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Nov 24 14 tweets 24 min read
#HelenBall from @durham_uni & @BasisOnline1 is speaking now to give us an Update on sleep messaging: Sleep Baby and You. Newest guidance launched in 2019 in England & 2022 in Scotland has switched to a more nuanced approach, consisttent w @NICEComms guidance #SIDS #SUDI #bfconf
@durham_uni @BasisOnline1 @NICEComms #HelenBall: guidance aims to be responsive to parents' concerns and help them understand the REASONS for the guidance, and prioritise avoidance of the most hazaradous sleep practices #bfconf Screenshot from Helen Ball's presentation outlining the aims
@durham_uni @BasisOnline1 @NICEComms #HelenBall Leaflet for England can be found on the @LullabyTrust website lullabytrust.org.uk/wp-content/upl… and the leaflet for Scotland can be found on the @scotgov website gov.scot/publications/s… #bfconf
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov #HelenBall we must recognise that the risk of Sudden Unexplained Death in Infants #SUDI is inequitable. All parents should receive universal prevention guidance & safer sleep info but some will not engage with antenatal care or HV appts, some forget info they've been given...
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov #HelenBall inequity cont.: Some parents not able to implement guidance due to lack of resources, temporary living arrangements or other family circumstances. Deaths now cluster among babies in most vulnerable & at risk families. Babies who die tend to have multiple risk factors
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov #HelenBall we are beginning to see targeted multi-agency approaches for vulnerable families. Ex "Eyes on the Baby" prevention for County Durham & "Every sleep a safe sleep" guidance from Calderdate Safeguarding Childrens Partnership #bfconf
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov #HelenBall approach to help parents cope with #NormalInfantSleep, mentioned the Possoms programme in Australia possumsonline.com #bfconf
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov #HelenBall mentioned "Sleep, Baby & You" programme in the UK, written up in this paper journals.plos.org/plosone/articl… Empowers parents to be the experts in their baby (which we fully support! 😉) #bfconf
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov #HelenBall: #SBY aims to help practioners address parents' requests for support around infant sleep & seeks to empower parents by providing info on what to expect, how normal sleep develops & how to adjust to the demands of normal infant sleep #bfconf
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov Q for #HelenBall Public Health Wales & Northern Ireland have not yet chosen to adopt the guidance

Q for #HelenBall no good evidence for tilting the bed for babies with reflux so don't do it unless you've been told - danger is cot is tiltled too much & babies slide down #bfconf
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov Q for #HelenBall When do babies stop being prem for the purposes of safer sleep? Prem babies tend to be less "rousable" so it's really difficult to know when, very little evidence still, not enough data #bfconf
@durham_uni @BasisOnline1 @NICEComms @LullabyTrust @scotgov Q about safer sleep guidance for parents with children in hospital #HelenBall should be something in the new @babyfriendly guidance, at least to raise the issue #bfconf

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More from @LLLGB

Nov 24
.@sallygm1 is speaking now about Breastfeeding and #ClimateChange – Yorkshire and Humber @nifn Special Interest Group, which is a group of Infant Feeding Leads who are passionate about bf and about learning more and sharing the positive impact bf has on the environment #bfconf Screenshot of the title sli...
.@sallygm1 the group wants to raise awareness, empower and inform the public and local & national leaders how breastfeeding positively impacts climate change. It also helps with the issue of #FoodSecurity #bfconf
@sallygm1 .@sallygm1 children around the world and here in the UK are affected by extreme weather events & food insecurity. The pandemic has affected provision of breastfeeding support and forced us all to adapt #bfconf
Read 10 tweets
Nov 24
.@MeghanAzad from @umanitoba & @CHILDSTUDY is speaking now about Breastfeeding and its association with lower blood pressure in the child #bfconf Screenshot of the title sli...
@MeghanAzad @umanitoba @CHILDSTUDY .@MeghanAzad quote from Cesar Victoria et al. from the 2016 @TheLancet Breastfeeding Series "Human breastmilk is not only a perfectly adapted nutritional supply for the infant, but probably the most specific personalised medicine that he or she is likely to receive...." #bfconf
@MeghanAzad @umanitoba @CHILDSTUDY @TheLancet "... given at a time when gene expression is being fine tuned for life." #bfconf
Read 13 tweets
Nov 24
.@sheena_byrom midwife and director of @all4maternity is speaking now about Compassionate care: Compassionate leadership #bfconf screenshot of Sheena Byrom's title slide from her presentati
@sheena_byrom @all4maternity .@sheena_byrom mentioned the @TheLancet series Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide thelancet.com/journals/lance…
@sheena_byrom @all4maternity @TheLancet .@sheena_byrom Gamble et al. 2002 found around 30% of women find some aspect of their birth traumatic ncbi.nlm.nih.gov/books/NBK68962/ she suspects that number is higher #bconf
Read 12 tweets
Nov 24
#SarahJaneArchibald @JacintaCordwell are speaking now about Neonatal access restrictions during the pandemic: Implications for infant, parental and staff wellbeing. They will cover the neonatal context, covid restrictions & what has been learned #bfconf Screenshot of title screen of Sarah-Jane Archibald and Jacin
.@JacintaCordwell: over 90000 neonatal admissions per year (about 1 in 7 babie born), 47% are born at 37+ weeks but may be admitted for maternal health reasons, need for surgery, jaundice, HIE etc. #bfconf
.@JacintaCordwell the challenges for babies, parents & staff are many. Babies are seprated, have mutiple caregivers. Levels of trauma, anxiety & depression are much higher for these families. Staff have less time & capacity to provide psychological support than they would like Screenshot of Jacinta Cordwell & Sarah-Jane Archibald listin
Read 16 tweets
Nov 24
For the first session today @DrKarleenG is speaking about Effective communication: the importance of sexed language. 2022 paper Effective Communication About Pregnancy, Birth, Lactation, Breastfeeding and Newborn Care frontiersin.org/articles/10.33… #bfconf Screenshot of the title screen of Karleen Gribble's presenta
.@DrKarleenG has done work in child protection cases, and cases of adoption, foster care, asylum seekers where language has been used to marginalise mothers. Through her work on lactation for adoptive mothers she has also worked with surrogate mothers #bfconf
@DrKarleenG .@DrKarleenG "when the rights of the mother are undermined, so are the rights of the child" #bfconf
Read 22 tweets
Nov 23
.@UptySciChick is speaking now to answer the question "Is it ever too late for baby’s brain development?" short answer: No!

Early toxic stress can cause lifelong problems with physical & mental health. People can overcome this. There is hope #bfconf screenshot of the title slide of Kathleen Kendall-Tackett's
@UptySciChick .@UptySciChick: babies' brain development can be affected in utero by mother's mental health (cortisol & inflammatio, increased risk of preterm birth), exposure to substances #bfconf
@UptySciChick .@UptySciChick: babies have an innate drive to develop, postpartum they don't need products, they need the basics: safe & adequate feeding, shelter, responsive care #bfconf
Read 16 tweets

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