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	<title>Triangle Breastfeeding Alliance, Inc. &#187; Professionals</title>
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	<link>http://nctba.org</link>
	<description>Start Healthy Stay Healthy</description>
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		<title>Thomas Hale&#8217;s Latest Newsletter</title>
		<link>http://nctba.org/breastfeeding/thomas-hales-latest-newsletter/</link>
		<comments>http://nctba.org/breastfeeding/thomas-hales-latest-newsletter/#comments</comments>
		<pubDate>Sat, 05 Jun 2010 02:14:47 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Health/Illness]]></category>
		<category><![CDATA[Professionals]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=1251</guid>
		<description><![CDATA[Here is the latest Medications and More Newsletter. Here are some of the highlights of the newsletter. Article on Chocolate Formula produced by Mead Johnson Article on Asthma in Pregnancy Maximizing Your Creativity World Breastfeeding Social Networking]]></description>
			<content:encoded><![CDATA[<p style="font-size: 16px;">Here is the latest <a title="http://www.ibreastfeeding.com/category/newsletters/june-2010" href="http://www.ibreastfeeding.com/category/newsletters/june-2010" target="_blank">Medications and More Newsletter</a>.<a href="http://nctba.org/wp-content/uploads/2010/06/tom_hale.jpg"><img class="alignright size-medium wp-image-1252" style="margin: 20px;" title="tom_hale" src="http://nctba.org/wp-content/uploads/2010/06/tom_hale-214x300.jpg" alt="" width="193" height="270" /></a></p>
<p>Here are some of the highlights of the newsletter.</p>
<ul>
<li>Article on <strong>Chocolate Formula </strong>produced by Mead Johnson</li>
<li>Article on Asthma in Pregnancy</li>
<li>Maximizing Your Creativity </li>
<li>World Breastfeeding</li>
</ul>
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		<title>Hand Expression Video Link</title>
		<link>http://nctba.org/featured/hand-expression-video-link/</link>
		<comments>http://nctba.org/featured/hand-expression-video-link/#comments</comments>
		<pubDate>Sat, 05 Jun 2010 01:54:40 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[Professionals]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=1247</guid>
		<description><![CDATA[View a video link from our conference.]]></description>
			<content:encoded><![CDATA[<p><br class="spacer_" /></p>
<p style="text-align: center;"><a href="http://nctba.org/wp-content/uploads/2010/06/handexpressionspoon.jpg"><img class="size-full wp-image-1248 aligncenter" style="margin-top: 20px; margin-bottom: 20px;" title="handexpressionspoon" src="http://nctba.org/wp-content/uploads/2010/06/handexpressionspoon.jpg" alt="" width="270" height="201" /></a></p>
<p>For those of you who missed the awesome presentation at our conference or those of who did not see this video enough for our lecture &#8220;<em>Got Enough Milk?</em> <em>Milk Supply Issues: Pumping, Infertility, Older Mothers, and Adoptive Nursing&#8221; by </em>Diane Asbill, RN, IBCLC, Lactation Consultant for the Intensive Care Unit, UNC Hospitals, Chapel Hill, NC.</p>
<p><br class="spacer_" /></p>
<p style="font-size: 16px;">Here is the link to seeDr. Jane Morton&#8217;s video that Diane showed</p>
<p style="font-size: 16px;"><a title="http://newborns.stanford.edu/Breastfeeding/HandExpression.html" href="http://newborns.stanford.edu/Breastfeeding/HandExpression.html" target="_blank">Hand Expression Video</a></p>
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		<title>New Contraception Guidelines Could Undermine Breastfeeding Mothers</title>
		<link>http://nctba.org/breastfeeding/new-contraception-guidelines-could-undermine-breastfeeding-mothers/</link>
		<comments>http://nctba.org/breastfeeding/new-contraception-guidelines-could-undermine-breastfeeding-mothers/#comments</comments>
		<pubDate>Thu, 03 Jun 2010 02:37:25 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Health/Illness]]></category>
		<category><![CDATA[Professionals]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=1239</guid>
		<description><![CDATA[The new guidelines advise that the benefits of immediate progesterone contraception outweigh the risks, and that by 4 weeks, there is no risk.]]></description>
			<content:encoded><![CDATA[<p><span style="font-family: Calibri; font-size: x-small;">Academy</span><span style="font-family: Calibri; font-size: x-small;"> of Breastfeeding Medicine</span><span style="font-family: Calibri; font-size: x-small;"> responds to new CDC birth control guidelines.<a href="http://nctba.org/wp-content/uploads/2010/06/common-birth-control-methods.bmp"><img class="alignright size-full wp-image-1240" style="margin: 20px;" title="common-birth-control-methods" src="http://nctba.org/wp-content/uploads/2010/06/common-birth-control-methods.bmp" alt="" width="330" height="356" /></a></p>
<p> New contraception guidelines could undermine breastfeeding mothers<br />
 <a title="http://bfmed.wordpress.com/2010/05/28/new-contraception-guidelines-could-undermine-breastfeeding-mothers/" href="http://bfmed.wordpress.com/2010/05/28/new-contraception-guidelines-could-undermine-breastfeeding-mothers/" target="_blank">http://bfmed.wordpress.com/2010/05/28/new-contraception-guidelines-could-undermine-breastfeeding-mothers/</a></p>
<p> New Rochelle, NY, May 28 – New CDC birth control guidelines could undermine mothers who want to breastfeed.</p>
<p> The new guidelines advise that the benefits of immediate progesterone contraception outweigh the risks, and that by 4 weeks, there is no risk. Previously, progesterone birth control was not recommended for nursing  mothers until at least 6 weeks after birth, and combined hormonal methods were  not recommended for 6 months. In the new guidelines, combined pills are  rated as “generally acceptable” from 4 weeks.</p>
<p> “The new guidelines ignore basic facts about how breastfeeding works,” says Dr. Jerry Calnen, president of the Academy of Breastfeeding    Medicine. “Mothers start making milk due  to the natural fall in progesterone after birth. An injection of artificial progesterone could completely derail this process.”</p>
<p> Clinically, breastfeeding support providers report a negative impact on  breastfeeding when these methods are introduced too early, and one preliminary study  found dramatically lower breastfeeding rates at 6 months among mothers who  underwent early insertion of progesterone-containing IUDs, compared with insertion  at 6-8 weeks postpartum.</p>
<p> “The data are limited,” says Calnen, “but for now, the state of the science suggests that early progesterone exposure undermines breastfeeding.”</p>
<p> Family planning specialists argue that early hormonal birth control is necessary reduce unplanned pregnancies. However, the most commonly used  early method, DepoProvera, prevents pregnancy for only 12 weeks. “If a doctor feels a mother is so unreliable that she needs a birth control shot in  the delivery room, how likely is it that she will get her next dose 12 weeks  later?” Calnen asks. “There is no evidence that immediate postpartum injections delay the next pregnancy beyond the first 3 months.”</p>
<p> Dr. Miriam Labbok, director  of the Carolina Global Breastfeeding Institute and an expert on the interface  between breastfeeding and fertility, notes, “The mother should have the final decision on her birth control method, with full information.  Unfortunately, these methods are often given to women with little counseling. Women  deserve to the know that there is a potential risk.”</p>
<p> The ABM wrote to CDC Director Thomas Frieden in January urging  reconsideration of the guidelines. In his reply, Dr. Frieden described the new  recommendations as “the best interpretation of the existing evidence.”</p>
<p> Calnen is less confident. “Physicians and mothers should proceed with caution,” he says. “There are plenty of birth control methods that are proven to be safe for breastfeeding. Early progesterone is not one  of them.”</span></p>
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		<title>MEDICINES FOR BREASTFEEDING WOMEN: RISKY BUSINESS?</title>
		<link>http://nctba.org/breastfeeding/medicines-for-breastfeeding-women-risky-business/</link>
		<comments>http://nctba.org/breastfeeding/medicines-for-breastfeeding-women-risky-business/#comments</comments>
		<pubDate>Tue, 25 May 2010 01:38:52 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Health/Illness]]></category>
		<category><![CDATA[Professionals]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=1218</guid>
		<description><![CDATA[In the postpartum period, many women experience conditions which require
treatment with medicines, such as analgesics or antibiotics. However, pharmaceutical
companies remain cautious about the use of medicines in women who are lactating. Their
advice to physicians is usually to weigh the risks against the benefits. Yet, what are these
risks and benefits? ]]></description>
			<content:encoded><![CDATA[<p><a href="http://nctba.org/wp-content/uploads/2010/05/0511-0811-1717-0452_Prescription_Pad_and_Medicine_clipart_image.jpg"><a href="http://nctba.org/wp-content/uploads/2010/05/pharmacology.gif"><img class="aligncenter size-full wp-image-1222" title="pharmacology" src="http://nctba.org/wp-content/uploads/2010/05/pharmacology.gif" alt="" width="450" height="338" /></a><br />
</a></p>
<p>&#8220;In the postpartum period, many women experience conditions which require <br />
 treatment with medicines, such as analgesics or antibiotics.  However, pharmaceutical <br />
 companies remain cautious about the use of medicines in women who  are lactating. Their <br />
 advice to physicians is usually to weigh the risks against the  benefits. Yet, what are these <br />
 risks and benefits?&#8221;</p>
<p>Click <a title="https://www.novapublishers.com/catalog/product_info.php?products_id=15585" href="https://www.novapublishers.com/catalog/product_info.php?products_id=15585" target="_blank">here</a> to read more of this article.</p>
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		</item>
		<item>
		<title>Information on NCBFC Membership</title>
		<link>http://nctba.org/breastfeeding/information-on-ncbfc-membership/</link>
		<comments>http://nctba.org/breastfeeding/information-on-ncbfc-membership/#comments</comments>
		<pubDate>Sun, 09 May 2010 15:55:07 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Professionals]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=1136</guid>
		<description><![CDATA[We invite you to renew your annual NCBC membership for 2010.  Our membership calendar runs from January-December.]]></description>
			<content:encoded><![CDATA[<p><strong><em> Greetings From the North Carolina Breastfeeding Coalition </em></strong></p>
<p>We invite you to renew your annual NCBC membership for 2010.  Our membership calendar runs from January-December.</p>
<p><a href="http://nctba.org/wp-content/uploads/2010/05/Membership+Application1.doc">Membership Application</a></p>
<p>A committed membership helps to fulfill the <strong>North Carolina</strong><strong> Breastfeeding Coalition mission to promote, protect and support breastfeeding through a cooperative network of individuals, coalitions, agencies and organizations.</strong></p>
<p>Your membership renewal form and check for $20 can be mailed to:</p>
<p><strong>Victoria Brown</strong><strong> </strong></p>
<p><strong>5990 Beaman Old Creek Road</strong><strong></strong></p>
<p><strong>Walstonburg</strong><strong>, NC  27888-9186</strong><strong></strong></p>
<p>If you have already renewed your membership, please accept our sincere thanks!</p>
<p>Visit our website for meeting times, additional news, or to renew online today <a href="http://www.ncbfc.org/" target="_blank"></a><a title="http://www.ncbfc.org/" href="http://www.ncbfc.org/" target="_blank">http://www.ncbfc.org/</a></p>
<p>Thank you,</p>
<p>Doris Robinson, Chair</p>
<p>NCBC Membership Committee</p>
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		<item>
		<title>Breastfeeding-Friendly Awards for Businesses and Employers</title>
		<link>http://nctba.org/breastfeeding/breastfeeding-friendly-awards-for-businesses-and-employers/</link>
		<comments>http://nctba.org/breastfeeding/breastfeeding-friendly-awards-for-businesses-and-employers/#comments</comments>
		<pubDate>Tue, 27 Apr 2010 02:29:51 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Professionals]]></category>
		<category><![CDATA[Working Moms]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=1068</guid>
		<description><![CDATA[Breastfeeding–Friendly Businesses and Breastfeeding–Friendly Employers
Do you know of a company, healthcare office or church/synagogue or mosque that welcomes breastfeeding mothers and babies? If so, encourage them to apply for recognition.  Recognition is also available for Breastfeeding–Friendly Employers. There are $500 grants available to NC companies. ]]></description>
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<p style="color: #3324da;"><a href="http://www.ncbfc.org/"><img class="alignleft size-full wp-image-1081" style="margin: 50px; border: 0pt none;" title="ncbc" src="http://nctba.org/wp-content/uploads/2010/04/ncbc1.png" alt="" width="219" height="125" /></a><a href="http://nctba.org/wp-content/uploads/2010/04/ncbc.png"><br />
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<p style="color: #3324da;"><a href="http://www.usbreastfeeding.org/Portals/0/Coalitions/2010-NCSBC/Presentation-Handouts/Breakout-D2-Handouts.pdf"><img class="alignright size-full wp-image-1080" style="margin: 50px;" title="bcbfbanner" src="http://nctba.org/wp-content/uploads/2010/04/bcbfbanner2.jpg" alt="" width="232" height="70" /></a></p>
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<p style="text-align: center;"><strong>Due May 12, 2010</strong></p>
<p><strong>Breastfeeding–Friendly Businesses and Breastfeeding–Friendly Employers</strong></p>
<p>Do you know of  a company, healthcare office or church/synagogue or mosque that welcomes breastfeeding mothers  and babies? If so, encourage them to apply for recognition. They will  receive a window peel-off decal, a plaque and inclusion in the registry of  Breastfeeding–Friendly Businesses on the NC Breastfeeding Coalition’s website <a title="www.ncbfc.org " href="http://www.ncbfc.org " target="_blank">www.ncbfc.org </a>Recognition is also available for Breastfeeding–Friendly Employers. <strong>There are $500 grants available to NC  companies wanting to be more Breastfeeding–Friendly Businesses! </strong>Monies may be spent on improvements such as installing a sink, a door lock or  buying a comfortable chair. The deadline for grant applications is May 12<sup>th</sup>, 2010, but the recognition will be on-going. Simple applications  available here (insert link).</p>
<p><strong>The North Carolina Breastfeeding Coalition</strong> has made it a priority to help promote a woman’s right to meet her lactation needs in the workplace and in the community at large.  Part of the way we hope to achieve this is through our Business Case for Breastfeeding grant.  We recognize that one of the best ways to promote breastfeeding in public, is to have businesses recognized for their breastfeeding friendly policies.  We want women to know where they can breastfeed without worrying about being chastised.  We would like for businesses who are breastfeeding friendly to be recognized as a way of thanking them for their actions, as well as publicizing their policies to others.</p>
<p>If you know of any businesses or employers that are breastfeeding friendly, please encourage them to apply for recognition and/or a mini-grant to establish or expand their program.</p>
<p>The applications for recognition are available on the<strong> North Carolina Breastfeeding Coalition Website </strong>(<a title="www.ncbfc.org  " href="http://www.ncbfc.org  " target="_blank">www.ncbfc.org </a>), or you can contact the coordinator of the Business Case for Breastfeeding grant, Mimi McCully, at<a title="mimimccu@gmail.com" href="mailto:mimimccu@gmail.com" target="_blank"> mimimccu@gmail.com </a></p>
<p>Or Click here-<a href="http://nctba.org/wp-content/uploads/2010/04/NCBF-Business-Award.pdf">NCBF Business Award</a> or <a href="http://nctba.org/wp-content/uploads/2010/04/NCBF-Employer-Award-1.pdf">NCBF Employer Award</a></p>
<p>&#8220;The organizers feel that the applications explain the programs! Perhaps you could print the information sides and then link to the entire application so they can get the part to fill out. Whatever you feel is effective would be great – I just want to get the word out. Each company can apply for up to $500 to help make their business eligible for the recognition, but no one will apply if we who care about BF don’t spread the word!&#8221;</p>
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<p><a href="http://nctba.org/wp-content/uploads/2010/04/bcbfbanner.jpg"><br />
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		<title>New Infant Risk Center</title>
		<link>http://nctba.org/breastfeeding/new-infant-risk-center/</link>
		<comments>http://nctba.org/breastfeeding/new-infant-risk-center/#comments</comments>
		<pubDate>Sun, 25 Apr 2010 02:25:15 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Health/Illness]]></category>
		<category><![CDATA[Professionals]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=1061</guid>
		<description><![CDATA[Dr. Thomas Hale, who writes the indispensable Medications and Mothers Milk, has teamed up with the Laura W. Bush Institute for Women's Health to create an Infant Risk Center based at Texas Tech University.]]></description>
			<content:encoded><![CDATA[<h2>April 23, 2010</h2>
<h3>New Infant Risk Center to answer questions  about medications and breastfeeding</h3>
<p><a href="http://motherwear.typepad.com/.a/6a00d8341bf69953ef0133ec72db34970b-pi"><img title="IRlogo300wide" src="http://motherwear.typepad.com/.a/6a00d8341bf69953ef0133ec72db34970b-800wi" border="0" alt="IRlogo300wide" /></a> Dr. Thomas Hale, who writes the indispensable <a title="http://www.amazon.com/Medications-Mothers-Milk-Lactational-Pharmacology/dp/0981525725/ref=sr_1_1?ie=UTF8&amp;s=books&amp;qid=1270380920&amp;sr=1-1" href="http://www.amazon.com/Medications-Mothers-Milk-Lactational-Pharmacology/dp/0981525725/ref=sr_1_1?ie=UTF8&amp;s=books&amp;qid=1270380920&amp;sr=1-1" target="_blank">Medications and Mothers Milk</a>, has teamed up with  the<a title="http://www.ttuhsc.edu/lwbiwh/" href="http://www.ttuhsc.edu/lwbiwh/" target="_blank"> Laura W.  Bush Institute for Women&#8217;s Health</a> to create an <a title="http://www.ttuhsc.edu/infantrisk/" href="http://www.ttuhsc.edu/infantrisk/" target="_blank">Infant Risk  Center</a> based at Texas Tech University.</p>
<p>Currently there are two  references for checking the safety of medication use during  breastfeeding, and neither work that well.  Medications and Mothers Milk  is the gold standard for information on this, but many doctors offices  and pharmacists don&#8217;t have it, and it&#8217;s too expensive for most moms to  purchase.  It&#8217;s also updated every two years, so it can&#8217;t be thoroughly  up to date.  Dr. Hale also runs a discussion board for professionals,  but moms can&#8217;t ask questions directly.  The other resource is the  website <a title="http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" href="http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT" target="_blank">Lactmed</a>, run by the National Institutes of Health,  but I&#8217;ve found it to be less comprehensive, and it doesn&#8217;t have ranking  system for ease of understanding relative risk (Hale uses a scale of L1  to L5).</p>
<p>That&#8217;s why I&#8217;m very excited about this new resource,  which will make a lot of information available online to mothers and  health professionals alike.</p>
<p>Most exciting is that the center &#8220;Will accept <em><strong>phone questions from women</strong></em>, physicians,  and other health care providers about the use of specific drugs in pregnant or breastfeeding women.&#8221;  This will be incredibly helpful.</p>
<p>The Center will also:</p>
<ul>
<li>Provide the largest source of data on the use of medications in  breastfeeding mothers in the world</li>
<li>Provides a website and online databases to be used by every major  university in the USA</li>
<li>Engages on web forum with more than 13,000 registered health care  professionals from around the world</li>
<li>Disseminate information concerning the use of medications and other  substances in pregnant and breastfeeding mothers</li>
<li>Produce a large clinical case management system that will ultimately provide evidence on the outcome of exposure to drugs and what women and their health care professionals should expect</li>
</ul>
<p>Source: <a title="http://breastfeeding.blog.motherwear.com/2010/04/infant-risk-center-to-answer-questions-about-medications-and-breastfeeding.html" href="http://breastfeeding.blog.motherwear.com/2010/04/infant-risk-center-to-answer-questions-about-medications-and-breastfeeding.html" target="_blank">Motherwear&#8217;s Breastfeeding Blog</a></p>
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		<title>Research On Breast Refusal and Inability To Latch</title>
		<link>http://nctba.org/breastfeeding/research-on-breast-refusal-and-inability-to-latch/</link>
		<comments>http://nctba.org/breastfeeding/research-on-breast-refusal-and-inability-to-latch/#comments</comments>
		<pubDate>Thu, 15 Apr 2010 03:28:11 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Professionals]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=1017</guid>
		<description><![CDATA[A quick survey on what health care practitioners do to help get a not-yet latching baby to the breast. ]]></description>
			<content:encoded><![CDATA[<p style="text-align: center;"><a href="http://nctba.org/wp-content/uploads/2010/04/clipboard.jpg"><img class="aligncenter size-full wp-image-1018" style="margin: 25px; border: 0pt none;" title="clipboard" src="http://nctba.org/wp-content/uploads/2010/04/clipboard.jpg" alt="" width="255" height="265" /></a></p>
<p>HI All,</p>
<p>We are conducting a  quick survey on what <strong><em>health care  practitioners</em></strong> do  to help get a not-yet latching baby to the breast.  There are only 10 questions in the survey, it is  very quick, and it is anonymous.    Please click the link (below) to Survey Monkey and fill in the questionnaire.  The deadline is Friday April; 23<sup>rd</sup>.   We would appreciate your immediate help with this.  Thank you!!!</p>
<p><a title="http://www.surveymonkey.com/s/nbci" href="http://www.surveymonkey.com/s/nbci" target="_blank">http://www.surveymonkey.com/s/nbci</a></p>
<p>Please forward this  email to any and all who you think might interested or able to help.</p>
<p>Thanks for your  cooperation!</p>
<p>E</p>
<p>EDITH KERNERMAN, International Board Certified Lactation Consultant<br />
Co-Director,  Co-Founder, NBCI</p>
<p><em>Newman Breastfeeding Clinic &amp; Institute</em></p>
<p><em>in the Canadian College of Naturopathic Medicine</em></p>
<p><em>1255 Sheppard Avenue East</em></p>
<p><em>Toronto</em><em>, ON  M2K 1E2</em></p>
<p><em>416-498-0002  phone</em></p>
<p><em>416-498-0012  fax</em></p>
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		<title>Baby Friendly Designation News</title>
		<link>http://nctba.org/breastfeeding/baby-friendly-designation-news/</link>
		<comments>http://nctba.org/breastfeeding/baby-friendly-designation-news/#comments</comments>
		<pubDate>Fri, 09 Apr 2010 01:56:58 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Media]]></category>
		<category><![CDATA[Professionals]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=995</guid>
		<description><![CDATA[First NC hospital with Baby Friendly Designation.]]></description>
			<content:encoded><![CDATA[<p><em>Triangle Breastfeeding Alliance would like to extend our congratulations to Mission Hospital on their accomplishments.  Hooray for you!</em></p>
<p><strong>Friends/Breastfeeding  Advocates,<a href="http://nctba.org/wp-content/uploads/2010/04/baby-friendly.gif"><img class="alignright size-full wp-image-996" style="margin: 25px;" title="baby friendly" src="http://nctba.org/wp-content/uploads/2010/04/baby-friendly.gif" alt="" width="164" height="142" /></a></strong></p>
<p><strong> </strong></p>
<p><strong>Our other hospitals that have filed letters of intent are  not f</strong><strong>I wanted to let you know  that Baby  Friendly USA has confirmed  that Mission Hospital in Asheville is the  first  hospital in North  Carolina to receive the Baby Friendly Designation from  Baby  Friendly  USA. </strong><strong>ar  behind. I expect that we will have a few additions to the list by the  fall! </strong></p>
<p><strong> </strong></p>
<p><strong> </strong></p>
<p><strong>Catherine  S. Sullivan, MPH, RD, LDN, IBCLC, RLC</strong><strong><br />
State Breastfeeding  Coordinator</strong><strong>Nutrition  Services Branch<br />
N<strong>orth  Carolina</strong></strong><strong> Division of Public Health</strong><strong><br />
(o)  252-321-7184<br />
(f)  252-321-8291<a title="catherine.sullivan@dhhs.nc.gov" href="mailto:catherine.sullivan@dhhs.nc.gov" target="_blank"><br />
catherine.sullivan@dhhs.nc.gov</a><br />
Mailing  Address:<br />
P<strong>.O.  Box</strong></strong><strong> 20756<strong><br />
Greenville</strong>,  NC 27858</strong></p>
<p><strong>The Ten Steps To Successful Breastfeeding</strong></p>
<p>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:</p>
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<td>1.Have a written breastfeeding policy that is routinely communicated to all health care staff.</p>
<p>2.Train all health care staff in skills necessary to implement this policy.</p>
<p>3.Inform all pregnant women about the benefits and management of breastfeeding.</p>
<p>4.Help mothers initiate breastfeeding within one hour of birth.</p>
<p>5.Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants.</p>
<p>6.Give newborn infants no food or drink other than breastmilk, unless medically indicated.</p>
<p>7.Practice “rooming in”&#8211; allow mothers and infants to remain together 24 hours a day.</p>
<p>8.Encourage breastfeeding on demand.</p>
<p>9.Give no pacifiers or artificial nipples to breastfeeding infants.</p>
<p>10.Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic</td>
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		<title>Proposed Healthy People 2020 Objectives For Breastfeeding</title>
		<link>http://nctba.org/featured/proposed-healthy-people-2020-objectives-for-breastfeeding/</link>
		<comments>http://nctba.org/featured/proposed-healthy-people-2020-objectives-for-breastfeeding/#comments</comments>
		<pubDate>Wed, 07 Apr 2010 03:01:10 +0000</pubDate>
		<dc:creator>NCTBA.org</dc:creator>
				<category><![CDATA[Breastfeeding]]></category>
		<category><![CDATA[Featured]]></category>
		<category><![CDATA[Health/Illness]]></category>
		<category><![CDATA[Professionals]]></category>
		<category><![CDATA[Working Moms]]></category>

		<guid isPermaLink="false">http://nctba.org/?p=986</guid>
		<description><![CDATA[While general in nature, 0bjectives offer specific, important areas of emphasis where action must be taken if the United States is to achieve better health by the year 2020. We are focusing on the breastfeeding objectives]]></description>
			<content:encoded><![CDATA[<p style="text-align: left;"><a href="http://nctba.org/wp-content/uploads/2010/04/HealthyPeople-2020.gif"><img class="aligncenter size-full wp-image-987" title="HealthyPeople 2020" src="http://nctba.org/wp-content/uploads/2010/04/HealthyPeople-2020.gif" alt="" width="135" height="66" /></a></p>
<p style="text-align: left;"><strong>These are the proposed Healthy People 2020 Objectives for breastfeeding</strong></p>
<p>Source: <a title="http://www.healthypeople.gov/default.htm" href="http://www.healthypeople.gov/default.htm" target="_blank">Heathly People 2010</a></p>
<ul>
<li>
<h4><a title="http://www.healthypeople.gov/hp2020/Objectives/ViewObjective.aspx?Id=177&amp;TopicArea=Maternal%2c+Infant+and+Child+Health&amp;Objective=MICH+HP2020%E2%80%9312&amp;TopicAreaId=32" href="http://www.healthypeople.gov/hp2020/Objectives/ViewObjective.aspx?Id=177&amp;TopicArea=Maternal%2c+Infant+and+Child+Health&amp;Objective=MICH+HP2020%E2%80%9312&amp;TopicAreaId=32" target="_blank">Increase the proportion  of mothers who breastfeed their babies</a>The U.S. Breastfeeding Committee (USBC) applauds the retention of this  objective. Ever since the health objectives for 1990 were published in  1980, better infant feeding practice has been a national health goal.  Improvements are sought in three areas: initiation (more mothers taking  up breastfeeding), duration (more babies being breastfed at six and  twelve months of age), and quality (higher rates of exclusive  breastfeeding). There is ample and increasing evidence that these  improvements would bring positive health effects—-short-term and long-  term—-for both mother and child, the two partners in the breastfeeding  relationship.</h4>
</li>
<li>
<h4><a title="http://www.healthypeople.gov/hp2020/Objectives/ViewObjective.aspx?Id=201&amp;TopicArea=Maternal%2c+Infant+and+Child+Health&amp;Objective=MICH+HP2020%E2%80%9326&amp;TopicAreaId=32" href="http://www.healthypeople.gov/hp2020/Objectives/ViewObjective.aspx?Id=201&amp;TopicArea=Maternal%2c+Infant+and+Child+Health&amp;Objective=MICH+HP2020%E2%80%9326&amp;TopicAreaId=32" target="_blank">Increase the percentage  of employers who have worksite lactation programs.</a>The U.S. Breastfeeding Committee  (USBC) welcomes this objective, which  addresses the workplace as a key social and physical environment for  many mothers. In 2003 more than half the mothers of infants were working  for pay. Without worksite lactation support, many U.S. mothers begin  giving formula or completely wean their babies when they return to work.  Some women never even start breastfeeding, knowing that, lacking paid  leave, they will have to be back at work in just a few weeks.</h4>
</li>
<li>
<h4><a title="http://www.healthypeople.gov/hp2020/Objectives/ViewObjective.aspx?Id=202&amp;TopicArea=Maternal%2c+Infant+and+Child+Health&amp;Objective=MICH+HP2020%E2%80%9327&amp;TopicAreaId=32" href="http://www.healthypeople.gov/hp2020/Objectives/ViewObjective.aspx?Id=202&amp;TopicArea=Maternal%2c+Infant+and+Child+Health&amp;Objective=MICH+HP2020%E2%80%9327&amp;TopicAreaId=32" target="_blank">Decrease the percentage  of breast-fed newborns who receive formula supplementation within the  first 2 days of life.</a> The U.S. Breastfeeding Committee supports the inclusion of this new  objective. Formula is seldom medically necessary, yet in some U.S.  hospitals, a significant number of breastfed babies are reported to  receive formula during their hospital stay.  Formula permanently changes  the gut flora and impacts the immune system. Banked human milk is  available and would avoid these outcomes of formula use, but hospitals  seldom offer banked human milk for healthy full-term babies.</h4>
</li>
<li>
<h4><a title="http://www.healthypeople.gov/hp2020/Objectives/ViewObjective.aspx?Id=203&amp;TopicArea=Maternal%2c+Infant+and+Child+Health&amp;Objective=MICH+HP2020%E2%80%9328&amp;TopicAreaId=32" href="http://www.healthypeople.gov/hp2020/Objectives/ViewObjective.aspx?Id=203&amp;TopicArea=Maternal%2c+Infant+and+Child+Health&amp;Objective=MICH+HP2020%E2%80%9328&amp;TopicAreaId=32" target="_blank">Increase the percentage  of live births that occur in facilities that provide recommended care  for lactating mothers and their babies.</a> The U.S. Breastfeeding Committee  (USBC) supports this objective. It is a  key to improving both breastfeeding duration and breastfeeding quality.  We suggest a slight re-wording: Increase the percentage of births  that occur in facilities which provide care for mothers and babies  consistent with the WHO/UNICEF “Ten Steps to Successful Breastfeeding.”</h4>
</li>
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