Why Step 3?
In Texas, many women report not meeting their breastfeeding goals,1 so helping them to develop a plan for infant feeding early in pregnancy is essential to their success. Research demonstrates that health risks exist for both mothers and babies in the absence of breastfeeding.2 Realistic information and support provided in the prenatal period has been shown to help mothers gain confidence in the process of breastfeeding and the ability to succeed.3 Mothers demonstrate an increased commitment to making breastfeeding work, even if difficulties are encountered.4
Due to influences by the commercial infant food industry on healthcare providers of infant feeding, breastfeeding information should be evidence-based and free of corporate sponsorship.
Primary Goals of Step 3
- Encourage a positive attitude, knowledge and foster self-efficacy about breastfeeding.
- Topics to consider in prenatal breastfeeding education:
- importance of exclusive breastfeeding and that breastfeeding continues to be important to moms after age six months when other foods are given
- impacts of formula use on maternal and pediatric health outcomes and breastfeeding success
- importance of early skin-to-skin contact
- early initiation of breastfeeding
- Rooming-in on a 24-hour basis, education on safe sleep and SIDS risk reduction
- feeding on demand or baby-led feeding
- frequent feeding to help assure optimal milk production
- effective positioning and attachment
- management of breastfeeding challenges
- nonpharmacological pain relief methods for labor
Ten Step Self-Assessment
Use the Ten Step Self-Assessment to help you evaluate your progress for this step. This self- assessment document does not have to be submitted with application.
- Review your individual Ten Step Scorecard from the last designation for change recommendations.
- Use the Ten Step Self-Assessment Tool to help plan for step-by-step improvement in any areas needed.
- Review the Baby Friendly USA, Inc. Guidelines and Evaluation Criteria to view full standard for this step.
A great pre- and postnatal website for moms developed and maintained by the Texas WIC program. Encourage moms to bookmark this site for easy access to evidence-based breastfeeding information, free from corporate sponsorship.
Breastfeeding Mother’s Bill of Rights (PDF)
Developed by New York State and provides guidance to mothers on their right to breastfeed.
Carolina Global Breastfeeding Institute - Ready, Set, Baby!
Free online prenatal education resources and implementation guide for developing your own prenatal training.
Tip Sheet: Infant Feeding Informed Decision Making (PDF)
This document has been designed to support health care providers in helping mothers make an informed decision regarding infant feeding.
American Academy of Pediatrics (AAP) position statement on breastfeeding and use of human milk, 2012
Academy of Breastfeeding Medicine (ABM) Protocol #19 - Breastfeeding Promotion in the Prenatal Setting (PDF)
Busch, Deborah W. et al. Clinical Practice Breastfeeding Recommendations for Primary Care: Applying a Tri-Core Breastfeeding Conceptual Model. Journal of Pediatric Health Care, Volume 28, Issue 6, 486 - 496