Solano County Baby and Me Meetings
Solano County Resources
San Diego: Supporting Premature Infant Nutrition (SPIN) UC San Diego Hospital
Premature infants who receive human breast milk have the best outcomes
—medically, nutritionally, and developmentally.
The Supporting Premature Infant Nutrition (SPIN) program was developed to address
the challenges of helping mothers produce sufficient breast milk for their
premature infants, and to improve the manner in which
neonatal intensive care unit (NICUs) support optimal nutrition and growth
in their most vulnerable population of patients.
United Kingdom: Ways of supporting your sick or premature baby
A Preemie Needs His Mother: First Steps to Breastfeeding Your Premature Baby
Dr. Jane Morton - http://www.breastmilksolutions.com/ or call 1-888-JMORTON (566-7866).
Transitioning Newborns from NICU to Home: A Resource Toolkit by the
Agency for Healthcare Research and Quality The toolkit provides resources for hospitals
that wish to improve safety when newborns transition home from their neonatal intensive
care unit (NICU) by creating a Health Coach Program, tools for coaches, and information
for parents and families of newborns who have spent time in the NICU
Premature Baby: Late Preterm - 34 0/7 to 36 6/7 weeks gestation
Academy of Breastfeeding Medicine: Breastfeeding the Late Preterm Infant - June 2011
California Perinatal Quality Care Collaborative (CPQCC)
Care and Management of the Late Preterm Infant Toolkit (February 2013)
Nutritional Support of the Very Low Birthweight Infant Toolkit (DECEMBER 2008)
National Perinatal Association Multidisciplinary Team Guidelines
Prenatal Education (See Pregnancy Preparation)
California Model Hospital Policy #3:The hospital will encourage medical staff to perform a
breast exam on all pregnant women and provide anticipatory guidance for conditions
that could affect breastfeeding. Breastfeeding mothers will have an assessment of the
breast prior to discharge and will receive anticipatory guidance regarding conditions
that might affect breastfeeding.
Baby Friendly Hospital Policy:
Inform all pregnant women about the benefits and management of breastfeeding
See Q & A on Step 3
Carolina Global Breastfeeding Institute
Ready, Set, BABY Materials Training
Tools and Recommendations for Action (links to materials in English and Spanish)
American Academy of Pediatrics:
Breastfeeding Residency Curriculum
Health Professionals Resource Guide
Academy Of Breastfeeding Medicine
International Board of Lactation Consultant Examiners (IBLCE)
Information about becoming an IBCLC
California Breastfeeding Coalition
Conferences and Programs
International Lactation Consultant Association (ILCA):
Directory of Course Providers
Directory of Lactation Management Courses
Lactation Education Accreditation and Approval Review Committee (LEAARC)
Source for Course Provider to get approvals
United States Lactation Consultant Association (USLCA): Education Resources
Protect Breastfeeding Poster
Proyecto Lacta - http://www.prlacta.org/
Breastfeeding information in Spanish – Puerto Rico
Pharmasoft publishing : http://www.ibreastfeeding.com/
Pumping - (see also "Breast Pumps")
Hands on Pumping Handout
Hands on pumping video
UK Baby Friendly Guidelines - Breastmilk expression checklist
Record for mothers who are pumping for babies who do not breastfeed well or are in Intensive Care (PDF)
La Leche League Pumping Log
UC San Diego logs - English and Spanish:
Radiological Tests - (x-Ray, MRI, Ultrasound) usually no problem with breastfeeding
Breastfeeding and Radiological Procedures
Radio-contrast materials and breastfeeding
Breastfeeding and the Use of Contrast Dyes for Maternal Tests
Poster with information about Contrast Dyes for Maternal Tests:
Download Poster Front (PDF file)
Download Poster Back (PDF file)
Additional resources for MDs and Radiologists:
Infant Risk Center: 806-352-2519 (Monday-Friday 9 am to 6 pm EST)
Medications and Mothers' Milk (2012) by Thomas W. Hale, Phd,
clinical pharmacologist, professor at Texas Tech University School of Medicine
Use of Radioisotopes (and other imaging agents) during lactation
Relactation (See "Induced Lactation")
Four Friends (Adoptive Breastfeeding Website):
Infant and Young Child Feeding in Emergencies
Relactation/Wet nursing: Relactation in difficult circumstances: rising to the challenge
Reverse Pressure Softening - to help mothers deal with Engorgement
References: (English) and Spanish
Handouts: (English) (Spanish)
California Model Hospital Policy #9: Mothers and infants should be encouraged
to remain together during the hospital stay.
Baby Friendly Policy # 7:Practice “rooming in”-- allow mothers and infants to remain together 24 hours a day.
Secrets of Baby Behavior : http://www.secretsofbabybehavior.com
The UC Davis Lactation Center maintains an excellent website which provides true
evidence-based information written by researchers who are also experiencing, or
have experienced childbirth and the trials and tribulations of being new parents:
You may find it helpful to start with the first five, starting with:
- It’s Not Rocket Science
- Baby Behavior Basics Part 1 - Three Reasons Why Babies Don’t Sleep Through the Night
- Baby Behavior Basics Part 2 - The Many Moods of Babies.
- Baby Behavior Basics Part 3: Learning and Creating Your Baby’s Special Language.
- Baby Behavior Basics Part 4: Crying: Your Baby’s Super Power.
Scholarly literature search ; http://www.scholar.google.com
SIDS (see Sudden Infant Death and Co-Sleeping)
Simply Herbal: www.ncsimplyherbal.com/index.php
Skin to Skin Contact: http://www.skintoskincontact.com/home.aspx
Skin to skin in an NICU: http://vimeo.com/48071046
Cochrane Report: Early skin-to-skin contact for mothers and their healthy newborn infants (Review)
California Model Hospital Policy #5:Nurses, certified nurse midwives, and physicians
should encourage new mothers to hold their newborns skin to skin during the
first two hours following birth and as much as possible thereafter, unless contraindicated.
Baby Friendly Step 4:Help mothers initiate breastfeeding within one hour of birth
Infant sleep: Secrets of Baby Behaviors; The Science of Infant Sleep
Why we don't like Sleep Training for Infants: Part I, Part II
KellyMom: Breastfeeding and Cigarette Smoking
If I smoke, can I still breastfeed?
La Leche League International: www.llli.org/faq/smoking.html
Is it safe for a smoker to breastfeed her baby?
What about using the nicotine patch and other smoking cessation aids?
Starting Solids - Baby Led Weaning:
Gil Rapley: www.rapleyweaning.com
Healthcare professionals’ and mothers’ knowledge of, attitudes to and experiences with,
Baby-Led Weaning: a content analysis study
BMJ Open 2012;2:e001542 doi:10.1136/bmjopen-2012-001542
Utilizing the Baby-led weaning: English Website: http://www.babyledweaning.com/
Baby Led Weaning - Spanish website: http://www.babyledweaning.es/
Frequently Asked Questions: http://www.llli.org/nb/nbsolids.html
Secrets of Baby Behavior: Starting Solids it's worth the wait.
Spanish breastfeeding information
BreastMilk Counts: www.breastmilkcounts.com/spanish
La Leche League: www.llli.org/LangEspanol.html
US Gov: www.womenshealth.gov/espanol/la-lactancia/
Dar de Mamar: www.dardemamar.com/introduccion.htm
Proyecto Lacta (Puerto Rico – high reading level) http://www.prlacta.org/
Women’s Health *Spanish* www.womenshealth.gov/espanol/la-lactancia/
Practicing Medical Spanish: www.practicingspanish.com/index.html
Teach Me Medical Spanish: http://www.123teachme.com/learn_spanish/medical-spanish
Solano County Fact Sheet - 2011: (27th in the state in Exclusive Breastfeeding Rates)
This improvement in initiation represents the largest annual increase over the previous decade.
Breastfeeding at 6 months increased from 44.3% to 47.2%;
Breastfeeding at 12 months increased from 23.8% to 25.5%.
Stopping breast milk production (see "Suppression of Breast Milk Production")
Storage of Breast Milk
La Leche League Update: www.llli.org/docs/0_babupdate/07babupdatemilkstorage.pdf
Academy of Breastfeeding Medicine Protocol #8:
Human Milk Storage Information for Home Use for Full-Term Infants (updated 2010)
Dr. Jack Newman instructions on expressing milk.
Wash hands prior to pumping, and wash pump and bottles carefully,
especially when pumping for a baby in intensive care.
Student Rights to Breastfeed
California Education Code Related to
Lactation Accommodation in California Public Schools
(Added by Stats. 2015, Ch. 690, Sec. 2. Effective January 1, 2016.)
Facts About Lactation Accommodation in California Public Schools
Report on Pregnant and Parenting Students, from California (See Press Release)
The American Civil Liberties Union of California has released a new report entitled:
Breaking Down Educational Barriers for California's Pregnant & Parenting Students.
The report contains four key findings, including:
- a lack of adequate spaces to breastfeed or express human milk,
- state and district level recommendations to create more equitable access to quality education.
The ACLU of Northern California also has released the student guide:
Know Your Rights: Pregnant & Parenting Students.
Students and Breastfeeding: Advocating for Pregnant and Parenting Students
Students should have rights to pump on Campus
Sudden Infant Death and Co-Sleeping
Infant Sleep Information Source (www.ISISonline.org.uk)
CDPH: Guidance for Local Health Jurisdictions and Communities Addressing Infant Safe Sleep Environments
Safe Sleep for You and Your Baby : A Guide for Breastfeeding Families
Supplementation Protocol - Academy of Breastfeeding Medicine
How much to supplement www.lowmilksupply.org/supplementing-howmuch.shtml
Finish at the Breast: www.lowmilksupply.org/finishatthebreast.shtml
At-breast supplementors: www.lowmilksupply.org/abs.shtml
Medela Supplemental Nursing System
Bottle feeding as a tool to support breastfeeding: www.bfar.org/bottlefeeding.pdf
Haberman Feeder - video on its use: http://www.youtube.com/watch?v=dTXafdt1Ykw
Inserting a lactation aid: (Dr. Jack Newman Video)
Suppression of Breast Milk Production
Tandem Breastfeeding - breastfeeding two or more children of different ages
La Leche League:
BreastMilkCounts website: http://www.breastmilkcounts.com/index.php
Encouraging a Teen mom to Breastfeed: http://www.kellymom.com/bf/start/prepare/teenbf.html
California Department of Public Health: Infant Feeding Guidelines:
Texas WIC Class for Teen Moms: http://www.dshs.state.tx.us/wichd/nut/pdf/bf00015-s.pdf
Video: Better Breastfeeding: A Guide for Teen Parents http://injoyvideos.com/product.php?proid=95
Ten Steps to Successful Breastfeeding www.euro.who.int/nutrition/infant/20020808_1
Texas Breastfeeding Promotion, Texas Department of State Health Services
Texting Breastfeeding Information:
Breastfeeding Texting Campaign, from NY
The New York City Department of Health and Mental Hygiene has launched Mobile Milk,
a text messaging campaign to encourage and support breastfeeding. Text messages are
delivered between 28 weeks of pregnancy and four months after birth. During pregnancy,
women receive 1–2 messages per week, which provide information and tips for preparing
to breastfeed. After delivery, mothers receive text messages 3–4 times per week, providing
guidance and support during the first weeks and months of breastfeeding.
To sign up, text "MILK" to 877877.
Yeast Infections and Thrush - Pictures
Kellymom: Thrush Resources
Dr. Jack Newman Candida Protocol (2009)
Using Gentian Violet (2009)
Dr. Jay Gordon: The Identification and Treatment of Thrush
La Leche League International: Is thrush causing my sore nipples (2006)
CAUTION - at times it is not Thrush, but other medical or mechanical issues:
It's Thrush - or is it?
If mother and baby are both receiving treatment for Thrush and report little relief in 3 – 4 days:
• Conduct a re-assessment of breastfeeding: Positioning and latch, tongue tie, etc. AND
• Refer back to Primary caregivers to rule out other causes (i.e. Raynaud’s, bacterial infections, etc.)
Tongue Tie (Ankyloglossia) (Also see "Frenulum" pictures and assessment)
American Academy of Pediatrics:
Frenotomy for breastfed tongue-tied infants: a fresh look at an old procedure (2012)
CONGENTIAL TONGUE-TIE AND ITS IMPACT ON BREASTFEEDING (2004)
California Perinatal Quality Care Consortium; Tongue Tie:
Cincinnati Children's Hospital and Medical Center (CCHMC) Grand Rounds.
Much will not be new for IBCLCs, but listen to the discussion near the end:
Dr. James Murphy’s Clinical Pearl for diagnosing tongue tie:
Dr. Lawrence Kotlow PowerPoint: http://kiddsteeth.com/articles/breastfeedingdrkotlowtx.pdf
Dr. Kotlow demonstrates how to assess a posterior tongue tie:
Dr. Kotlow articles and publications: www.kiddsteeth.com/articles.html
Hazelbaker Score Assessment for Tongue Tie: http://tonguetie.ballardscore.com/video1.htm
Swallow study (using Haberman feeder) of a baby with tongue tie:
Tongue Tie: from confusion to clarity:
Questions and answers:
An Interview with Catherine Watson-Genna (www.newmommymedia.com)
Starts at 6 minutes, but has an excellent point r/t child care and lack of support for breastfeeding moms
Brian Palmer DDS Powerpoints, presentations and videos: http://www.brianpalmerdds.com/
Breastfeeding a baby with tongue tie: www.kellymom.com/babyconcerns/bfhelp-tonguetie.html
Tell me about tongue ties (Breastfeeding USA)
Tongue Tie help (Catherine Watson-Genna) http://www.cwgenna.com/quickhelp.html
Birth Boot Camp: Tongue Tie and Breastfeeding
Post Surgery Exercises:
Pediatrician Dr.Rajeef Agarwal: Post Fenotomy Exercises
TOXNET:Drugs and other chemicals to which breastfeeding mothers may be exposed
LactMed: Drugs and Lactation Database.
"Breastfeeding should not be discouraged for women being treated with the first-line
antituberculosis drugs because the concentrations of these drugs in breast milk are
too small to produce toxicity in the nursing newborn. For the same reason, drugs
in breast milk are not n effective treatment for TB disease or LTBI in a nursing
infant. Breastfeeding women taking INH should also take pyridoxine (vitamin B6)
supplementation." (Centers for Disease Control and Prevention)
(If Newly-delivered mother was recently diagnosed, she may need temporary
interruption when initiating medications) New York State Department of Health
Toddler and Beyond - Breastfeeding
Breastfeeding After A Year
Best for Babes
La Leche League
KellyMom-Breastfeeding Past Infancy
With Baby: Lactation Training: Tips for traveling with your baby
Without Baby: Lacation Training: Tips for traveling without your baby
Tru-Breast ( Humor ) www.gentleparenting.com/breastfeeding_humor.html
Karen Gromada : www.karengromada.com/
Multiple Birth (Center for the Study of ) http://www.multiplebirth.com/
Twins(Position photo) www.breastfeeding.com/helpme/helpme_images_twins.html
Twins: Attachment Parenting http://breastfeedingtwins.tripod.com/MainPages/index.html
Twins discussion group: http://groups.yahoo.com/group/apmultiples/
Twin to Twin Transfusion Syndrome (TTTS) Foundation
UC Davis Human Lactation Center http://lactation.ucdavis.edu/links/index.html
UC Davis Breastfeeding Support Program
United States Breastfeeding Committee (USBC) http://www.usbreastfeeding.org/
UNICEF – United Nations Children’s Fund/Breastfeeding
Upledger Institute ( CST Practitioners & Training ) http://www.upledger.com/
U.S. DHHS, Office on Women’s Health, National Women’s Health Information Center
U.S. Department of Health & Human Services (US DHHS) www.hhs.gov/
U.S. Department of Health and Human Services Health Resources and Services Administration www.ask.hrsa.gov/
Breastfeeding.com video clips: www.breastfeeding.com/helpme/helpme_video.html
(see their “Old” section for more…)
International Breastfeeding Centre (Dr. Jack Newman): English Spanish
Inserting a lactation Aid
Tongue tie release
Other video clips by Dr. Jack Newman: (Link)
The Magical Hour: http://www.magicalhour.com/
Based on the research of Anne Marie Widstrom's 9 stages after birth:
- Stage 1: The Birth Cry The first stage is the birth cry. This distinctive cry occurs immediately after birth as the baby’s lungs expand.
- Stage 2: Relaxation The second stage is the relaxation stage. During the relaxation stage, the newborn exhibits no mouth movements and the hands are relaxed. This stage usually begins when the birth cry has stopped. The baby is skin to skin with the mother and covered with a warm, dry towel or blanket.
- Stage 3: Awakening The third stage is the awakening stage. During this stage the newborn exhibits small thrusts of movement in the head and shoulders. This stage usually begins about 3 minutes after birth. The newborn in the awakening stage may exhibit head movements, open his eyes, show some mouth activity and might move his shoulders.
- Stage 4: Activity The fourth stage is the activity stage. During this stage, the newborn begins to make increased mouthing and sucking movements as the rooting reflex becomes more obvious. This stage usually begins about 8 minutes after birth.
- Stage 5: Rest At any point, the baby may rest. The baby may have periods of resting between periods of activity throughout the first hour or so after birth.
- Stage 6: Crawling The sixth stage is the crawling stage. The baby approaches the breast during this stage with short periods of action that result in reaching the breast and nipple. This stage usually begins about 35 minutes after birth.
- Stage 7: Familiarization The seventh stage is called familiarization. During this stage, the newborn becomes acquainted with the mother by licking the nipple and touching and massaging her breast. This stage usually begins around 45 minutes after birth and could last for 20 minutes or more.
- Stage 8: Suckling The eighth stage is suckling. During this stage, the newborn takes the nipple, self attaches and suckles. This early experience of learning to breastfeed usually begins about an hour after birth. If the mother has had analgesia/anesthesia during labor, it may take more time with skin to skin for the baby to complete the stages and begin suckling.
- Stage 9: Sleep The final stage is sleep. The baby and sometimes the mother fall into a restful sleep. Babies usually fall asleep about 1½ to 2 hours after birth.
Patient DVD/Video Resources/Information
Getting to Know Your Baby: http://www.youtube.com/watch?v=eX2ijdLnIJU
Hand expression: http://newborns.stanford.edu/Breastfeeding/HandExpression.html
Laid Back Breastfeeding (Biological Nurturing) http://www.biologicalnurturing.com/
Maximizing pumping production: http://newborns.stanford.edu/Breastfeeding/MaxProduction.html
Nursing Is Normal: http://www.youtube.com/watch?v=Ex2dSucfimo
Breastfeeding Videos by Nancy Mohrbacher - great to provide links to moms
Breastfeeding Naturally: New Zealand Health Ministry (New Zealand Accents!)
Teach me how to breastfeed - Fun way to learn the facts about breastfeeding
Ways of supporting your sick or premature baby
Small Wonders on-line
Skin to skin in an NICU
Bathing your baby: Daddy giving the first bath to a preemie and parents learn to care for their preemie
From Bump to Breastfeeding:
Baby led weaning - allowing baby to start solid foods on their own - see "Solids"
Frequently Asked Questions: http://www.llli.org/nb/nbweaning.html
Weaning Techniques: www.kellymom.com/bf/weaning/weaning_techniques.html
Weaning due to Medical conditions or medications:
Temporary suspension of breastfeeding (even for a short period of time)
Permanent cessation of breastfeeding (contact baby's health care provider to discuss appropriate feeding choices)
Weight Loss Surgery and Breastfeeding (see "Bariatric Surgery")
Weight loss charts: 7%, 10% as well as Weight Loss Calculator
weight tool (Newborn): https://www.newbornweight.org/
These newborn weight loss nomograms demonstrate percentiles for weight loss by delivery mode
for those who are exclusively breastfed. The nomograms can be used for early identification of
neonates on a trajectory for greater weight loss and related morbidities.
Womanly Art of Breastfeeding: http://www.llli.org/thewomanlyartofbreastfeeding
Women’s Health *Spanish* www.womenshealth.gov/espanol/la-lactancia/
Wellstart International www.wellstart.org/
WIC – Food & Nutrition Service FNS USDA
Loving support makes breastfeeding work
Loving Support Peer Counselor Training
WIC - California:
Handouts for Moms:
WIC - Solano County
Working Mothers: (See also: "Lactation Accommodation Law", "Child Care", "Bottle Feeding")
Supporting Nursing Moms at Work: Employer Solutions: from www.womenshealth.gov
Resources: Eng/Sp Handouts for parents and caregivers.
Self Advocacy Tool Kit
California Department of Public Health (CDPH):
Going Back to Work or School website:
Information for CDPH employees:
Pumping Strategies for Working Mothers:
Work and pump
Video: Maximizing milk production through hand expression
Example of Workplace Lactation Consultants: http://lactationnav.com/
World Alliance for Breastfeeding Action (WABA) http://www.waba.org.my/
WABA Breastfeeding Gateway: Up to date information on Breastfeeding and Human Lactation
World Breastfeeding Week (WBW) http://worldbreastfeedingweek.org/
World Health Organization (WHO) Breastfeeding www.who.int/topics/breastfeeding/en
World Health Organization International Code of Marketing of Breast Milk Substitutes
Explanation of the Code: http://www.babymilkaction.org/regs/thecode.html
Code Monitoring - International: http://www.ibfan.org/
US Code Monitoring: http://www.naba-breastfeeding.org/
Latest report: http://www.naba-breastfeeding.org/images/BranchingOut2011.pdf
WHO Global Data Bank on Breastfeeding
X-Rays - See "Radiocontrast Agents"
(x-Ray, MRI, Ultrasound) usually no problem with breastfeeding
Breastfeeding and Radiological Procedures
"Teach me how to Breastfeed"