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Physicians Outreach
Campaign - Public Health Programs & Services
New Georgia WIC Food Package
Medical
Documentation Forms
Childhood Obesity
Breastfeeding
Breastfeeding Benefits
Barriers to Breastfeeding
How WIC can help you
support breastfeeding
Breastfeeding Handout
Breastfeeding Resources
Other Resources and
Links
WIC and Nutrition
Committees
WIC Advisory Committee
Georgia Physicians
Breastfeeding Advisory Committee
Obesity Action Network
Return to the GA Chapter AAP Homepage
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Nutrition News
Please contact the
Chapter's Nutrition Coordinator, Kylia Crane, RD, LD, with any
questions regarding the information on this site at
kcrane@gaaap.org or 404-881-5093.
What
are we doing?
Goal:
To
maximize
utilization of public health programs services through a collaborative
partnership between primary
care physicians
and public health.
The Georgia Chapter of
the American Academy of Pediatrics and the Georgia WIC Program have
established a
statewide physicians outreach campaign to educate physicians and their
office staff about WIC
benefits/referral process and help address infant and child feeding
issues, which can be supported by physicians and WIC staff to improve
the nutrition status of women, infants and children.
Education is provided to
pediatricians, family physicians and obstetricians/gynecologist and
their office staff on:
- WIC &
Nutrition Services
-
Breastfeeding support including the Peer Counselor & EPIC
Breastfeeding Programs
- Folic Acid
- Expert
Committee Recommendations on Prevention, Assessment & Treatment of
Childhood Obesity
- Iron
Deficiency Anemia Prevention
- New
HealthCheck TB Screening Guidelines
- Georgia Lead
Poisoning Prevention Guidelines and Referral Process
- USDA
initiative of Value Enhanced Nutrition Assessment (VENA)
- Birth to
Five (front door system)
- Children 1st
– Single Point of Entry
- Universal
Newborn Hearing Screening & Intervention (UNSHI)
- Newborn
Metabolic Screening
-
State Electronic Notifiable Disease Surveillance System (SENDSS)
-
Developmental Surveillance & Screening and Referrals to Children 1st
- Health
assessments for children in foster care
- Babies Can’t
Wait and primary care physician participation
- High Risk
Infant Follow-up

- Children’s
Medical Services
- Medical Home
What do we want to achieve:
Implementation and evaluation of the effectiveness of the WIC Physicians
Education model to assist physicians and office staff to effectively
utilize WIC referrals, WIC benefits and nutrition in the following
geographical areas
of the State:
Dublin
Waycross
Macon
Valdosta
Augusta
Savannah/Brunswick
Columbus
We are
providing education to the primary care physicians,
physician’s office staff and health department staff in each
district using 3 different mediums of communication:
-
Lunch and Learn Workshops
- Office
Visits
-
Educational Mailings
NEW Georgia WIC Food Packages
On October 1, 2009, the Special Supplemental Nutrition Program
for Women, Infants and Children (WIC) significantly changed the
food packages that participants receive. The changes to the WIC food
packages are designed to improve the nutrition and health of pregnant
women, breastfeeding and non breastfeeding postpartum women, infants and
children up to age five. The new food packages promote and support the
establishment of successful, long-term breastfeeding, provide WIC
participants with a wide variety of foods including fruits, vegetables,
and whole grains, and provide greater flexibility in tailoring food
packages to accommodate the cultural food preferences of WIC
participants.
Why are these changes occurring?
On December 6, 2007, the
interim rule revising the WIC food package was
published in the Federal Register. The revisions largely reflect
recommendations made by the Institute of Medicine (IOM) of the National
Academies in its report, “WIC Food Packages: Time for a Change”. The
last revisions to the WIC food packages occurred in 1980. IOM’s final
report contained recommendations to have the food packages align with
the 2005 Dietary Guidelines for Americans and infant feeding practice
guidelines of the American Academy of Pediatrics.
Highlights of the NEW Food Package![MPj04096210000[1]](WIC_files/image002.jpg)
· Addition of baby foods - fruits and vegetables for all infants and
meat for exclusively breastfed infants
· Modified infant formula amounts to reflect varying needs at different
ages
· Addition of a fruit and vegetable voucher (Fresh / Frozen / Canned)
· New Whole Grain Options for Women and Children (Bread / Brown Rice /
Whole Grain Tortillas)
· Whole Grain Cereals- At least half of the cereals on the Approved Food
List MUST be Whole Grains
· Required issuance of low fat milk for children over 2 years of age and
women
· Soy Milk and Tofu allowed
· Reduced quantities of milk, eggs, and juice and cheese for women and
children
Reinforces Nutrition Education Messages
The new food packages are consistent with the nutrition education
messages provided to participants:
· Eat more fruits and vegetables
· Decrease saturated fat
· Increase whole grains and fiber
· Drink less sweetened beverages and juice
· Babies are meant to be breastfed
Provides greater consistency with infant feeding practice guidelines
Modifies infant formula amounts based on age and feeding method. Infant
foods are added and juice eliminated in the packages for older infants
in order to promote healthy dietary patterns.
Provides culturally diverse foods
The new food packages provide more participant choice and a wider
variety of foods than the previous food packages. Foods such as
tortillas, brown rice, soy-based beverage, canned salmon, and a wide
choice of fruits and vegetables will provide State agencies increased
flexibility in prescribing culturally appropriate food packages.
Promotes Breastfeeding
The food packages for the breastfeeding infant-mother dyad provide
stronger incentives for continued breastfeeding, including providing
limited formula to partially breastfed infants during the first month of
life. Additional quantities and types of food are provided to
breastfeeding mothers.
How does this impact my practice?
Approximately 51% of Georgia infants and children qualify for the WIC
program, which means a significant number of your patients are receiving
WIC benefits. These changes will not only affect the choices of foods
that your patients can receive but it will also require you to
individualize the package based off your patient’s unique medical needs.
Significant changes have been made for the process for writing WIC
prescriptions for special formulas & medical foods.
Medical Documentation
Medical documentation ensures that you have approved the issuance of
special formulas & medical foods that are appropriate for your patient’s
specific medical needs. The goal of the new medical documentation
requirements is to improve communication and coordination of care
between WIC, the family, and the medical home. This will also ensure
that there is appropriate justification for the use of special formulas
& medical foods.
Medical documentation is required in the following situations:
· Any infants receiving non-contract/exempt or specialty infant formula
or WIC eligible medical food
· Allowable supplemental foods to be provided in addition to the
formula, for those participants receiving exempt or specialty infant
formula or WIC eligible medical food
· Children receiving milk substitutions of soy beverage, tofu, or extra
cheese
Note: Medical documentation is not required for the following GA WIC
contract formulas:
Similac Advance EarlyShield & Isomil Advance with Iron
The new requirements for GA WIC approved special formulas and medical
foods include:
· Name of authorized WIC formula or WIC-eligible medical food. Must be
prescribed in ounces (reconstituted fluid) per day
· Qualifying condition(s) for issuance of WIC formula prescribed and/or
supplemental food authorized and ICD-9/ICD-10 code
· Length of time (1-6 months) the prescribed WIC formula and/or
supplemental food is required by the participant
· Original signature, date and contact information of the requesting
health care provider. No signature stamps will be accepted
· Must specify foods allowed for all clients on special formulas (age 6
months & older)
· Can ONLY be signed by a physician, physician assistant, or nurse
practitioner
· Physician must authorize the issuance of any tofu or soy milk to
children
· Examples of Non-Specific Diagnoses that will not be accepted for
special formulas and medical foods include: colic, milk allergy,
milk/formula intolerance, feeding problems, poor appetite, inadequate
intake, and digestive disturbances
New Medical Documentation Forms have been created to make it easier to
document the specific information required by the United States
Department of Agriculture regulations. Using the GA WIC Medical
Documentation Forms (Form #1 and Form #2) and completing them
appropriately will save your practice valuable time and effort.
* Use Form #1 to prescribe special formulas and/or medical foods and to
approve the WIC foods allowed based on a patient’s medical
condition(s). Instructions and resources for form completion are
included.
* Use Form #2 to provide referral data and to authorize special food
substitutions for children
These fillable forms can be saved, printed, signed and then faxed to the
local WIC clinic or provided to the WIC participant.
______________________________________________________________________________________
The Georgia WIC Program has developed a webpage
for healthcare providers to access GA WIC forms and resources ( Medical
Documentation forms 1 & 2, WIC Formula Guide, WIC Approved Food List,
and Medical Community Video)
Please visit the following link to view this
information
http://health.state.ga.us/programs/wic/hcprovider.asp
______________________________________________________________________________________
Frequently Asked Questions (FAQs) – New Georgia WIC Medical
Documentation
1. Can providers use their own
prescription pads for formula/medical food prescriptions?
The GA WIC Program will allow you to
use the doctor's prescription pad for WIC special formulas and approved
WIC foods, but it must have ALL of the following
information:
1. Patient's first & last name
2. Patient's Date of Birth
3. Parent/Caregiver's first & last
name
4. Qualifying diagnosed medical
condition and applicable ICD-9 or ICD-10 code
5. Name of formula/medical food
requested
6. Prescribed amount of special
formula per day (oz/day)
7. Form of special formula (powder,
concentrate, or ready-to-feed)
8. Planned length of use for special
formula (1-6 months)
9. WIC Foods- Patient may receive
supplemental foods appropriate to their WIC participant category in
addition to the approved special formula. If you have no restrictions to
WIC Supplemental Foods- It must say "No Supplemental Food Restrictions."
If there are restrictions, you must list which food that should not be
issued to participant. Infants 6-11 mo. (infant cereal, baby food fruits
& vegetables), Children >12 mo. & women (milk, beans/peas, vegetables,
fruits, juice, cheese, peanut butter, whole grains, canned fish, cereal,
& eggs)
10. Must have provider's name, title,
provider's original signature/credentials, and date
11. Medical Office Name, street
address, city, zip code, phone number, and fax number
Due to the amount of detailed
information that has to be included for documentation, it is highly
recommended that providers use the Medical Documentation Form 1.
2. How often do WIC participants need to provide new medical
documentation paperwork?
Medical Documentation must be renewed at least every 6 months. New
copies must also be provided at every certification, recertification, or
mid-certification appointment if the date the authorized
health care provider signed the most recent medical
documentation form is more than 30 days old at the time of the
certification appointment.
3. Can WIC accept a verbal order for medical documentation?
Yes, WIC must document all details of the verbal order in the
participant’s WIC record and sign & date the documentation. Only one
month of vouchers may be issued to the participant. The WIC clinic must
receive written medical documentation within 2 weeks of the verbal
order. No additional voucher may be issued until written medical
documentation is received (e.g., cannot accept a 2nd verbal order).
4. Which infants ages 6-11 months are eligible to receive more
formula if they cannot tolerate solid foods?
Only infants who have a qualifying medical condition and who are
receiving an “exempt infant formula” or a “medical food” are eligible to
receive additional formula in place of solid foods, if medically
indicated. Infants ages 6-11 months who are receiving a standard “infant
formula” cannot receive additional formula even if they are unable to
consume solid foods (e.g., are being tube-fed a standard infant
formula).
5. What are examples of qualifying conditions for issuing tofu,
soy milk, or extra cheese on Form #2?
Tofu or Soy Milk = Lactose intolerance, vegan / vegetarian diet, milk
protein allergy, religious / cultural reasons (e.g., Russian Orthodox).
Extra Cheese = Lactose intolerance, underweight per BMI, inadequate
weight gain during pregnancy, increased calorie needs due to a medical
condition or illness.
6. What are examples of non-specific medical diagnoses that cannot
be accepted on Form #1?
Colic, milk allergy, multiple food allergies, spitting up, milk
intolerance, formula intolerance, feeding problems, feeding
difficulties, picky eater, poor appetite, inadequate intake,
constipation, cramps, digestive disturbances, fussiness, gas. The
following diagnoses must have another underlying medical condition
present and documented: “underweight,” “inadequate / poor weight gain,”
“inadequate / poor growth,” and “feeding disorder.” The Georgia WIC
Program cannot accept any of these diagnoses alone – a more specific,
primary medical condition must be present and listed among the
diagnoses (e.g., Cerebral Palsy, Failure To Thrive, Oral-Motor Feeding
Disorder, Prematurity, Dysphagia, etc.).
7. What if the number of ounces of formula prescribed per day on
Form #1 is more or less than WIC can issue to a participant?
If the health care provider prescribes more than the maximum monthly
allowance of special formula or medical food for any participant, WIC
can only issue the maximum monthly amount allowed by WIC policy. The
participant should be educated about the maximum monthly allowance of
formula based upon the participant category, age, feeding method, etc.
If the health care provider prescribes less than the maximum monthly
allowance of special formula or medical food on Form #1 for an infant,
WIC must still issue the maximum monthly allowance based on age and
feeding method. This is to ensure that the full nutritional benefit is
provided and to account for infant age changes and corresponding
formula maximum allowance changes that may occur during the 1-6 month
time period during which the medical documentation is valid.
If the health care provider prescribes less than the maximum monthly
allowance of special formula or medical food on Form #1 for a child
or woman, WIC must only issue the amount prescribed by the health
care provider in addition to any authorized supplemental foods.
8. Can WIC accept a range of ounces for the formula prescribed per
day on Form #1?
Yes. Ranges of formula can be accepted. However, the amount of special
formula or medical food issued to the participant can never exceed the
maximum monthly allowance based on WIC policy.
9. Can the health care provider write “up to,” “ad lib,” “PRN,” or
“WIC maximum” for the amount of formula prescribed per day on Form #1?
No. An actual quantity of formula must be listed.
10. What is the cutoff for accepting medical documentation based on
the date it was signed by the provider?
Medical documentation must have been signed by the health care provider
no more than 30 days prior to when it is received by the WIC clinic.
Georgia WIC Program Qualifying Medical
Diagnoses Guide for Special Formulas & Medical Foods
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Examples of Qualifying Medical
Conditions |
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Premature birth
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Low birth weight
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Failure to thrive
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Inborn errors of metabolism
& metabolic disorders
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Gastrointestinal disorders
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Malabsorption
syndromes
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Immune system disorders
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Severe food allergies
requiring the use of an elemental formula
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Other life-threatening
disorders, diseases, or medical conditions that impair the
ingestion, digestion, absorption or utilization of nutrients
that could adversely affect the participant’s nutritional status
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Examples of Non-Qualifying
/ Excluded Medical Conditions |
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Solely for the purpose of enhancing nutrient
intake or managing body weight without an underlying
condition
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Non-specific formula intolerance or food
intolerance
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Participant preference, parental preference, or
food dislikes
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Examples of Non-Specific
Medical Diagnoses
That CANNOT Be Accepted by the
Georgia WIC Program |
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Colic
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Milk Allergy
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Multiple Food Allergies
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Spitting up
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Milk intolerance
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Formula intolerance
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Feeding problems
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Feeding difficulties
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Picky eater
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Poor appetite
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Inadequate intake
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Constipation
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Cramps
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Digestive disturbances
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Fussiness
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Gas
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Diagnoses Requiring An
Underlying Medical Condition |
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These diagnoses cannot be used alone.
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An allowed underlying medical condition must be
present and documented in the diagnosis area if
any of these diagnoses are used (e.g., Cerebral Palsy, Failure
To Thrive, Oral-Motor Feeding Disorder, Prematurity, Dysphagia)
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Childhood Obesity
The
Expert
Committee Recommendations on the Assessment, Prevention and
Treatment of Child and Adolescent Overweight and Obesity were
released in June 2007, with the writing papers published in the
December Supplement of Pediatrics. The committee, made up of
representatives from fifteen health professional organizations
including the American Academy of Pediatrics, was convened by the
American Medical Association (AMA) and co-funded in collaboration
with the Department of Health and Human Services' Health Resources
and Services Administration (HRSA) and the Centers for Disease
Control and Prevention (CDC).
The AMA, HRSA and the CDC, recognizing
that obesity is a major public health problem, assembled an expert
committee of representatives from organizations involved in
medicine, nutrition, mental health, epidemiology and psychology to
update the 1997 recommendations for the care of overweight and obese
children. The National Initiative for Children’s Healthcare Quality
(NICHQ), together with key partners, has created an
Implementation Guide to accompany the newly released
Obesity Recommendations.
Message
from the Chair of the Chapter's Committee on Nutrition
The
Committee on Nutrition of the Georgia Chapter, American Academy of
Pediatrics is committed to decreasing the prevalence of obesity in the
children of this state. You
are probably familiar with the statistics.
The newest studies are even more frightening.
Preliminary data indicates that in Georgia, eighteen percent of
eighth graders and twenty five percent of 4th graders are over the 95th
percentile for weight.
The
task will not be easy, but it is obviously important.
We are asking the pediatricians of Georgia to help evaluate these
children and guide their families.
The
following materials should be helpful to you in evaluating your
patients:
1) Parents: Nutritional Help for you and your children is a listing of
recommendations from the Georgia Chapter’s Committee on Nutrition that
you can give to your patients.
You are welcome to adapt this to your practice and substitute your own
practice name if you wish.
2)
Instructions for calculating the Body Mass Index (BMI) for your
patients, and the appropriate charts for converting these raw numbers
into a meaningful percentile for age (please remember these scores may
not be entirely accurate for active athletes).
Body Mass Index (BMI)
How do you measure overweight and
obesity in children?
Expert Committee Recommendations on
obesity evaluation and treatment suggest using Body Mass Index (BMI)/
Age Percentile as the main tool to assess weight in children age 2-20.
BMI is a single number that evaluates an individual's weight status in
relation to height.
Why use
BMI?
Use of BMI/Age
Percentile to assess children
provides a consistent measure across age groups. It correlates
with measures of body fatness in children and adolescents. BMI is
the standard measure used by the Centers for Disease Control and
Prevention in the revised U.S. growth charts that were released in May
2000
and are available at the following website:
www.cdc.gov/growthcharts
or order from the American Academy of Pediatrics.
How do I calculate BMI using
handheld calculator:
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Metric
[Weight in kilograms ÷ Height in cm ÷ Height in cm] x 10,000
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English
[Weight in pounds ÷ Height in inches ÷ Height in inches] x 703
There are various computer and palm pilot
applications available to calculate BMI. You will enter the
child’s age, height and weight and it will calculate the BMI.
On-line:
http://www.cdc.gov/nccdphp/dnpa/bmi/
Palm Pilot:
http://www.keepkidshealthy.com/pediatricpilotpage/mathpad.html
How do I define overweight &
obesity in my patients?
A child that has a body mass index
above the 95th percentile for his or her age is considered obese.
A child with a body mass index above the 85th
percentile for his or her age is considered overweight.
3)
A list of ICD-9 Codes that may be appropriate in billing for your
services. (see below)
We
hope this will help in your care of obese children and those at risk.
Thank you for efforts to combat the obesity epidemic in Georgia.
Stanley A. Cohen, MD
Chair, Nutrition Committee
Obesity
Reimbursement and Coding
The AAP Committee on
Nutrition (CON) with other AAP committees and sections has recognized
the difficulties in getting reimbursement for obesity treatment and
prevention. Until the Centers for Medicare and Medicaid Services
recognize obesity as a disease, coverage and reimbursement will be
denied. AAP is addressing this issue to advocate for improved
coverage and reimbursement by managed care plans and private and public
insurers.
Correct diagnosis coding
rules stipulate that the code for the diagnosis, condition, problem or
other reason for an encounter shown in the medical record to be chiefly
responsible for the services provided be reported. Additional
codes can and should be reported describing any coexisting conditions
that require or affect patient care treatment or management during a
particular visit. If these conditions are not addressed during the
course of a particular visit, they would not be reported. History
codes (V10 – V19) may be used as secondary codes if the patient or
family history impacts current care or influences treatment. These
reported codes must be shown by documentation that the condition
requires or affects patient care or management.
At times there are no
other problems, history or diagnoses that can be reported in addition to
the diagnosis of obesity (278.00) or morbid obesity (278.01).
Obesity related
conditions or diagnoses that are commonly treated and addressed include:
780.71
Chronic fatigue syndrome
780.79
General fatigue
786.05
SOB
401._
Hypertension
780.57
Sleep apnea
530.81
Reflux
250.__
Diabetes
701.2
Acanthosis nigricans
277.7
Dysmetabolic syndrome X
V18.0
Family history diabetes
V18.1
Family history endocrine/metabolic disturbance
732.4
Blount’s Disease
313.81
Oppositional behavior disorder
300.4
Depression
V61.20
Parent-child dysfunction
259.1
Early pubertal development
The AAP has created an
obesity and related
co-morbidities coding fact sheet for primary care pediatricians.
Background:
Breastfeeding
is acknowledged as the preferred method of infant feeding by the
American Academy of Pediatrics, the American College of Obstetrics and
Gynecology, the National Association of Pediatric Nurse Practitioners,
The National Healthy Mother/Healthy Babies and others.
Scientific research
overwhelming indicates that breastfeeding is the superior method of
feeding. Breastfeeding significantly lower rates of diarrhea ear
infections and lowers respiratory illness. There are a number of studies
that show a protective effect of human milk feeding against
necrotizing enterocolitis, sudden infant death syndrome, allergic
disease, early childhood caries, insulin-dependent diabetes, and
obesity. Developmentally, breastfed infants have better visual acuity,
and evidence suggests that their cognitive development is very good!
Benefits to Mom:
-
Women who
breastfeed have less vaginal bleeding and less risk of hemorrhage
after birth.
-
Milk production
requires 500-1000 calories a day. One-half of the calories from body
fat stored during pregnancy. Women who breastfeed lose pregnancy
weight more easily than women who formula-feed.
-
Breastfeeding
reduces the risk of breast cancer in young women. The longer you
breastfeed, the lower your risk.
-
Breastfeeding
reduces the risk of uterine cancer and ovarian cancer.
-
Breastfeeding
improves bone density and reduces the risk of hip fractures in older
women.
-
Breastfeeding
requires no mixing, no measuring, and no clean-up, making nighttime
feedings quick and easy.
-
Breast and babies
are portable.
-
Breastfeeding
promotes a special relationship between a mother and her baby.
-
Parents who
breastfeed save more than $1000 in infant feeding cost during the
first year alone
Benefits to
Baby:
-
Human milk is
nutritionally perfect for human infants.
-
Human milk
changes to meet the needs of a growing baby.
-
Human milk is
easily digested, so breastfed babies have less gas, colic and
spitting up.
-
Human milk
contains important nutrients as well as special protective
factors that we listed earlier: Less diarrhea, fewer urinary
tract infections, fewer ear infections etc.
-
Breastfeeding
gives babies a chance to touch, to smell, to hear, to see, to
taste, to know their mother from the first moment of birth.
Barriers to Breastfeeding:
Special
attention should be given to barriers to breastfeeding for all women
especially African American and other minority women. Below are
several barriers to breastfeeding that where identified in focus group
findings.
-
Embarrassment
- Lack of
social support
- Worried
about not enough milk
- Lack of
support at work or school
- Worried
about having to eat well
|
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Studies show that
mothers who receive advice, information and encouragement from their
physicians to breastfeed are more likely to breastfeed than those who do
not receive such advice.
The American Academy
of Pediatrics Policy Statement outlines physicians roles in the
promotion and protection of breastfeeding. (Pediatrics, Vol. 100 No. 6
December 1997, Pgs. 1035-1039) or view it on the web by accessing
www.aap.org/policy/re9729.html
We can work together to increase breastfeeding in Georgia!
How WIC can help you support Breastfeeding
-
WIC encourages all
pregnant women to breastfeed their infants unless contraindicated
for health reasons.
-
Breastfeeding women
receive nutrition counseling and a greater variety and quantity of
food than non-breastfeeding, postpartum women.
-
Breastfeeding women
are taught to hand express breast milk, however in most districts,
women can be provided with a manual and/or electric pump.
-
Breastfeeding women
are taught the signs of adequate intake for breastfed infants:
-
Nursing 8-12 times per 24 hours.
- Wet
diapers at least 6 times per 24 hours.
-
Several stools per 24 hours, in first month.
-
Softening of the breast after feeding.
-
Visual and audible signs of swallowing.
-
Weight gain over time.
|
 |
-
Each health
district has a Breastfeeding Coordinator that plans, directs and
coordinates the breastfeeding promotion, education and support for
breastfeeding women in their districts.
Pleas see the American
Academy of Pediatrics recent policy statement, which highlights the need
for important collaboration between Pediatricians and local WIC Programs
to ensure that infants and children receive high-quality, cost-effective
health care and nutrition services. (Pediatrics, Vol. 108 No. 5
November 2001, pgs. 1216-1217) or view it on the web by accessing:
www.aap.org/policy/re0066.html
Breastfeeding Handout:
The Georgia Physician Breastfeeding Advisory Committee (PBAC) is a
collaborative effort among Family Physicians, OB/GYNs, Pediatricians,
and lactation experts to promote breastfeeding in the state.
We have developed a patient handout, which you are encouraged to
copy and distribute, to assist our patients in initiating breastfeeding
successfully and continuing to nurse for a significant time period. You
can access the handout by visiting:
http://www.gaaap.org/duringpregnancyhandout.pdf)
The AAP has created a
coding fact sheet,
Supporting Breastfeeding and Lactation: The Primary Care Pediatricians'
Guide to Getting Paid.
Breastfeeding Resources:

Are you looking for local breastfeeding and
lactation resources? This helpful guide provides you with
resources specific to your area.
Georgia Lactation Resources and Support Directory
Click Here
Books and Manuals:
-
Breastfeeding: A
guide for the Medical Profession,
by Ruth Lawrence C.V. Mosby Co., St. Louis, MO. 1999.
-
Breastfeeding: A Parent’s Guide, Amy Spangler;
Abby Drue Inc., U.S. 2000.
-
Breastfeeding and Human Lactation, by Jan Riordan and Kathleen
Auerbach;
Jones & Barlett, Publishers, Boston, MA. 1999.
-
The Breastfeeding
Answer Book,
by La Leche League International;
La Leche League International, Franklin Park, IL. 1991.
-
Medication and
Mothers’ Milk,
by Thomas Hale;
Pharmasoft Medical Publishing, Amarillo, TX. 2008.
Videotapes:
Breastfeeding: A Special Relationship (also available in Spanish)
Breastfeeding Education Resources, Raleigh, NC.
Fax: 919-847-2193
E-mail moverrfield@ntrks.com
Handouts are available with the video
Breastfeeding the WHY To (great for lending to patients)
VIDA Health Communication, Cambridge, MA.
1-800-550-7047
http://www.vida-health.com/
Resources/Links:
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