Is The Dept Of Health & Human Services Taking Away Services From Maine People

Adv Nutr. 2011 Nov; two(6): 523–524.

U.Due south. Dept. of Health and Human Services. The Surgeon General'due south Phone call to Action to Support Breastfeeding. U.S. Dept. of Health and Human being Services, Office of the Surgeon General. 2011

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Groundwork

The scientific evidence that breastfeeding provides optimal nutritional and immunological support to almost all healthy infants is staggering, and myriad professional and public wellness organizations have for decades promoted its superiority to alternative forms of feeding. In 1984, Surgeon Full general C. Everett Koop followed adjust at the federal level by convening the start Surgeon General's Workshop on Breastfeeding, which culminated in the publication of a report outlining six key actions needed to improve breastfeeding rates in the The states. Follow-up reports were so written in 1985 and 1991, each documenting progress in implementing the original recommendations. In 1999, the U.S. Section of Health and Human Services (DHHS) released its Design for Activity on Breastfeeding, declaring breastfeeding to be a key national public health effect. This publication was followed past Healthy People 2010, which established goals for breastfeeding initiation, continuance, and exclusivity. Now, over a decade later on, the Centers for Affliction Control and Prevention, the Office on Women's Health, and the Part of the Surgeon General (all part of DHHS) take published The Surgeon General'south Phone call to Activity to Support Breastfeeding, which describes in detail how individuals and organizations tin contribute to the wellness of mothers and their children through promotion and support of breastfeeding in clinical, home, public, inquiry, and work settings.

Development of the report

In 2009, comments were first solicited from the general public through an open internet site; a total of 2,354 distinct comments were garnered, read, and summarized for review by a steering committee constituting xiv members from a variety of federal health-related agencies. An expert panel was then convened to conduct more in-depth discussions about the content of a Telephone call to Action. Third, hearings for stakeholders were conducted to hear from critical organizations who work straight affects breastfeeding. And finally, later reviewing recommendations and priorities delineated previously at various meetings, the steering commission completed the chore at hand by reviewing the literature related to breastfeeding rates; health, economic, and environmental risks associated with not breastfeeding; and barriers to breastfeeding. Their deliberations resulted in the evolution of xx "action items," each with its own clearly delineated implementation strategies ( Tabular array one ).

Table one.

The 20 action items and a sample implementation strategy of each are summarized here.

Action Items	Selected Implementation Strategy
i. Give mothers the support they need to breastfeed their babies.	• Back up mothers to have time and flexibility to breastfeed.
ii. Develop programs to educate fathers and grandmothers about breastfeeding.	• Offering classes on breastfeeding that are convenient for family unit members to attend.
3. Strengthen programs that provide mother-to-mother support and peer counseling.	• Establish peer counseling as a cadre service bachelor to all women enrolled in WIC.
4. Utilize community-based organizations to promote and support breastfeeding	• Support and fund minor nonprofit organizations that promote breastfeeding in communities of color.
v. Create a national campaign to promote breastfeeding.	• Employ a variety of media venues to reach young women and their families.
half-dozen. Ensure that the marketing of infant formula is conducted in a way that minimizes its negative impacts on exclusive breastfeeding.	• Ensure that wellness care clinicians do not serve as advertisers for infant formula.
7. Ensure that maternity care practices throughout the United States are fully supportive of breastfeeding.	• Found a new advanced certification programme for perinatal patient intendance.
8. Develop systems to guarantee continuity of skilled support for lactation between hospitals and health care settings in the customs.	• Establish partnerships for integrated and continuous follow-up care afterwards belch from the hospital.
ix. Provide education and grooming in breastfeeding for all wellness professionals who treat women and children.	• Amend the breastfeeding content in undergraduate and graduate education and grooming for wellness professionals.
10. Include basic support for breastfeeding as a standard of intendance for midwives, obstetricians, family physicians, nurse practitioners, and pediatricians.	• Ascertain standards for clinical practice that will ensure continuity of treat pregnant women and mother-babe pairs in the commencement iv weeks of life.
11. Ensure admission to services provided by International Lath Certified Lactation Consultants.	• Include support for lactation as an essential medical service for pregnant women, breastfeeding mothers, and children.
12. Identify and accost obstacles to greater availability of safe banked donor milk for fragile infants.	• Convene a study on federal regulation and support of donor milk banks.
13. Work toward establishing paid motherhood leave for all employed mothers.	• Add maternity leave to the categories of paid leave for federal ceremonious servants.
14. Ensure that employers establish and maintain comprehensive, high-quality lactation back up programs for their employees.	• Develop and share innovative solutions to the obstacles to breastfeeding that women face when returning to work in not-office settings.
xv. Expand the use of programs in the workplace that permit lactating mothers to have direct admission to their babies.	• Identify and promote innovative programs that allow mothers to directly breastfeed their babies after they return to work.
16. Ensure that all kid intendance providers accommodate the needs of breastfeeding mothers and infants.	• Promote adoption of the breastfeeding standards in Caring for Our Children: National Health and Safety Functioning Standards: Guidelines for Out-of-Home Kid Care.
17. Increase funding of high-quality research on breastfeeding.	• Designate additional research funding for studies on how to increment breastfeeding rates, the economics of breastfeeding, and management of lactation.
18. Strengthen existing capacity and develop hereafter chapters for conducting research on breastfeeding.	• Develop a national consortium on breastfeeding research.
xix. Develop a national monitoring system to improve the tracking of breastfeeding rates as well equally the policies and environmental factors that bear upon breastfeeding.	• Enhance the CDC Breastfeeding Report Card by including a broader array of process indicators and showing trends over time.
20. Better national leadership on the promotion and support of breastfeeding.	• Create a federal interagency work group on breastfeeding.

Summary

This report not simply provides a veritable treasure trove of national and international data concerning breastfeeding rates, benefits, and barriers, it also carefully and deliberately enlists the aid of all sectors of U.Southward. lodge in realizing more than effective national breastfeeding policies and implementation steps.

Of particular importance to nutrition researchers are the action items that emphasize the need for improved and expanded breastfeeding-related research and surveillance. Indeed, every bit stated in the document: "Increasing the number of scientists properly trained to study breastfeeding could allow both electric current and new researchers to design and comport out scientifically sound and rigorous studies on breastfeeding topics." These federally-sanctioned statements, goals, and strategies may evidence invaluable to advancing evidence-based inquiry in the discipline and should be of bang-up involvement to all researchers and clinicians in the fields of man milk, lactation, and maternal/infant wellness.

For more than information

Gratuitous copies of the full report as well as summaries and other related information are bachelor at http://www.surgeongeneral.gov.

Manufactures from Advances in Nutrition are provided here courtesy of Oxford University Press