When funding is available, Healthy Start provides in-office trainings and seminars to update Health Professionals on relevant topics such as Neonatal Abstinence Syndrome, Prescription Drug Use during Pregnancy, Breastfeeding, Smoking Cessation, and more.
Education and CME’s
Expanding Pediatricians’ Roles in Breastfeeding Support: Continuing Medical Education (CME) Online Tutorial
As more mothers choose to breastfeed, health care professionals are in a unique position to provide the instruction, encouragement and support that mothers and their infants need to be successful. The American Academy of Pediatrics (AAP) updated its policy statement on breastfeeding in 2012. Efforts to help pediatric residents support mothers led to the creation of the AAP’s Breastfeeding Residency Curriculum. This CME is designed to provide you with a refresher course on breastfeeding. It has a practical orientation with a focus on support for mothers after discharge from the hospital.
Pediatricians can make important contributions to the promotion of breastfeeding through encouragement, recommendations, and role modeling. Support and counseling by health professionals has been shown to improve rates, early initiation and total duration of breastfeeding, particularly exclusive breastfeeding. Mothers’ decisions are influenced greatly by health professionals’ advice. Mothers may have many different sources of information on breastfeeding coming to them from family, friends, and advertising campaigns, but the most reliable information should be coming from their pediatricians. With their highly visible role in the community and their frequent, continuous interactions with soon-to-be and new parents, pediatricians can be a key component in the promotion and support of breastfeeding, especially in the early days post-partum. A mother may face many challenges that may affect her breastfeeding outcomes in the long run; in those early days, the pediatrician is the person she will rely on for help and answers to her questions.
This 1.5 hour online continuing education tutorial is designed to meet the educational needs of practicing pediatricians and other pediatric primary care providers.
Available here: http://www.northeastern.edu/breastfeedingcme/
Webinar: Opportunities in Health Reform to Prevent Infant Death
“Opportunities in Health Reform to Prevent Infant Death” is now available online from the National Sudden Unexpected Infant-Child and Pregnancy Loss Resource Center. The September 2010 webinar, co-sponsored by the Association of SIDS and Infant Mortality Professionals (ASIP) and the Association of Maternal and Child Health Programs (AMCHP), covers 1) opportunities for maternal and child health under health reform legislation, 2) promoting preconception and interconception health through improved insurance coverage and benefits, 3) optimizing home visiting program investments and 4) leveraging investments from the Prevention and Public Health Fund.
Core Competencies in Breastfeeding Care and Services
The US Breastfeeding Committee (USBC) has announced the publication of the revised “Core Competencies in Breastfeeding Care and Services for All Health Professionals.” The purpose of the Competencies is to provide health care organizations with a guideline and framework to integrate evidence-based breastfeeding knowledge, skills and attitudes into standard health care delivery practice. The USBC notes that, at a minimum, every health professional should understand the role of lactation, human milk and breastfeeding in the optimal feeding of infants and young children and enhancing and reducing morbidities in women and long-term morbidities in infants and young children. In addition, all health professionals should be able to facilitate the breastfeeding care process by: preparing families for realistic expectations; communicating pertinent information to the lactation care team; and following up with the family when appropriate, in a culturally competent manner after breastfeeding care and services have been provided. The document can be downloaded HERE.
Bringing Immunity To Every Community
Every Child By Two (ECBT) and the American Nurses Association (ANA) have announced the availability of a new, dynamic online continuing education course. “Bringing Immunity to Every Community” is aimed at increasing immunization competency among nurses by offering practical knowledge and skills on vaccine safety and patient communication. Highlights include a discussion of the scientific findings regarding the safety of vaccines; systems in place to ensure the ongoing safety of vaccines and adverse event reporting requirements; methods to eliminate the spread of vaccine-preventable diseases, such as influenza and pertussis; and the critical role of vaccination of adults and, in particular, healthcare workers to reduce the spread of deadly diseases. The course features several video dramatizations where nurses take part in a dialogue with friends, co-workers and parents, providing real-life scenarios that will aid participants as they interact with individuals with concerns about vaccine effectiveness and safety. The course is available for free and provides 2.5 contact hours. To view and/or take the online course, go to http://www.yourcesource.com/ecbt/.
Reports, Research, and Tool-kits
The Transfer of Drugs and Therapeutics Into Human Breast Milk: An Update on Selected Topics
Many mothers are inappropriately advised to discontinue breastfeeding or avoid taking essential medications because of fears of adverse effects on their infants. This cautious approach may be unnecessary in many cases, because only a small proportion of medications are contraindicated in breastfeeding mothers or associated with adverse effects on their infants. Information to inform physicians about the extent of excretion for a particular drug into human milk is needed but may not be available. Previous statements on this topic from the American Academy of Pediatrics provided physicians with data concerning the known excretion of specific medications into breast milk. More current and comprehensive information is now available on the Internet, as well as an application for mobile devices, at LactMed (http://toxnet.nlm.nih.gov). Therefore, with the exception of radioactive compounds requiring temporary cessation of breastfeeding, the reader will be referred to LactMed to obtain the most current data on an individual medication. This report discusses several topics of interest surrounding lactation, such as the use of psychotropic therapies, drugs to treat substance abuse, narcotics, galactagogues, and herbal products, as well as immunization of breastfeeding women. A discussion regarding the global implications of maternal medications and lactation in the developing world is beyond the scope of this report. The World Health Organization offers several programs and resources that address the importance of breastfeeding (seehttp://www.who.int/topics/breastfeeding/en/).
Abstract available at: http://pediatrics.aappublications.org/content/early/2013/08/20/peds.2013-1985.abstract
Culturally Competent Resources through MCH Library of Georgetown University
The Maternal and Child Health (MCH) Library at Georgetown University has updated its Culturally Competent Services Resource Brief, a guide to Web sites and related professional resources. The Brief contains links to federal agency and other organizational Web sites, along with descriptions of selected resources. Also featured are selected resources developed by the MCH Library including an annotated bibliography on culturally competent services, links to minority health organizations and non-English-language materials and resources, and a knowledge path on racial and ethnic disparities in health. The brief is available at Maternal and Child Health Culturally Competent Resources
Impact of Maternal Flu Vaccination on Infant Hospitalization
A study published December 15th in the journal Clinical Infectious Diseases found that influenza (flu) vaccine given to pregnant women reduces hospitalization due to the disease in their infants. Although infants aged less than 12 months are at a high risk of hospitalization for flu, there is no flu vaccine approved for infants under six months of age. Researchers conducted a matched case-control study of infants aged less than 12 months who were admitted to a large urban hospital in the northeastern US due to laboratory-confirmed influenza during 2000-2009. For each case, one or two control subjects were enrolled (infants who tested negative for flu) and cases were matched by date of birth and date of hospitalization. The flu vaccine was found to be 91.5% effective in preventing hospitalization among infants when given to their mothers during pregnancy. To review the study online, CLICK HERE.
Second Hand Smoke and Exposure in Children
A study published online December 13th in the journal Pediatrics examines the level of secondhand tobacco-smoke exposure in children who live in multi-unit housing (particularly apartments). Even low levels of exposure to secondhand tobacco smoke can put children at greater risk for a variety of illnesses. The study authors analyzed data from the 2001-2006 National Health and Nutrition Examination Survey and compared tobacco-smoke biomarkers in children ages 6-18 who lived in detached houses (including mobile homes), attached houses, and apartments. Of 5,002 children who lived in a home where no one smoked inside, blood levels of cotinine (a common marker of tobacco smoke exposure) were higher in those who lived in apartments, in comparison with children in other types of housing. Children living in apartments had an increase in cotinine of 45% over those living in detached houses, with the increase at 212% for white residents and 46% for black residents (and no significant increase for those of other races/ethnicities). The study authors concluded that the tobacco smoke may have seeped through walls or shared ventilation systems, and that smoking bans in multi-unit housing may reduce children’s exposure to tobacco smoke. Access the study online – click here.
AAP Fact Sheets on Health Reform
The American Academy of Pediatrics (AAP) has created several one-page fact sheets to explain key provisions in the health reform law, the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconciliation Act of 2010 (PL 111-152), and how they will impact children and pediatricians. The AAP Web site notes that the organization’s priorities for health reform have been addressed in the law. These include: health care coverage for all children in the US; age-appropriate benefits in a medical home; and appropriate payment rates and workforce improvements to allow real access to covered services. Access the fact sheets at http://aap.org/advocacy/washing/mainpage.htm
This tutorial provides basic information about the Healthy Start Coalition, the Healthy Start Program, prenatal eligibility, how to refer clients to Healthy Start, and instructions on how to fill out and score the Prenatal Risk Screen.
This tutorial provides basic information about the Healthy Start Coalition, the Healthy Start Program, infant eligibility, how to refer clients to Healthy Start, and instructions on how to fill out and score the Infant Risk Screen.
If you have any questions about eligibility, referrals, or screening or you would like a to arrange a free training in your office, please contact Jamee Thumm at 941-373-7070 ext 307.