17:38:11 From Kathleen Anderson : No longerr screen sharing...it that expected? 17:39:35 From Jayne Carpenter : Thank you so much for hosting this sessionšŸ’œ 17:51:36 From Kathleen Anderson : Cow's milk for 6+ months but not younger, yesā€¦? 17:53:00 From Emily Hannon : Yes, Kathleen, less than 6 months is not recommended fro straight cow's milk. 17:53:33 From iPhone : Sorry I am late but here now if needed šŸ’Æ 17:54:43 From Tenica (she/her/hers) : Sorry šŸ˜¬ thought I muted myself 17:57:32 From Morenike Kritzer : Thank you for recording the meeting, I might have missed this, but will these slides be shared as well? I am in Guilford County Breastfeeding Alliance and would love to share this with my community. 17:57:49 From Joy Spencer : are WIC prescriptions only for special dietary needs? 17:59:12 From Joy Spencer : maybe it's just Durham and other isolated areas that are out of Gerber? 17:59:32 From Charlotte Z Patton, RD, IBCLC : there needs to be a medical indication for specialty formulas to be covered for wic 18:00:10 From Joy Spencer : okay so WIC prescriptions are basically for medical necessity only? 18:00:33 From Charlotte Z Patton, RD, IBCLC : more information here: https://www.nutritionnc.com/wic/providers.htm 18:01:06 From Natalie Ostrowski RD, IBCLC : Yes, for any formulas beyond the main contracted Gerber formulas Alisha mentioned (Gerber Gentle/ Soothe/ Soy) and medical Rx is needed 18:01:12 From Natalie Ostrowski RD, IBCLC : a* 18:01:48 From Joy Spencer : is there anyone I could speak with with specific questions about how families can access this information/these resources? 18:02:02 From Joy Spencer : thanks! 18:03:57 From Ann Conlon-Smith : dumb question maybe, but during normal times, not when there is formula shortage, isnā€™t WIC educating and promoting breast/chest feeding? 18:04:19 From Ann Conlon-Smith : Or at lease providing human milk by expressing? 18:04:21 From Charlotte Z Patton, RD, IBCLC : Hi Joy, yes you can email me at zuberc@piedmonthealth.org or call (919) 943-8392 18:04:27 From Ann Conlon-Smith : at least not lease 18:04:37 From Joy Spencer : should families should contact their local WIC office if they can't find what they need? 18:05:29 From Charlotte Z Patton, RD, IBCLC : Yes WIC provides breastfeeding support as well as education prenatally. 18:06:18 From Charlotte Z Patton, RD, IBCLC : WIC is staffed with Breastfeeding Peer Counselors as well as IBCLCs, we can also provide breast pumps, home visits in some cases, hands on assistance in clinic (depends on each WIC agency on their operational capacity) 18:06:51 From Gale Touger : If a family is out of formula and is not enrolled in WIC, what has to take place before they have access to formula via WIC? 18:06:57 From Ann Conlon-Smith : Thatā€™s what I thought. Thanks! 18:06:59 From Charlotte Z Patton, RD, IBCLC : Joy, Yes probably best for them to reach out to their local WIC office :) I am able to help with general questions though! 18:08:10 From LeAnn McKoy : Since the requirement is for families to contact the WIC office to make the change, are there any after hours lines or resources for families? 18:09:07 From Joy Spencer : thanks so much Charlotte!! 18:09:52 From Charlotte Z Patton, RD, IBCLC : Great question, LeAnn, there are no after hour lines currently, participants should call their local WIC office during their local agency WIC business hours. Most WIC offices have to have at least some hours outside of business hours, for example PHS WIC has hours open until 7-8pm on Thursdays. 18:10:16 From Karen Rodriguez : Will this presentation be available for us to view afterwards and to share with co-workers? 18:10:31 From Bernadetteā€™s iPhone : I just checked all of the Walmarts right now do not have Gerber sooth pro. 18:10:46 From Ann Conlon-Smith : But mom who hasnā€™t breastfed for 6 months, calling me to relactate ā€” no quick fix typically here. 18:13:08 From Ann Conlon-Smith : There is a misconception in general that it can be THE quick fix. 18:13:20 From Kate Hanson (she/her) : Clarification on WIC formula equivalents. If the infant has a medical need (premature birth or allergies), then a pediatrician can write a Prescription for formulas INCLUDING Similac, Enfamil & non-Gerber products. If no medical need, then families can switch formulas in their package but only within the Gerber family & they have to work through their local WIC clinic. Do I have that right? Thank you! 18:14:04 From Tiffani Raines- Iphone : How long is relactating possible after milk has ā€œdriedā€ up ? 18:14:35 From Ann Conlon-Smith : If a mom says she has Medicaid and NOT WIC, is she able to use WIC resource for lactation? 18:15:24 From Alisha Bailey : WIC Breastfeeding Peer Counselors are restricted to working only with WIC recipients, but we are able to get eligible families enrolled by phone very quickly so they can be connected with lactation support 18:15:40 From Natalie Ostrowski RD, IBCLC : Yes, Medicaid coverage would make them eligible for WIC but they would need to contact WIC agency to get certified to start receiving benefits. 18:16:09 From Natalie Ostrowski RD, IBCLC : More here: https://www.nutritionnc.com/wic/ under "eligibility" 18:16:18 From Alisha Bailey to Charlotte Z Patton, RD, IBCLC(Direct Message) : Can you post a link to the WIC referral tool off the state wic website 18:17:13 From Alisha Bailey to Ashley Brewer(Direct Message) : Can you post the link to the WIC referral tool from the state website? I can't pull it up because I'm sharing my screen 18:17:28 From Ashley Brewer to Alisha Bailey(Direct Message) : yes 18:17:34 From Alisha Bailey to Ashley Brewer(Direct Message) : thanks 18:17:42 From Bernadetteā€™s iPhone : What is Durham wic doing again about getting the information out to the parents. 18:17:43 From anita skariah : Also wanted to know how late is relactation possible after milk has "dried" up? 18:18:10 From Celia Clark-Randall : Is home pasteurization recommended for peer-to-peer donation? I have heard some families are doing that themselves after procuring donor milk? 18:18:36 From Ashley Brewer : Here's the link to the WIC referral form - https://www.nutritionnc.com/wic/wic-referral.asp 18:19:44 From Ashley Brewer : Someone from the WIC agency will promptly reach out to the applicant who is inquiring about enrolling. 18:20:16 From Charlotte Z Patton, RD, IBCLC : Kate, there are still some restrictions on what products WIC can provide based on medical need. There are several options, but it is not a write in. There is a list on the link I sent previously of all of the WIC Medically indicated formulas and eligible nutritional supplements. They cannot get regular milk based formulas (for example Similac Pro Advance) of other brands through WIC even with the medical doc filled out 18:20:45 From Kate Hanson (she/her) : Thank you! 18:21:48 From Charlotte Z Patton, RD, IBCLC : Here is great info on Holder Pasteurization for informally procured donor milk: https://www.milkgenomics.org/?splash=holder-pasteurization-holds-well-germs#:~:text=Holder%20Pasteurization%20of%20human%20milk,hepatitis%20B%20and%20Bacillus%20cereus. 18:22:01 From Celia Clark-Randall : Thanks Charlotte! 18:22:02 From Ann Conlon-Smith : Very important point. Prenatal patients more than ever ā€” PLAN to breastfeed. LEARN ahead of time. Be prepared 18:22:37 From Kathleen Anderson : Thanks, Charlotte. 18:23:15 From Natalie Ostrowski RD, IBCLC : Great question Tiffani--it can vary a lot person to person. Could be weeks, months, or even years after stopping. If you have lactated before theoretically, some relactation could be possible but likely will take more effort + time the longer you have not been expressing milk. The more recently you were expressing the more likely successful relactation will be. Here is one resource: https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Relactation.aspx 18:23:41 From anita skariah : can u repeat the pasteurization method you mentioned eg time,temp and which organisms not eradicated? 18:24:07 From Joy Spencer : looks totally different in Durham šŸ˜” 18:24:17 From Kate Hanson (she/her) : For Medicaid enrolled families - many of the NC Medicare plans managed by private health insurers offer free breast pumps that are covered by insurance. We have been collecting a list of details by insurer, and I am happy to share. Feel free to email me at kate@meals4families.org. Weā€™ll be verifying the information again & preparing a 1-pager to share next week. 18:25:08 From Charlotte Z Patton, RD, IBCLC : Celia, another important point with Holder Pasteurization is that milk needs to be rapidly cooled after the holding at 145F/ 62.5C for 30min... this was the trickiest part for me at home. I am happy to talk through this process with anyone who is considering doing this. please email me char.zuber@gmail.com 18:25:43 From Celia Clark-Randall : Charlotte, I would love to hear more about that and will reach out to you. Thank you! 18:27:16 From Joy Spencer : a clear distinction between more populated areas and more rural areas 18:27:17 From Candy Fuentevilla : the target in Greensboro is similar to the target in Burlington 18:27:20 From Gale Touger : Toddler formula?? 18:28:08 From Gale Touger : Thank you 18:28:51 From Charlotte Z Patton, RD, IBCLC : Gale--yep its a thing... LOL. Mainly for kiddos that cannot tolerate whole milk, no toddler formulas are available thru WIC by the way 18:29:11 From anita skariah : is there a quantity limit of cow's milk for early start for 6 mo babies? any guidance from AAP how to substitute? 18:30:17 From Emily Hannon : @Anita, the AAP is recommending small amounts of whole cow's milk as needed if there is no formula available. Not more than 24 oz/day and be sure to offer iron-rich foods 18:30:24 From Celia Clark-Randall : I did not know you all had SNS on hand! Thanks for letting us know 18:31:06 From Joy Spencer : looks more like Greensboro 18:31:12 From Maya Jackson( she/her) : Itā€™s less in Durham 18:31:38 From Tenica (she/her/hers) : Yes Iā€™m in Food Lion and thereā€™s nothing but Gerber 18:32:08 From Joy Spencer : good to know there's Gerber because our families couldn't find Gerber earlier this week 18:32:21 From Tenica (she/her/hers) : Roxboro Rd Food Lion 18:32:32 From Joy Spencer : thanks Tenecia!! 18:32:42 From Tenica (she/her/hers) : No problem!! 18:32:44 From Angie Hilliard, IBCLC : Novant Health has prenatal classes online virtual as well post delivery support classes for potential and delivered families. We just went LIVE with after hours lactation support through Mychart for patients who need assistance when lactation is unavailable During nights weekends etc Novanthealth.org 18:35:18 From Bernadetteā€™s iPhone : Compare on university Dr. have Gerber too 18:35:39 From Joy Spencer : cool thanks 18:36:05 From Joy Spencer : any contact at Welcome Baby I could reach out to? 18:36:19 From Joy Spencer : would love to see collaborative, coordinated effort 18:37:24 From Joy Spencer : EBB would love to be invited to planning efforts 18:37:31 From Bernadetteā€™s iPhone : Thank you.. have anybody heard from the milk bank in Durham 18:39:04 From Marisol Rodriguez : Parents can call the WIC offices in Durham and they can provide them with information on which stores may have the formula they need 18:40:45 From Bernadetteā€™s iPhone : https://www.facebook.com/groups/1054330548504860/?ref=share 18:41:16 From Ann Conlon-Smith : We need to be very honest about this 18:41:36 From Bernadetteā€™s iPhone : Durham formula exchange for the link I just shared 18:41:38 From Celia Clark-Randall : SonShine and Rainbows blog is by an IBCLC who decided to relactate and she shares her journey over 7 or so months 18:43:00 From Bernadetteā€™s iPhone : I agree with you Ann Conklin-Smith 18:43:24 From Love Anderson : Now more than ever, I would like to advocate that we give extra support to our pregnant and currently breastfeeding families to continue breastfeeding. Support is so important! Thank you all for your work. 18:43:44 From Emily Hannon : Thank you everyone for this great session! 18:46:06 From Melissa Kay : Alisha can't thank you enough for this. So great. 18:46:42 From Karen Rodriguez to Alisha Bailey(Direct Message) : Karen Rodriguez 18:46:42 From Angie Hilliard, IBCLC : Yes thank you Alisha I will need all the help I can get 18:46:57 From Karen Rodriguez to Alisha Bailey(Direct Message) : Welcome Babay krodriguez@dconc.gov 18:48:27 From Nitaya's iphone : Thank you so much for all this information! Very informative :) Nitaya Mackey BSN, RNC-MNN, IBCLC Njr1228@gmail.com 18:49:21 From Gale Touger : wel said, Ann 18:49:46 From Elaina Lee : Thank you, everyone! It will be great to have these resources to share with patients and providers. 18:51:12 From anita skariah : anita.skariah@unchealth.unc.edu 18:51:30 From anita skariah : thank you everyone! 18:51:50 From Karen Rodriguez : Welcome Baby serving families who live in Durham 919-560-7150 18:52:51 From Alisha Bailey to Karen Rodriguez(Direct Message) : baileya@piedmonthealth.org 18:53:06 From Joy Spencer : thanks so much. bur generally --- contactus@equitybeforebirth.com 18:53:18 From Charlotte Z Patton, RD, IBCLC : zuberc@piedmonthealth.org --- WIC or Pasteurizing/Informal milk sharing questions 18:53:26 From Angie Hilliard, IBCLC : angie2242@msn.com adhilliard@novanthealth.org 18:53:28 From Marisol Rodriguez : marisol.rodriguez@duke.edu 18:53:29 From Gale Touger : Very helpful! Thanks you to all the speakers 18:53:30 From Melissa Kay : not a health provider but here to help compile and distribute resources: Melissa.Kay@duke.edu 18:53:34 From Joy Spencer : thanks so much!!! 18:53:38 From Karen Rodriguez : krodriguez@dconc.gov 18:53:39 From Natalie Ostrowski RD, IBCLC : Natalie (WIC, nutrition, lactation @ PHS) ostrowsn@piedmonthealth.org 18:53:47 From Margaret : Mcampbell@orangecountync.gov