94

New Hampshire

New Hampshire Division of Public Health Services,
Bureau of Maternal and Child Health

New Hampshire Division of Public Health Services,
Bureau of WIC Nutrition Services

New Jersey

New Jersey Department of Health

New Mexico

New Mexico Health and Environment Department

New York

City University of New York Hunter College

Columbia University School of Public Health

Cornell Cooperative Extension

Cornell University

Mount Sinai School of Medicine Pediatric Pulmonary Center

New York State Department of Health

University of Rochester School of Medicine and Dentistry

North Carolina

North Carolina Department of Environmental Health and
Natural Resources

University of North Carolina School of Public Health

North Dakota

North Dakota Health Department

    
   
 
 
 
 
 
   
 
 
 
 

PAGES WHERE CITED

 

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40
45
21

40
9, 16, 24

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19, 20, 21

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Ohio
Ohio Department of Health
Ohio State University Research Foundation
Oklahoma
Oklahoma Department of Heaith
Oklahoma Healthy Mothers, Healthy Babies
Oregon
Oregon Department of Human Resources
Oregon Health Sciences University
Pennsylvania
National Child Nutrition Project
Pennsylvania Department of Health, General Nutrition Services
Pennsylvania Department of Health,
Division of Maternal and Child health
Rhode Island
Rhode Island Department of Health
South Carolina
South Carolina Department of Health and Environmental Control
South Dakota
South Dakota Department of Health
Tennessee
Tennessee Department of Health and Environment
University of Tennessee College of Human Ecology
Texas
Children’s Nutrition Research Center
Houston Department of Health and Human Services
Texas Department of Health
University of Texas Medical Branch
Utah
Salt Lake Community Health Centers

 

11, 39
35, 40

12, 14
12

23
34, 39, 40, 42

43
14, 20

 

20

19, 21

20, 40

23, 29, 30, 35, 42

 

12, 17, 34, 37, 39, 40, 46

12, 23, 36, 41, 42, 46
45

 

 
82

 

Utah Department of Health

Weber Community Health Center, inc.

Vermont

Vermont Department of Health

Washington

University of Washington Child Development and Mental
Retardation Center

University of Washington Division of Adolescent Medicine

Washington Department of Health and Social Services

West Virginia

West Virginia Department of Health and Human Resources

Wyoming

Laramie County WIC Program

Wyoming Department of Health

 

Paces WHERE CITED
APPENDIX E
List OF RESOURCES

The following list of resources (journal articles, manuals, pamphlets, videotapes,
etc.) was compiled from information questionnaire respondents gave about materials
they have produced and/or are distributing, as well as from the Resouce Center at the
National Center for Education in Maternal and Child Health. The list is organized
into the six main topic areas discussed in this report: professional education, public
education, support in the health care system, support in the community, support in
the workplace, and research. A brief paragraph at the beginning of each section
describes the types of materials listed in that section.

PROFESSIONAL EDUCATION
This section contains proceedings of conferences; newsletters, curricula, textbooks,
and manuals for professionals; and state-of-the-art reports.

Bradley, R. J. A model for improving breastfeeding practices and nutrition: A
practical guide for the health professional. (1990). Butte, MT: Community

Nutrition Resource Center.
Contact: Rita J. Bradley, Community Nutrition Resource Center, P.O. Box 4511,

Butte, MT 59702. (406) 782-2386. $25.00 for single copy, $22.00 each for 2-9
copies, $20.00 each for 10 or more copies, plus $4.95 shipping/handling.

DiLoreto, M. K., Murray, T., Mortell, T., and Hughes, J. A. Breastfeeding training
and resource guide for staff: Level If training module. (1990). Portland, OR: WIC
Program, Oregon Health Division.

Contact. Oregon WIC and MCH Programs, Office of Health Services, Oregon
Health Division, P.O. Box 231, Portland, OR 97207. (503) 299-5691.

Florida Department of Health and Rehabilitative Services, WIC and Nutrition
Services. Florida’s nutrition paraprofessional training guide: The breastfeeding
module. (1991). Tallahassee, FL: WIC and Nutrition Services, Florida
Department of Health and Rehabilitative Services.

Contact: Mary Ann Patterson, WIC and Nutrition Services, Florida Department
of Health and Rehabilitative Services, 1317 Winewood Boulevard, Tallahassee,
EL 32399-0700. (904) 488-8985.

Hughes, V., and Owen, J. Self-learning packets: Initiating breastfeeding;
Difficulties breastfeeding mothers may encounter; Use of a breast pump and
breastmilk storage; and Breastfeeding ready reference. (1989). Washington, DC:
National Capital Lactation Center, Georgetown University Hospital.

Contact. National Capital Lactation Center, Georgetown University Hospital,
3800 Reservoir Road, N.W., Washington, DC 20057. (202) 784-6455. $10.00

each.

79
Illinois Department of Public Health, Nutrition Services Section, Breastfeeding
Promotion Task Force. Breastfeeding topics: A communication of the breastfeeding
promotion task force. (1 989-1990). Springfield, IL: Breastfeeding Promotion
Task Force, Dlinois Department of Public Health.

Contact: Merryjo Ware, M.P.H., R.D., Nutrition Services Coordinator, Division
of Health Assessment and Screening, Illinois Department of Public Health, 100
West Randolph, Suite 6-600, Chicago, IL 60601. (312) 814-5126.

Illinois Department of Public Health, Office of Health Services, Division of
Health Assessment and Screening, Nutrition Services Section. Lactation
counselor’s manual (2nd edition). (1989). Springfield, IL: Nutrition Services
Section, Illinois Department of Public Health.

Contact: Merryjo Ware, M.P.H., R.D., Nutrition Services Coordinator, Division
of Health Assessment and Screening, Illinois Department of Public Health, 100
West Randolph, Suite 6-600, Chicago, IL 60601. (312) 814-5126. Available at
no charge within Illinois ; non Illinois residents can obtain a copy for loan
from NCEMCH.

Institute of Medicine. Nutrition during lactation. (1991). Washington, DC:
National Academy Press.

Contact: National Maternal and Child Health Clearinghouse, 38th and R
Streets, N.W., Washington, DC 20057. (202) 625-8400 or (703) 821-8955, ext.
254.

Naylor, A. J., Dixon, S., and Schooley, J. The lactation management continuing
education project: A model for education/training in maternal and child health.
(1989). San Diego, CA: Wellstart.

Contact: Wellstart, P.O. Box 87549, San Diego, CA 92138. (619) 295-5192.
Single copies available at no charge.

New Mexico Health and Environment Department. Curriculum and packet of
articles for expanding lactation training statewide. (n.d.). Santa Fe, NM: New
Mexico Health and Environment Department.

Contact: Sharon Porter, R.D., WIC Breastfeeding Coordinator, Public Health
Division, New Mexico Health and Environment Department, Santa Fe, NM
87503. (505) 827-2486. Single copies available at no charge.

Rodriguez-Garcia, R., Schaefer, L. A., and Yunes, J. (Eds.). Lactation education for
health professionals. (1990). Washington, DC: Pan American Health
Organization.

Contact: Institute for Reproductive Health, Georgetown University, 3800
Reservoir Road, N.W., Washington, DC 20007. (202) 687-1392. Available at
no charge for developing country organizations. For all others the book is
available at $10.00 per copy.

80
Steering Committee to Promote Breastfeeding in New York City. The art and
science of breastfeeding. (1986). Washington, DC: National Center for
Education in Maternal and Child Health.

Contact: National Maternal and Child Health Clearinghouse, 38th and R
Streets, N.W., Washington, DC 20057. (202) 625-8410 or (703) 821-8955, ext.
254. $5.00 per manual and $50.00 per set of slides; make check payable to
National Center for Education in Maternal and Child Health.

Taylor, M. M. Transcultural aspects of breastfeeding: U.S.A. (1985). Lactation
Consultant Series, unit 2. Garden City Park: Avery Publishing Group.

Contact: Avery Publishing Group, 350 Thorens Avenue, Garden City Park, NY
11040. (516) 741-2155. $3.00 per copy; make check payable to Avery

Publishing Group, Inc.

Worthington-Roberts, B., and Williams, S. R. Nutrition in pregnancy and
lactation (4th edition). (1989). St. Louis, MO: C.V. Mosby Company.

Contact: C.V. Mosby Company, 11830 Westline Industrial Drive, Saint Louis,
MO 63146. (800) 325-4177. $21.95 per copy plus $3.50 for shipping and
handling. A 10% discount is available for order of 10 books or more.

PUBLIC EDUCATION

This section is divided into three subsections: position and policy statements on
breastfeeding and marketing of infant formula; promotional breastfeeding materials
for patients and the public; and guidelines for breastfeeding promotion and education.

Policy and Position Statements

Ambulatory Pediatric Association. Resolution. (1989). McLean, VA:

Ambulatory Pediatric Association.
Contact. Ambulatory Pediatric Association, 6728 Old McLean Village Drive,

McLean, VA 22101. (703) 556-9222.
Advertising: Infant formula; and

(1989). 1990-1991
pp. 5, 59. Kansas

American Academy of Family Physicians.
Infant health: Breast feeding and infant nutrition.
Compendium of AAFP Positions on Selected Health Issues,
City, MO: American Academy of Family Physicians.
Contact: American Academy of Family Physicians, 8880 Ward
City, MO 64114-2797. (816) 333-9700.

American Academy of Pediatrics. Policy on direct advertising to the public.
(1989). Elk Grove Village, IL: American Academy of Pediatrics.
Contact: American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk

Grove Village, IL 60009-0927. (800) 433-9016.

American Academy of Pediatrics. Policy statement based on task force report: The
promotion of breast-feeding. (1982). Pediatrics, 69(5): 654-61. Elk Grove Village,
IL: American Academy of Pediatrics.

Parkway, Kansas

81
Contact: American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk
Grove Village, IL 60009-0927. (800) 443-9016,

American Academy of Pediatrics. Recommended infant formula code of practice.
(n.d.). Elk Grove Village, IL: American Academy of Pediatrics.

Contact: American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk
Grove Village, IL 60009-0927. (800) 433-9016.

American Dietetic Association. Marketing of infant formulas (ADA timely
Statement). (1989). Journal of the American Dietetic Association, 89(2): 268.
Chicago, IL: American Dietetic Association.

Contact: American Dietetic Association, 206 South LaSalle Street, Suite 1100,
Chicago, IL 60604-1003. (312) 899-0040.

American Dietetic Association. Position of the American Dietetic Association:
Promotion of breast feeding. (1986). Journal of the American Dietetic Association,
86(11): 1580-85. Chicago, IL: American Dietetic Association.

Contact. American Dietetic Association, 206 South LaSalle Street, Suite 1100,
Chicago, IL 60604-1003. (312) 899-0040.

American Medical Association. Direct advertising of RX drugs, durable medical
$00ds, and infant formulas to the public; Encouragement of breast-feeding by WIC
participants; Infant nutrition; and Breast-feeding. (1990). American Medical
Association Policy Compendium: Current Policies of ‘the AMA House of
Delegates Through the 1989 Interim Meeting, pp. 23, 45, 50, 51. Chicago, IL:
American Medical Association.

Contact: American Medical Association, 515 North State Street, Chicago, IL
60610. (312) 464-5471.

American Public Health Association. APHA policy statements: Infant feeding in
the United States. (1981). American Journal of Public Health, 71 (2): 207-11.
Washington, DC: American Public Health Association.

Contact: American Public Health Association, 1015 15th Street, N.W.,
Washington, DC 20005. (202) 789-5600.

National Association of Pediatric Nurse Associates and Practitioners. Policy
Statement on breastfeeding. (1988). Cherry Hill, NJ: National Association of
Pediatric Nurse Associates and Practitioners,

Contact: National Association of Pediatric Nurse Associates and Practitioners,
1101 Kings Highway, North, Suite 206, Cherry Hill, NJ 08034. (609) 667-1773.

National Association of WIC Directors. Position of the National Association of
WIC Directors on breastfeeding promotion in the WIC program. (1989). Jackson,
MS: National Association of WIC Directors.

Contact: Kathy Dugas, R.D., Chair, National Association of WIC Directors
Breastfeeding Promotion Committee, c/o Mississippi WIC Program, 2423 North
State Street, Underwood Annex Room 211, Jackson, MS 39215.

82
Oklahoma State Department of Health, Maternal and Child Health Services,
Nutrition Services. Oklahoma State Department of Health position on the
promotion of breastfeeding. (n.d.). Oklahoma City, OK: Oklahoma State
Department of Health.

Contact: Maternal and Child Health Services, Nutrition Division, Oklahoma
State Department of Health, 1000 Northeast 10th Street, P.O. Box 53551,

Oklahoma City, OK 73152.

U.S. Department of Health and Human Services, Public Health Service. Healthy
people 2000: National health promotion and disease prevention objectives. (1991).
Washington, DC: Public Health Service, U.S. Department of Health and Human
Services.

Contact: Superintendent of Documents, Government Printing Office,
Washington, DC 20402. (202) 783-3238. $31.00 for the report and $9.00 for
the summary (GPO# 017-001-00474-0).

Promotional Materials for Patients and the Public

Best Start. Best start: Breastfeeding for healthy mothers, healthy babies: Promotional
and educational materials catalog and order form. (1991). Tampa, FL: Best Start.
Contact: Best Start, 3500 E. Fletcher Avenue, Suite 308, Tampa, FL 33613.
(800) 277-4975. Available at no charge.

Healthy Mothers, Healthy Babies Coalition Subcommittee on Breastfeeding
Promotion. A selected bibliography of videotapes on breastfeeding. (1989).
Washington, DC: National Center for Education in Maternal and Child
Health.

Contact: Librarian, National Center for Education in Maternal and Child
Health, 38th and R Streets, N.W., Washington, DC 20057. (202) 625-8400.
Available for loan from the National Center for Education in Maternal and

Child Health.

Indiana State Board of Health, Indiana Breastfeeding Promotion Project.
Breastfeeding . . . for all the right reasons. (n.d.). Indianapolis, IN: Indiana
Breastfeeding Promotion Project, Indiana State Board of Health.

Contact: Nancy B. Meade, R.D., M.P.H., Nutritionist, Division of Maternal and
Child Health, Indiana State Board of Health, 1330 West Michigan Street, P.O.
Box 1964, Indianapolis, IN 46206-1964. (317) 633-0656. $6.00 for video;
$25.00 for pubic service announcements; other materials available at no

charge.

Massachusetts Department of Health, WIC Program. Thinking about
breastfeeding? (1985). Boston, MA: WIC Program, Massachusetts Department

of Health.
Contact: Massachusetts WIC Office, 150 Tremont Street, Boston, MA 02111.

(617) 727-6876. Single copies available at no charge.

83
North Carolina Department of Environment, Health, and Natural Resources,
Division of Maternal and Child Health, WIC Section. Breastfed babies . . . are

Contact: Division of Maternal and Child Health, WIC Section, Department of
Environment, Health, and Natural Resources, P.O. Box 27687, Raleigh, NC
27611-7687. Single copies available at no charge.

Ohio State University Breastfeeding Promotion Project. Mother and baby
breastfeeding. (1987). Columbus, OH: Ohio State Breastfeeding Promotion
Project.

Contact: Lindsey K. Grossman, M.D., Section of Ambulatory Pediatrics,
Children’s Hospital, 700 Children’s Drive, Columbus, OH 43235. (614) 460-
8478.

Pima County Health Department, Project BEST. Focus on the best (Fijese en lo
mejor). (1989). Tucson, AZ: Project BEST, Pima County Health Department.
Contact. Becky Melland-Buckley, M.S., R.D., Manager, Community Nutrition
Division, Pima County Health Department, 1121 North E] Dorado Place, E-200,
Tucson, AZ 85715, (602) 296-6207.

Rees, J., and Murphy, S. Outside my mom: The story of a breastfed baby. (n.d.).

Television Network.

Contact: Jenny Kirksey, Division of WIC Services, South Carolina Department
of Health and Environmental] Control, Box 101 106, Columbia, SC 29211.
(803) 737-3840,

Guidelines for Breastfeeding Promotion and Education

Breastfeeding Promotion guidebook. (1985). Philadelphia, PA: National Child
Nutrition Project.
Contact: Librarian, National Center for Education in Maternal and Child
Health, 38th and R Streets, N.W., Washington, DC 20057. (202) 625-8400.
Available for loan.
American Public Health Association. Government legislation and policies to
support breastfeeding, improve matemal and infant nutrition, and implement a code
of marketing of breastmilk substitutes. (1986). Washington, DC: American
Public Health Association.

Contact: American Public Health Association, 1015 15th Street, N.W.,
Washington, DC 20005. (202) 789-5600.

Huffman, S. L. Breastfeeding policies in the U.S.: What can we learn from
developing countries. (1990a). Bethesda, MD: Center to Prevent Childhood
Malnutrition.

Contact. Center to Prevent Childhood Malnutrition, 7200 Wisconsin Avenue,
Suite 204, Bethesda, MD 20814. (301) 986-5777. $5.00 per copy plus $2.90
for shipping and handling.

Huffman, S. L. Should infant formula be marketed to the public? (1990b).
Bethesda, MD: Center to Prevent Childhood Malnutrition.

Contact: Center to Prevent Childhood Malnutrition, 7200 Wisconsin Avenue,
Bethesda, MD 20814. (301) 986-5777.

Lazarov, M. Breast-feeding promotion: A handbook for public health professionals.
(1986). Nashville, TN: Breastfeeding Promotion Task Force, Tennessee

Department of Health and Environment.
Contact: Tennessee Department of Health and Environment, Nutrition and

Supplemental Food Programs, 100 Ninth Avenue, North, Nashville, TN 37219-
5405. (615) 741-0265. $5.00 per copy.

SUPPORT IN THE HEALTH CARE SYSTEM

This section contains descriptions of health care-based programs; publications on
breastfeeding and the health care system; hospital policies and protocols for promoting
breastfeeding in the health care system; health care standards; publications on
training peer counselors; regulations for clinics; and surveys of hospital breastfeeding
Protocols and practices.

Arizona Department of Health Services, Office of Nutrition Services. Hospital
breastfeeding education protocol. (n.d.). Phoenix, AZ: Office of Nutrition
Services, Arizona Department of Health Services.

Contact: Office of Nutrition Services, Arizona Department of Health Services,
1740 West Adams, Phoenix, AZ 85007. (602) 542-1886.

Arizona Healthy Mothers, Healthy Babies Coalition. Arizona Healthy Mothers,
Healthy Babies Breastfeeding Task Force model hospital policy. (1988). Phoenix,

AZ: Arizona Department of Health Services.
Contact: Arizona Healthy Mothers, Healthy Babies Coalition, Arizona
Department of Health Services, Office of Nutrition Services, 1740 West Adams,

Room 208, Phoenix, AZ 85007. (602) 542-1890.

85
Biondillo, N. Breast feeding your hospitalized infant. (1990). Houston, Tx:
Children’s Nutrition Research Center.

Contact: Office of Educational Resources, Texas Children’s Hospital, 6621
Fannin, Houston, TX 77030. (713) 770-2040. $1.50 each for less than 50;
$1.00 each for 50 or more.

Breunig, S., and Merwin, M. Model hospital policies and protocols to support
breastfeeding mothers: A training program for hospital staff. (1990). Gainesville,
FL: Florida Healthy Mothers, Healthy Babies and Florida Department of Health
and Rehabilitative Services, WIC Office.

Contact: Carol Brady, Executive Director, Florida Healthy Mothers, Healthy
Babies Coalition, 15 S.E. First Avenue, Suite A, Gainesville, FL 32601. (904)
392-5667. $50.00 per copy plus $10.00 postage and handling.

Center to Prevent Childhood Malnutrition. Analyses of Healthy Mothers,
Healthy Babies surveys of hospital practices related to breastfeeding: 1988 survey.
(n.d.). Bethesda, MD: Center to Prevent Childhood Malnutrition.

Contact: Healthy Mothers, Healthy Babies, 409 12th Street, S.W., Washington,
DC 20024-2188. (202) 863-2458.

District of Columbia Department of Human Services, Commission of Public
Health, WIC State Agency. District of Columbia breastfeeding peer counselor
program: Training manual. (1990). Washington, DC: WIC State Agency, District
of Columbia Department of Human Services.

Contact. Ms. Judy Wilson, Manager, WIC State Agency, District of Columbia
Department of Human Services, 1660 L Street, N.W., Washington, DC 20036.
(202) 673-6746. $15.00.

Georgetown University Hospital, National Capital Lactation Center. Counseling
protocols, nursing care plans. (n.d.). Washington, DC: National Capital
Lactation Center, Georgetown University Hospital.

Contact: National Capital Lactation Center, Georgetown University Hospital,
3800 Reservoir Road, N.W., Washington, DC 20057. (202) 784-6455. $20.00.

Healthy Mothers, Healthy Babies Coalition. Response to breastfeeding survey:
Follow-up questionnaire and data. (n.d.). Washington, DC: Healthy Mothers,
Healthy Babies Coalition.

Contact: National Maternal and Child Health Clearinghouse, 38th and R
Streets, N.W., Washington, DC 20057. (202) 625-8410 or (703) 821-8955, ext.
254. Available at no charge.

Labbok, M., and McDonald, M. (Eds.). Proceedings of the Interagency Workshop
on Health Care Practices Related to Breastfeeding. (1990). International Journal of
Gynecology and Obstetrics, 31(1). New York, NY: Elsevier Scientific Publishers.
Contact: Miriam H. Labbok, Institute for Reproductive Health, Georgetown
University, 3800 Reservoir Road, N.W., Washington, DC 20057. (202) 687-
1392.

86
Levine, R. E., Huffman, S. L., and Labbok, M. Changing hospital practices to
promote breastfeeding: Financial considerations. (1990). Bethesda, MD: Center to

Prevent Childhood Malnutrition.
Contact: Ruth E. Levine Ph.D., Center to Prevent Childhood Malnutrition,
7200 Wisconsin Avenue, Suite 204, Bethesda, MD 20814. (301) 986-5777.

Available for $5.00 plus $2.40 for postage and handling.

Tibbetts, E., and Cadwell, K. The health ed breastfeeding teaching box for in-
hospital use. (1985). Glenside, PA: Health Education Associates.

Contact: Health Education Associates, Inc., 8 Jan Sebastian Way, Sandwich, MA
02563. (508) 888-8044.

Wellstart. Model hospital breastfeeding policies for full-term normal newborn
infants. (1988). San Diego, CA: Wellstart.
Contact: Wellstart, P.O. Box 87549, San Diego, CA 92138. (619) 295-5192.

World Health Organization. Protecting, promoting, and supporting breast-feeding:
The special role of maternity services. (1989). Geneva, Switzerland: World
Health Organization.

Contact. WHO Publications Center USA, 49 Sheridan Avenue, Albany, NY
12210. (518) 436-9686. $5.40 per copy plus $3.00 postage and handling.

SuppoRT SERVICES IN THE COMMUNITY

This section is divided into two sub-sections: educational materials for patients,
and materials for professionals. The materials for professionals include descriptions of
support groups, hotlines, and community-based programs such as WIC clinics, as well
as community resource lists.

Educational Materials for Patients

American Dietetic Association. Breast feeding: Baby's best start (Dar el pecho: El
mejor comienzo para su bebe) (2nd edition). (1983). Chicago, IL: American
Dietetic Association.

Contact: Publications Department, American Dietetic Association, 216 West
Jackson Boulevard, Suite 800, Chicago, IL 60606-6995. (800) 877-1600.

Community Nutrition Resource Center. Breastfeeding: Practical information for
success series. (1990). Butte, MT: Community Nutrition Resource Center.

Contact: Rita J. Bradley, Community Nutrition Resource Center, P.O. Box 4511,
Butte, MT 59702. (406) 782-2386. $6.50 per sample packet, quantity rates

available on request.

Crane, K., Levert, E., Manning, W., and Williamson, M. The natural thing to do.
(n.d.). Atlanta, GA: Kuona.

Contact: Division of Nutrition Services,
Health, Penthouse, TDPH State Office Building, Nashville,

741-7218.

Tennessee Department of Public
TN 37216. (615)

87
Harter, C., Grossman, L. K., and Kay, A. Helpful hints for the nursing mother.
(1986). Columbus, OH: Ohio State University Breastfeeding Promotion
Project.

Contact: Lindsey K. Grossman, M.D., Section of Ambulatory Pediatrics,
Children’s Hospital, 700 Children’s Drive, Columbus, OH 43235. (614) 460-
8478.

Health Education Associates. Publications catalog. (1989). Sandwich, MA:
Health Education Associates.

Contact: Health Education Associates, Inc., 8 Jan Sebastian Way, Sandwich, MA
02563. (S08) 888-8044.

Iowa Department of Public Health, WIC Program. A guide to breast feeding,
(n.d.). Des Moines, IA: WIC Program, Iowa Department of Public Health.
Contact: Brenda Dobson, WIC Program, Iowa Department of Public Health,
Lucas State Office Building, 3rd Floor, Des Moines, IA 50319-0075. (515) 281-
7769,

La Leche League. Publications catalog. (n.d.) Franklin Park, IL: La Leche
League.

Contact. La Leche League Publications Department, 9616 Minneapolis Avenue,
Box 1209, Franklin Park, IL 60131-8209,

Massachusetts Department of Health, WIC Program. Breastfeeding: Getting
Started. (1987). Boston, MA: WIC Program, Massachusetts Department of
Health.

Contact: Massachusetts WIC Office, 150 Tremont Street, Boston, MA 02111.
(617) 727-6876. Single copies available at no charge.

Massachusetts Department of Health, WIC Program. Breastfeeding your new
baby. (1986). Boston, MA: WIC Progtam, Massachusetts Department of
Health.

Contact: Massachusetts WIC Office, 150 Tremont Street, Boston, MA 02111.
(617) 727-6876. Single copies available at no charge.

O'Leary, M. J. Breastfeeding your preterm baby. (1989). Seattle, WA: Health
Sciences Center for Educational Resources, University of Washington.

Contact: Health Sciences Center for Educational Resources, Distribution
Center, SB-56, University of Washington, Seattle, WA 98195. (206) 545-1186.
$200.00 for complete package, $90.00 for individual videotape/handout
packages.

Olson, C., Kaplowitz, D., and Proctor, L. Basics of breastfeeding: A mother’s
Suide. (1983).

Contact: Dr. Cutberto Garza, Division of Nutritional Sciences, Cornell
University, 127 Savage Hall, Ithaca, NY 14853. (607) 255-2228. $2.50 for
review set of 1 copy each; $14.50 for set of 10 copies of each pamphlet.

88
Pima County Health Department, Project BEST. Breastfeeding: Getting started
(Dar pecho: Como empesar). (1989). Tucson, AZ: Project BEST, Pima County
Health Department.

Contact. Becky Melland-Buckley, M.S., R.D., Community Nutrition Division,
Pima County Health Department WIC Program, 1121 North El Dorado Place,
E200, Tucson, AZ 85713. (602) 296-6207.

Seattle-King County Department of Public Health. Breastfeeding educational
materials. (1988). Seattle, WA: Seattle-King County Department of Public
Health.

Contact. Breastfeeding Publications, Seattle-King County Department of Public
Health, 100 Prefontaine Avenue South, Suite 500, Seattle, WA 91804. (206)

587-2792.

Texas Department of Health. You and your baby deserve the best: Breastfeeding ...
The give of love. (1989). Austin, TX: WIC Bureau, Texas Department of Health.

Contact: Barbara Kerr, Director, Public Health Nutrition, Community and Rural
Health, Texas Department of Health, 1100 West 49th Street, Austin, TX 78756.

(512) 458-7785.

University Medical Center. Breast-feeding your baby in the first weeks (El darle
pecho a su bebe durante las primeras semanas). (1990). Tucson, AZ: Project
BEST, Pima County Health Department.

Contact: Becky Melland-Buckley, M.S., R-D., Community Nutrition Division,
Pima County Health Department WIC Program, 1121 North El Dorado Place,
E200, Tucson, AZ 85713.

Materials for Professionals

Arango, J. Promoting breastfeeding: A guide to health professionals working in the
WIC and CSF programs. (1984). Atlanta, GA: Infant Formula Council.

Contact. Nutrition and Technical Services Division, Food and Nutrition Service,
U.S. Department of Agriculture, 3101 Park Center Drive, Room 607,
Alexandria, VA 22302. (703) 305-2585. Single copies available at no charge.
Health Education Associates. The health ed kit for preventing breastfeeding
problems and early failure. (1985). Glenside, PA: Health Education Associates.
Contact: Health Education Associates, Inc., 8 Jan Sebastian Way, Suite 13,

Sandwich, MA 02563. (508) 888-8044. $35.00.

Healthy Mothers, Healthy Babies Coalition Subcommittee on Breastfeeding
Promotion. List of selected state professional organizations and agency contacts for
the promotion of breastfeeding. (n.d.). White Plains, NY: March of Dimes.
Contact: Healthy Mothers, Healthy Babies Coalition, 409 12th Street, S.W.,
Washington, DC 20024. (202) 638-0026.

89
National Center for Education in Maternal and Child Health. Breastfeeding:
Abstracts of active Projects supported by the Bureau of Maternal and Child Health
and Resources Development FY 1989. (1989), Washington, DC: National Center
for Education in Maternal and Child Health.

Contact: National Maternal and Child Health Clearinghouse, 38th and R
Streets., N.W., Washi ‘on, DC 20057. (202) 625-8410 or (703) 821-8955, ext.
254. Available at no charge.

South Carolina Department of Health Environmental Control, Division of
Children’s Health, Breastfeeding Promotion Project. Resources for physicians to
Promote breastfeeding. (1989). Columbia, SC: South Carolina Department of
Health and Environmental Control.

Contact: Jenny Kirksey, Division of WIC Services, South Carolina Department
of Health and Environmental Control, Box 101 106, Columbia, $C 29211.
(803) 737-3840, Notebook not available for distribution. Detailed table of
contents available at no charge.
Steel, A. Breastfeeding promotion: Observations from a community-based mother-to-
mother support project for low-income women in rural Tennessee. (1990). Bethesda,
MD: Center to Prevent Childhood Malnutrition.
Contact. Center to Prevent Childhood Malnutrition, 7200 Wisconsin Avenue,
Suite 204, Bethesda, MD 20814. (301) 986-5777.

U.S. Department of Agriculture, Food and Nutrition Section, National Advisory
Council on Maternal, Infant, and Fetal Nutrition. Biennial report on the Special
Supplemental Food Program for Women, Infants, and Children and on the
Commodity Supplemental Food Program. (1990). Alexandria, VA: Food and
Nutrition Service, U.S. Department of Agriculture.

Contact. Supplemental Food Programs Division, Food and Nutrition Service,
U.S. Department of Agriculture, 3101 Park Center Drive, Alexandria, VA
22302. (703) 305-2746. Single copies available at no charge, limited quantities

available.

U.S. Department of Agriculture, Food and Nutrition Service. Promoting
breastfeeding in WIC: A compendium of practical approaches. (1988). Alexandria,
VA: Nutrition and Technical Services Division, U.S. Department of Agriculture.

Contact: Nutrition and Technical Services Division, U.S. Department of
Agriculture, 3101 Park Center Drive, Room 609, Alexandria, VA 22303. (703)

305-2585.

U.S. Department of Agriculture, National Agricultural Library, Food and
Nutrition Information Center and National Association of WIC Directors.
Nutrition education resource guide: An annotated bibliography of educational
materials for the WIC and CSF programs. (1991). Bibliographies and Literature
of Agriculture, Number 94. Beltsville, MD: Food and Nutrition Information
Center, U.S. Department of Agriculture.

Contact. Food and Nutrition Service, Supplemental Food Programs Division,
U.S. Department of Agriculture, 3101 Park Center Drive, Alexandria, VA

22302. Single copy available at no charge.

SUPPORT IN THE WORKPLACE
This section encompasses any materials related to breastfeeding and employment,

including guidelines for breastfeeding working mothers and surveys of employers’
breastfeeding policies and benefits.

Bradley, R. J. Breastfeeding in the work place. (1990). Butte, MT: Community

Nutrition Resource Center.
Contact: Rita J. Bradey, R.D., Community Nutrition Resource Center, P.O. Box

4511, Butte, MT 59702. (406) 723-6387. $0.11 each for 1 to 99 copies, $0.10
each for 100 to 999 copies, $0.09 each for 1,000 or more copies, plus shipping

and handling.

91
does your business have in common with a breastfed baby? (1989). Indianapolis,
IN: Indiana Breastfeeding Promotion Project, Indiana State Board of Health.
Contact. Indiana State Board of Health, 1330 West Michigan Street, P.O. Box
1964, Indianapolis, IN 46206-1964. (31 7) 633-0656.

Contact: Sharon Porter, R.D., WIC Breastfeeding Coordinator, New Mexico
Health and Environment Department, Santa Fe, NM 87503. (S05) 827.2486.
Single copies available at no charge.

Contact: Tom Baranowski, Department of Preventive Medicine and
Community Health, University Of Texas Medical Branch at Galveston, J25,
Shearn Moody Plaza, Suite 7020, Galveston, TX 77550.

92
Krasovec, K. Schema and framework for breastfeeding definitions. (1990).
Washington, DC: Institute for International Studies in Natural Family
Planning.

Contact: Miriam Labbok, M.D., M.P.H., Institute for Reproductive Health,
Georgetown University School of Medicine, 3800 Reservoir Road, N.W.,
Washington, DC 20057. (202) 687-1392. Available at no charge.

Labbok, M. H., and Krasovec, K. Report of a meeting on breastfeeding definitions
held by the Interagency Group for Action on Breastfeeding, hosted by UNICEF, April
29, 1988. (n.d.). Institute Issues Report number 4. Washington, DC: Institute
for International Studies in Natural Family Planning.

Contact: Miriam H. Labbok, M.D., M.P.H., Institute for Reproductive Health,
Georgetown University School of Medicine, 3800 Reservoir Road, N.W.,
Washington, DC 20057. (202) 687-1392. Available at no charge.

Leddy, T., and Petrone, L. Determining statewide breastfeeding rates and associated
factors. (1988). Providence, RI: Rhode Island Department of Health.

Contact: Division of Nutrition Services, Rhode Island Department of Health, 75
Davis Street, Providence, RI 02908. (401) 277-2312. Available at no charge.

Rassin, D. K., Markides, K., Baranowski, T., Richardson, C. J., and Winkler, B. A.
Acculturation and breastfeeding on the United States-Mexico border. (1990).
Clinical Research, 38(46A).

Contact: David K. Rassin,
Pediatrics, University of Texas Medical Branch at Galveston, Galveston,

77550. (409) 761-2815.

Department of Pediatrics, Division of Perinatal
TX

C. J., and Baranowski, T. Ethnic determinants of

Rassin, D. K., Richardson,
Plenum

lactation in a population of mothers in the United States. (1986).
Publishing.

Contact: David K. Rassin, Ph.D., Department of Pediatrics,
Pediatrics, University of Texas Medical Branch at Galveston, Galveston, TX

77550. (409) 761-2815.

Division of Perinatal

Ruder, Finn, and Rotman. Public attitudes toward breastfeeding: Healthy Mothers,
ealthy Mothers,

Healthy Babies nationwide survey. (1986). Washington, DC: H

Healthy Babies Coalition.
Contact: Healthy Mothers, Healthy Babies Coalition, 409 12th Street, S.W.,
Room 523, Washington, DC 20024-2188. (202) 863-2458.

93
APPENDIX F:
HEALTHY PEOPLE 2000 NATIONAL HEALTH PROMOTION AND
DISEASE PREVENTION OBJECTIVEs: BREASTFEEDING OBJECTIVE

14.9* To increase to at least 75 percent the proportion of mothers who
breastfeed their babies in the early postpartum period and to at least

birth site and 21 percent at 5 to 6 months in 1988).

SPECIAL POPULATION TARGETS

Mothers Breastfeeding Their Babies: 1988 Baseline 2000 Target
During Early Postpartum Period —

14.9a Low-income mothers 32% 75%
14.9b Black mothers 25% 75%
14.9¢ Hispanic mothers 51% 75%
14.9d American Indian/Alaska Native mothers 47% 75%
At Age 5~6 Months —

14.94 Low-income mothers 9% 50%
14.9b Black mothers 8% 50%
14.9¢ Hispanic mothers 16% 50%
14.9d American Indian/Alaska Native mothers 28% 50%

Baseline data sources: Ross Laboratories Mothers Survey; for American Indians and Alaska Natives, Pediatric
Nutrition Surveillance System, CDC.

Breastfeeding is the optimal way of nurturing full-term infants while
simultaneously benefitting the lactating mothers. The advantages of
breastfeeding Tange from biochemical, immunologic, enzymatic, and
endocrinologic to psychosocial, developmental, hygienic, and economic.
Human milk contains the ideal balance of nutrients, enzymes,
immunoglobulin, anti-infective and anti-inflammatory substances, hormones,

state for the mother while suppressing ovulation for many. ;
Although breastfeeding is Strongly recommended, it is not appropriate for
babies whose mothers use drugs such as cocaine, PCP, or marijuana, take more

94
Analysis of data from Ross Laboratories Mothers Survey indicates that
breastfeeding rates continue to be highest among women who are older, well
educated, relatively affluent, and/or who live in the Western United States (71
percent at discharge from birth site and 31 percent at 5 to 6 months). Among
those least likely to breastfeed are women who are low-income, black, less than
age 20, and/or who live in the Southeastern United States. Low income and
black women should receive special attention because they have low rates of
breastfeeding and are a significant proportion of all new mothers
(approximately 25 percent and 17 percent, respectively).

An important barrier to achieving this objective is the general absence of
work policies and facilities that support lactating women. Given the large
percentage of mothers of young children who work outside the home, efforts
to increase breastfeeding should focus on convincing employers to provide
assistance such as extended maternity leave, part-time employment, provision
of facilities for pumping breast milk or breastfeeding, and onsite child care.
Another important barrier is portrayal of bottle rather that breastfeeding as the
norm in American society and the absence of breastfeeding incentives and
support for low-income women. Overcoming these barriers will require public
and professional education, improved support from health care providers and
ermployers, and the involvement of culturally sensitive social, religious, and
professional groups. The media can play an important role by more frequently
portraying breastfeeding as the norm.

*This objective also appears as objective 2.11 in Nutrition
: U.S. Depart: ealth and Hi services. (1990). Healthy People 2000: National Healt
Fee reccion and part ration ojecives. DHHS Publication No. (DHS) 91-50213. Washington, DC:

U.S. Government Printing Office.
95
APPENDIX G
WELLSTART REsouRCE TEAMS FOR LACTATION MANAGEMENT EDUCATION

California

Mary E. O’Connor, M.D., M.P.H.
Division of General Academic Pediatrics
Rainbow Baby and Children’s Hospital
2074 Abingdon Road

Cleveland, OH 44106

Laura Finkler, M.P.H., R.D.
Project Coordinator
Highland General Hospital
Infant Feeding Project
1411 E. 31st Street
Oakland, CA 94602

Meg Zweiback, RN., M.P.H., PNP.
Assistant Clinical Professor of Nursing
San Francisco General Hospital

1001 Potrero Avenue

San Francisco, CA 941 10

Georgia

George W. Bugg, M.D.
Emory University and CDC
Grady Memorial Hospital
P.O. Box 26015

80 Butler Street, 5.5.
Atlanta, GA 30335-3801

Kimarie A, Bugg, R.N.
Breastfeeding Counselor
Grady Memorial Hospital
P.O. Box 26015

80 Butler Street, S.E.
Atlanta, GA 30335-3801

Beth Everett, M.P.H., R.D., L.D.
Vice President

Health Metrics Corporation
2302 Parklake Drive, Suite 345
Atlanta, GA 30345

Tilinois

Diana J. Mertens, R.N., C.N.M., M.P.H.
Maternity Nursing Consultant

Illinois Department of Public Health
535 West Jefferson

Springfield, IL 62761

96

Doris J. McGuire, R.D., M.S.

Ilinois Department of Public Health
Region IV Office

Cottonwood Road, I-270 & 159
Edwardsville, IL 62025

Suzanne Trupin, M.D.
OB/GYN

University of Minois School of Medicine
301 East Springfield Avenue
Champaign, IL 61820

Kansas

M. Ahmad, M.D.

Kaiser Permanente

6900 Squibb Road, Suite 201
Kansas City, KS 66202

Sara McCamman, M.S, R.D.

Director, Training in Nutrition

University of Kansas Medical Center Child
Rehabilitation Center

39th and Rainbow

Shawnee Mission, KS 66103

Sallie Page-Goertz, R.N., C.N.M.

University of Kansas Medical
Center/Pediatrics

39th and Rainbow

Kansas City, KS 66103

Maine

Judy Gatchell, M.S., L.D.

Nutrition Consultant

Division of Maternal and Child Health
151 Capitol Street, Station #11
Augusta, ME 04333

Maureen S, Savadove, M.D.
232 Saint John Street
Portland, ME 04102

Kathy Sutton, R.N., P.H.N.
Public Health Nurse II

ent of Human Services
117 Main Street
Mexico, ME 04257
Maryland

Fay A. Sachs, R.D., M.P.H.

Chief, Nutritional Support Services
Baltimore City Department of Health
9100 Franklin Square Drive
Baltimore, MD 21237

Susan E. Brown Will, R.N., M.S.
Clinical Nurse Specialist Sinai Hospital
Belvedere at Greenspring

Baltimore, MD 21215

Linda L. Wright, M.D.

Special Assistant to the Director
National Institute for Child Health and
Human Development

Center for Research for Mothers

and Children

Executive Plaza North Building

Room 643

9000 Rockville Pike

Bethesda, MD 20892

Montana

James R. Feist, M.D.
Medical Associates, P.C.
7 East Beall

Bozeman, MT 59715

Tien-Ha Ma, M.A.

Nutrition Aide HI

Gallatin County Health Department
Room 105 Courthouse

Bozeman, MT 59715

Stephanie Nelson

Pediatric Nurse Practitioner
Gallatin County Health Department
Room 103 Courthouse

Bozeman, MT 59715

Oklahoma

Donna J. Eckhart, R.N., M.S.N., C.P.N.P.

Maternal and Child Health Consultant
Oklahoma State Department of
Health/Pediatrics

1000 10th Street, N.E.

P.O. Box 53551

Oklahoma, OK 73152

Dianne Kittredge, M.D.

Assistant Professor of Pediatrics
Oklahoma Children’s Memorial Hospital
940 13th Street, N.E., Room 3B700
Oklahoma City, OK 73104

Carol Paine-McGovern, M.P.H., R.D.
Nutrition Coordinator

Nutrition Division of Oklahoma State
Department of Health

P.O. Box 53551

Oklahoma City, OK 73152

Oregon

Pam Hellings, Ph.D., P.N.P.

Associate Professor and Chairman for
Family Nursing

Oregon Health Sciences University

3181 Sam Jackson Park Road, S.W. EJSN
Portland, OR 97201

Tricia Mortell, R.D.

Oregon Health Sciences University
Outpatient Nutrition; Op21

3181 Sam Jackson Park Road, S.W.
Portland, OR 97201

Mary Steinberg, M.D.

Assistant Professor of Pediatrics
Oregon Health Sciences University
Department of Pediatrics

3181 Sam Jackson Park Road, S.W.
Portland, OR 97201

Virgin Islands

Chung Y. Kwon, M.D.

V.L Government Health Department
P.O. Box 754, Christiansted

Charles Harwood Memorial Hospital
St. Croix, VI 00821-0754

Jeanette Hubbard Lewis

MCH Services

Knud Hanson Hospital Complex
St. Thomas, VI 00801

Loma Sebastian, M.S., R.D.
5-7A Peppertree Terrace, Al5
Christiansted

St. Croix, VI 00820
APPENDIX H
NATIONAL ASSOCIATION OF WIC Directors
GUIDELINES FoR BREASTFEEDING PROMOTION IN
THE WIC ProcRAM

GUIDELINE 1: Breastfeeding is enhanced when local agency WIC staff
receive orientation and task-appropriate training on breastfeeding
Promotion and support.

Suggestions for Implementation

* clinic environment Policies
* program goals and Philosophy regarding breastfeeding
* task appropriate information

about breastfeeding, clients will be more comfortable discussing their
breastfeeding questions and concerns. Clients will also be more likely to
initiate breastfeeding and breastfeed for longer duration.

2. It is important that the state agency develop guidelines for ongoing training
that address;

* culturally appropriate breastfeeding Promotion strategies

* current breastfeeding management techniques to encourage and support
the breastfeeding mother and infant

* conferences, workshops, and Programs
® Statewide and local events
* events sponsored by other agencies and organizations

98
Rationale: Local agencies’ participation in breastfeeding training is essential
to successful implementation of breastfeeding promotion programs.

GuIDELINE 2: Breastfeeding is enhanced when policies are developed
that encourage a positive clinic environment and that endorse
breastfeeding as the preferred method of infant feeding.

Suggestions for Implementation
1. It is important to assure that relevant educational materials available to
participants portray breastfeeding as the preferred infant feeding method in a
manner that is culturally and aesthetically appropriate for the population
group. Consider:
e print and audiovisual materials free of formula product names
* office supplies such as cups, pens, and notepads free of formula product
names
Rationale: Use of materials with product names sends a mixed message to
clients and staff and might unconsciously put up barriers to breastfeeding.
2. It is important to establish a positive attitude toward breastfeeding in WIC
clinics.
Rationale: Health care workers should be careful not to communicate overt
or subtle endorsements of formula. Such messages may influence a mother’s
decision about infant feeding or her breastfeeding pattern.
3. It is important that the local agency minimize the visibility of formula.
Consider storing supplies of formula out of view of participants.
Rationale: Formula in clear view of participants may influence a mother’s
decision on infant feeding.
4. It is important that staff not accept formula from formula manufacturer
representatives for personal use.
Rationale: Acceptance of formula for personal use may influence staff to
endorse a particular product, either consciously or unconsciously.

5. It is important that the local agency try to provide a supportive environment
in which women feel comfortable breastfeeding their infants. Consider:

¢ chairs with arms

¢ a breastfeeding area away from entrance

Rationale: The clinic waiting area can be used advantageously to motivate
women to recognize breastfeeding as the “norm” rather than the exception.

99
infants, and children.
Suggestions for Implementation

1. It is important to Participate in coordination activities with appropriate
8toups such as:

* professional health organizations to secure resources and expertise and
assure Communication with health professionals serving pregnant and
breastfeeding women

* existing peer Support groups to facilitate local exchange of breastfeeding
information across the state

Rationale: A collaborative approach to breastfeeding promotion can create a
strong supportive climate and help ensure more effective use of all available
resources,

2. It is important that the state agency disseminate appropriate policies such as
the NAWD Position paper, Breastfeeding Promotion in the WIC Program, to
groups such as:

* American Academy of Pediatrics

* American Academy of Family Physicians

* American College of Obstetricians and Gynecologists
* American Dietetic Association

° American Hospital Association

* American Nurses Association

* American Public Health Association

° Association of Pediatric Nurse Practitioners

* International Lactation Consultants Association
° American College of Nurse Midwives

© La Leche League International

* Maternal and Child Health Directors

* Medicaid Directors

* Indian Health Service