Breastfeeding Workgroup Meeting Highlights and Breastfeeding Data Analysis

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Explore the detailed agenda of the Breastfeeding Workgroup meeting held on October 11th, 2024. Topics cover various aspects of breastfeeding, WIC program changes, training sessions, community engagement, and more. Dive into the latest data on breastfeeding initiation rates sourced from PNSS and PedNSS, providing valuable insights for maternal and child health initiatives.

  • Breastfeeding
  • Workgroup Meeting
  • Data Analysis
  • WIC Program
  • Breastfeeding Initiation

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  1. BREASTFEEDING WORKGROUP FRIDAY, OCTOBER 11TH, 2024 8:30-12:30

  2. 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

  3. 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

  4. 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

  5. Placeholder for MI-WIC Screen Changes

  6. Breastfeeding Data

  7. YEARLY MONITORING

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Bi-annual Monitoring

  14. 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.

  15. 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.

  16. Discussion on the Breastfeeding Addendum Report 2023

  17. Training

  18. 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.

  19. OA Grant-Funded Training Course Options: Full Circle Life Coaching 1. L.O.V.E. in the Margins 2. Latching onto Culture

  20. OA Grant-Funded Training Course Options: IABLE 1. Exclusive Pumping 2. Parental & Infant Health During Lactation 3. Evidence & Research

  21. OA Grant-Funded Training Course Options: LactaLearning 1. Motivational Interviewing 2. First Weeks Success 3. LCE Training 4. Book Group (which book?) 5. Exam Prep and/or Recertification Help 6. Lactation Pain Management 7. Untangling Low Milk Supply 8. Ethics

  22. OA Grant-Funded Training Course Options: Lactation Education Consultants (LEC) 1. PC Case Study Day 2. DBE Workshop 3. LGBTQ Intensive 4. PMAD 5. Cram Review Course

  23. OA Grant-Funded Training Course Options: Bianca Nash-Miot 1. Curvaceous Lactation 2. Trauma-Informed Lactation Care

  24. OA Grant-Funded Training Course Options: Postpartum Healing Lodge 1. Creating Dynamic WIC Classes (virtual or in- person option)

  25. Problem-Solving Training No-Shows Illinois: 41/234 Indiana: 11/234 Iowa: 36/234 Michigan: 53/234 Minnesota: 34/234 Ohio: 39/234 Wisconsin: 19/234

  26. Problem-Solving Training No-Shows Scope of the problem Problem-solving individual level Problem-solving local agency level Problem-solving registration level Problem-solving training organization level Problem-solving State level

  27. Advanced Clinical Lactation Skills Future location Future date: October 2025

  28. 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 Dr. Anne Eglash 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 Launching Communication Skills for the Perinatal Professional The World is Our Audience-Expanding the Reach of Lactation Education A Formula for Deception-How Predatory Marketing Affects New Parents Growing IBCLC Staff through Upskilling Current If Breastfeeding is Natural , Why Doesn t it Just Happen ? Lactation Tools, How to Educate and When to Refer Sharing Your Wisdom: From Abstract Idea to Tantalizing Talk Thriving, Not Just Surviving, Breastfeeding in the First Week Public Health Focus on Participant Centered Education Teach the Way They Learn-Lactation Education for the Visual and Kinesthetic Learner Providing Stellar Customer Service with Compassion and Empathy

  29. 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

  30. Milk Expression Training Upcoming new recorded training in 2025- different focus/not a Train-the-Trainer format

  31. Winter Training Options for Peers

  32. Status of pump pilot Pump Marketplace Breast Pumps & Supplies

  33. Community Engagement Funding

  34. 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.

  35. Breastfeeding Awards of Excellence

  36. 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

  37. Peer Counselor Development Task Force

  38. What is going well in your Peers World? Marquette County to share 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

  39. Resources

  40. Nutrition Matters: order status Physician s Guide to Breastfeeding Resources Scavenger Hunt (Jessica Sova) Update to Policy 4.02 Guidance Document

  41. 140 130 120 100 80 60 55 60 42 40 20 0 2021 2022 2023 2024 Academy of breastfeeding medicine (ABM) Total Item investigations 41

  42. Quick Updates IBCLC Support Group

  43. 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

  44. Infant Feeding Classes https://drive.google.com/drive/folders/1 q5mFL2IbV2_VmbU_PM7pB3BX3u4FFQj5

  45. Local Agency Sharing BFC Work Group Sharing Notes https://docs.google.com/sprea dsheets/d/18Ek7vAeaHC5qUzz CMi10oXrFUEVaAIWMmsU_bHf0 PQM/edit#gid=0

  46. Focused Discussion

  47. Next Breastfeeding Work Group Friday, January 24, 2025 8:30-12:30

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