Search Results: MCHLine

Annotation: This fact sheet outlines breastfeeding provisions in the Patient Protection and Affordable Care Act (ACA) and discusses how maternal and child health programs can use the ACA to strengthen breastfeeding efforts for women. Topics include breastfeeding support, counseling, and equipment, as well as reasonable break time and appropriate space in the workplace. Sources and selected resources for further information are provided.

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Keywords: Breastfeeding, Health care reform, Legislation, State MCH programs, Women, Working mothers, Workplace health promotion

Annotation: This report focuses on efforts of the National Priorities Partnership (NPP) to improve maternity care for mothers and infants. Specifically, NPP sought to reduce the percentage of infants electively delivered prior to 80 weeks' gestation to 5 percent or less and to reduce Cesarean births among low-risk women to 15 percent or less. Topics include goals and strategies (including measurement in hospitals to increase transparency and create a culture for improvement, systems improvement, and consumer engagement), considerations for moving forward (including vaginal birth after Cesarean, prenatal care and breastfeeding, and definitions and standardization), and the path forward.

Keywords: Breastfeeding, Cesarean section, Childbirth, Health systems, Infant health, Pregnant women, Prenatal care, Reproductive health, Vaginal birth after Cesarean, Women's health

Annotation: This document presents clinical competencies for the practice of international board certified lactation consultants (IBCLCs). The competencies encompass the responsibilities and activities that are part of IBCLCs' practice. The aim of these competencies is to inform the public about fields in which IBCLCs can provide safe, competent, and evidence-based care.

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Keywords: Breastfeeding, Breastfeeding promotion, Breastfeeding support, Guidelines, Safety, Health care, Lactation, Standards

Annotation: This report examines how raising breastfeeding rates could save the United Kingdom's National Health Service money through improving health outcomes. They examine cost savings in not having to treat gastrointestinal and lower respiratory infections, acute otitis media, necrotising enterocolitis in infants, breast cancer, Sudden Infant Death Syndrome, poor cognitive development and early years' obesity. The report has two additional volumes: appendices and a separate policy document.

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Keywords: Breastfeeding, Cost effectiveness, Health care costs, Infant health, International health, United Kingdom, Women's health

Annotation: This document provides safe sleep guidelines for infants in child care programs. The document lists steps that programs can take to reduce the risk for sudden infant death syndrome, sudden unexpected infant death, and the spreading of contagious disease. Steps cover sleep environment, pacifier use, smoking, breastfeeding, and tummy time.

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Keywords: Breastfeeding promotion, Child care centers, Guidelines, Infant death, Infant health, Infant morbidity, SIDS, Prevention, Safety, Sleep position, Smoking

Annotation: This book is a resource for those involved in the monitoring or delivery of nutrition care for children with special health care needs. It is intended to serve as a framework for developing and providing nutrition screening, assessment, and intervention as routine components of comprehensive health care for children with disabilities and chronic illnesses. The book is divided into three sections: (1) determination of nutrition status, (2) problem-based nutrition interventions, and (3) condition-specific nutrition interventions. The book includes numerous appendices, including sample screening forms, growth charts for children with a variety of different special health care needs, and other tools. New chapters included in the third edition include breastfeeding, physical acitivity, and autism spectrum disorders.

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Keywords: Breastfeeding, Children with special health care needs, Chronic illnesses and disabilities, Dietary assessment, Forms, Growth charts, Intervention, Nutrition, Physical activity, Resources for professionals, Screening, Washington

Annotation: This report provides 70 specific recommendations for reducing childhood obesity. The recommendations fall into the following categories: (1) giving children a healthy start in life, (2) empowering parents and caregivers, (3) providing healthy food in schools, (4) improving access to healthy, affordable food, (5) helping children become more physically active.

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Keywords: Access to health care, Breastfeeding, Child health, Communities, Costs, Early childhood education, Hunger, Nutrition, Obesity, Physical activity, Prenatal care, Programs, Schools, Young children

Annotation: This research brief brings together findings from a variety of research resources to identify 10 actionable, feasible goals involving non-school factors that affect educational outcomes and can be addressed through out-of-school-time programs. The goals include (1) reduce unintended pregnancies, (2) improve prenatal and postnatal maternal health, (3) improve parenting practices among parents of infants and young children, (4) improve young children's nutrition and encourage mothers to breastfeed, (5) enhance the quality and availability of educational child care, preschool, pre-kindergarten, and full-day kindergarten, (6) connect children and adolescents with long-term mentors, (7) improve parenting practices among parents of school-age children and adolescents, (8) provide family and couples counseling to improve family functioning, (9) provide high-quality educational after-school and summer programs, and (10) develop positive social skills and reduce delinquency among adolescents. The brief describes research findings related to each goal and types of programs that effectively address each goal.

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Keywords: Adolescent pregnancy, Adolescents, Breastfeeding promotion, Child care, Children, Early childhood education, Educational attainment, Families, Family support services, Infants, Nutrition, Parenting skills, Prenatal care, Prevention, Programs, Unwanted pregnancy, Women's health, Young children

Annotation: This paper describes provisions in the Patient Protection and Affordable Care Act (ACA) intended to make it easier for women with children under the age of one who participate in the labor force to continue breastfeeding and providing breast milk to their children. The paper provides background information on the benefits of breastfeeding and discusses the disparities that exist in breastfeeding based on maternal education, age, race, ethnicity, and socioeconomic status. It describes Section 4207 of the ACA that requires employers to provide a reasonable amount of time and a place where breastfeeding mothers can express milk. The paper also explains how the new provisions differ from the previous law.

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Keywords: Breastfeeding, Federal legislation, Health care reform, Patient Protection and Affordable Care Act, Working mothers

Annotation: This report examines the lives and deaths of 113 British Columbia infants who died suddenly and unexpectedly in their sleep between January 1, 2003, and December 31, 2007. The report provides background and offers details from the case reviews, including demographic trends, risk factors, mitigating factors, aboriginal infants, and myths about sudden infant death.

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Keywords: Breastfeeding, Families, Income factors, Infant death, Low birthweight. Sleep position, Prenatal care, Prevention, Risk factors, SIDS, Statistics, Sucking, Trends

Annotation: This booklet, which is geared toward consumers, presents highlights from the Maternity Experiences Survey, a large Canadian survey conducted in 2006 and 2007 to learn about the experiences of Canadian women with pregnancy, labor and birth, and the early months of motherhood. The booklet also discusses recent research and recommendations. Topics include pregnancy, labor and birth, and after the baby is born. Resources for more information are provided.

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Keywords: , Breastfeeding, Childbirth, Consumer education materials, Infant health, Labor, Mothers, Pregnancy, Prenatal care, Surveys

Annotation: This report provides information from the Maternity Experiences Survey (MES), a large Canadian survey conducted in 2006 and 2007 to learn about the experiences of Canadian women. The report presents findings on all major topics covered by the MES, grouped into three chapters covering pregnancy, labor and birth, and postpartum. Findings by maternal age, maternal education, parity (i.e., primiparous or multiparous), type of birth (i.e., vaginal or cesarean) and household income level (i.e., at or below vs. above the low income cut-off) are also presented.

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Keywords: Breastfeeding, Childbirth, Infant health, Labor, Mothers, Pregnancy, Prenatal care, Surveys

Annotation: This final report focuses on Project WIN, a project whose purpose was to close gaps related to prenatal health, infant health, and safety in Omaha County and Douglas County in Omaha, Nebraska. The report discusses the project purpose; goals and objectives; methodology; evaluation; results, outcomes, and lessons learned; publications and products; dissemination and utilization of results; and sustainability. [Funded by the Maternal and Child Health Bureau]

Keywords: Breastfeeding, Cultural competence, Families, Final reports, High risk groups, Home visiting, Infant health, Low income groups, Nebraska, Parenting skills, Pregnant women, Prenatal care, Prevention, Programs, Safety, Smoking during pregnancy, Woman's health

Annotation: This report addresses the scientific basis for maternity practice. It begins by positioning care for childbearing women and newborns within the U.S. health care system and describing performance on several maternity care quality indicators. The report then provides a framework for understanding evidence-based maternity care, including the relationship between evidence about human psychology and evidence about specific maternity practices. The report then identifies a series of practices that are either overused or underused and provides examples for improving quality of care. The report concludes with a discussion of challenges associated with reducing the evidence-practice gap and identifies policies and practice strategies that might narrow the gap. A statistical update to maternity care facts and figures is available on the web site.

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• 2010 Statistical Update

Keywords: Breastfeeding, Childbirth, Health care systems, Infant health, Pregnancy, Public policy, Reproductive health, Statistics, Women's health

Annotation: This report about exclusive breastfeeding provides information on what exclusive breastfeeding is, why it is important, and who supports it; discusses U.S. rates and trends; presents three areas of influence that have been identified as presenting obstacles and constraints to exclusive breastfeeding (the health care system and health professionals; social, economic, and political factors; and media and marketing practices); discusses methods for selection of materials for the literature review; and presents findings. [Funded by the Maternal and Child Health Bureau]

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Keywords: Attitudes, Breastfeeding, Breastfeeding promotion, Economic factors, Health care, Infant health, Mass media, Research, Social factors, Women's health

Annotation: This brochure for new mothers in the District of Columbia outlines risk factors for infant mortality and steps to take before, during, and after pregnancy to minimize the risks. Topics include prenatal care; avoiding alcohol, drugs, and smoking; risks from obesity, high stress, domestic violence, and late prenatal care; low maternal weight gain during pregnancy; preterm labor; breastfeeding; and infant sleep position.

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Keywords: Breastfeeding, Brochures, Consumer education materials, District of Columbia, Infant health, Infant mortality, Maternal health, Prenatal care, Prevention, Sleep position

Annotation: This report describes a pilot project that sought to entrust young parents in New Zealand with empowering their communities to understand and use available knowledge to reduce infant mortality, improve infant health, and create a better future. The report presents the project's guiding principles; describes the project; and presents methods, results, and a discussion.

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Keywords: Breastfeeding promotion, Communities, Education, Infant development, Infant health, Infant mortality, International health, Low income groups, Parents, Pilot projects, Pregnancy, Prenatal care, Prevention, Reproductive health, SIDS, Safety, Secondhand smoke, Sleep position, Smoking, Smoking cessation

Annotation: This pamphlet lists 20 rights of childbearing women, and briefly describes each. The rights span a range of topics, including access to and choices about health care, the birth setting, information, privacy, access to records, support, freedom of movement during labor, contact with the newborn, and breastfeeding. The pamphlet also provides a list of problems with maternity care in the United States.

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Keywords: Access to health care, Breastfeeding, Childbirth, Family support, Health care, Human rights, Information, Medical records, Pregnant women, Social support, Women's rights

Annotation: This video provides new parents with advice on newborn care, including health and safety information. Topics include newborn appearances, senses, and brain development; baby cues, crying, and comforting techniques; breastfeeding, formula feeding, burping, sleeping and SIDS safety; diapering and cleaning, cord care, circumcision care, nail care, and dressing; and health and safety, the car seat, safety straps, the baby's physical and parent health. A 4-page facilitator's guide is available. The video is available in English and Spanish, each in DVD and VHS formats.

Keywords: Audiovisual materials, Breastfeeding, Consumer education materials, DVDs, Videotapes, Infant behavior, Infant care, Infant development, Infant feeding, Infant nutrition, Newborn infants, Parenting, SIDS, Spanish language materials

Annotation: This report describes a study to evaluate an intervention for young, low-income mothers and their infants using paraprofessional "doulas" from the local community to provide guidance and support during the prenatal, intrapartum, and postpartum periods in order to promote good obstetrical outcomes, breastfeeding, responsive parenting, parental efficacy, and child health and development. The project period covered September 2000 through August 2005. Report sections include a description of the research and background information on the Chicago Doula Project as well as the purpose, scope, and methods of the investigation and the nature of the findings; a review of the literature; a description of the study design and methods; a presentation of the findings including labor, delivery, and birth outcomes, maternal well-being, parenting stress and efficacy, parenting attitudes and behavior, feeding practices, health care utilization, child development, and additional topics. Also included is a discussion of the findings on outcomes relating to birth, breastfeeding, mental health, and parenting attitudes and behavior; and implications for policy and practice. A list of products is also provided. [Funded by the Maternal and Child Health Bureau]

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Keywords: Breastfeeding, Early intervention services, Final reports, Illinois, Local initiatives, Low income groups, MCH research, Parenting skills, Postpartum care, Pregnant women, Prenatal care, Resource mothers, Social support, Young women