Welcome Back

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(No Transcript)
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Welcome Back!

• Fun Activity
• As you look towards the future, think about
  the best part of being a Peer Counselor.
• Draw a picture or write down 3 words that best
  describe your feelings.
• Share with the group

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Challenges to Breastfeeding

• Why do you think some mothers decide
• not to breastfeed or only breastfeed for a
• few weeks?
• Compare your list to the one on pg.118

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Hospital Practices

• How did you prepare
• for your hospital stay?
• What do you wish you
• had done differently?
• How could a peer
• counselor have helped
• you?

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Hospital Practices

• Hard to get breastfeeding off to a good start
• If mother doesnt get to breastfeed within 1st
  hour
• Baby spends a lot of time in nursery
• Baby given formula, sugar water pacifier
• Free formula
• Advice not based on latest information

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Discussion

• Positive breastfeeding experience in the
• hospital can make it easier to continue
• breastfeeding!
• How can you help a pregnant mother prepare for
• her hospital stay?
• (compare your list to page 120)

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Lack of Confidence

• Mothers may
• Worry they wont be able to breastfeed
• Feel unsure they can make enough milk
• Have family members that werent able to
  breastfeed

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Discussion

• Divide into small groups
• What would you say to a mother who makes the
  statements on page 121?
• Share with the large group

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Lack of Support

• Family/friends comments - Not supportive
• Mother may doubt her ability to breastfeed
• Mother may stop breastfeeding

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Discussion

• What comments did you hear from family friends?
• How did you handle these situations?
• What could you say to a mother whose family
  friends are not supportive?

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Body Changes

• Worries body will not look the same
• What would you say to a mother who says
• My breasts will be too large
• My breasts will sag
• I want to diet to lose weight quickly

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Discussion

• What did your family/friends say about
• eating while breastfeeding?

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Not Eating Right?

• Let mothers know
• Making good milk not eating right everyday
• Breastmilk from moms who eat junk food is
• better than formula
• Do not have to drink milk to make milk
• Eat the way she ate during pregnancy
• Eating poorly tired/sick more often

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Eating Breastfeeding

• Mothers can eat all types of foods without baby
  getting an upset stomach
• If mother thinks that baby is fussy/colicky after
  she eats a certain food
• Suggest that she stop eating it for a week
• See if it makes a difference (if the signs go
  away)

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Foods Thought to Cause Baby to be Fussy

• Common foods eaten
• thought to possibly
• upset babys tummy
• cabbage, broccoli,
• cauliflower, brussel
• sprouts
• chocolate
• garlic
• milk
• spicy foods
• drinks with caffeine

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Caffeine Thought to Cause Baby to be Fussy

• Drink to thirst
• Drinking more will not
• increase milk supply
• Whenever breastfeeding,
• have something to drink
• Limit caffeine
• Caffeine passes to
• breastmilk
• Baby can be fussy
• /or not sleep well

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Embarrassment

• Some breastfeed in public others do not
• Some choose not to breastfeed or only in private
• If a mother is worried
• Affirm her feelings
• Show her to breastfeed without showing breasts
• California Law -
• Mothers can breastfeed in public
• anywhere babies are allowed to be!

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Embarrassment

• What suggestions could you give a mother
  worried about breastfeeding in public?
• Share answers in a larger group
• Compare to list on pg.126

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Back to Work (or School)

• Mother worried about breastfeeding successfully
• Affirm her feelings
• There are ways to continue breastfeeding
• Special closeness -makes up for time spent away
• Allows for more time with her baby when home

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More suggestions

• Breastfed baby less likely to get sick - miss
  less
• school/work
• Baby gets many benefits
• Mother - talk to employer before baby is born
• California Law requires employers give
• Adequate break-time to pump
• Finding a private place to pump
• (other than a bathroom)

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Back to Work (or School)

• What suggestions can you give a mother worried
  about breastfeeding returning to work/school?
• Share with large group
• Compare list with
• Working Breastfeeding
• (Handout 8)

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Too Busy?!

• Worried breastfeeding will tie her down
• Affirm her feelings
• Quicker easier - less supplies than bottle
  feeding
• Mothers need rest (rest when baby naps)
• Stressed - may have trouble producing milk
• Focus on her baby for 1st few weeks
• Someone to help with housework

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Busy Mothers

• More suggestions
• Get breastfeeding going well, then get back to
  other activities
• Pump for times when away
• Breastfeed most of the time, give breastmilk in
  the bottle if necessary
• Give breastfeeding a try! It works great with
  a lot of busy mothers schedules!

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Discussion

• In small groups
• Discuss how you would respond to
• I cannot breastfeed because I heard it
  takes up to 7 hours a day.
• I dont have that kind of time!
• Share with the large group

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Busy Mothers

• Remember - Breastfeeding...
• Especially important for busy mothers
• Promotes bonding and relaxation
• The 1st few months of life are a special
• time for bonding

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Referring to a Lactation Specialist or Health
Care Provider
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Role as a Peer Counselor

• Listen to mothers concerns
• Affirm feelings
• Provide basic breastfeeding education
• Refer to a lactation specialist or
• health care provider when necessary
• DO NOT give medical advice

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Activity

• Divide into small groups
• Make a list of reasons to have mothers talk to
  lactation specialist/health care provider
• Share with the large group
• Compare your list with Handout 9
• Reasons for Referral

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Documentation Confidentiality
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Documentation

• Documentation is very important!
• Improves communication
• Saves time
• Prepares for counseling session
• Keeps track of work done
• If you are hired, someone from your agency will
  go over the forms you will be required to fill
  out

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Confidentiality

• WIC clients share personal info when enrolled
• Dont shared with ANYONE
• DO NOT
• Share info with partner /or friends
• Leave forms and participant fills out
• Gossip about mothers

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Confidentiality

• Your agency will have you sign a Confidentiality
  Agreement
• Sharing personal info about a mother you are
  helping with non-WIC staff is illegal and could
  cause you to lose your job!
• What questions do you have about confidentiality?

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Telephone Manners
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Role Play Telephone Manners

• Watch facilitators role play 2 telephone calls
• What did the counselor do well?
• What could the counselor have done differently?
• Review Handout 11 - Telephone Suggestions

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Topics to Cover

• Handout 12 - Suggestions for Topics to Cover
• Follow along - facilitator go over handout
• What questions do you have?

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Practice Counseling

• Divide into groups of 3
• Practice counseling using the 3-Step Strategy
• Make sure each person is the counselor, the
  mother and the observer once
• Use the scenarios on page 132 (A, B C)
• After the role play, discuss the questions on
  page 132 within your group of 3
• Share how your counseling sessions went with the
  large group

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Discussion

• Learning Tree -
• Move post-it notes from the branches to roots
• What other questions do you have?
• Steps for applying to become a peer
  counselor
• Please fill out the evaluation form (Handout 13)
  - Thank you!

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Closing Activity Celebration
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• Sing the counseling song you created in Session 3
  (When You Counsel - page 62)
• What have you gained most from this training?
• How has this training changed (or will change)
  part of your life?
• Share your thoughts in a circle

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You made it through
Peer Counselor Training!