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Frequently Asked Questions about Baby Cafés

Below are responses to some common questions and concerns relating to running a Baby Café drop-in.

Click here to read FAQs about our organisation.

To download our policies click here.

Q. What can mums expect from a Baby Café drop-in centre?

 

Q. Hot drinks, babies and toddlers, in a health care setting, pose a health and safety issue. What can be done to address this? 

Q. Do Baby Café drop-in centres support mothers who feed their babies artificial formula milk?

Q. How can the skills of people within the voluntary sector be effectively utilised at a Baby Café drop-in centre?

Q. What are the guidelines regarding the working relationships between volunteers and paid workers in a Baby Café drop-in centre?

Q. How do we deal with concerns that breastmilk is a potential route of infection transmission at a drop-in?

 

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Q. What can mums expect from a Baby Café drop-in centre?

A mothers' charter has been developed to help make clear to mums what they can expect from a Baby Café centre.

 

Q. Hot drinks, babies and toddlers, in a health care setting, pose a health and safety issue. What can be done to address this? 

The Baby Café Handbook includes a brief Child Safety Protocol. Two relevant aspects of this are: 

Parents/carers are responsible for their own child/ren at all times.
All efforts are made to ensure the environment is safe for babies and young children.

The Baby Café protocol also has to be considered alongside any other relevant local PCT/Sure Start policy-so check yours out. Some areas require a full risk assessment to be undertaken. This involves:

Identifying the risk
Identifying who is at risk
Implementing strategies to reduce the risk

Regular review strategies to reduce the risk of hot drink spillages (taken from The Baby Café Handbook) can include: 

Display signs/provide information leaflet reminding parents about any potential hazards within the environment.
Consider the arrangement of furniture - part of creating a welcoming, friendly atmosphere is making sure mothers feel safe, physically as well as emotionally. Tables, seating and toddler play areas can be sited where the risk of drinks being knocked over is reduced. Check out insurance - this will depend on the venue, funding source and your own employment status.

It is worth noting that many non-Baby Café health care activities may also carry a risk, e.g. an undressed baby being weighed carries the risks that baby might become cold, be dropped or wriggle off the scales and fall; this does not mean that these are reasons to discontinue weighing vulnerable babies.

Mothers have told us that they feel well aware of the many child safety issues both inside and outside the home, for example toddlers treading on babies, toddlers choking on toys or bits of toast, children opening the safety gate and running outside or falling and banging their head. They considered the risk from hot drinks to be similar - a risk that can be minimised with care -  and rebelled against the idea that they had to either forego their refreshment or leave their baby to go into a separate room to drink their coffee. 

The Department of Health's 'Latching On: Good practice and innovation in breastfeeding initiation projects' describes The Baby Café drop-in centre:

'The informal, relaxed 'café' style drop-in, was influenced by popular 'café culture' with quality refreshments and a positive brand image to attract mothers. The lactation consultant and facilitator were always on hand to help with any specific problems, but the emphasis was on mother-to-mother support.'

Since breastfeeding mothers are often isolated, segregated and discriminated against (whether subtly or obviously; at home or in public) one of The Baby Café's key concepts is that a Baby Café centre is a place where all pregnant and breastfeeding mothers are welcome and are able to access information, help and support. It would be retrograde, and possibly discriminatory, to deny mothers the opportunity to access skilled help and meet with their peers over a cup of coffee.

 

                  

                 

Click here
to download a safety poster from the Child Accident Prevention Trust.

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Q. Do Baby Café centres support mothers who feed their babies artificial formula milk?

In talking with anyone about the Baby Café service the question invariably asked is, ‘What about mums who do not breastfeed…aren’t you discriminating against them?’

Our response to that is as follows:

 

Nobody should be turned away from a Baby Café drop-in.  
Our operating handbook states that ‘When mums not requiring support with breastfeeding turn up to a Baby Café drop-in session they should be made to feel welcome, offered refreshments and any other information they require. Generally, because they no longer need breastfeeding support, they then go elsewhere to get the kind of postnatal support they are seeking’. The point being that, like countless other services, Baby Café drop-ins simply do not cater for everyone and whilst everyone is welcome to drop in we would expect that mothers with no interest in breastfeeding would naturally go elsewhere. Baby Café drop-ins are not ordinary postnatal or parent and toddler groups, they are a specific, specialised service.

Baby Café drop-ins are highly inclusive. 
The Baby Café model provides drop-in support which is free to mothers. Anyone, regardless of age, race, income, social status or beliefs can get support at a Baby Café drop-in. A Baby Café drop-in brings together a wide variety of mothers from different backgrounds united by a common interest, breastfeeding their babies.
 

 

It is not discriminatory to set up a support service for a group of people with a common interest.  
The health service does it all the time (think of smoking cessation groups, stroke groups or carers’ support groups). There are other services for new mothers which do not include all mothers (think of twins clubs, post-natal depression groups or dads’ groups). Plus countless other examples from everyday life where services are set up to meet the needs of a subgroup of society.
Baby Café drop-ins operate under the founding belief that breastfeeding is the best way to feed a baby. 
Research has shown that mothers need support to breastfeed successfully.  At a Baby Café drop-in any mother who has an interest in breastfeeding can gain support and information on that particular parenting choice.  It is also a place where the mother can relax and feel comfortable about breastfeeding, and see other mothers who feel similarly.  It is critical to maintain this atmosphere and this is why facilitators may at times have to step in if they feel that the focus on breastfeeding is slipping.
 
Mothers want to go to the Baby Café drop-in because it’s a nice place to go. 
The aim of the Baby Café drop-ins is that they should be high-quality, comfortable, welcoming, friendly places.  It is no surprise that there are many formula-feeding mothers who feel aggrieved that they are not ‘entitled’ to attend such a nice group, especially in those areas where there is little other provision.  However, the Baby Café Charitable Trust is a charity and its charitable objectives state that it exists to provide support to breastfeeding women and their supporters.  Extending our provision to include formula-feeding mothers is simply not an option, we would no longer function as a charity.  We feel strongly that there is simply not enough provision of all kinds for new mothers and would urge those in authority to consider ways to support them better.  But it is not our job to support everybody - our remit is to support breastfeeding mothers.

 
Baby Café drop-ins are able to support mothers who are feeling unhappy about their breastfeeding experience, regardless of how they are currently feeding their baby.  
It is well documented that a high proportion of British women give up breastfeeding before they really want to.  There is also a lot of pressure to breastfeed, despite the fact that we live in a culture predominantly tailored to support and inform the non-breastfeeding family.  Is it any wonder, then, that some of them feel like salt is being rubbed in the wound by being ‘excluded’ from a service.  Any mother who has given up breastfeeding, for whatever reason, and is upset about it may feel even more miserable at not being able to go where her friends are.  To those mothers we would say, 'Come along, find out anything you want to know, have a chat with a professional or another mum and let out some of those concerns.'  The Baby Café drop-in is an ideal place to go for this – we would much rather a formula-feeding mum came along and got some ‘closure’ on her breastfeeding experience than carried on feeling miserable about it because she felt unwelcome.  Nobody is going to sit in judgement on an individual’s decision on how to feed their baby; our job is to provide support to those who have chosen to breastfeed and we have to maintain a breastfeeding-focussed atmosphere in order to do that.  Of course, our long-term aim is to ensure that high quality early breastfeeding support is widely available and the numbers of women stopping before they are ready falls.

The Baby Café Charitable Trust welcomes feedback from mothers on all aspects of our services. You can contact us via e-mail (admin@thebabycafe.org) or PO Box 640, Haywards Heath, RH7 5WS

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Q. What is the role of volunteers in a Baby Café drop-in centre?

Mother-to-mother support is a key element of the Baby Café model of care, with skilled one-to-one help available for those who need it.

Our national audit for 2005 revealed that 41% of Baby Café staff were working on a voluntary basis.  Trained breastfeeding supporters, leaders, counsellors, peer supporters and interested mothers are involved in Baby Café centres in a number of ways. 

Supporting the Baby Café informally by attending as a breastfeeding mother and chatting to other mothers about their experiences.
Volunteer mother supporter 'on staff'; helping with organisational aspects, setting out room, welcoming mothers, refreshments, chatting to mothers informally. No formal breastfeeding training needed and probably has her own child with her.
Trained volunteer mother supporter 'on staff'.  This might be a trained breastfeeding counsellor (NCT, LLL, BfN, ABM) or trained peer supporter, providing skilled breastfeeding help and information as a volunteer, under the supervision of a health professional.  (For example Cobridge)
Working as paid breastfeeding counsellors.  Trained breastfeeding counsellor (NCT, LLL, BfN, ABM) or peer supporter, providing skilled breastfeeding help and information as a paid member of staff, rather than as a volunteer representing their charitable organisation.
A local breastfeeding group from within the voluntary sector can apply for external funding to set up and run a Baby Café drop-in.  Appropriately trained breastfeeding counsellors, or health professionals with specific skills in supporting breastfeeding mothers, would be funded to facilitate and staff the Baby Café.  (For example Northampton)

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Q. What are the guidelines regarding the working relationships between volunteers and paid workers in a Baby Café drop-in?

Detailed guidelines are available from 'Volunteering England' at www.volunteering.co.uk and the following is based on their Guidelines for relations between volunteers and paid workers in the Health and Personal Social Services (1990).

The value of voluntary activity is recognised; in giving help directly or indirectly to others and in providing opportunities for volunteers to participate and find self-fulfilment.

In many settings, including Baby Café centres, relations between paid workers and volunteers are harmonious and mutually rewarding. They are enhanced by good procedures, clarity of respective roles, mutual trust and support.


1. Voluntary activity should complement the work of paid staff, not substitute for it.
As a general principle volunteers should not substitute for paid employees, nor intentionally or unintentionally undermine their terms and conditions of service.  The practical implications of this statement, e.g. identifying areas of work and roles appropriate for paid staff and appropriate for volunteers, need to be discussed and agreed within your Baby Café.
The varying roles and responsibilities of trained/skilled volunteers, health professionals, facilitators, mother help and paid breastfeeding counsellors/peer supporters need to be clarified between all relevant parties.
Volunteers should not be used as a cheap source of labour to reduce costs, as this exploits and undermines both paid workers and volunteers.


2. The work of volunteers should not threaten the livelihood of paid staff.
Voluntary activity, implemented without proper consultation, has the potential to threaten the jobs of paid staff and/or have repercussions on earning levels.  However, there will be situations in which organisational changes, incorporating new notions of care, might involve the use of volunteers in ways that could affect the interests of groups of paid employees.  Also the contracting out of local authority run services to organisation involving volunteers might have a detrimental effect on some local authority paid staff.  In all such cases, including the provision of a Baby Café service, negotiations should take place between the relevant organisations with a view to reaching agreement to safeguard the existing terms and conditions of health care workers as well as the interests of volunteers.


3. Agreements on the nature and extent of voluntary activity should be made widely known among intended parties. Their roles, responsibilities and accountability also need to be agreed.
Any agreement on the use of volunteers needs to be communicated to all interested parties and at all levels of the various organisations.
Within your Baby Café centre, agreement needs to be reached on the roles, rights and responsibilities of volunteers; reimbursement of out-of-pocket expenses; provision of insurance; documentation procedures and confidentiality; training opportunities; access to decision making; access to supervision and support.
The varying roles and responsibilities of trained/skilled volunteers, health professionals, facilitators, mother helpers and paid breastfeeding counsellors/peer supporters need to be clarified between all relevant parties.


4. Volunteers should receive full out-of-pocket expenses.
It is important that volunteers should be offered full out-of-pocket expenses so that they are not deterred from offering their services on financial grounds.
Although volunteers are not rewarded financially, it is still important to recognise, value and show appreciation for their involvement, commitment, skills and efforts, e.g. by giving verbal or written thanks, and including them in training/update sessions where appropriate.


5. There should be a recognised procedure for the resolution of problems between staff and volunteers.
A named individual, within your Baby Café staff team, should be responsible for the co-ordination of voluntary activity within your Baby Café drop-in, to whom volunteers can refer in the first instance if difficulties arise.  If resolution is not possible at this level the problem/complaint can be referred to the National Baby Café Coordinators. It is suggested a representative of the paid workforce be given responsibility for liasing with volunteer co-ordinators from the relevant organisations, i.e. the commissioning service, the charity the volunteer is representing and the National Baby Café Coordinators.
Volunteers are able to receive support and guidance from both the national Baby Café team and the charity they represent. Paid workers can receive support and guidance from their commissioning body/employers and the national Baby Café team.

Q. How do we deal with concerns that breastmilk is a potential route of infection transmission at a drop-in?

The Baby Café model offers a regulated service with established processes in place to mitigate risk.  Baby Café staff are expected to carry out risk assessments and take steps to protect people as 'reasonably practical' and in line with the Principles of Sensible Risk Assessment. Download our detailed statement of guidance.

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FAQs about The Baby Café Charitable Trust

 

 

Copyright 2003-2009 The Baby Café Charitable Trust

PO Box 640 Haywards Heath RH17 5WS

Registered Charity Number 1110358