Sustaining breastfeeding together: Partnerships for the Goals

Sustaining breastfeeding together: Partnerships for the Goals

The theme for this year’s World Breastfeeding Week  is all about the importance of building multi-level partnerships to work together to support and protect breastfeeding and achieve the UN’s Sustainable Development Goals.

The final Sustainable Development Goal, number 17, calls for cross sectoral and innovative multi-stakeholder partnerships to achieve sustainable development.

Research has shown that the most effective way to improve breastfeeding rates is to implement policies and programmes at every level, from hospital to home and community, with support available from health professionals, peer supporters, friends, families and society.

One of the main WBTI recommendations outlines how this could be led from the top in the UK:

A national sustainable Strategy Board, including representatives from all the voluntary groups, health professional organisations, and NGOs to share best practice between devolved nations coordinated by a high level funded lead specialist.

A good breastfeeding journey for a family begins with birth in a Baby Friendly accredited hospital, and continues at home, surrounded by supportive family and friends, with easy access to skilled health professionals and mother support groups in the community. Once they return to work, mothers are supported by their employers to continue to breastfeed as long as they wish. Legislation protects families from misleading marketing by the baby feeding industry, and ensures safe and high quality breastmilk substitutes are available for those babies who need them.

A strong partnership between all sectors is essential to supporting families throughout their journey. The WBTi project was centred around building a strong partnership between organisations and agencies involved in maternal and infant health in order to monitor and assess the UK’s implementation of key infant feeding policies and programmes. The decision-making Core Group was responsible for determining the gaps and recommendations for the WBTi report and its member organisations had to be free from conflict of interest with regard to funding from the formula, baby food, bottle and teat industries. Organisations covering the full spectrum of maternal and infant health were invited to participate in the wider WBTi consultation.

Together, we can build a better future for Britain’s babies.

 

The WBTi Core Group

Association of Breastfeeding Mothers   https://abm.me.uk/

Baby Feeding Law Group    www.babyfeedinglawgroup.org.uk/

Baby Milk Action www.babymilkaction.org/

Best Beginnings   www.bestbeginnings.org.uk/

Breastfeeding Network   www.breastfeedingnetwork.org.uk/

Child and Maternal Health Observatory   www.herc.ox.ac.uk/downloads/health_datasets/browse-data-sets/child-and-maternal-health-observatory-chimat

Department of Health   www.gov.uk/government/organisations/department-of-health

First Steps Nutrition   www.firststepsnutrition.org/

Institute of Health Visiting ihv.org.uk/

Lactation Consultants of Great Britain   www.lcgb.org/

La Leche League GB   www.laleche.org.uk/

Maternity Action www.maternityaction.org.uk/

Northern Ireland infant feeding lead

NCT   www.nct.org.uk/

National Infant Feeding Network www.unicef.org.uk

Public Health England  www.gov.uk/government/organisations/public-health-england

Scotland Maternal and Infant Nutrition Coordinator www.gov.scot/

Start4Life www.nhs.uk/start4life/

Unicef UK Baby Friendly Initiative www.unicef.org.uk/babyfriendly/

 

Other organisations who participated in the WBTi consultation

British Dietetic Association. https://www.bda.uk.com

Cabinet Office https://www.gov.uk/government/organisations/cabinet-office

Department of Health http://www.gov.uk

General Medical Council  http://www.gmc-uk.org

General Pharmaceutical Council   https://www.pharmacyregulation.org

Nursing and Midwifery Council   https://www. nmc.org.uk

Public Health Agency Northern Ireland www.publichealth.hscni.net/

Public Health Scotland   http://www.gov.scot/

Public Health Wales http://www.wales.nhs.uk/

Royal College of General Practitioners http://www.rcgp.org.uk

Royal College of Midwives http://www.rcm.org.uk

Royal College of Paediatrics and Child Health https://www.rcpch.ac.uk

Royal College of Obstetricians and Gynaecologists http://www.rcog.org.uk

Unite, the Union of Community Practitioners and Health Visitors Association www.unitetheunion.org/

U K Standing Conference on Specialist Community Public Health Nurse Education

 

Relevant quotes:

The Lancet Series on Breastfeeding concluded that breastfeeding is the responsibility of all of society, not just the individual woman. http://www.thelancet.com/series/breastfeeding

It takes a village to raise a child………so says the African proverb.

UK Shadow Health Minister Jon Ashworth recently said ‘Children’s health is central to improving wellbeing and economic status of a country’.

 

By Clare Meynell and Helen Gray

Joint Coordinators

WBTi UK Working Group

A winner! Working together to support families

A winner!  Working together to support families

If you attended the 2015 Unicef UK Baby Friendly conference you may have noticed, or taken part, in the informal World Breastfeeding Trends Initiative (WBTi) competition to guess the final assessment score. Sue Ashfield is the winner as her estimate was closest to the actual score of 50.5 out of 100 for Indicators 1-10.

The score is a measure of how the UK is performing against the implementation of key policies and programmes to support mothers who want to breastfeed and the healthcare professionals who help them.

Sue is the lead and Specialist Health Visitor (Infant Nutrition) of First Community Health and Care in East Surrey. Sue is a winner in a much bigger way than the WBTi competition because her community team was reaccredited by Baby Friendly earlier this year and they also supported 10 local children centres in achieving full BFI accreditation in one year. The formal presentation of the award was on March 14th. Sue pays tribute to the hard work of her colleagues for the achievement but it also reflects her commitment and leadership.  Read more here.

Her team is a brilliant example of what the WBTi UK report recommends for Indicator 6 (community-based support). There is close, integrated working between 0-19 public health team, breastfeeding counsellors, peer supporters and children centres at the three Baby Cafes, which have been runnning for 10 years.

Practitioners from the 0-19 team work at the Baby Cafes on a rota basis, alongside the breastfeeding counsellor. When they see mothers at home or at drop-in clinics they encourage them to attend the Baby Cafes for social support or more specialised support or just to chat to one of the peer supporters. The breastfeeding counsellors at the Baby Cafes have now trained over 200 peer supporters and this has increased the breastfeeding knowledge and skills within the local community.

Winner blog
Credit: Eleanor Stock

The photo above shows Sue holding the Baby Friendly Initiative (BFI) accreditation plaque along with some members of the 0-19 team, some senior managers and their BFI Guardian. Since April, all three community services in Surrey have come together as Children and Family Health Surrey to deliver children’s services.

Sue comments that she found particularly useful the information in the WBTi report about interventions and investment offered in the past and also Report Cards and the summary gaps and recommendations. She will use the findings in the report to inform local commissioners and disseminate information to staff and other stakeholders.

An integrated service like this is needed in all areas, yet in so many places services are being cut, particularly peer support programmes and breastfeeding support drop-ins.

Many congratulations Sue.

 

Cover photo credit: Paul Carter

PW Photo for WBTi MAINN presentation

 

Patricia Wise is an NCT breastfeeding counsellor and a member of the WBTi Steering Group

The amazing story of West Herts Breastfeeders

The amazing story of West Herts Breastfeeders

I received too much breastfeeding support – said no mother ever!

Your vibe attracts your tribe

#BFfriend17

I did not realise the power of that statement until I became a breastfeeding mother. Nursing my child became a life philosophy, a kaleidoscope lens, spinning my family, bringing like-minded people together and painting the colours of my parenting. About 3 years ago there was a story all over the media about a mother who was asked to leave a certain store because she chose to breastfeed openly in there. Breastfeeding mothers on social media were furious. Simultaneous protests in branches of that store were set up and I organised one of them. Some great friendships were born out of that movement. This simple act sparked a discussion about the needs of the breastfeeding community. This could not end there.

For Olgas community support

Protest was the beginning.

We wanted to make sure mothers knew their rights. We wanted to educate, empower and bring families together. Slowly a community has been born. It kicked off with a picnic to celebrate National Breastfeeding Week, followed by some meetings in a children’s centre. A year passed and having my third baby gave me a huge boost of confidence to put my peer support training into practice. After another season of outdoor gatherings, I hired a room in a community centre. One of the mothers got inspired and started another group in a nearby town, followed by more of them. All were hosted by mothers who breastfed their own babies and felt they could support others and offer a safe space for befriending.

A few months later we decided to organise peer support training. The services offered by the local health visiting team and children’s centres were not sufficient at the time. And there definitely was a niche for peer support. Having experienced first hand how unique it is having another mother support you through hardships, I fell in love with the idea. We approached other service providers using the Maternity Services Liaison Committee. At first, not many believed in us but, as time passed, we proved to be worthy of their trust. We asked for help from generous friends, who delivered the training at no charge, and we found a venue for free thanks to a children’s centre manager. But mostly we were incredibly lucky to recruit, through our groups, amazing women who agreed to offer their time to volunteer in the local hospital.

We decided it was the right time to create something more formal. West Herts Breastfeeders community came to life thanks to the many mothers who nurtured it deeply. This ‘baby’ was very lucky. It was a firstborn who had all the attention and support from local Infant Feeding teams and the Children’s Services department of Hertfordshire County Council. We came a long way. It took us just over a year to train 18 peer supporters, establish six monthly regular meetings in the West Herts area, recruit nearly 550 members to our virtual community to provide them with 24 hour support through Facebook and all that with no official funding. We are all volunteers. You could be too!

Be the Change

As mentioned in the Open Letter of February 2016, organised by the WBTi UK team, a woman’s ability to breastfeed is often determined by the support she receives and the environment in which she lives. While we cannot change everything, we try to help normalise breastfeeding out and about. We also play an important role in normalising feeding older babies and encouraging mothers to carry on, while often dealing with family pressures to wean or the challenges of returning to work. Most children’s centres provide breastfeeding support only in groups for babies under one year, and health visitors do not see mothers as often as they would like. Not having a healthcare professional label also changes the balance of the dialogue and helps mothers to open up.

Together we can do more

What we strive for in the face of recent cuts and challenges is the partnership between all local services. Our success is owed largely to the power of networking. We can see where we are needed most and what else can be done to make sure no woman is left alone at any stage of her nursing journey. You can help to be part of the change, by simply sharing your thoughts with your newly elected MP. Use the WBTi sample email to tell them what breastfeeding mothers need in your local area. Ask them to use their influence on the Local Authority to showcase the importance of breastfeeding to public health and safeguard their budget for health visiting and breastfeeding support.

Your voice matters.

 

 

Please sign up HERE to receive email updates on our WBTi work!

Olga Danyluk-Singh photo for community support

Bio

Olga Danyluk –Singh, Chairperson, West Herts Breastfeeders

NHS Breastfeeding Peer Supporter and mother of three breastfed children

Enthusiastic lactivist!

One key question before the election?

One key question before the election?
By Emma Pickett
Chair, Association of  Breastfeeding Mothers

I imagine like me you have watched some pre-election television debates in the last few weeks. It’s easy to start daydreaming and picture yourself in that audience putting our leaders on the spot. If you had the opportunity to ask that one key question of the main political leaders and get it broadcast on national television, what would you choose to focus on?

For many of us who have been involved in the WBTi project, it’s a no-brainer: What would they do to improve the situation around breastfeeding and infant feeding in the UK?

Except you’ve only got one sentence to outline a situation that took WBTi more than 70 pages.

You’re talking about health care professional training and the international code of marketing of breastmilk substitutes, national leadership, maternity protection in the workplace, data collection. Plus, you are talking to people who don’t even realise there is a problem in the first place or have little understanding of the complexity. There are few soundbites developed for an issue that affects families across the UK and for a situation that many of us see is in crisis.

Breastfeeding is a public health imperative

Politicians are nervous to touch on an issue which they often see as being about individual choice rather than a ‘collective societal responsibility’, as Dr Nigel Rollins described breastfeeding in The Lancet report last year. But when you look at the reality of what is happening in the UK, there is no need to fear having a conversation about breastfeeding. It’s not controversial to be disappointed to hear that 86% of women who stopped breastfeeding in the first two weeks would have liked to have continued for longer. Or 63% of those who stopped before 10 months. It’s especially not controversial when you learn more about the impact of breastfeeding on maternal mental health and its role in reducing inequality.

Which politicians wouldn’t be interested in something UNICEF describe as ‘a natural safety net against the worst effects of poverty’ or a factor shown to have a significant impact on the national economy? We can read through the manifestos of the political parties and see references to obesity and child health and mental health and find ourselves exasperated that infant feeding hardly gets a mention. However, it IS there. In every discussion about fighting inequality or improving chances or protecting the environment or stimulating the economy or supporting parents or focusing on mental health. They just don’t KNOW it’s there.

It is our duty to get this message across.

We may not be sitting in a Question Time audience but we meet our candidates. We have their emails and Twitter accounts. We can speak to them once they are sitting MPs.

Use the WBTi sample email and add your own messages to all the candidates in your own area. What are the gaps in breastfeeding services in YOUR area? Tell YOUR story.

It’s about emphasising why funding matters and why breastfeeding support in the community isn’t a nice optional extra. We are hearing about the huge variation in community-based support across the UK. Cuts to services in England are particularly a worry. Parents are finding groups closing, peer support services disappearing and when they are struggling with more complex problems, there is often nowhere to go. Specialist positions are either being lost or the integration of services means signposting to more qualified breastfeeding specialists such as IBCLCs is confused.

There is no point sighing about the crisis in infant feeding unless we also act. No point in putting a nice meme on your social media account, without also making sure you take 5 minutes to educate a politician who may simply not understand the basics. No point having anger towards our leaders if they are uninformed. WE are the ones who can do the informing: the new parents, the breastfeeding organisations, the healthcare professionals. It’s all too easy for social media to become a place where we all just talk to people who already agree with us. It has never been easier in history for us to directly contact our candidates and politicians. They won’t understand these issues unless we educate them. It starts with one email or one tweet or one conversation.

Have you done it?

For more information about cuts to community breastfeeding services, see WBTi’s 2016 briefing

See the Open Letter signed by dozens of royal colleges, health professional bodies, researchers and voluntary organisations

Responses from political parties

Baby Milk Action have asked all the major political parties about their breastfeeding and infant feeding related policies. You can read their letter, which refers to the WBTi UK report, and the responses they have received here.

 

Photo credit: Sophie Burrows

Emma PickettEmma Pickett IBCLC is Chair of the Association of Breastfeeding Mothers. She is also an ABM breastfeeding counsellor (www.abm.me.uk) in North London. She has supported breastfeeding mums in Haringey as a volunteer since 2008.

Emma is the author of You’ve Got It In You: A Positive Guide To Breastfeeding  and blogs at Emma Pickett Breastfeeding Support 

Happy 6 month anniversary to us!

Happy 6 month anniversary to us!

WBTI reports
The first WBTi assessment of the UK was launched 6 months ago today in Parliament, hosted by Alison Thewliss MP, chair of the Infant Feeding and Inequalities All Party Parliamentary Group.

Huge thanks to Alison and the APPG, and to all the amazing organisations in our Core Group who worked together to identify gaps in UK policy and programmes in infant feeding, and to jointly generate recommendations for Action!

The Core Group of organisations and agencies involved in various aspects of infant and maternal health and infant feeding identified gaps in UK policy and programmes and generated joint recommendations for action.

 wbti-core-group-2015.png

WBTi Core Group:
Association of Breastfeeding Mothers (ABM)
Baby Feeding Law Group (BFLG)
Baby Milk Action
Best Beginnings
Breastfeeding Network (BfN)
Child and Maternal Health Observatory (CHIMAT) Department of Health
First Steps Nutrition
Institute of Health Visiting (iHV)
Lactation Consultants of Great Britain (LCGB)
La Leche League GB (LLLGB)
Maternity Action
Northern Ireland infant feeding lead
NCT
National Infant Feeding Network (NIFN)
Public Health England (PHE)
Scotland Maternal and Infant Nutrition Coordinator Start4Life
Unicef UK Baby Friendly Initiative

 

WBTi Steering Group and main authors:
WBTI steering group

From left to right:
Ayala Ochert, Alison Spiro, Helen Gray, Clare Meynell, Patricia Wise, Liz McGregor

For mothers, for babies and for society

For mothers, for babies and for society

WBTi UK Report 2016 – Key findings and what you can do to help

Breastfeeding matters for mums, babies and society.

The WBTi report for the UK shows key gaps and recommendations for improvement in how all of society — the UK Government, national assemblies, local commissioners,  friends, family and community — needs to support mothers who want to breastfeed and the healthcare professionals who help them.

In order for this to happen, we need MPs to be aware of the report and recommendations, so that they carry the message to Parliament, and start the change so desperately needed.

MPs are there to listen to your concerns and to represent you in Parliament. Our video explains what the key messages are from the WBTi 2016 Report on the UK, and what we can all do together to make changes happen.

 

We need YOUR help now in this social media campaign with our video.  You can;

  • Take the report and its recommendations to your local MP
  • Tag a friend on our Facebook video launch post, like and share the post
  • Write to your MP or make an appointment to meet them
  • Post a selfie on our video launch post with the hashtags #breastfeedingmatters and #bfaction to raise awareness on social media and help us make this change

If you have breastfed your own children, if you had hoped to breastfeed but didn’t get enough support, or if you are a health care professional or volunteer supporting breastfeeding women, please get involved.

For a step-by-step guide see our campaign:

http://www.babymilkaction.org/wbtiuk-mps0217

For more information on the report, to donate, and to download our FREE report cards to give to your MP:
https://ukbreastfeeding.org/wbtiuk2016/

 

For more information on the work of Baby Milk Action and to sign up to support them
 http://www.babymilkaction.org/
UNICEF Baby Friendly Initiative
https://www.unicef.org.uk/babyfriendly/

Building Loving Relationships – Indicator 2: The Baby Friendly Initiative

valentine

Will you be my Valentine? Love matters to all of us.

There will be millions of Valentine celebrations taking place all over the nation on 14 February. Hearts, red roses, chocolates, gifts, expensive treats and marriage proposals will be exchanged to signal love on that day.

But… babies are born every day. People embrace each other every day. Loving relationships begin every day! Lovers kiss every day and babies are universally loved.

Affection and love shape our brains from that first kiss on day one and continually along our life course. They create that extraordinary mother and baby bond, stimulate social interactions and enable long-lasting friendships. Early loving relationships are nurtured and supported by our families, friends, health professionals and wider society. Being held closely, and responded to sensitively, by those who love you more than anyone else, has far-reaching effects on long-term emotional security and health.

The neuroscience evidence behind this is getting stronger every year. Sue Gerhardt explained that in her book Why Love Matters: How Affection Shapes a Baby’s Brain in 2004. Margot Sunderland explained the impact of this knowledge for parenting in 2006, in What Every Parent Needs to Know: The incredible effects of love, nurture and play on your child’s development.

Humans are very adaptable and babies respond to how they are treated, feeling secure and appreciated if they feel loved. Francesca Entwistle explains the importance of helping the baby develop secure attachment in the 2013 Evidence and rationale for the Unicef UK Baby Friendly Initiative standards.

The Unicef UK Baby Friendly Initiative programme has been universal in changing attitudes and encouraging best practice over the last 20 years in the UK through robust accreditation. It delivers the minimum basic standards required to support new parents – no matter how they feed their babies. It aims to create the best environment for the start of every baby’s life but is not yet mandatory for all maternity facilities in England and Wales (see WBTi UK 2016 report – Part 1, Indicator 2).

The question is why isn’t it mandatory as recommended by NICE (the National Institute for Health and Care Excellence) 11 years ago? The guidance states: “All maternity care providers (whether working in hospital or in primary care) should implement an externally evaluated, structured programme that encourages breastfeeding, using the Baby Friendly Initiative as a minimum standard.”

The governments of Scotland and Northern Ireland have a funded national strategy with a coordinator supporting all maternal and infant health professionals, and 100% of maternity units in Scotland and Northern Ireland are accredited, with community facilities aiming to achieve the same.

This cascade of national to local support aims to ensure all parents receive the best possible information, free from the undermining effects of commercial persuasion, with practical support to be enabled to make healthy decisions for themselves, which helps fulfil the government’s health message.

Families would benefit if England and Wales followed the best practice example of their neighbours.

What does Baby Friendly care mean for parents? Relevant information from pregnancy onwards, skin-to-skin contact immediately after birth as standard practice, and practical help with learning how to feed your baby. For more details, see You can expect the following standards of care from a Baby Friendly hospital. If all expectant parents knew about the standards, they could help press for them to be implemented universally.

The WBTi UK report points out gaps and provides recommendations to overcome the many barriers that women face in their daily lives, journeying from pregnancy through birth, the postnatal months, back to work and beyond, living in their own communities. See Part 1, Indicator 2 of the report for more information, with further details in Part 2.

Implementing the WBTi recommendations would contribute to the provision of the optimal conditions all parents need to begin raising their child in a loving and supportive society.

 

References

  1. Gerhardt S (2004) Why Love Matters: How Affection Shapes a Baby’s Brain E.Sussex: Brunner-Routledge
  2. Sunderland M (2016) What Every Parent Needs to Know London: Dorling Kindersley
  3. Entwistle F (2013) Evidence and rationale for the Unicef UK Baby Friendly Initiative standards
  4. WBTi UK (2016) World Breastfeeding Trends Initiative UK Report 2016
  5. NICE (2006) Postnatal care up to 8 weeks after birth
  6. Unicef UK BFI Support for Parents