Breastfeeding Workgroup Meeting Agenda & Updates
Explore the agenda for the Breastfeeding Workgroup meeting, including session topics, training courses, local agency sharing, and MI-WIC screen changes. Stay informed about upcoming events and developments in breastfeeding support and resources.
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ATTENDEES: Marji Cyrul, Dionne Moore- Smith, Kristina Doyle, Brooke Perry, Madhur Chandra, Bagya Kodur, Alysia Biehl, Anne Bianchi, Tamara LaVallee, Bethann McPherson, Madison Drentlaw, Samantha Meyers, Laura Brinks, Margret Fife, Amanda Mulka, Alexis Kuntzman, Janelle McGinnis, Meagan Kelley, Sierra Kintigh, Nan Graham, Diane Shelton, Barb Krzyzanksi, Erika Chanderraj, Colleen Unsal, Autumn Jurek, Chelsea Jackson, Mistel de Varona, Megan Mason, Stephanie Hicks, Morgan McCurry, Kristen Roberson, Holly Bertram, Jennifer Fox, Erica Leyton, Diane Ewell, Lisa Rankine, Kali Jones, Elizabeth Montez, Robin Semelbauer, Autumn Madsen, Arturo Gregory, Connie Meyers, Laura Gehrman, Hannah Lundquist, Amanda Vagts, Susan Olguin, Danica Howard, Alice Christensen, Angela Applekamp, Samirah Muhsin, Linda Marshall, Julie Lothamer BREASTFEEDING WORKGROUP FRIDAY, OCTOBER 11TH, 2024 8:30-12:30
Directories and Online Sharing Docs BFC Workgroup Sharing Notes https://docs.google.com/spreadsheets/d/18Ek7vAeaHC5qUzzCMi10oX rFUEVaAIWMmsU_bHf0PQM/edit#gid=0 Collaborative Folder https://drive.google.com/drive/folders/1q5mFL2IbV2_VmbU_PM7pB3BX 3u4FFQj5?usp=sharing Directories Peer Counselor with Peer Manager Level 3 and 4 Staff BF Coordinator
8:30-10:15 AM MI-WIC changes coming November 22nd Data: Explanation of Breastfeeding Addendum Report Training: FY25 OA grant-funded training course options Keep HUG Your Baby parent webpage? Problem-solving folks who No Show to trainings. Advanced Clinical Lactation Skills: future date and location Annual conference topics and speakers Milk Expression Training (Recording) Winter Training for Peers Breast Pumps and Supplies: Pump Ordering Pilot status Community Engagement Funding: options for FY25 Breastfeeding Awards of Excellence 2024 Awardees Application opening in October Peer Counselor Development Task Force Recognition Idea Resources: Physician Guide to Breastfeeding Jessica Sova s Scavenger Hunt Update to Policy 4.02 Guidance document Quick questions & updates from Dionne & Marji: IBCLC Support Group
10:15-10:30 am 10:30-11:00 Break Local Agency Sharing and Discussion Each local agency is welcome to share ideas, tools and resources. Sharing is limited to 3 minutes to allow time for everyone to participate. Enter your sharing notes here Focused Discussion among coordinators 11:00-12:00
MI-WIC Screen Changes Marji shared updates for MI-WIC screen changes. Register for MI-WIC Release 9.9 webcast, scheduled for Thursday, November 7th at 9:30am.
Breastfeeding Data
YEARLY MONITORING
State Breastfeeding Initiation Data Source: PNSS 98.4% 100% 95% * We think this data is wrong 90% 85% 80% 74.6% 75% 67.8% 70% 71.6% 64.8% 65% 60% 2019 2020 2021 2022 2023 The Pregnancy Nutrition Surveillance System (PNSS) Report represents data that is collected solely from WIC clients. This indicator provides the percentage (%) of mothers that initiated breastfeeding in WIC during a given year. The data for this report comes from MI-WIC application. It is available at the State, Local Agency, and Clinic level.
State Breastfeeding Initiation Data Source: PedNSS 80% 75% 71.3% 70% 66.7% 66.4% 63.9% 65% 62.8% 60% 2019 2020 2021 2022 2023 The Pediatric Nutrition Surveillance System (PedNSS) Report represents data that is collected solely from WIC clients. Self-reported demographic, behavioral and health information is collected within LAs and verified by the CPA. Breastfeeding initiation, duration and exclusivity up to 12 months of WIC infants is highlighted. This indicator provides the percentage (%) of infants that initiated breastfeeding in WIC during a given year. The data for this report comes from the MI-WIC application. It is available at the State, LA and Clinic level.
State 6 Month Duration Data Source: PedNSS 45% 43.0% 40% 35% 35.0% 33.5% 30% 28.3% 28.2% 25% 2019 2020 2021 2022 2023 The Pediatric Nutrition Surveillance System (PedNSS) Report represents data that is collected solely from WIC clients. Self-reported demographic, behavioral and health information is collected within LAs and verified by the CPA. Breastfeeding initiation, duration and exclusivity up to 12 months of WIC infants is highlighted. This indicator provides the percentage (%) of infants that initiated breastfeeding in WIC during a given year. The data for this report comes from the MI-WIC application. It is available at the State, LA and Clinic level.
State 3 Month Exclusivity Data Source: PedNSS 40% 34.6% 35% 30.1% 30% * We think this data is wrong 25% 20% 17.6% 17.0% 15% 15.7% 10% 2019 2020 2021 2022 2023 The Pediatric Nutrition Surveillance System (PedNSS) Report represents data that is collected solely from WIC clients. Self-reported demographic, behavioral and health information is collected within LAs and verified by the CPA. Breastfeeding initiation, duration and exclusivity up to 12 months of WIC infants is highlighted. This indicator provides the percentage (%) of infants that initiated breastfeeding in WIC during a given year. The data for this report comes from the MI-WIC application. It is available at the State, LA and Clinic level.
State 6 Month Exclusivity Data Source: PedNSS 25% 21.6% 20% * We think this data is wrong 16.9% 15% 9.3% 9.3% 10% 7.7% 5% 2019 2020 2021 2022 2023 The Pediatric Nutrition Surveillance System (PedNSS) Report represents data that is collected solely from WIC clients. Self-reported demographic, behavioral and health information is collected within LAs and verified by the CPA. Breastfeeding initiation, duration and exclusivity up to 12 months of WIC infants is highlighted. This indicator provides the percentage (%) of infants that initiated breastfeeding in WIC during a given year. The data for this report comes from the MI-WIC application. It is available at the State, LA and Clinic level.
Bi-annual Monitoring
State Breastfeeding Initiation Data Source: Ad-Hoc Report 80% 74.7% 75% 73.3% 73.0% 72.6% 69.0% 70% 67.0% 66.6% 64.5% 65% 63.9% 60% APR 20 NOV 20 MAR 21 NOV 21 MAY 22 OCT 22 MAY 23 OCT 23 APR 24 The Breastfeeding Initiation Ad-Hoc Reports provides a point-in-time look at current breastfeeding initiation number and percentage (%) for the local agency. Initiation data is pulled from the 1st page, the Rate report. This report provides the number and percentages based on the total number of infants enrolled. The denominator is the total number of infants.
State 6 Month Duration Data Source: Ad-Hoc Report 35% 30.8% 30.4% 29.3% 30% 27.4% 25.8% 25% 20.8% 20.8% 19.5% 19.4% 20% 15% 10% APR 20 NOV 20 MAR 21 NOV 21 MAY 22 OCT 22 MAY 23 OCT 23 APR 24 The Breastfeeding Duration Ad-Hoc Reports provides a point-in-time look at current breastfeeding duration number and percentage (%) for the LA at 1 week, 2 weeks, 4 weeks, 6 weeks, 2 months, 6 months and 11+ months. Duration data is pulled from the 2nd page, the Duration report This report provides the number and % based on infants who initiated breastfeeding, not the total number of infants in WIC. The denominator is the # of infants that initiated breastfeeding.
Data Presentation Madhur Chandra and Bagya Kodur presented on breastfeeding statistics, including how data percentages are compiled. Breastfeeding Addendum Report (michigan.gov) Ad-hoc Report (Provided by the State bi-annually) Pre-defined Reports PNSS & PedNSS (michigan.gov) Chandram1@michigan.gov - Madhur Chandra, Epidemiologist KodurB@michigan.gov - Bagya Kodur, Mgr DSM
Training So many options! Working on narrowing down the list.
OA Grant-Funded Training Course Options: Bianca Nash-Miot 1. Supporting Curvaceous Lactating People (2 hrs.) 2. Trauma-Informed Lactation Care (4 hrs.)
OA Grant-Funded Training Course Options: Postpartum Healing Lodge 1. Creating Dynamic WIC Classes (2 full days. Virtual or in-person option). Focuses on development and marketing to meet the audience s needs.
OA Grant-Funded Training Course Options: IABLE 1. Exclusive Pumping (repeat) 2. Parental & Infant Health During Lactation (repeat) New conditions to share 3. Evidence & Research (4 hrs.) What s New in 2024 Applying Principles of Lactation Physiology into Practice Research Design and Strength of Evidence Interpreting results and identifying confounders in breastfeeding research studies
OA Grant-Funded Training Course Options: LactaLearning 1. 2. 3. 4. 5. 6. 7. 8. Motivational Interviewing (6 hrs.) First Weeks Success (one day) LCE Training (repeat) Book Group (which book?) Exam Prep and/or Recertification Help Lactation Pain Management (repeat) Untangling Low Milk Supply (repeat) Ethics (repeat)
OA Grant-Funded Training Course Options: Lactation Education Consultants (LEC) 1. PC Case Study Day (5 hrs.) (repeat) 2. DBE Workshop (2 full days) (repeat) 3. LGBTQ Intensive (5 hrs.) 4. Perinatal Mood & Anxiety Disorder (PMAD) (6 hrs.)
OA Grant-Funded Training Course Options: Full Circle Life Coaching 1. L.O.V.E. in the Margins (repeat) 2. Latching onto Culture (4 hrs. + 2 hrs. work on your own)
OA Grant-Funded Training Course Options: HUG Your Baby 1. Keep Digital Resource Page? 2. Heads up: We plan to phase out the 2-hr. required PC training (Roadmap to BF Success) in FY25 and replace it with another infant behavior training.
OA Grant-Funded Training Course Options for Focused on Diversity, Equity, Inclusion, & Cultural Sensitivity Attendees ranked from most to least interested 1. Trauma-Informed Lactation Care 2. Latching onto Culture 3. L.O.V.E. in the Margin (repeat) 4. LGBTQ Intensive 5. Ethics (repeat)
OA Grant-Funded Training Course Options for Peers: Attendees ranked from most to least interested 1. First Weeks Success 2. Trauma-Informed Lactation Care 3. Creating Dynamic WIC Classes 4. Supporting Curvaceous Lactating People 5. Motivational Interviewing 6. Lactation Pain Management (repeat) 7. Exclusive Pumping (repeat) 8. Untangling Low Milk Supply (repeat) 9. PC Case Study Day (repeat)
OA Grant-Funded Training Course Options for Level 3 or 4 Staff Attendees ranked from most to least interested 1. PMAD 2. Lactation Pain Management (repeat) 3. Evidence & Research (4 hrs.) 4. Parental & Infant Health During Lactation (repeat) 5. DBE Workshop (repeat) 6. Exclusive Pumping (repeat) 7. Book Group (which book?) 8. LCE Training (repeat)
OA Grant-Funded Training Course Options for IBCLC certification or recertification 1. Exam Prep Course 2. Recertification Help (navigation of tasks and provision of learning hours)
Problem-Solving Training No-Shows 234 people no-showed to a training out of 2,194 registrants (10.6%). Michigan s no-show rate was the worst. We had 12 individuals who no- showed for more than one training. We have waitlists and when people don t show, those who are able to attend cannot. Illinois: 41/234 Indiana: 11/234 Iowa: 36/234 Michigan: 53/234 Minnesota: 34/234 Ohio: 39/234 Wisconsin: 19/234
Problem-Solving Training No-Shows Problem-solving individual level Don t register for a training unless you can be sure to attend. Read the website to see if it s offered virtually or only in person. Problem-solving local agency level When an employee leaves, email MPHI so they can be removed from any trainings they ve registered for. Block schedules so your employee can attend. Problem-solving registration level Anyone who no-shows will be removed from all future trainings they ve registered for, put onto a pending list and will need to email Marji and their supervisor to ensure they attend the training. Going to try and add a text option to remind folks about trainings. Problem-solving training organization level Trainers will email more frequently and check list to make sure folks have registered and plan to attend. Problem-solving State level Considering adding the supervisor s email. Unsure if this can happen or not. Suggestions from BFWG attendees Email supervisors when staff no-show. Add to the employee s schedule. Limit the # of trainings staff can sign up for. Consider only allowing Coordinators to register their employees for trainings. Training Feedback from BFWG attendees Trainers did a great job sending reminders and information before the training. Staff don t notify their Coordinators when they register. Staff may be taking these trainings for granted- they are a privilege. A few individuals shared they never received any communication after they registered for one training.
Advanced Clinical Lactation Skills 2024 training went very well! Future location: TBD Future date: October 2025 (exact date TBD)
Annual Conference Topic & Speaker Ideas Tom Johnston, DNP, CNM, and IBCLC (recommendation from Kristina Doyle) : The Importance of the Gut Microbiome and Fathers in the Infant Feeding Journey Elizabeth Montez, IBCLC, postpartum doula, perinatal mental health advocate, retired professional chef, food justice advocate.: Prenatal Milk Expression Christy Jo Hendricks (used to work for WIC, recommendation from Linda Marshall). Bridging the Gap to Provide a Continuum of Care Lactation Education Simplified through Basic Analogies A Formula for Deception-How Predatory Marketing Affects New Parents If Breastfeeding is Natural , Why Doesn t it Just Happen ? Sharing Your Wisdom: From Abstract Idea to Tantalizing Talk
Annual Conference Topic & Speaker Ideas Bryna Hayden, IBCLC, Birth Doula (recommendation from Elizabeth Montez) Rhythmic Movement for Breastfeeding Function Breastfeeding with Ease: The Impact of Infant Reflex Emergence and Integration The Elephant in the Room: Ethics of Supporting Formula Feeding Families Nichelle Clark, IBCLC, CBS, Doula Rethinking the Definition of Breast/Chestfeeding: Where Does Pumping Fit In? Securely Attached: The Neurobiology of Breastfeeding and Co-Regulation Julie Metheney The Importance of Co-Regulation for Mothers and Babies: Nurturing Emotional and Physiological Synchrony During Lactation Workplace rights for pregnant/lactating people Babywearing
Annual Conference Topic & Speaker Ideas Attendees ranked from most to least interested 7. Christy Jo Hendricks: Bridging the Gap 1. Elizabeth Montez: Prenatal Milk Expression 2. Tom Johnston: Gut Microbiome and Fathers 3. Christy Jo Hendricks: Why Doesn t it Just Happen? 4. Bryna Hayden: Rhythmic Movement/BF Function 5. Nichelle Clark: Where Does Pumping Fit In? 6. Julie Metheney: Emotional/Physiological Synchrony 7. Bryna Hayden: Infant Reflex Emergence/Integration 8. Christy Jo Hendricks: Predatory Marketing 9. Christy Jo Hendricks: Lactation Ed/Basic Analogies 10. Nichelle Clark: Neurobiology and Co- Regulation 11. Bryna Hayden: Ethics/Supporting IFF Families 12. Christy Jo Hendricks: Abstract to Tantalizing Talk 13. Workplace rights 14. Babywearing
Annual Conference Topic & Speaker Ideas Attendees ranked from most to least interested We are narrowing the topics and speakers by asking local agency staff to complete this interest survey by October 31st. Annual Conference Topics and Speakers (alchemer.com)
Milk Expression Training Considering a recorded Milk Expression Training in 2025 Different focus/not a Train-the-Trainer format Feedback from BFWG attendees: Like the idea of this not being a train-the-trainer format Training the peers directly would be more effective and relieve the burden on the agency. Hard to find time to be the trainer for staff when covering for staffing issues. Like the idea of a recording for any staff issuing pumps. Poll: Have you used the Milk Expression Train the Trainer training and materials to develop a local agency training for your staff? 25% Yes 6% Yes, but someone else presented this training for our staff. 31% I don t have the time. 38% The what?
Winter Training Options for Peers 1.MIBFN recorded webinar: Pump It Up by Nichelle Clark 2.Recorded Milk Expression training 3.Documentation training Attendees like the idea of having multiple options to choose from. Recorded Milk Expression training if only one choice.
Status of pump pilot Drop shipping to clients or agency based on client preference 5 agencies will be piloting More details to come Breast Pumps & Supplies Pump Marketplace Use pump marketplace if you are looking for pumps or trying to get rid of inventory. Agencies are responsible for communicating with each other. State can help with postage.
Community Engagement Funding
Apply for money to use on a community engagement project. Spending Options Choose from a list of items that could be used at an event.
Breastfeeding Awards of Excellence
Breastfeeding Awards of Excellence Winners this year District Health Dept #10- Premiere Muskegon County- Gold Application Period October 7th-December 13th How to apply? WIC Breastfeeding Award of WIC Breastfeeding Award of Excellence application WIC Breastfeeding Award of Excellence application Excellence application
Management Evaluation Will capture special recognitions of local agencies, including upward mobility opportunities for peers/flexible work hours/remote opportunities, etc. Peer Counselor Development Task Force capture Special Recognitions of local agencies: upward mobility opportunities for peers/flexible work hou
What is going well in your Peers World? Marquette County to share Linda shared about her new Baby at Work program in Marquette. Peer started planning/made a proposal during her pregnancy. Coordinated w/ supervisor on an agreement. No issues. Not a distraction. Able to work and be with her child and good example for clients that breast/chestfeeding can work after returning to work. Volunteers for next meeting to share short story of a best practice working well with your agency s Peer Program. Helping with retention Overall morale booster of peers Reach out to Dionne to share your LA story for future meetings: MooreSmithD@michigan.gov
Nutrition Matters: order status cost of book is $3.25 English, $3.95 Spanish and $4.50 Arabic. More books are coming in the next couple weeks. Physician s Guide to Breastfeeding Physician s Guide to Breastfeeding Evidence-based information, videos, and pictures for clients and lactation professionals. Resources Virtual Scavenger Hunt (CMDHD) Added to Collaboration drive as a staff training. Collaboration drive Policy 4.02 Guidance Document Update to Policy 4.02 Guidance Document Policy 4.02 Guidance Document Added guidance for pulling Clinic Appt List Report as an audit tool
140 130 120 100 80 60 55 60 42 40 20 0 2021 2022 2023 2024 Academy of breastfeeding medicine (ABM) Total Item investigations Quote 2024 - $1,150 ($21/investigation).
IBCLC Support Group Goal to kick-off next year Quick Updates Sr. PC Training Scheduled for March 2025
Q: Who Ya Gonna Call? A: When in doubt, email both of us. Marji Dionne MI-WIC Issues Breast Pumps & Equipment Breastfeeding Policies Breast Pump Policies BF Food Package Questions Peer Counselors Website Questions & Suggestions Regional meetings and Peer Update OA Grant-Funded Trainings Orientation LC Contractors Eligible Costs Breastfeeding Work Group Breastfeeding Supporters of Color Network
