SlideShare una empresa de Scribd logo
1 de 49
Training PowerPoint PresentationTraining produced by Helen Shanahan and Stephanie Heard (Infant Feeding Co-ordinators for Cornwall)
Session One If a multinational company developed a product that was a nutritionally balanced and delicious food, a wonder drug that both prevented and treated disease, cost nothing to produce and could be delivered in quantities controlled by consumers’ needs, the very announcement of their find would send their shares rocketing to the top of the stock market.  Women have been producing such a miraculous substance, breastmilk, since the beginning of human existence, yet they form the half of the world’s population who are the least wealthy and the least powerful. 	Gabrielle Palmer ‘The Politics of Breastfeeding’ www.realbabymilk.org
Session One Infant Feeding Survey 2005 UK Initiation 76% Two weeks 48% Six months 25% www.realbabymilk.org
Session One Breastfeeding in Cornwall 2008 Initiation 80% Two weeks 53% www.realbabymilk.org
Session One Reasons why Mums stop breastfeeding ,[object Object]
Pain and soreness
Insufficient milk(Infant Feeding Survey 2005) www.realbabymilk.org
Session Two PROLACTIN milk production – milk  for next feed works by touch alone receptors need to be primed early induces protectiveness and persistence in Mum www.realbabymilk.org
Session Two OXYTOCIN milk ejection – milk for this feed levels higher when baby near reduces Mum’s blood pressure stimulates nurturing behaviour in Mum www.realbabymilk.org
Session Two The milk secreting cells are surrounded by specialised prolactin receptor sites. These must be primed to respond to prolactin, and they are at their most sensitive immediately following birth. www.realbabymilk.org
Session Two If the sites are well-primed, they will continue to respond to the prolactin levels which rise every time the baby feeds, and especially at night, so the breasts will keep making plenty of milk ready for the next feed. www.realbabymilk.org
Session Two Sites that are not primed in the first 6 hours after birth begin to shut down and lose their sensitivity to prolactin. If insufficient sites have been primed, the mother’s milk supply will remain low for the rest of that lactation. www.realbabymilk.org
Session Two Feedback Inhibitor of Lactation (FIL) Breastmilkcontains a protein which can reduce or inhibit the secretion of milk. If the breast contains a lot of milk, this inhibitor acts to slow down further milk production. This protects the breast from the harmful effects of being too full www.realbabymilk.org
Session Two ,[object Object]
   Frequent suckling or expression speeds up milk secretion by removing the inhibitor, whereas infrequent or restricted suckling allows the inhibitor to build up, slowing down the milk production.www.realbabymilk.org
SessionTwo What is communication? ,[object Object]
    How you listen
    What youwww.realbabymilk.org
Session Two Practical tips Open body language Open questions Active listening Repeating  Reinforcement Time setting www.realbabymilk.org
Session Three ,[object Object]
  Why does it matter?
  How do we help?
  What is attachment?
  Why does it matter?
  How do we help?www.realbabymilk.org
Session Three What is positioning? How Mum positions herself How she holds her baby How she enables the baby to access the breast www.realbabymilk.org
Session Three Why does it matter? Learned www.realbabymilk.org
Session Three www.realbabymilk.org
Session Three Why does it matter? Baby able to attach effectively www.realbabymilk.org
Session Three Principles Comfortable www.realbabymilk.org
Session Three Principles Sustainable www.realbabymilk.org
Session Three Principles Well supported www.realbabymilk.org
Session Three Principles Baby able to access breast www.realbabymilk.org
Session Three Principles ,[object Object]
  Head, neck, body in alignment
  Facing breast
  Nose to nipple
  Head free to tilt backwww.realbabymilk.org
Session Three How can we help? Ask Mum how SHE thinks feeding is going Ask to see baby feed Observe Mum’s posture Check how baby can access breast Consider whether some adjustment might help www.realbabymilk.org
Session Three Attachment – How baby takes breast into his mouth How he works the breast to remove milk How he satisfies his needs at each feed www.realbabymilk.org
Session Three Principles Large mouthful of breast Chin indenting breast Lower lip curled back Cheeks full and rounded Nose clear of breast Short quick sucks moving to slow, rhythmical sucks and swallows www.realbabymilk.org
Session Three Most common causes of inadequate weight gain Ineffective attachment Infrequent feeding Observe a whole feed! Ask how often baby is feeding Consider dummy/teat/nipple shield? www.realbabymilk.org
Session Three  Improving effectiveness Feed more often Improve attachment Stimulation  Compression Switching www.realbabymilk.org
Session Four ,[object Object]
    or she may really not be producing enough milk – the two main reasons for this are
    poor positioning and attachment
    not feeding frequently enoughIn either or both of these situations, milk is not being adequately removed from the breasts and so the breasts respond by gradually reducing the amount of milk that is made. www.realbabymilk.org
Session Four ,[object Object]
 Feed more often, or wake and  stimulate the baby for extra feeds  if it is sleepy and not asking for  feeds

Más contenido relacionado

La actualidad más candente

Breastfeeding Module 5: Session 13
Breastfeeding Module 5: Session 13Breastfeeding Module 5: Session 13
Breastfeeding Module 5: Session 13
University of Miami
 
Breastfeeding Module 3: Session 7
Breastfeeding Module 3: Session 7Breastfeeding Module 3: Session 7
Breastfeeding Module 3: Session 7
University of Miami
 
Session 2 Communication Skills with Practices In Breast Feeding
Session 2 Communication Skills with Practices In Breast FeedingSession 2 Communication Skills with Practices In Breast Feeding
Session 2 Communication Skills with Practices In Breast Feeding
HCY 7102
 
Benefits of breastfeeding
Benefits of breastfeedingBenefits of breastfeeding
Benefits of breastfeeding
rushabh mehta
 
Breastfeeding Module1: Session 2
Breastfeeding Module1: Session 2Breastfeeding Module1: Session 2
Breastfeeding Module1: Session 2
University of Miami
 
The Importance Of Skin To Skin Contact
The Importance Of Skin To Skin ContactThe Importance Of Skin To Skin Contact
The Importance Of Skin To Skin Contact
Biblioteca Virtual
 

La actualidad más candente (20)

express breastfeeding
express breastfeedingexpress breastfeeding
express breastfeeding
 
Insufficient breast milk syndrome
Insufficient breast milk syndromeInsufficient breast milk syndrome
Insufficient breast milk syndrome
 
Breastfeeding Module 5: Session 13
Breastfeeding Module 5: Session 13Breastfeeding Module 5: Session 13
Breastfeeding Module 5: Session 13
 
Breastfeeding Module 3: Session 7
Breastfeeding Module 3: Session 7Breastfeeding Module 3: Session 7
Breastfeeding Module 3: Session 7
 
Session 2 Communication Skills with Practices In Breast Feeding
Session 2 Communication Skills with Practices In Breast FeedingSession 2 Communication Skills with Practices In Breast Feeding
Session 2 Communication Skills with Practices In Breast Feeding
 
Benefits of breastfeeding
Benefits of breastfeedingBenefits of breastfeeding
Benefits of breastfeeding
 
7 breastfeeding the premature and the sick term baby
7 breastfeeding the premature and the sick term baby7 breastfeeding the premature and the sick term baby
7 breastfeeding the premature and the sick term baby
 
Breast feeding
Breast feedingBreast feeding
Breast feeding
 
Common concern and challenges in breastfeeding
Common concern and challenges in breastfeedingCommon concern and challenges in breastfeeding
Common concern and challenges in breastfeeding
 
3 common breastfeeding challenges and its management
3 common breastfeeding challenges and its management3 common breastfeeding challenges and its management
3 common breastfeeding challenges and its management
 
Baby friendly hospital final
Baby friendly hospital finalBaby friendly hospital final
Baby friendly hospital final
 
Session 10 Infants With Special Needs
Session 10 Infants With Special NeedsSession 10 Infants With Special Needs
Session 10 Infants With Special Needs
 
Human Milk Storage
Human Milk StorageHuman Milk Storage
Human Milk Storage
 
Breastfeeding Module1: Session 2
Breastfeeding Module1: Session 2Breastfeeding Module1: Session 2
Breastfeeding Module1: Session 2
 
The Importance Of Skin To Skin Contact
The Importance Of Skin To Skin ContactThe Importance Of Skin To Skin Contact
The Importance Of Skin To Skin Contact
 
Nipple Pain
Nipple PainNipple Pain
Nipple Pain
 
What should you do if you are a mom going back to work after pregnancy, while...
What should you do if you are a mom going back to work after pregnancy, while...What should you do if you are a mom going back to work after pregnancy, while...
What should you do if you are a mom going back to work after pregnancy, while...
 
Sesi 12 Breast and nipple conditions
Sesi 12  Breast and nipple conditionsSesi 12  Breast and nipple conditions
Sesi 12 Breast and nipple conditions
 
3 priorities
3 priorities3 priorities
3 priorities
 
Breast feeding initiation
Breast feeding initiationBreast feeding initiation
Breast feeding initiation
 

Destacado

Social Network Security powered by IBM
Social Network Security powered by IBMSocial Network Security powered by IBM
Social Network Security powered by IBM
Angelo Iacubino
 
130 mri assessment of human atherosclerotic disease
130 mri assessment of human atherosclerotic disease130 mri assessment of human atherosclerotic disease
130 mri assessment of human atherosclerotic disease
SHAPE Society
 
93613757 how-to-teach
93613757 how-to-teach93613757 how-to-teach
93613757 how-to-teach
Edgar Sanchez
 
Cswipday1 slide71-email-1-130121013355-phpapp02
Cswipday1 slide71-email-1-130121013355-phpapp02Cswipday1 slide71-email-1-130121013355-phpapp02
Cswipday1 slide71-email-1-130121013355-phpapp02
MDSHAHID8797
 

Destacado (13)

La Sicurezza delle Informazioni nel Web 2.0
La Sicurezza delle Informazioni nel Web 2.0La Sicurezza delle Informazioni nel Web 2.0
La Sicurezza delle Informazioni nel Web 2.0
 
Social Network Security powered by IBM
Social Network Security powered by IBMSocial Network Security powered by IBM
Social Network Security powered by IBM
 
130 mri assessment of human atherosclerotic disease
130 mri assessment of human atherosclerotic disease130 mri assessment of human atherosclerotic disease
130 mri assessment of human atherosclerotic disease
 
Cultura organizacional
Cultura organizacionalCultura organizacional
Cultura organizacional
 
3 слайдфото січ чорно біла
3 слайдфото січ чорно  біла3 слайдфото січ чорно  біла
3 слайдфото січ чорно біла
 
майстер клас
майстер   класмайстер   клас
майстер клас
 
Facebook Developer Garage Venice 2 parte
Facebook Developer Garage Venice 2 parteFacebook Developer Garage Venice 2 parte
Facebook Developer Garage Venice 2 parte
 
Mobile Marketing Research MMA South Africa
Mobile Marketing Research MMA South AfricaMobile Marketing Research MMA South Africa
Mobile Marketing Research MMA South Africa
 
Head and neck blood vessels 2
Head and neck blood vessels 2Head and neck blood vessels 2
Head and neck blood vessels 2
 
93613757 how-to-teach
93613757 how-to-teach93613757 how-to-teach
93613757 how-to-teach
 
Vascular ring & Sling
Vascular ring & SlingVascular ring & Sling
Vascular ring & Sling
 
Cswipday1 slide71-email-1-130121013355-phpapp02
Cswipday1 slide71-email-1-130121013355-phpapp02Cswipday1 slide71-email-1-130121013355-phpapp02
Cswipday1 slide71-email-1-130121013355-phpapp02
 
Cswip 3.1 part 1
Cswip 3.1 part 1Cswip 3.1 part 1
Cswip 3.1 part 1
 

Similar a Rbm training powerpoint presentation

Workshop breastfeeding 3-4-2016
Workshop breastfeeding 3-4-2016Workshop breastfeeding 3-4-2016
Workshop breastfeeding 3-4-2016
Linda Quadvlieg
 
Early initiation of breast feeding
Early initiation of breast feedingEarly initiation of breast feeding
Early initiation of breast feeding
egyfellow
 
Breastfeeding friendly general practitioner
Breastfeeding friendly general practitionerBreastfeeding friendly general practitioner
Breastfeeding friendly general practitioner
Varsha Shah
 

Similar a Rbm training powerpoint presentation (20)

Paediatrics
PaediatricsPaediatrics
Paediatrics
 
Breast feeding.pptx
Breast feeding.pptxBreast feeding.pptx
Breast feeding.pptx
 
breast feeding final.pptx
breast feeding  final.pptxbreast feeding  final.pptx
breast feeding final.pptx
 
Vanessa
VanessaVanessa
Vanessa
 
Breast feedding tep
Breast feedding tepBreast feedding tep
Breast feedding tep
 
Breastfeeding the infant with special needs
Breastfeeding the infant with special needsBreastfeeding the infant with special needs
Breastfeeding the infant with special needs
 
Breastfeeding-website.pptx
Breastfeeding-website.pptxBreastfeeding-website.pptx
Breastfeeding-website.pptx
 
Workshop breastfeeding 3-4-2016
Workshop breastfeeding 3-4-2016Workshop breastfeeding 3-4-2016
Workshop breastfeeding 3-4-2016
 
Early initiation of breast feeding
Early initiation of breast feedingEarly initiation of breast feeding
Early initiation of breast feeding
 
Breastfeeding week nyle
Breastfeeding week nyleBreastfeeding week nyle
Breastfeeding week nyle
 
Breastfeeding friendly general practitioner
Breastfeeding friendly general practitionerBreastfeeding friendly general practitioner
Breastfeeding friendly general practitioner
 
Lactation
LactationLactation
Lactation
 
lactation-171001092222.pdf
lactation-171001092222.pdflactation-171001092222.pdf
lactation-171001092222.pdf
 
Supporting infant and breastfeeding
Supporting infant and breastfeedingSupporting infant and breastfeeding
Supporting infant and breastfeeding
 
Lecture 6. Breast milk and breast feeding
Lecture 6. Breast milk and breast feedingLecture 6. Breast milk and breast feeding
Lecture 6. Breast milk and breast feeding
 
Breast feeding
Breast feedingBreast feeding
Breast feeding
 
lactation PRE TEST.docx
lactation PRE TEST.docxlactation PRE TEST.docx
lactation PRE TEST.docx
 
Breastfeeding problems and_some_solutions
Breastfeeding problems and_some_solutionsBreastfeeding problems and_some_solutions
Breastfeeding problems and_some_solutions
 
Lactation failure
Lactation failureLactation failure
Lactation failure
 
626194704-Breast-Feeding.pptx
626194704-Breast-Feeding.pptx626194704-Breast-Feeding.pptx
626194704-Breast-Feeding.pptx
 

Rbm training powerpoint presentation

  • 1. Training PowerPoint PresentationTraining produced by Helen Shanahan and Stephanie Heard (Infant Feeding Co-ordinators for Cornwall)
  • 2. Session One If a multinational company developed a product that was a nutritionally balanced and delicious food, a wonder drug that both prevented and treated disease, cost nothing to produce and could be delivered in quantities controlled by consumers’ needs, the very announcement of their find would send their shares rocketing to the top of the stock market. Women have been producing such a miraculous substance, breastmilk, since the beginning of human existence, yet they form the half of the world’s population who are the least wealthy and the least powerful. Gabrielle Palmer ‘The Politics of Breastfeeding’ www.realbabymilk.org
  • 3. Session One Infant Feeding Survey 2005 UK Initiation 76% Two weeks 48% Six months 25% www.realbabymilk.org
  • 4. Session One Breastfeeding in Cornwall 2008 Initiation 80% Two weeks 53% www.realbabymilk.org
  • 5.
  • 7. Insufficient milk(Infant Feeding Survey 2005) www.realbabymilk.org
  • 8. Session Two PROLACTIN milk production – milk for next feed works by touch alone receptors need to be primed early induces protectiveness and persistence in Mum www.realbabymilk.org
  • 9. Session Two OXYTOCIN milk ejection – milk for this feed levels higher when baby near reduces Mum’s blood pressure stimulates nurturing behaviour in Mum www.realbabymilk.org
  • 10. Session Two The milk secreting cells are surrounded by specialised prolactin receptor sites. These must be primed to respond to prolactin, and they are at their most sensitive immediately following birth. www.realbabymilk.org
  • 11. Session Two If the sites are well-primed, they will continue to respond to the prolactin levels which rise every time the baby feeds, and especially at night, so the breasts will keep making plenty of milk ready for the next feed. www.realbabymilk.org
  • 12. Session Two Sites that are not primed in the first 6 hours after birth begin to shut down and lose their sensitivity to prolactin. If insufficient sites have been primed, the mother’s milk supply will remain low for the rest of that lactation. www.realbabymilk.org
  • 13. Session Two Feedback Inhibitor of Lactation (FIL) Breastmilkcontains a protein which can reduce or inhibit the secretion of milk. If the breast contains a lot of milk, this inhibitor acts to slow down further milk production. This protects the breast from the harmful effects of being too full www.realbabymilk.org
  • 14.
  • 15. Frequent suckling or expression speeds up milk secretion by removing the inhibitor, whereas infrequent or restricted suckling allows the inhibitor to build up, slowing down the milk production.www.realbabymilk.org
  • 16.
  • 17. How you listen
  • 18. What youwww.realbabymilk.org
  • 19. Session Two Practical tips Open body language Open questions Active listening Repeating Reinforcement Time setting www.realbabymilk.org
  • 20.
  • 21. Why does it matter?
  • 22. How do we help?
  • 23. What is attachment?
  • 24. Why does it matter?
  • 25. How do we help?www.realbabymilk.org
  • 26. Session Three What is positioning? How Mum positions herself How she holds her baby How she enables the baby to access the breast www.realbabymilk.org
  • 27. Session Three Why does it matter? Learned www.realbabymilk.org
  • 29. Session Three Why does it matter? Baby able to attach effectively www.realbabymilk.org
  • 30. Session Three Principles Comfortable www.realbabymilk.org
  • 31. Session Three Principles Sustainable www.realbabymilk.org
  • 32. Session Three Principles Well supported www.realbabymilk.org
  • 33. Session Three Principles Baby able to access breast www.realbabymilk.org
  • 34.
  • 35. Head, neck, body in alignment
  • 36. Facing breast
  • 37. Nose to nipple
  • 38. Head free to tilt backwww.realbabymilk.org
  • 39. Session Three How can we help? Ask Mum how SHE thinks feeding is going Ask to see baby feed Observe Mum’s posture Check how baby can access breast Consider whether some adjustment might help www.realbabymilk.org
  • 40. Session Three Attachment – How baby takes breast into his mouth How he works the breast to remove milk How he satisfies his needs at each feed www.realbabymilk.org
  • 41. Session Three Principles Large mouthful of breast Chin indenting breast Lower lip curled back Cheeks full and rounded Nose clear of breast Short quick sucks moving to slow, rhythmical sucks and swallows www.realbabymilk.org
  • 42. Session Three Most common causes of inadequate weight gain Ineffective attachment Infrequent feeding Observe a whole feed! Ask how often baby is feeding Consider dummy/teat/nipple shield? www.realbabymilk.org
  • 43. Session Three Improving effectiveness Feed more often Improve attachment Stimulation Compression Switching www.realbabymilk.org
  • 44.
  • 45. or she may really not be producing enough milk – the two main reasons for this are
  • 46. poor positioning and attachment
  • 47. not feeding frequently enoughIn either or both of these situations, milk is not being adequately removed from the breasts and so the breasts respond by gradually reducing the amount of milk that is made. www.realbabymilk.org
  • 48.
  • 49. Feed more often, or wake and stimulate the baby for extra feeds if it is sleepy and not asking for feeds
  • 50. Feed at least once at night – prolactin levels are higher at night and night feeds are especially effective at increasing supply
  • 51. Spend as much time as possible skin to skin with the baby
  • 52. Express milk if the baby is not feeding effectively at the breast
  • 53. Fenugreek capsules 500-750mg 3 times per day can help increase prolactin secretion and thus increase milk supply
  • 54. Domperidoneor metoclopramide can be prescribed by a doctor to increase supply, by increasing prolactin secretionwww.realbabymilk.org
  • 55. Session Four Why express by hand? It can be more effective than a pump It can be used to help baby attach to the breast if reluctant or sleepy It is particularly useful for milk in very small quantities, egcolostrum It can be used to establish milk supply It can help prevent or relieve engorgement, and help baby attach more effectively It can be used to help clear a blocked duct It is empowering for mothers It’s free – no equipment needed www.realbabymilk.org
  • 56. Session Four Wash hands and sit comfortably and fairly upright During/after contact with baby Use of photo, cot blanket etc to stimulate flow Warmth and gentle massage Hold breast tissue in wide C shape ‘Walk’ fingers and thumb in or out from base of nipple to feel for change of texture Press in towards chest wall, then draw fingers and thumb together If collecting milk, use sterile cup/bowl/bottle, NOT syringe Rotate fingers and thumb round to express from all areas of breast If collecting to replace a feed, express both sides, swap as often as necessary when milk flow slows, aim for about 20mins in total www.realbabymilk.org
  • 57. Session Four Out of fridge/freezer can be kept at room temperature for about 6 hours Freshly expressed milk in a fridge (5c) for 48 hours Can be frozen for 3 months When totally defrosted can be stored in a fridge www.realbabymilk.org
  • 58. Session Four Current guidance – Exclusive breastfeeding for first six months (WHO/DoH/UNICEF) Risks of early weaning – food replaces breastmilk, greater risk of infections and allergies www.realbabymilk.org
  • 59. Session Four Baby led weaning – continuation of feeding on demand www.babyledweaning.com www.realbabymilk.org
  • 60. Session Five Common breastfeeding problems – Sore nipples – cracked, blistered, bleeding, grazed Not enough milk www.realbabymilk.org
  • 61. Session Five Common breastfeeding problems – mastitis thrush www.realbabymilk.org
  • 62. Session Five Sore nipples Attachment Attachment Attachment! moist wound healing ?rest and express? ?nipple shields? www.realbabymilk.org
  • 63. Session Five Not enough milk Explore understanding, consider weight gain, wet and dirty nappies Attachment Frequency of feeds Dummies Supplements Expressing Compression Switching www.realbabymilk.org
  • 64. Session Five Mastitis ?Infective? Milk stasis/blocked duct Attachment Frequent feeding Hand expressing Warmth/ cooling Anti inflammatory/ paracetemol www.realbabymilk.org
  • 65. Session Five Thrush White patches in baby’s mouth May have had antibiotics Mum and baby to be treated Thrush in breast(s) www.realbabymilk.org
  • 66. Session Five Medication Is it necessary? Is there a safer alternative? Risks/benefits Age of baby www.realbabymilk.org
  • 67. Session Five Alcohol/drugs Social alcohol/ light consumption Illicit drugs www.realbabymilk.org
  • 68. Session Five Responsibilities of a Breastfeeding Peer Supporter When to call for help Where to call for help www.realbabymilk.org
  • 69. Session Six Mum of baby aged two weeks “My baby hasn’t had a dirty nappy for two days. Feeding has not gone well and I’ve had pain and soreness, so I’ve started to use a dummy so she doesn’t feed too often. I’ve been told different things – someone said breastfed babies use all the goodness and there is not much waste, someone else said she needs more fluid and I should give her some cool boiled water and another said she is starving and I should give a bottle of formula. What do you think? www.realbabymilk.org
  • 70. Session Five Mum of baby aged two weeks “I have a sore nipple on one side. My baby seems to feed fine on the other side, but this side is always sore. I know that I shouldn’t let him feed if it’s hurting but it seems so mean to keep taking him off and he gets upset. Why do you think this is happening and what can I do?” www.realbabymilk.org
  • 71. Session Six Mum of baby aged twenty weeks “My baby keeps biting me when I feed her. I’m really worried because she has caused a sore place that sometimes bleeds. Also, I’m wondering why she is doing this – is it because she is hungry and needs more than my milk? My friend said it might be that she is telling me that she doesn’t want or need my milk any more. Can you give me some advice please? www.realbabymilk.org
  • 72. Session Six Mum of baby aged 18 weeks “I’m going to be going back to work in about 6 weeks. I think I will have to stop breastfeeding then. Can you help me with this please www.realbabymilk.org

Notas del editor

  1. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  2. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  3. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  4. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  5. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  6. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  7. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  8. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  9. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  10. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  11. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  12. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  13. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  14. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  15. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  16. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  17. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  18. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  19. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  20. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  21. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  22. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  23. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  24. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  25. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  26. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  27. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  28. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  29. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  30. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  31. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  32. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  33. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  34. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  35. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  36. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  37. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  38. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  39. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  40. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  41. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  42. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  43. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  44. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  45. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  46. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  47. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  48. We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.