CORRECT 100%
How can sessions be mother-focused? - ANSWER discover mother's concern
don't make sessions counselor-focused
How can the approach during counseling be effective? - ANSWER Be clearly open to
addressing mother's concerns
How can confidence be supported during counseling sessions? - ANSWER Clearly use
the interaction to build the mother's confidence
Why is it beneficial for moms to see other moms breastfeeding? What does research
say? - ANSWER 1. The decision to initiate breastfeeding is influenced more by
embodied knowledge than by gaining theoretical knowledge about its benefits
2. The decision doesn't come from prenatal education
3. Providers don't seem to adequately address family concerns about breastfeeding.
Why do families choose not to breastfeed? - ANSWER 1. Families think that formula
feeding is "easier"
2. They may be more comfortable with the idea of formula feeding.
Why would parents prefer formula feeding? - ANSWER 1. Families think that formula
feeding is "easier"
2. They may be more comfortable with the idea of formula feeding. So, it makes sense
that breastfeeding is discouraged during pregnancy when we 1) make breastfeeding
seem hard or "schoolish" or 2) focus on the advantages to the baby
What are the two interventions for improving breastfeeding? - ANSWER 1. Normalize
Breastfeeding
2. Positive Experiences Through Knowledgeable Peers
How can we normalize breastfeeding? - ANSWER Think about adult benefits due to
lactation - knowledge of breast cancer risk reduction may influence breastfeeding
practices
Change "fewer ear infections for the baby" to "you may have fewer pediatric visits for
ear infections"
Interact with people as though exclusive breastfeeding is the expected choice.
, "Women who decide not to breastfeed are not so much embracing this method of
feeding (formula) as rejecting breastfeeding"
How can we create positive experiences through knowleadgable peers? - ANSWER
Confidence and empowerment increased with group based peer counseling; videos
alone are ineffective
Peer counselors provide support, information, and social learning
Women's decision to breastfeed was found to be significantly associated with WIC peer
counselor contacts
La Leche League provides support, information and social learning through mother-to-
mother support
Mom2Mom, Global
What percentage of women met the DSM-IV criteria for PTSD after childbirth? What are
two conditions that significantly increase the odds? - ANSWER 9%
1) Depressive symptom scores
2) Total number of physical symptoms experienced since the birth
What should be focused on during sessions? - ANSWER 1. Providing less information
to help with recall
2. Communication centered around mothers' concerns
3. Supporting the desire to Exclusively Breastfeed
At what times are babies born with double the odds of supplementation? - ANSWER
10pm-9am
What is important to know about the start to successful breastfeeding? - ANSWER
Doulas can be used for more successful breastfeeding.
Pain medications are complicated with breastfeeding. Mothers with labor meds typically
need extra breastfeeding support. They may also have a delayed onset of "Milk Coming
In" (DOL)
What does research suggest in regards to the optimal start of breastfeeding? -
ANSWER - avoid longer durations, delay administration of epidurals
- conservative use of IV fluids
- close follow-up and good breastfeeding support
- continuous support in labor (doula)
- reduce the need for pharmacologic pain management through Lamaze or other
childbirth education, breathing and relaxation, hypnosis, acupuncture, acupressure etc