education@medela.com n Call Ext. 46 n Contact your local Medela sales consultant We are delighted to bring you a variety of programs, as described on the next page, which will help meet your educational needs in 200. The Medela Education Team looks forward to working with each of you as you plan and implement these programs. Best Regards, Medela Education Team Amy O Malley, RN, MSN Manager, Education and Programs Kim Piening, Education and Program Coordinator Lynne Andrako, RN, BSN, IBCLC Clinical Education Specialist Maria Lennon, RN, MSN, CNM, IBCLC Clinical Education Specialist Irene Zoppi, RN, MSN, IBCLC Clinical Education Specialist *Not all programs presented were for credit hours Home 11

12 List of 200 Continuing Education Programs 200 Education Programs Title Description Length of Program Breastfeeding: The Future Through Research Anatomy of the Human Breast: A New Perspective The Role of Breastpumps in Preserving Breastfeeding: New Insight into Research and Technology Proper Fitting of Breastshields Breast Anatomy and Breastshields Bra Technology Bra Fitting-For Maternity and Nursing Bras Informs customers about Medela Inc. s vision and commitment to technology through research. Details the recent ultrasound findings of Donna (Ramsay) Geddes, PhD, University of Western Australia regarding the anatomy of the human breast. A method to inform clinicians who care for breastfeeding families about breastpump technology. Describes competencies for NICU clinicians who work with pump dependant mothers in how to ensure a correct breastshield fit while pumping breastmilk. Describes the recent findings of Dr. Donna Geddes, PhD regarding the anatomy of the human breast. Further discusses the competencies for clincians to ensure a correct breastshields size for pumping mothers Bra technology is a review of breast anatomy of the nonlactating and lactating breast, embryology and the implications for current lactation practice. In addition, the program includes a historical look at the evolution of the bra, its function and what to look for in a maternity bra. Learn proper fitting techniques, best design and fit for the mother, ways to pump hands-free. 1 hour 1 hour 3 hours 40 minutes 1 hour 1 hour 2 hours * The Late Pre-term Infant: Evidence-Based Care and Breastfeeding Management Describes the prevalence, risks associated in the late pre-term infant. Also discusses the nutritional concerns and discharge planning and educational needs. 1.5 hours Human Milk in the NICU: Best Practices Keeping Abreast: Breastfeeding Basics and More Optimizing Weight Gain for Premature & Term Infants Providing Breastmilk for Babies with Special Needs Value of Milk Hyperbilirubinemia in the Newborn The economic impact of not using human milk for preemie babies is included in this presentation. Specific nursing behaviors that significantly impact the delivery of human milk in the NICU are thoroughly described. To keep clinicians who care for breastfeeding families current regarding contemporary breastfeeding information. Breastmilk is the recommended form of nutrition for all infants in the first six months of life. As breastmilk can vary, methods are available to validate the caloric adequacy of breastmilk, allowing clinicians to utilize breastmilk as the nutrition of choice. Case scenarios that describe situations when an infant is unable to thrive at the breast and interventions available to ensure the baby receives breastmilk. This one hour program describes the value of human milk. It further discusses the benefits of use of human milk to the infant, mother, hospital, and society. In addition it raises awareness of the risks associated with not using human milk. Review of Hyperbilirubinemia and how it relates to breastfeeding. 1.5 hour 3 hours 1.5 hours 1 hour 1 hour 1.5 hours * This program is not available for continuing education credits. Medela, Inc., P.O. Box 660, McHenry, IL, Phone: Fax: customer.service@medela.com Medela, Symphony, Pump In Style and 2-Phase Expression are registered trademarks and Freestyle and The Metro Bag are trademarks of Medela, Inc. 200 Medela, Inc. 12 Home 12