Shields and Shells Presented by Jessica Frank Albuquerque

Shields and Shells Presented by Jessica Frank, Albuquerque WIC Regional Coordinator

Project Name: Shields and Shells Screen Title: Introduction to Nursing Aids Screen # 1 Graphic Information This Graphic is a visual of what is a shield and shell Shield Navigation Proceed to slide 2 Reviewer comments Audio: A background voice would say “this begins our journey to explore nursing aids when assisting breastfeeding mothers with potential barriers along the way”

Project Name: Shields and Shells Screen Title: Why use a nursing aid Screen # 2 Graphic Information Meant to assist nursing pairs with breastfeeding problems The graphic is meant to show why someone might need a nursing aid : pain, cracks, and bleeding Problems need attention Temporary! Navigation Mothers should be informed about risks Proceed to slide 3 “First, do no harm” principle Ensure appropriate help & follow-up Audio: “Pain is our bodies way of telling us that something is wrong. Nursing aids can help decrease the discomfort while the body heals” Reviewer comments

Project Name: Shields and Shells Screen Title: Who can issue an nursing aid ? Screen # 3 Graphic Information These images are supposed to create a visual representation of a nutritionist and a peer counselor. Navigation Next Slide Reviewer comments Audio: A licensed nutritionist or a peer counselor can issue and assist with nursing aids. Competencies and educational requirements have to be met before the para professional can help moms” Please review BF Policy 001 -009

Project Name: Shields and Shells Screen Title: Nipple Shield Screen # 4 Graphic Information Minimize nipple soreness / abrasion / trauma Flat or inverted nipples (create shape, give elasticity) Graphic is meant to give a visual as to what a nipple shield is and why and how someone would need to use it Mismatch between small infant mouth & large nipple “Nipple confusion” Or many other medical complications Navigation Next Slide Reviewer comments Audio: There are many reasons to use a nipple shield from nipple soreness to a medically necessary need. It is important though to have the nutritionist and/or peer counselor follow up with the client. There are some pitfalls when using a nipple shield

Project Name: Shields and Shells Screen Title: Nipple Shield Pitfalls Screen # 5 Graphic Information Thick types may reduce milk volume and transfer (20 -58% reduction cited) Thick types can limit sensation, inhibit prolactin & oxytocin release This graphic serves as a warning and explanation as to why we don’t just give shields to everyone Past association with cases of failure to thrive Breastfeeding duration shorter with all artificial nipple use, including shields More likely to supplement with formula Can interfere with normal sucking patterns Audio: While nipple shields serve an important purpose there also complications associated with using them. These reasons are why follow up with clients is crucial to help mom’s with their breastfeeding success. View this aid as a prescriptive device Navigation Next Slide Reviewer comments

Project Name: Shields and Shells Screen Title: Quiz Screen # 5 Graphic Information A. Give her a nipple shield and wish her well A Mom is complaining of having cracked and painful nipples. She wants to stop breastfeeding What do you do as a WIC Nutritionist? B. Ignore her, she must be a complainer C. Ask more questions about the babies latch, frequency, duration, and bottle feedings. Using your training and knowledge of the WIC Policy, decide she may be a candidate for nipple shields. Audio: It is important to listen when someone is expressing they are having difficulty with breastfeeding. Everyone has a different experience. Remember to ask questions, support, and use caution when issuing a nursing aid. The graphic is supposed to show a frustrated woman Navigation a. b. c. Return to page 6 Return to page 2 Continue to page 8 Reviewer comments