Baby Behavior Education in California WIC Jamie Fehlman, MS, RD

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Baby Behavior Education in California WIC Jamie Fehlman, MS, RD, IBCLC Sacramento County WIC Program Laura May, MEd, RD, CLS Riverside County WIC Program California WIC Association (CWA) Webinar August 30, 2012

Transcript of Baby Behavior Education in California WIC Jamie Fehlman, MS, RD

Baby Behavior Education

in California WIC

Jamie Fehlman, MS, RD, IBCLC

Sacramento County WIC Program

Laura May, MEd, RD, CLS Riverside County WIC Program

California WIC Association (CWA) Webinar

August 30, 2012

The FitWIC

Baby Behavior Study (2006-2009)

Why do inappropriate infant feeding

practices among WIC participants

continue despite extensive nutrition and

infant feeding education?

FitWIC Baby Behavior

Study Outcomes

exclusive

breastfeeding rates

formula use

overfeeding

Baby Behavior Workgroup

Evolution of the California

WIC Baby Behavior Campaign

FitWIC Baby Behavior

Study

2006-2009

New Tools

to Reduce

Overfeeding

Training

2008-2010

Staff

Refresher

Training

Spring 2011

Participant Education

Began Fall 2011

Participant Education

Prenatal

(3rd Trimester)

Early Infancy

(Before 6 weeks)

Class Education Materials

Participant Education

Materials

Participant DVD

Chat with Dr. Jane

Light Sleep & Deep Sleep

California WIC Website

WIC Home Page

www.wicworks.ca.gov

Implementation Tips

• Begin with staff training

– Have staff practice with staff

• Roll out in phases

– Prenatal education

– Early infancy education

• Be flexible

Challenges

• Early infancy education

– Baby cues information is most meaningful to

parents when presented during the first six

weeks

• Infant enrollment appointment takes longer

– Enroll infant, recertify mom

– Provide breastfeeding support

– Provide early infancy education

• New babies and new parents at WIC

How did staff respond?

• In the agencies that have implemented the

campaign, staff have responded positively

• Staff enjoy sharing baby behavior messages

with participants and friends and family

What staff had to say…

• “I wish I knew this stuff when my kids were little.”

• “Asking mothers to hold and watch their babies improves the connection between them.”

• “Participants love receiving the DVD and booklet so they can share it with others at home.”

– From a manager:

• “I can’t imagine a more worthwhile campaign! I love knowing we help foster better communication between moms and babies. We’ve invested a lot in staff training but the results have been priceless.”

How did participants respond?

• Participants found the information helpful

and most reported viewing the materials

(booklet and DVD) again at home

What participants had to say…

• “Instead of just assuming I know the reason my baby is doing something, I go back to the booklet and look it up.”

• “The class really helped. It’s been easier for me because I know what to expect and what my baby needs.”

• “Doing the same thing again and again helps me calm my baby when I know he is not hungry.”

• “Now I know she is not supposed to be sleeping through the night.”

What are your Questions?

Laura May, MEd, RD, CLS

Riverside County WIC Program

[email protected]

Jamie Fehlman, MS, RD, IBCLC

County of Sacramento WIC Program

[email protected]