Breastfeeding Promotion and Support (BF) BF-7 Manual Pumps and Breastfeeding Aids 1

Maine Center for Disease Control and Prevention WIC Nutrition Program Effective: October 1, 2011 Policy No. BF-7 Revised: October 1, 2022 Provision of Manual Breast Pumps and Breastfeeding Aids Authority 7 CFR §246.11(c)(3) and (7)(iv); §246.14(b)(1)(iii) and (c)(10) 22 MRSA §255 and §1951

Policy 1. Hand or manual breast pumps may be provided to breast/chestfeeding participants who request a pump, but do not meet the criteria for an electric breast pump. 2. Nursing supplements may be provided to breast/chestfeeding participants whose milk supply does not meet the full needs of their babies, who wish to re-establish, or induce lactation. 3. Every breast/chestfeeding participant will receive 1 passive silicone milk collector at the time of certification.

Procedures 1. Manual pumps are designed for use by a single person and shall not be returned.

1.1 Appropriate education regarding pump usage and milk storage shall be provided to the participant, either in paper form or referred to the internet. Documentation of this education should be explicitly noted in Spirit. 1.2 Local Agency staff shall not directly or indirectly communicate to participants that a breast pump or aid is needed to be successful at breast/chestfeeding. This type of message may create a barrier to providing human milk to their infant.

1.3 Issuance of a manual breast pump shall be documented in the participant’s electronic record. 2. When distributing a nursing supplement such as a supplemental nursing system (SNS), to a participant, Local Agency staff shall: 2.1 Thoroughly assess the need for the SNS based on health care provider or lactation specialist evaluation and recommendation.

2.2 Provide the participant with written instructions on how to assemble, use, and clean the supplementation system (wash well in hot, soapy water, rinse well and sterilize once per day).

Breastfeeding Promotion and Support (BF) BF-7 Manual Pumps and Breastfeeding Aids 2

2.3 Document need and education in use of SNS in the participant’s electronic record.

3. A breastfeeding participant will receive 1 passive silicone milk collector per pregnancy. Passive silicone milk collectors are designed for use by a single person and shall not be returned. 3.1 Issuance of passive silicone milk collectors shall be documented in the participant’s electronic record.