Bonnie Henson. Welcome Summit Attendees! Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes

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Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Welcome Summit Attendees! Welcome to the 2nd Annual California Breastfeeding Summit, Catch the Wave: Cutting Edge Practices to Improve Mother-Baby Outcomes This summit brings together professionals throughout California who are working in their communities to improve infant, family, and community health. There has been an overwhelming response to the summit that clearly demonstrates commitment to implementing evidence-based maternity policies and practices that support breastfeeding and to fostering productive partnerships between hospitals and community agencies. An incredibly dedicated summit planning committee has put together a dynamic summit program. We have invited speakers and planned workshops that will inspire and equip California hospitals and community partners to Improve Mother-Baby Outcomes. After attending the conference, participants will be able to: List two sources of statewide data to monitor implementation of evidence-based maternity practices. Identify evidence-based hospital policies and practices to comply with SB 502. List two Dimensions of Care from the Maternity Practices in Infant Nutrition and Care (mpinc) which can be addressed by their agency. Identify one community partner with whom to collaborate on strategies to improve motherbaby outcomes. Describe one strategy to support breastfeeding mothers in the postpartum period. Describe two strategies that can be used to respect and respond to maternal request for infant formula. To get the most out of your learning experience, be sure to view the exhibit tables and the local agency sharing tables. They have products, services, and experiences to help you in your journey to change for the best outcomes! On behalf of the California Breastfeeding Coalition Board of Directors and our members, I thank you for coming, and urge you to share the ideas, inspiration, and resources you find here at the summit with your colleagues back home. Sincerely, Bonnie Henson Bonnie Henson, RN, BS, IBCLC California Breastfeeding Coalition, Chairperson 3

California Breastfeeding Summit 4

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Sponsors The California Breastfeeding Coalition would like to express its appreciation for the generous sponsorship provided by the following organizations: Presenting Sponsor Bronze Sponsor We give special thanks to the following sponsoring organizations and companies for their generous support: Grow our Own SWAG Conferences LLC UC San Diego Extension Thank you for your support! 5

California Breastfeeding Summit Special Thanks & Acknowledgements The California Breastfeeding Coalition would like to thank and acknowledge the following individuals for their efforts in making the California Breastfeeding Summit a SUCCESS! California Breastfeeding Summit Planning Committee Carina Saraiva, CDPH, Maternal, Child and Adolescent Health Suzanne Haydu, CDPH, Maternal, Child and Adolescent Health Leona Shields, CDPH, Maternal, Child and Adolescent Health Jeanette Panchula, CDPH, Maternal, Child and Adolescent Health Carol Melcher, Carol Melcher Consulting Jane Heinig, UC Davis Human Lactation Center Karen Farley, California WIC Association Susan Martinelli, Marin County WIC Program Anne Garrett, San Mateo WIC Program Jennifer Pettus, CRP WIC Program Judy Lavoie, Natividad Medical Center Carolyn Waggoner, CDPH WIC Program Bonnie Henson, Miller Children s Hospital, Long Beach Wendy Wright, Lactation Navigation Gretchen Andrews, Inland Empire Breastfeeding Coalition Dr. Patty Auchard, Ventura Breastfeeding Coalition Mary Woelfel, San Joaquin County Public Health Services Margaret Turano, Sonoma County Indian Health Project WIC Wendy Scafa, San Diego Breastfeeding Coalition Dr. Erin Backenstow Marcin, American College of OBGYN Karen Jenkins, Kaiser Foundation Hospital Fontana Sheree Kruckenberg, California Hospital Association California Breastfeeding Summit Volunteers Geanne Lyons, CDPH, WIC Program Leslie Kaye, CDPH, WIC Program Donna Hoffman, CWA Denise Chapel, CDPH, WIC Program Laura Sanders, CDPH, WIC Program Meghan Saddler, CWA Daisy Silverio, CDPH, WIC Program Sharron Watts, CDPH, WIC Program Susan Martinelli, Marin County WIC Program Laura Osborne, CDPH, WIC Program Carolyn Waggoner, CDPH, WIC Program Jennifer Pettus, CRP WIC Program Jackie Kampp, CDPH, WIC Program Patti Paddock, CDPH, WIC Program Suzanne Haydu, CDPH, Maternal, Child and Adolescent Health Jeanette Panchula, CDPH, Maternal, Child and Adolescent Health Erin Backenstow Marcin, Kaiser Roseville Members of the Breastfeeding Coalition of Greater Sacramento California Breastfeeding Coalition 2012 Board and Staff Bonnie Henson, Chairperson Gretchen Andrews, At Large Wendy Wright, Treasurer Margaret Turano, At Large Wendy Scafa, Secretary Mary Woelfel, At Large, Website Coordinator Dr. Patricia Auchard, Chair Elect Robbie Gonzalez-Dow, Executive Director 6

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes California Department of Public Health WIC Program WIC Supports Breastfeeding: The Gift that Lasts a Lifetime Proud to be a Sponsor of the 2012 California Breastfeeding Summit 7

California Breastfeeding Summit California Baby-Friendly Designated Hospitals The California Breastfeeding Coalition recognizes the following hospitals for achieving the prestigious Baby-Friendly Hospital Designation, a global symbol of world-class maternity care. COUNTY HOSPITAL YEAR BABY-FRIENDLY Sonoma Women's Health & Birth Center 1997, August San Bernardino Weed Army Community Hospital 1998, December San Bernardino Inland Midwife Services- The Birth Center 1999, April Alameda Kaiser Hospital: Hayward 2001, January Ventura Ventura County Medical Center 2003, July Monterey Community Hospital 2004, January San Diego Scripps Memorial Hospital: Encinitas 2004, January Riverside Kaiser Foundation Hospital- Riverside 2005, March San Bernardino Naval Hospital- Robert E. Bush 2005, May Los Angeles Glendale Memorial Hospital & Health Center 2005, July Riverside Corona Regional Medical Center 2005, December San Diego UCSD Medical Center 2006, April San Bernardino Barstow Community Hospital 2007, June San Francisco San Francisco General Hospital 2007, June Riverside Desert Regional Medical Center 2007, July Los Angeles Providence Holy Cross Medical Center 2007, August San Bernardino Community Hospital of San Bernardino 2007, August San Bernardino San Antonio Community Hospital 2008, July Yolo Sutter Davis Hospital 2008, August San Bernardino St. Mary Regional Medical Center 2008, October San Bernardino Arrowhead Regional Medical Center 2009, January San Bernardino Loma Linda University Medical Center 2009, January Sacramento The Birth Center- Fair Oaks 2009, March Orange St. Joseph Hospital 2009, May Orange Hoag Memorial Hospital 2009, July Sacramento Kaiser Foundation Hospital South Sacramento 2009, July San Bernardino Kaiser Foundation Hospital- Fontana 2010, April Los Angeles Kaiser Hospital- Downey 2010, May Nevada Tahoe Forest Hospital 2010, August San Bernardino St. Bernardine Medical Center 2010, August Yolo Woodland Health Care 2010, August Los Angeles Kaiser Hospital- Los Angeles, Sunset 2010, December San Diego Kaiser Hospital- San Diego 2010, December Ventura Santa Paula Hospital 2010, December 2011 Baby-Friendly Designated Hospitals Los Angeles Kaiser Permanente Medical Center Woodland Hills 2011, April Los Angeles Kaiser Permanente Medical Center Baldwin Park 2011, May Orange Kaiser Foundation Hospital Orange County Anaheim 2011, July Orange Kaiser Foundation Hospital Orange County Irvine 2011, July Monterey Salinas Valley Memorial Health Care System 2011, July Orange St. Jude Medical Center 2011, July Los Angeles Valley Care Olive View UCLC Medical Center 2011, July Los Angeles Kaiser Permanente Medical Center Panorama City 2011, August Butte Enloe Medical Center 2011, August Riverside Parkview Community Hospital Medical Center 2011, September Los Angeles Henry Mayo Newhall Memorial Hospital 2011, November 8

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Baby-Friendly Hospital Initiative The Ten Steps To Successful Breastfeeding The BFHI promotes, protects, and supports breastfeeding through The Ten Steps to Successful Breastfeeding for Hospitals, as outlined by UNICEF/WHO. The steps for the United States are: 1 - Have a written breastfeeding policy that is routinely communicated to all health care staff. 2 - Train all health care staff in skills necessary to implement this policy. 3 - Inform all pregnant women about the benefits and management of breastfeeding. 4 - Help mothers initiate breastfeeding within one hour of birth. 5 - Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants. 6 - Give newborn infants no food or drink other than breastmilk, unless medically indicated. 7 - Practice rooming in -- allow mothers and infants to remain together 24 hours a day. 8 - Encourage breastfeeding on demand. 9 - Give no pacifiers or artificial nipples to breastfeeding infants. 10 - Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic http://www.babyfriendlyusa.org/eng/10steps.html Healthy People 2020 National Breastfeeding Objectives Target Breastfeeding Objectives: Process Breastfeeding Objectives: Ever breastfed to 81.9% Any breastfeeding at 6 mo to 60.6% Any breastfeeding at 1 year to 34.1% Exclusive breastfeeding at 3 mo to 46.2% Exclusive breastfeeding at 6 mo to 25.5% Increase the proportion of employers that have worksite lactation support programs to 38%. Reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life to 14.2%. Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies to 8.1%. http://www.healthypeople.gov/2020/default.aspx 9

California Breastfeeding Summit General Information Registration & Information Desk Hours The Registration & Information Desk is before the pre-function area and Edgewater meeting rooms. The staff is available to answer questions and provide assistance to conference attendees. Date Time Thursday, January 26 7:30 AM 4:00 PM Friday, January 27 7:30 AM 1:00 PM Seating Policy Seating for all sessions, except for the SOFT track, is on a first-come, first-serve basis. If your first choice is at its capacity, we would appreciate your cooperation in attending the session of your second choice. Evaluations The evaluations are very useful in planning for future summits. Each summit attendee is encouraged to complete the overall summit evaluation and the evaluation for each workshop you attend. Evaluations can be dropped off at the registration desk. Messages A message board will be located by the registration desk. Messages for those staying in the hotel can be left in the main lobby. Hotel & Contact Information The location of the CA Breastfeeding Summit is the Woodlake Hotel Sacramento. This resortlike hotel is located just minutes from the California State Capitol, Sacramento International Airport and is a short drive from many attractions. 500 Leisure Lane Sacramento, CA 95815 Tel: 916-922-2020 4:00 PM Check-in 12:00 PM Check-out Hotel Dining Comfortable fine dining in the Basil s By the Lake Entertainment & Cocktails at Crocodiles Lighter fare for those on the run at JavaCoast Parking On-site parking at the Woodlake is complimentary. Hotel Shuttle The Woodlake Hotel has a Shuttle Service that is available within a five square miles radius, based on availability. Lactation Room A room is available for pumping or breastfeeding. Please ask the registration desk for information and help with accessing the room. Emergencies & First Aid In the event of an emergency, or if someone needs immediate first aid attention, contact the hotel operator using one of the house phones. House phones are located in all the meeting rooms, lobby areas, guest rooms and the registration area. 10

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Continuing Education Units SWAG Conferences LLC, summit co-sponsor, approved by the California Board of Registered Nursing, Provider #15480, is offering continuing education contact hours for Registered Nurses. Please take a moment to read the guidelines below to expedite processing your hours. Information and sign-in sheets for CEU s are available at the registration area. A maximum of 12.0 CEU s will be provided. Certificates of Attendance Certificates of attendance will be distributed at the end of each day at the at the registration desk. If you are attending both days of the summit, please pick up your certificate of attendance at the end of the second day. No partial day certificates will be provided. Registered Nurses 1. RNs need to sign the daily sign in sheet at the registration desk for each of your days of attendance. Include your license number. 2. Turn in your evaluation at the labeled box at the registration desk. 3. RNs please wait for your certificate to be completed. Take your certificate and retain your certificate of attendance for a period of four years after the course ends. California WIC Association, summit co-sponsor, is offering continuing education units for Registered Dietitians, and International Board Certified Lactation Consultants (IBCLC/RLC). Please take a moment to read the guidelines below to expedite processing your units. Information and sign-in sheets for CPEU s and CERP s are available at the registration area. A maximum of 15 CPEU s, 10 CERP s have been applied for. This includes 2.0 CPEU s each for the Exhibit Viewing and Local Agencies Sharing. Certificates of Attendance Certificates of attendance and a grid worksheet listing all education units for each workshop are available at the registration desk. Lactation Consultants/Lactation Educators/CLCs 1. Sign the daily sign in sheet at the registration desk for each of your days of attendance. 2. Turn in your evaluation at the labeled box at the registration desk. 3. IBCLCs: A certificate of attendance will be emailed to you. 4. CLEs and CLCs: A certificate of attendance will be emailed to you as documentation of workshop attendance as preparation for your IBCLC exam. Registered Dietitians 1. RDs no need to sign in. Report your activities to the ADA at your five year reporting period. 2. Turn in your evaluation at the labeled box at the registration desk. 3. RDs take an attendance certificate from the registration desk. Keep for your records for two years past the expiration of your five year period. 11

California Breastfeeding Summit Summit Program at a Glance Thursday, January 26, 2012 7:30-4:00p Registration Friday, January 27, 2012 7:30-9:30p Registration 7:30-8:30a Continental Breakfast 7:30-8:00p Continental Breakfast 8:30-9:30a Welcome & Sponsor Recognition Bonnie Henson Improving Mother-Baby Outcomes in California: Celebrating Successes! Diana Dooley Michele van Eyken 7:30-12:00p 8:00-9:30a Exhibit Show Viewing Local Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing Concurrent Workshop Track Sessions 9:30-10:30a 10:30-10:45a 10:45-12:15p 12:15-1:45p 12:30-1:15p 1:45-3:15p 3:15-3:30p 3:30-5:00p 5:00-7:00p 5:00-7:00p The State of California s Maternity Care Practices and Breastfeeding Rates Jane Heinig Stretch Break Concurrent Workshop Track Sessions Exhibits Open Hospitals, Breastfeeding Coalition and WIC Agencies Sharing Tables Lunch Concurrent Workshop Track Sessions Break Concurrent Workshop Track Sessions Exhibit Show Kickoff & Reception Local Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing 9:30-10:00a 10:00-11:30a 11:30-12:00p 12:00-1:30p 1:30-1:45p 1:45-3:15p 3:15-3:30p Break Dedicated time for Exhibit Show Viewing and Local Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing Concurrent Workshop Track Sessions Break Dedicated time for Exhibit Show Viewing and Local Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing Lunch Roundtable Networking and Discussion Breastfeeding: A Priority Within the California Department of Public Health Kathleen Billingsley Achieving and Maintaining the Baby-Friendly Designation Trish MacEnroe Closing/Evaluation 12

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Plenary Speakers SECRETARY DIANA S. DOOLEY, California Health and Human Services Agency Secretary Diana Dooley was appointed to lead the California Health and Human Services Agency by Governor Jerry Brown. As CHHS Secretary, Dooley will serve as a voting, ex officio member of the newly created California Health Benefit Exchange Board. She will also serve as a member or ex officio member of numerous other boards and commissions: First 5 (California Children and Families) Commission, Cal econnect (Health Information Exchange) Board, Olmstead Advisory Committee, Alzheimer's Disease and Related Disorders Advisory Committee, Child Welfare Council, Managed Risk Medical Insurance Board, State Council on Developmental Disabilities, Technical Services Board, County Medical Services Program Governing Board, State Mental Health Planning Council, California Workforce Investment Board, San Joaquin Valley Partnership, and the Strategic Growth Council. Prior to leading CHHS, Ms. Dooley was President and Chief Executive Officer of the California Children s Hospital Association, which advocates for children s health on behalf of the eight, non-profit regional children s hospitals in California. These hospitals provide nearly 40 percent of all inpatient care for children in the state. Dooley began her professional career as an analyst at the State Personnel Board. In 1975, she was appointed to the staff of Governor Jerry Brown for whom she served as Legislative Director and Special Assistant until the end of his term in 1983. Before becoming an attorney in 1995, she owned a successful public relations and advertising agency. Dooley left her private law practice in December, 2000 to accept the appointment as General Counsel and Vice President at Children s Hospital Central California near Fresno where she established an in-house legal services program and directed the Hospital s advocacy, communications and governmental relations programs. Dooley is active in civic and community affairs, having served on the Boards of Directors of the UC Merced Foundation, Blood Source of Northern California and The Maddy Institute at California State University, Fresno. She is also a past president of Planned Parenthood, the Visalia Chamber of Commerce and the Central California Futures Institute. Dooley is a native of Hanford, California and graduated from Hanford High School in 1969. She received her bachelor s degree in Social Science from California State University, Fresno in 1972 and her law degree from San Joaquin College of Law in 1995. She is married to Dan Dooley and has two adult daughters. MICHELE VAN EYKEN, RD, MPH, Chief, WIC Division, California Department of Public Health Michele van Eyken, MPH, RD, Director of the California WIC Program, oversees the nutrition, breastfeeding and health promotion services provided to California s 1.47 million WIC families, and is responsible for the contracts and monitoring of the state s 84 local WIC programs and 5,200 retail food outlets. Her 30-year career in public health began in the Coachella Valley providing consultation services to farmworker health clinics throughout southern California, twelve years serving as a local WIC program director and thirteen years at the State WIC Program. Ms. van Eyken obtained a Bachelor s degree in Sociology from Occidental College in Los Angeles. She then served in the Peace Corps, assisting researchers from the University of California (UC) at Los Angeles School of Public Health to conduct a nutrition assessment survey of Cameroon in West-Central Africa. Returning to the U.S., she completed dietetics coursework at Oregon State University and received her Masters in from the UC Berkeley School of Public Health. 13

California Breastfeeding Summit Plenary Speakers M. JANE HEINIG, PhD, IBCLC, Executive Director and Academic Administrator, UC Davis Human Lactation Center Dr. Jane Heinig an International Board Certified Lactation Consultant on the faculty in the Department of Nutrition at UC Davis where she conducts research in the areas of public health nutrition, clinical lactation, nutrition education, program evaluation, policy development, and infant nutrition, growth and development. She received her PhD in Nutrition Science from UC Davis and has been an IBCLC for nearly 20 years. Dr. Heinig recently stepped down from her position as Editor-in-Chief of the Journal of Human Lactation, a position she held for 15 years. She is the Executive Director of the UC Davis Human Lactation Center and Graduate Advisor for the Masters Degree Program in Maternal and Child Nutrition at UC Davis. She has published widely in the scientific literature and currently, is a member of the International Lactation Consultant Association and the American Public Health Association. She is also a co-author of the UC Davis-based blogs Secrets of Baby Behavior and The Baby Behaviorist. KATHLEEN BILLINGSLEY, RN, Chief Deputy of Policy and Programs at California Department of Public Health Kathleen Billingsley was appointed Chief Deputy Director of Policy and Programs, California Department of Public Health (CDPH) in June of 2011. She serves as one of two Chief Deputy Directors in CDPH. Under the administrative direction of the CDPH Director/State Public Health Officer, both Chief Deputy Directors serve as integral components in the formulation of policy to achieve the mission of the department. In addition to serving as a member of the Directorate, the Chief Deputy Director for Policy and Programs is responsible for the direct management of: Public Health Emergency Preparedness and Response; Health Information and Strategic Planning; and the Centers for Chronic Disease Prevention and Health Promotion; Infectious Diseases; Family Health; Environmental Health and Health Care Quality. In addition, the Chief Deputy Director for Policy and Programs works in close cooperation with the Chief Deputy Director for Operations on operational issues related to these programs. Kathleen Billingsley became Assistant Executive Officer for Health Policy and Planning for the California Public Employee s Retirement System (CalPERS) in November 2010. She is the senior executive in charge of the administration of health benefits to more than 1.3 million active and retired California public employees and their families. Additionally, Kathleen provides strategic planning and policy direction on critical health care issues to the CalPERS Board. She also oversees the CalPERS Health Plan Administration Division and Health Policy Research Division. Before coming to CalPERS, Kathleen was Deputy Director of the Center for Health Care Quality at the California Department of Public Health, beginning 2006. Prior to serving in the California Department of Public Health. Kathleen, a registered nurse, was also the senior vice president of operations for Electronic Healthcare Systems from 2000-06, and vice president of health service for Momentum Health Services in 1999 and Health Net from 1987-98. She received her nursing degree from Merritt College in Oakland, and her bachelor of arts degree in social sciences from UC Berkeley. 14

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Plenary Speakers TRISH MacENROE, BS, CDN, CLC, Executive Director, Baby-Friendly USA Trish MacEnroe, is Executive Director of Baby-Friendly USA, Inc. current treasurer (former chair) of the NYS Breastfeeding Coalition, and former chair of the WIC Association of NYS. At Baby-Friendly USA, Trish has reorganized the Baby-Friendly designation process and created tools to assist facilities pursuing designation. Previously, Trish worked for the WIC program, most recently as Director of the NYS WIC Training Center, and oversaw development of training programs for all aspects of a comprehensive system to certify and issue benefits to WIC participants and to provide program management information. In the State s childhood obesity prevention initiative, Trish oversaw the development and implementation of their Breastfeeding Peer Counselor website and curriculum. As the first Executive Director of the Nutrition Consortium of NYS, Trish established a program of nutrition outreach and prepared and implemented the annual legislative agenda, resulting in increased funding for the Supplemental Nutrition Assistance Program and the Nutrition Outreach and Education Program, a legislative mandate requiring certain schools to implement the School Breakfast Program. Trish received her Bachelor of Science degree in Food Science and Nutrition from the University of Rhode Island. TRISH MacENROE, BS, CDN, CLC Executive Director Baby-Friendly USA Employee: Baby-Friendly USA Disclosures 15

California Breastfeeding Summit Thursday, January 26, 2012 Program California Breastfeeding Coalition Presents California Breastfeeding Summit Catch the Wave: Cutting Edge Practices to Improve Mother Baby Outcomes THURSDAY AGENDA AT A GLANCE Thursday, January 26, 2012 7:30 4:00 Registration Registration Desk 7:30 8:30 Continental Breakfast Edgewater F 8:30 9:30 Opening Welcome and Sponsor Recognition Bonnie Henson, Chair, California Breastfeeding Coalition Improving Mother Baby Outcomes in California: Celebrating the Successes! Diana Dooley, Secretary, California Health and Human Services Michele van Eyken, Chief, WIC Division, California Department of Public Health Edgewater A 9:30 10:30 Plenary Session The State of California s Maternity Care Practices and Breastfeeding Rates Jane Heinig, PhD, IBCLC, UC Davis Human Lactation Center Edgewater A 10:30 10:45 Stretch Break 10:45 12:15 CONCURRENT WORKSHOP TRACK SESSIONS 10:45 12:15 Implementing Evidence-Based Maternity Care Policies and Practices in Hospitals Building Community/Public Health Breastfeeding Support Using The SOFT Approach (Hospital Teams Only) Session Title: Utilizing Maternity Practices in Infant Nutrition and Care Survey (mpinc) and Other Data Sources to Track Success Improving Breastfeeding Outcomes Through Hospital Consortiums The SOFT Approach to Becoming Baby-Friendly Speaker: Carina Saraiva, MPH Cindy Fahey, MSN, RN, PHN Christine Gibson, RN, PHN, CLE Mary Woelfel, MPH, IBCLC Karen Clemmer, MN, PHN Carol Melcher, MPH, BS, RN Room: Edgewater B Edgewater D/E Edgewater C Moderator: Carolyn Waggoner Margaret Turano Suzanne Haydu 12:15 1:45 Exhibits Open Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing Tables Edgewater F Pre-Function Area 12:30 1:30 Lunch Edgewater A 16

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Thursday, January 26, 2012 Program Thursday, January 26, 2012 California Breastfeeding Coalition Presents California Breastfeeding Summit: Catch the Wave: Cutting Edge Practices to Improve Mother Baby Outcomes THURSDAY AGENDA AT A GLANCE continued 1:45 5:00 CONCURRENT WORKSHOP TRACK SESSIONS 1:45 3:15 Implementing Evidence-Based Maternity Care Policies and Practices in Hospitals Building Community/Public Health Breastfeeding Support Utilizing The SOFT Approach (Hospital Teams Only) Session Title: Shifting the Paradigm to Early Mother-Baby Attachment and Combined Postpartum Care: The Role of Staff and Physicians Respect and Respond to Mom s Request for Infant Formula The SOFT Approach to Becoming Baby-Friendly Speaker: Judy Lavoie, RNC, BSN, MA Roberta Bruni, MD Jeanette Panchula, BA-SW, RN, PHN, IBCLC Jackie Kampp, MSN, RN, CLC, NP-S Ana Maria Luna, IBCLC Carol Melcher, MPH, BS, RN Room: Edgewater B Edgewater D/E Edgewater C Moderator: Carolyn Waggoner Leslie Kaye Suzanne Haydu 3:15 3:30 Break 3:30 5:00 CONCURRENT WORKSHOP TRACK SESSIONS 3:30 5:00 Implementing Evidence-Based Maternity Care Policies and Practices in Hospitals Building Community/Public Health Breastfeeding Support Utilizing The SOFT Approach (Hospital Teams Only) Session Title: Protecting Patients from Unnecessary Supplementation and Formula Marketing Breastfeeding Friendly Physician Offices The SOFT Approach to Becoming Baby-Friendly Speaker: Maya Vasquez, RN, IBCLC Shawna Helmuth, BSN, RN IB- CLC Jennifer Stewart, RD, MBA, CLS Susanna Sibilsky, BS Carol Melcher, MPH, BS, RN Room: Edgewater B Edgewater D/E Edgewater C Moderator: Jeanette Panchula Margaret Turano Suzanne Haydu 5:00 7:00 Exhibits Open & Reception Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing Tables Edgewater F Pre-Function Area 17

California Breastfeeding Summit Thursday, January 26, 2012 Plenary Session 9:30 AM 10:30 AM Edgewater A The State of California s Maternity Care Practices and Breastfeeding Rates Presenter: Jane Heinig, PhD, IBCLC, UC Davis Human Lactation Center The 2010 California In-hospital breastfeeding data have been posted online by the California Department of Public Health. This presentation will take a closer look at the rates by group and by region and examine some of the extremes in terms of supplementation rates and exclusive breastfeeding. A special focus will be included on how hospital policy changes influence infant feeding practices and how maternity procedures and practices influence maternal and child health overall. Learning Objectives: At the end of the session, participants will be able to describe why in-hospital formula supplementation influences breastfeeding duration. At the end of the session, participants will be able to list at least two maternity practices that may create barriers to breastfeeding. At the end of the session, participants will be able to list at least two ways in which policy changes may influence exclusive breastfeeding rates. 18

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Thursday, January 26, 10:45 AM-12:15 PM Workshop Sessions 10:45 AM 12:15 PM Edgewater B TRACK: IMPLEMENTING EVIDENCE-BASED MATERNITY CARE POLICIES AND PRACTICES IN HOSPITALS Utilizing Maternity Practices in Infant Nutrition and Care Survey (mpinc) and Other Data Sources to Track Success Presenters: Carina Saraiva, MPH, California Department of Public Health Maternal, Child and Adolescent Health Cindy Fahey, MSN, RN, PHN, Perinatal Advisory Council: Leadership, Advocacy and Consultation (PAC/LAC) The momentum is building for evidence-based maternity care that supports breastfeeding and California is leading the way. In this session participants will learn how the mpinc and other data sources can be used to track adoption of the Ten Steps to Successful Breastfeeding and monitor progress towards Healthy People 2020 infant care objectives. This session will also describe how data was used to target regions with the lowest breastfeeding rates for implementation of the Birth and Beyond California: Hospital Quality Improvement and Staff Training Demonstration Project (BBC) and highlight project outcomes, lessons learned and expansion throughout California. Learning Objectives: At the end of the session learners will be able to: Identify two data sources used to track progress in implementing evidence-based maternity care policies and practices in California. Discuss the status of maternity practices related to infant feeding and care in California. Describe infant feeding patterns in California, including breastfeeding initiation, duration and exclusivity. Describe three key components of a successful hospital breastfeeding support program. Create an effective, outcomes-oriented, multi-disciplinary team. 19

California Breastfeeding Summit Thursday, January 26, 10:45 AM-12:15 PM Workshop Sessions 10:45 AM 12:15 PM Edgewater D/E TRACK: BUILDING COMMUNITY/PUBLIC HEALTH BREASTFEEDING SUPPORT Improving Outcomes Through Hospital Consortiums Presenters: Christine Gibson, RN, PHN, CLE, Breastfeeding Task Force of Greater Los Angeles Mary Woelfel, MPH, IBCLC, San Joaquin County Public Health Services Karen Clemmer, MN, PHN, County of Sonoma Department of Health Services You don t have to reinvent the wheel! Find out how groups of hospitals in three California counties have joined together to work for improved breastfeeding policies and practices in their hospitals and communities. Get ideas from these trail blazers about how to establish a consortium in your own community, set goals, structure meetings, sustain interest and involvement, and celebrate your success. Learning Objectives: At the end of the session, learners will be able to: Discuss three benefits of collaborative meetings for hospitals. Identify Local Public Health Departments as appropriate lead agencies for hospital consortiums. List two ways members of hospital consortiums can collaborate to promote improved breastfeeding policies within each hospital setting. 20

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Thursday, January 26, 10:45 AM-12:15 PM Workshop Sessions 10:45 AM 12:15 PM Edgewater C TRACK: UTILIZING THE SOFT APPROACH The SOFT Approach to Becoming Baby-Friendly Presenter: Carol Melcher, MPH, BS, RN, Carol Melcher Consulting This 6-hour workshop will allow hospital leadership teams to engage in activities and discussions with individuals who have expertise in institutional change or have participated in the Baby-Friendly process. We will explore the 5 lessons that were learned from the San Bernardino Baby-Friendly project. This workshop includes the SOFT Approach Workbook and an opportunity to design a timeline and gain from the combined wisdom of a room full of experts. Teams should arrive ready to actively participate. Learning Objectives: By the conclusion of section one, Connect with Leaders the participants will: Identify their project sparkplug. Identify their physician champions. Determine which policy/step will be the first one they will review and revise. By the conclusion of section two, Connect with Staff the participants will: List the educational programs they already have in place. Determine how these new concepts may be integrated into existing programs. By the conclusion of section three, Connect with Families the participants will: Determine specific, simple messages for families, and identify ways to coordinate the delivery of these messages. List the individuals who need to be involved in this campaign. By the conclusion of section four, Connect with Community the participants will: Find at least one community collaborative partner in the room. List at least one thing they can contribute to a collaborative and one thing they hope to gain from a collaborative. By the conclusion of section five, Connect with Dots the participants will: Identify at least one way to capture, display and report their results. Define their indicators, randomize and track progress. 21

California Breastfeeding Summit Thursday, January 26, 1:45 PM-3:15 PM Workshop Sessions 1:45 PM 3:15 PM Edgewater B TRACK: IMPLEMENTING EVIDENCE-BASED MATERNITY CARE POLICIES AND PRACTICES IN HOSPITALS Shifting the Paradigm to Early Mother-Baby Attachment and Combined Postpartum Care: The Role of Staff and Physicians Presenters: Judy Lavoie, RNC, BSN, MA, Natividad Medical Center Roberta Bruni, MD, Natividad Medical Center How does nursing make patient care change when there is resistance from physicians, residents and other nursing staff? Natividad Medical Center s Women and Children Service met the challenge of effective change with skin-to-skin care immediately after birth, in the newborn nursery, in the NICU and PACU for post-cesarean mothers and newborns. Hear how they made the paradigm shift and learn strategies for successfully implementing early mother-baby attachment and combined postpartum care. Learning Objectives: At the end of this session participants will be able to: Describe the steps of change process through a real life case study Discuss making it mandatory to initiate breastfeeding within 1 hour of birth Describe overcoming the barriers to fostering the attachment of mother and newborn in the NICU 22

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Thursday, January 26, 1:45 PM-3:15 PM Workshop Sessions 1:45 PM 3:15 PM Edgewater D/E TRACK: BUILDING COMMUNITY/PUBLIC HEALTH BREASTFEEDING SUPPORT Respect and Respond to Mom s Request for Infant Formula Presenters: Jeanette Panchula, BA-SW, RN, PHN, IBCLC, California Department of Public Health, Maternal, Child and Adolescent Health Programs Jackie Kampp, MSN, RN, CLC, NP-S, California Department of Public Health WIC Program Ana Maria Luna, IBCLC, Community Bridges WIC Program One of the more difficult issues to address with new breastfeeding mothers is their request for formula supplementation. This workshop will provide tools on how to address this issue from a variety of backgrounds and perspectives. While there is no simple answer to address these situations there are steps that can be taken to improve communication with the mother and help her understand her baby s cues and behaviors. Improved communication and better understanding reduces formula supplementation and overfeeding. Learning Objectives: At the end of the session learners will be able to: State Baby Friendly recommendations related to supplementation. List three tools to use to improve communication and education with mothers. Use these tools in a variety of common situations. 1:45 PM 3:15 PM Edgewater C TRACK: UTILIZING THE SOFT APPROACH The SOFT Approach to Becoming Baby-Friendly Presenter: Carol Melcher, MPH, BS, RN This 6-hour workshop will allow hospital leadership teams to engage in activities and discussions with individuals who have expertise in institutional change or have participated in the Baby-Friendly process. We will explore the 5 lessons that were learned from the San Bernardino Baby-Friendly project. This workshop includes the SOFT Approach Workbook and an opportunity to design a timeline and gain from the combined wisdom of a room full of experts. Teams should arrive ready to actively participate. Learning Objectives on page 21. 23

California Breastfeeding Summit Thursday, January 26, 3:30 PM-5:00 PM Workshop Sessions 3:30 PM 5:00 PM Edgewater B TRACK: IMPLEMENTING EVIDENCE-BASED MATERNITY CARE POLICIES AND PRACTICES IN HOSPITALS Protecting Patients from Unnecessary Supplementation and Formula Marketing Presenters: Maya Vasquez, RN, IBCLC, San Francisco General Hospital Shawna Helmuth, BSN, RN, IBCLC, Salinas Valley Memorial Healthcare System Is unnecessary formula supplementation getting you down? Learn how Baby-Friendly policies can help protect your patients from formula marketing and unnecessary supplementation. Project managers from two Baby-Friendly certified hospitals will share insights learned on their hospitals journeys and give you ideas and tools to help decrease supplementation in your institution. Learning Objectives: At the end of the session learners will: Understand how to craft policy that will decrease formula use. Have strategies to ban the diaper bag gift give-away at their facility. Learn how to calculate fair market value for formula purchase in a Baby-Friendly hospital. Be able to identify strengths and weaknesses within their own facility to move forward with purchasing formula. Learn strategies for staff and patient education to decrease formula use. Recognize supportive and non-supportive methods to achieve best practice in breastfeeding support, and protection from unnecessary formula supplementation. 24

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Thursday, January 26, 3:30 PM-5:00 PM Workshop Sessions 3:30 PM 5:00 PM Edgewater D/E TRACK: BUILDING COMMUNITY/PUBLIC HEALTH BREASTFEEDING SUPPORT Breastfeeding Friendly Physician Offices Presenters: Jennifer Stewart, RD, MBA, CLS, Riverside County Department of Public Health Nutrition Services Susanna Sibilsky, BS, Shasta County HHSA WIC Program Research studies show that prenatal intention to breastfeed is influenced by health care providers support. Partnering with the health care provider community to provide breastfeeding support and resources for their patients is essential for continued improvement in breastfeeding initiation and duration. This presentation will provide practical techniques and tools for partnering with the health care community to create and support breastfeeding friendly offices. Learning Objectives: At the end of the session learners will be able to: State the importance of a breastfeeding friendly office. List at least three steps to a baby-friendly physician office. Describe two strategies for partnering with health care providers. 3:30 PM 5:00 PM Edgewater C TRACK: UTILIZING THE SOFT APPROACH The SOFT Approach to Becoming Baby-Friendly Presenter: Carol Melcher, MPH, BS, RN This 6-hour workshop will allow hospital leadership teams to engage in activities and discussions with individuals who have expertise in institutional change or have participated in the Baby-Friendly process. We will explore the 5 lessons that were learned from the San Bernardino Baby-Friendly project. This workshop includes the SOFT Approach Workbook and an opportunity to design a timeline and gain from the combined wisdom of a room full of experts. Teams should arrive ready to actively participate. Learning Objectives on page 21. 25

California Breastfeeding Summit Friday, January 27, 2012 Friday, January 27, 2012 Program California Breastfeeding Coalition Presents California Breastfeeding Summit: Catch the Wave: Cutting Edge Practices to Improve Mother Baby Outcomes FRIDAY AGENDA AT A GLANCE 7:30 9:30 Registration Registration Desk 7:30 8:00 Continental Breakfast in the Exhibit Show Edgewater F 7:30 12:00 Exhibits Open Edgewater F Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing Tables Pre-Function Area 8:00 12:00 CONCURRENT WORKSHOP TRACK SESSIONS 8:00 9:30 Implementing Evidence-Based Maternity Care Policies and Practices in Hospitals Building Community/Public Health Breastfeeding Support Incorporating Baby Behaviors into Health Care Practice Session Title: The New 20 Hour Curriculum, How to Maximize Your Training Moments: Diversify, Diversify, Diversify Utilizing Comprehensive Perinatal Services Program (CPSP) and Federally Qualified Health Centers (FQHC) to Maximize Breastfeeding Support in the Early Postpartum Period Teaching Patients the Secrets of Baby Behaviors: A Tool to Increase Exclusive Breastfeeding Rates Speaker: Bonnie Henson, RN, BS, IBCLC Carol Melcher, MPH, BS, RN Mary Sammer, MS, RD Karen Farley, RD, IBCLC Jane Heinig, PhD, IBCLC Room: Edgewater D/E Edgewater C Edgewater B Moderator: Jeanette Panchula Erin Backenstow Marcin, MD Suzanne Haydu 9:30 10:00 Break Dedicated time for Exhibit Show & Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing Tables 26

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Friday, January 27, 2012 Program California Breastfeeding Coalition Presents California Breastfeeding Summit: Catch the Wave: Cutting Edge Practices to Improve Mother Baby Outcomes FRIDAY AGENDA AT A GLANCE Friday, January 27, 2012 10:00 11:30 CONCURRENT WORKSHOP TRACK SESSIONS 10:00 11:30 Implementing Evidence-Based Maternity Care Policies and Practices in Hospitals Building Community/Public Health Breastfeeding Support Incorporating Baby Behaviors into Health Care Practice Session Title: Hospital Discharge Planning: Improving Communication and Referrals between Community Partners Overcoming Barriers: Breastfeeding in the Workplace Advanced Baby Behavior: Understanding Early Challenges Speaker: Lily Morales, BS, CHES, IBCLC Magdalena Estrada, LCCE, IB- CLC Rebeca Pastrana Sheng, IBCLC Genevieve Colvin, IBCLC Robbie Gonzalez-Dow, MPH, RD, CLE Jane Heinig, PhD, IBCLC Room: Edgewater D/E Edgewater C Edgewater B Moderator: Jeanette Panchula Margaret Turano Erin Backenstow Marcin, MD 11:30 12:00 Break Dedicated time for Exhibit Show & Hospitals, Breastfeeding Coalitions and WIC Agencies Sharing Tables 12:00 1:30 Closing the Breastfeeding Gap: Action in Local Communities Edgewater A Lunch Roundtable Networking and Discussion Facilitator: Carolyn Waggoner 1:30 1:45 Plenary Moderator: Breastfeeding: A Priority within the California Department of Public Health Edgewater A Kathleen Billingsley, Chief Deputy of Policy and Programs, California Department of Public Health Patty Almaguer Auchard, MD 1:45-3:15 Plenary Moderator: Achieving and Maintaining the Baby-Friendly Designation Edgewater A Trish MacEnroe, Executive Director Patty Almaguer Auchard, MD 3:15 3:30 Closing and Evaluation Edgewater A Patty Almaguer Auchard, MD, Chair-Elect, California Breastfeeding Coalition 27

California Breastfeeding Summit Friday, January 27, 8:00 AM-9:30 AM Workshop Sessions 8:00 AM 9:30 AM Edgewater D/E TRACK: IMPLEMENTING EVIDENCE-BASED MATERNITY CARE POLICIES AND PRACTICES IN HOSPITALS The New 20 Hour Curriculum, How to Maximize Your Training Moments: Diversify, Diversify, Diversify Presenters: Bonnie Henson, RN, BS, IBCLC, Memorial Care Center for Women, Miller Children s Hospital Long Beach Carol Melcher, MPH, BS, RN, Carol Melcher Consulting Staff training and assessment ensures standard capacity to provide evidence-based care, learn about new information, and maintain patient support skills. Learn strategies for implementing adequate training and assessment of staff competency in breastfeeding support. Learning Objectives: At the end of this session participants will be able to: Identify ways to approach the task of training their staff in the 20-hour Baby-Friendly curriculum. Identify ways to motivate staff and create a learning environment. 28

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Friday, January 27, 8:00 AM-9:30 AM Workshop Sessions 8:00 AM 9:30 AM Edgewater C TRACK: BUILDING COMMUNITY/PUBLIC HEALTH BREASTFEEDING SUPPORT Utilizing CPSP and FQHC s to Maximize Breastfeeding Support in the Early Postpartum Period Presenters: Mary Sammer, MS, RD, North County Health Services Karen Farley, RD, IBCLC, California WIC Association Medi-Cal regulations for breastfeeding have been streamlined in the last few years, making it possible to bill for breastfeeding consultations and pumps. These improvements came just in time for Health Care Reform, which includes breastfeeding counseling as one of the Clinical Preventive Services that will be provided in health plans. Now, organizations including health plans, hospitals, community clinics and WIC agencies are starting to use Medi-Cal to provide breastfeeding support, in addition to the support from WIC. CPSP programs and community clinics have opportunities to provide breastfeeding support in a community based model. Come to this workshop to learn about steps-to-take to unite providers in your community, to build a sustainable breastfeeding network. Learning Objectives: After attending this workshop, attendees will be able to describe a model for community-wide collaboration among healthcare providers and health plans to provide breastfeeding support for low-income mothers. After attending this workshop, attendees will be able to identify opportunities and challenges for improved access through Medi-Cal to lactation consultants and breastpumps. During this workshop, attendees will be able to use a template breastfeeding support model, using WIC and Medi-Cal, to identify key partners in their community, to establish a sustainable breastfeeding support network. 29

California Breastfeeding Summit Friday, January 27, 8:00 AM-9:30 AM Workshop Sessions 8:00 AM 9:30 AM Edgewater B TRACK: INCORPORATING BABY BEHAVIORS INTO HEALTH CARE PRACTICES Teaching Patients the Secrets of Baby Behaviors: A Tool to Increase Exclusive Breastfeeding Rates Presenter: Jane Heinig, PhD, IBCLC, UC Davis Human Lactation Center In a large study examining the impact of infant behavioral education on participants in the WIC program, the UC Davis Human Lactation Center staff identified specific triggers of infant overfeeding and/or early weaning among WIC participants. These triggers (such as crying and waking) resulted in caregivers misinterpretation of infant behaviors as meaning that their babies were never satisfied or always hungry. Using this knowledge, a curriculum was developed that successfully improved infant feeding practices in CA WIC agencies. In this interactive workshop, participants will learn the basics of infant behavior as well as simple and efficient methods of teaching this information to new parents in order to support informed early infant feeding decisions. Learning Objectives: At the end of the session learners will be able to: List at least two infant behaviors that may trigger overfeeding. Describe the six infant states. Differentiate between engagement and disengagement cues. Describe how to promote positive interactions between infants and caregivers within the medical setting. 30

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Friday, January 27, 10:00 AM-11:30 AM Workshop Sessions 10:00 PM 11:30 AM Edgewater D/E TRACK: IMPLEMENTING EVIDENCE-BASED MATERNITY CARE POLICIES AND PRACTICES IN HOSPITALS Discharge Planning: Improving Communication and Referrals between Community Partners Presenters: Lily Morales, BS, CHES, IBCLC, California Hospital Medical Center Magdalena Estrada, LCCE, IBCLC, Eisner Pediatric & Family Medical Center This presentation will help you explore the available options in your community that will help you to seamlessly, support the continuum of care of the breastfeeding dyad through the art of discharge planning. This interactive discussion will focus on creative solutions to bridge the gap between hospital discharge and out-patient support, protecting lactation in the interim period and ultimately decelerating the downward spiral of breastfeeding rates within the first few months of breastfeeding initiation. Learning Objectives: By the end of the presentation, the participants will be able to: Describe at least two barriers in lactation discharge planning in the current environment. Identify at least three community stakeholders which are an integral part of forming a community network for discharge planning. Identify at least five criteria for an outpatient lactation referral. Describe the process for securing a hospital grade pump to protect lactation. Describe the role of HIPAA in forwarding breastfeeding referrals to outside agencies. Identify two strategies to implement follow up support beyond the hospital breastfeeding initiation. Recognize implementation components of a Breastfeeding Clinic in a Community Health Center in Los Angeles. Recognize two barriers to offering early breastfeeding support for low-income communities. 31

California Breastfeeding Summit Friday, January 27, 10:00 AM-11:30 AM Workshop Sessions 10:00 PM 11:30 AM Edgewater C TRACK: BUILDING COMMUNITY/PUBLIC HEALTH BREASTFEEDING SUPPORT Overcoming Barriers: Breastfeeding in the Workplace Presenters: Rebeca Pastrana Sheng, IBCLC, Northeast Valley Health Corporation Robbie Gonzalez-Dow, MPH, RD, CLE, Community Bridges WIC Program Genevieve Thomas Colvin, IBCLC, Breastfeeding Task Force of Greater LA Employment still remains one of the main reasons mothers discontinue breastfeeding despite state and federal laws requiring lactation accommodation in the workplace. California advocates are making progress with systems change for employees, but much work remains to be done. Come and learn about employers supporting breastfeeding moms, and tools and strategies for what you can do to educate new mothers about their rights and how to advocate for implementation of the laws in your community. Learning Objectives: At the end of the session learners will be able to: Describe three cost containment measures impacted by worksite lactation programs. Identify two key components of worksite lactation accommodation practices mandated in new state and federal legislation. Describe three challenges and solutions to working and breastfeeding. Describe how to help file a claim if an employed mother is not being accommodated. 32

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Friday, January 27, 10:00 AM-11:30 AM Workshop Sessions 10:00 AM 11:30 AM Edgewater B TRACK: INCORPORATING BABY BEHAVIORS INTO HEALTH CARE PRACTICES Advanced Baby Behavior: Understanding Early Challenges Presenter: Jane Heinig, PhD, IBCLC, UC Davis Human Lactation Center In this interactive workshop, lactation professionals will learn both to understand and teach parents about variation in newborn behavior, specifically behaviors that may influence the initiation or continuation of breastfeeding. While the focus of the Baby Behavior Campaign was limited to healthy full-term infants, this workshop will include advanced topics covering a wider range of infants including the late preterm infant. Participants will also learn key messages that may be shared effectively with parents during this exhausting and vulnerable time in their lives. By improving parents ability to understand their newborns behaviors, lactation consultants may better support parents informed infant feeding decisions. Learning Objectives: At the end of the session, participants will be able to: List at least two infant behaviors that may result in breastfeeding cessation. List at least two ways in which newborn behaviors differ from those of older infants. Demonstrate the ability to communicate messages about infant behavior in less than a minute. Describe at least two specific variations in newborn behavior that may limit feeding at the breast during the first week of life. 33

California Breastfeeding Summit Friday, January 27, 2012 Plenary Session 1:30 PM 1:45 PM Edgewater A Breastfeeding: A Priority Within the California Department of Public Health Presenter: Kathleen Billingsley, RN, Chief Deputy of Policy and Programs, California Department of Public Health 1:45 PM 3:15 PM Edgewater A Achieving and Maintaining the Baby-Friendly Designation Presenter: Trish MacEnroe, Executive Director, Baby-Friendly USA The presentation will focus on the purpose of the 4-D Pathway to Baby-Friendly Designation and the tools that are provided in each phase. Learn about strategies to avoid common pitfalls that result in facilities not meeting the requirements outlined for specific steps. The discussion will include information about what happens during the assessment and how facilities can prepare for the visit. Finally, participants will learn about the importance of engaging in activities to maintain the standards outlined in the Baby-Friendly Guidelines and Evaluation Criteria. Learning Objectives: At this end of this session learners will be able to: Describe the components of the 4-D Pathway and the tools provided in each phase. Describe three reasons why facilities have not previously passed assessments and solutions provided by the 4-D Pathway Describe three activities that will occur on a Baby-Friendly On-Site Assessment Describe expectations for maintaining the Baby-Friendly Designation 34

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Notes 35

California Breastfeeding Summit Baby-Friendly USA, Inc. Contact: Trish MacEnroe 125 Wolf Rd, Suite 103 Albany, NY 12205 Phone: 518-621-7982 Email: tmacenroe@babyfriendlyusa.org Website: http://www.babyfriendlyusa.org Exhibitors California Obesity Prevention Program, Department of Public Health Contact: Jeffery Rosenhall 1616 Capitol Avenue, MS 7211 Sacramento, CA 95814 Email: jeffery.rosenhall@cdph.ca.gov Website: http://cdph.ca.gov/ obesityprevention California WIC Association Contact: Karen Farley 1409 Drew Avenue, Suite 175 Davis, CA 95618 Phone: 530-750-2280 Email: kfarley@calwic.org Website: http://calwic.org/ GOLD Conferences International Contact: Karyn-grace Clarke 2101-1177 West Hastings Street Vancouver, BC, V6E2K3 Canada Phone: 1-250-739-3146 Email: karynclarke@shaw.ca Website: http://www.goldconf.co Hygeia II Medical Group, Inc Contact: Sylvia Ortega 1600 East Orange Thorpe Ave, Suite D Fullerton, CA 92831 Phone: 714-585-7458 Email: sylvia.ortega@hygeiababy.com Website: http://www.hygeiababy.com Mary Baracco Lactation Consulting Contact: Mary Baracco 1206 Nielsen Ave Napa, CA 94559 Phone: 707-226-3377 Email: mbaracco46@aol.com California WIC Program, California Department of Public Health Contact: Michele van Eyken, Chief 3901 Lennane Drive Sacramento, CA 95834 Email: Michele.van.eyken@cdph.ca.gov Website: http://www.cdph.ca.gov/programs/ wicworks/pages/default.aspx Health e-learning Contact: Denise Fisher PO Box 47 Kilcoy, QLD 4515 Australia Phone: 07 3103 2765 Email: denise@health-e-learning.com Website: http://www.health-e-learning.com Limerick Contact: Joan Ortiz 2150 N. Glenoaks Blvd. Burbank, CA 91504 Phone: 818-566-3060 Email: joan.ortiz@limerickinc.com Website: http://www.limerickinc.com Maternal, Child and Adolescent Health, California Department of Public Health Contact: Suzanne Haydu 1615 Capitol Ave., MS 8306 Sacramento, CA 95814 Phone: 916-650-0382 Email: Suzanne.haydu@cdph.ca.gov Website: http://cdph.ca.gov/breastfeeding 36

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes MelcherWorks Contact: Carol Melcher 234 South Eureka Street Redlands, CA 92373 Phone: 530-898-8200 Email: carol.melcher@gmail.com Website: http://softhospital.com Exhibitors Mother s Milk Bank Contact: Pauline Sakamoto 751 S. Bascom Avenue San Jose, CA 95128 Phone: 408-885-3959 Email: Pauline.sakamoto@hhs.sccgov.org Website: http://www.sanjosemilkbank.com Precious Image Creations Contact: Sylvia Houston 4414 Cannon Rd Loganville, GA 30052 Phone: 770-979-4320 Email: sylviah@preciousimagecreations.com Website: http:// www.preciousimagecreations.com Stark Productions Contact: David Stark 1952 Asilomar Drive Oakland, CA 94611 Phone: 510-338-0886 Email: david@stark-productions.com Website: http://babybabyohbaby.com/ The Nurture Blanket Contact: Leslie Brogden 1107 N. Cornell Ave. Fullerton, CA 92831 Phone: 562-305-8000 Email: leslie@thenurtureblanket.com Website: http://thenurtureblanket.com UC San Diego Extension Contact: Brandon Chavez 9500 Gilman Dr., Dept. 0170E La Jolla, CA 92093 Phone: 858-534-9259 Email: bjchavez@ucsd.edu Website: http://extension.ucsd.edu/lactation SOFT Style, Inc. Contact: Kery Gilmartin 103 Anemone Dr. Boulder, CO 80302 Phone: 800-560-7131 Email: kerry.gilmartin@gmail.com Website: http://www.buybamboobies.com SWAG Conferences LLC Contact: Sue Wirth 908 Curtis Street Albany, CA 94706 Phone: 510-599-1079 Email: swagconferences@aol.com Website: http://swagconferences.org UC Davis Human Lactation Center Contact: Jennifer Banuelos Department of Nutrition, UC Davis One Shields Ave. Davis, CA 95616 Phone: 530-752-1629 Email: jenbanuelos@ucdavis.edu Website: http://lactation.ucdavis.edu U.S. Food & Drug Administration Contact: Janet McDonald 1431 Harbor Bay Pkwy. Alameda, CA 94502 Phone: 510-337-6845 Email: janet.mcdonald@fda.hhs.gov Website: http://www.fda.gov 37

California Breastfeeding Summit Local Agencies Sharing Tables Throughout California, hospitals and communities are working to improve infant, family and community health by implementing policies and practices that support breastfeeding. This is a great opportunity to learn about what hospitals, local breastfeeding coalitions and WIC Agencies are doing to increase local breastfeeding rates. Local Agencies Sharing Tables are available in the Pre-Function Area. Come and visit our local agencies sharing tables. The sharing tables will be available for viewing on: Thursday Viewing 12:00 PM 7:00 PM Thursday Dedicated Sharing Table Viewing 12:00 PM 1:45 PM and 5:00 PM 7:00 PM Friday Viewing Friday Dedicated Sharing Table Viewing 7:30 AM 12:00 PM 7:30 AM 8:00 AM, 9:30 AM 10:00 AM, and 11:30 AM 12:00 PM Breastfeeding Task Force of Greater Los Angeles Breastfeeding Task Force of Greater Los Angeles The Breastfeeding Task Force of Greater Los Angeles is dedicated to improving the health and well being of infants and families through education, outreach, and advocacy to promote and support breastfeeding. Contact Person: Karen Peters Phone Number: 213-596-5776 E-Mail: info@breastfeedla.org Breastfeeding Coalition of Great Sacramento Breastfeeding Coalition of Greater Sacramento The Breastfeeding Coalition of Greater Sacramento is a non-profit association of regional representatives, businesses, mothers, lactation consultants and other health care professionals. We welcome anyone interested in improving infant, family and community health by making breastfeeding the societal norm as we promote, support and protect breastfeeding in all areas of life Contact Person: Aubrey Lambert Phone Number: 916-326-5835 ext6120 E-Mail: aubreyl@cresource.org 38

Catch the Wave! Cutting Edge Practices to Improve Mother-Baby Outcomes Local Agencies Sharing Tables Breastfeeding Coalition of San Joaquin County Breastfeeding Coalition of San Joaquin County The Breastfeeding Coalition of San Joaquin County holds a Birth, Baby and Bonding Fair to celebrate World Breastfeeding Week. The Birth, Baby and Bonding Fair provides young families with the opportunity to get breastfeeding and parenting information from more than 45 organizations including hospitals, health care providers, WIC agencies, local businesses and community organizations. This is the only large scale event in San Joaquin County that focuses on the unique needs of expectant and new parents. An average of 500 people attend the Fair each year. Each expectant and new mom receives a goodie bag filled with breastfeeding information and resources. A highlight of the Fair is a fashion show with maternity clothing, nursingwear and babywearing products, featuring expectant and new mothers, fathers, and children from the community. Another popular feature is the display of the winning entries from our Positive Images of Breastfeeding Photo Contest that greets families as they enter the Fair. The Birth, Baby and Bonding Fair helps expectant and new parents learn more about breastfeeding, connect with community providers and raises awareness of the importance of breastfeeding in the larger community. Contact Person: Mary Woelfel Phone Number: 209-468-3267 E-Mail: mwoelfel@sjcphs.org WIC Peninsula Regional Breastfeeding Collaborative Peninsula Regional Breastfeeding Collaborative s WIC Regional Breastfeeding Liaison Program The Peninsula Regional Breastfeeding Coalition is a collaboration of WIC agencies in San Mateo County, Santa Clara County and the City and County of SF. Our mission is to promote Baby - Friendly Hospital Policies in our region and to educate the community and health care professionals about WIC Breastfeeding Services. Contact Person: Sheila Janakos Phone Number: 650-208-9178 E-Mail: sjanakos@gmail.com Woodland Healthcare Baby Steps to Baby-Friendly Woodland Healthcare is the 97th accredited Baby Friendly Hospital in the United States. We would like to share our process- our parent education classes, our in patient and out patient clinic and services, our post partum support group curriculum, our staff, hospital wide employees and Provider trainings, our administrative guidelines, our task force agendas, our policies and procedures, and our community outreach programs. Contact Person: Eve Dunaway Phone Number: 530-669-5420 E-Mail: eve.dunaway@chw.edu 39

California Breastfeeding Summit Hotel Map 40