FAMP-IT
Food Allergy Management and Prevention
Support Tool for Infants and Toddlers
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For Newborns

Breastfeeding

Why is breastfeeding good for your baby?

Human milk has a lot of important nutrients. Colostrum, the first milk that comes out after giving birth, helps to protect your baby, as it is rich in antibodies. This can help build their immune system.

Additionally, breastmilk also:

If you cannot or choose not to breastfeed, support is available to help you find the best infant formulas. Reach out to your healthcare team for guidance.

What should the mother’s diet be when breastfeeding?

Energy, protein, and other essential nutrients that make up breast milk come from what the mother eats. It is important for women who are breastfeeding to eat a healthy, well-balanced diet and stay hydrated.

It’s best if mothers can eat a variety of foods while pregnant and breastfeeding. If mom is not allergic to any foods, then keeping the common food allergens in the diet is great.

Good handwashing habits are important for managing food allergies. Always wash hands before and after the following:

Just because a child has a food allergy does not mean the mother has to stop breastfeeding.

Dot phrases modified from PDF found at: https://famp-it.org/wp-content/uploads/Breastfeeding-Education-Pediatrician.pdf

Additional Resources

Use the QR code below or click on the hyperlink to watch a video, Preventing Food Allergies — What You and Your Family Can Do in the First Several Months, with simple tips on what you can do in the early months of your baby’s life to help prevent food allergies.

vimeopro.com/user22732304/preventing-food-allergies

QR code for video

Visit fampitfamily.org for detailed resources on Early Introduction, Food Allergy Management, and more.

Introducing Complementary Foods

What are the current recommendations for complementary feeding and food allergens?

Waiting to introduce common food allergens to your child may increase the chance of food allergies, especially if they have eczema or a previously diagnosed food allergy.

The common food allergens are:

Begin complementary feeding (giving solids while breastmilk or infant formula are still the main food source) around 6 months, and as early as 4 months to 6 months, if your child is developmentally ready.

The common food allergens should be introduced at the same time as complementary foods.

Between ages 0-4 months: Exclusive breastmilk and/or formula feeding

Between 4-6 months: When your child is ready, start to introduce complementary foods

Healthy Dietary Patterns in Your Baby’s First Year of Life

Give:

Limit:

Avoid:

Introducing your child to the 9 major allergens:

The 9 major potentially allergenic foods should be introduced as complementary foods. There is evidence that introducing peanut-containing foods in an infant’s first year of life can reduce the risk that s/he will develop a peanut allergy There is no evidence that delaying introduction of allergenic foods beyond 6 months prevents food allergy.

  1. Dairy
  2. Egg
  3. Peanuts
  4. Tree Nutrs
  5. Soy
  6. Wheat
  7. Fish
  8. Shellfish
  9. Sesame

Dot phrases modified from PDF found at: https://famp-it.org/wp-content/uploads/aap-statement-FAMPIT_Nutrition-Education_less12mo.pdf

Early Food Introduction
Skincare and Eczema Management
IgE Mediated
Food Allergy
Non-IgE Mediated
Food Allergy

“The Use of a Novel Clinician Support Tool to Enhance Food Allergy Management and Prevention in Infants and Toddlers”- Improving Professional Practice and Quality Improvement Project: Part 4 of Maintenance of Certification (MOC)

The Food Allergy Prevention Program at MassGeneral for Children is offering a quality improvement project focusing on the prevention of food allergies in infants and toddlers. This quality improvement project, “The Use of a Novel Clinician Support Tool to Enhance Food Allergy Management and Prevention in Infants and Toddlers“, aims to support clinician’s implementation of guidelines regarding the early introduction of peanuts and other allergens. 

Providers participating in this quality improvement project will use the Food Allergy Management and Prevention for Infants and Toddlers (FAMP-IT) clinician support tool to manage infants at well-child visits and subsequently modify clinical practice to provide appropriate recommendations on early peanut introduction. The overarching goal of this project is to modify provider workflow at well-child visits in an effort to routinely support the early introduction of peanut with improved guideline adherence. 

The information in the packet below will answer basic questions about how to register, as well as the purpose and procedures of this quality improvement project. Click on this PDF to learn more! 

Detailed Instructions

Welcome to the quality improvement project – The Use of a Novel Clinician Support Tool to Enhance Food Allergy Management and Prevention in Infants and Toddlers. Below is a detailed guide on A) how to register for the QI project, which will involve obtaining an AAP number, as well as B) an overview of instructions for participation in the course:

A. Registration
The first thing you will need to do is register to get an AAP number, which is free and does not require an AAP membership. This is necessary in order to utilize the Quality Improvement Data Aggregator (QIDA) platform. This will allow you to track and record your quality improvement data and progress.

Click here to find out how to register and participate!

B. Instructions/ tasks for participation (once registered)

In this project, you will complete 5 tasks/steps in chronological order. There will be two Plan-Do-Study-Act (PDSA) cycles, where you will implement changes to your practice based on the knowledge obtained from utilizing the FAMPIT toolkit.

Please ensure that you follow the instructions carefully for each step/task. Feel free to reach out if you have any questions or need further assistance. Thank you for your participation in this quality improvement project!

Important Reminder: When using both the FAMP-IT Knowledge-Based Assessment Survey and each Chart, please keep in mind- that after 15 minutes, you will be timed out, and your progress in that entry will be lost. If you require more time, feel free to use these worksheet to help with data entry:

  1. Pre/Post Survey: https://famp-it.org/wp-content/uploads/Pre-Post-FAMP-IT-Survey-.pdf
  2. PDSA Cycle Charts: https://famp-it.org/wp-content/uploads/PDSA-Cycle-Charts-.pdf

Afterward, you can seamlessly transfer the information into the QIDA system and discard the worksheet.

Step 1: Pre-FAMP-IT Knowledge-Based Assessment Survey

  1. Begin by taking the Pre-FAMP-IT Knowledge-Based Assessment Survey.
    (This survey is designed to take approximately 10-15 minutes of your time. It’s important to note that once you open the survey, please complete, and submit it promptly. After 15 minutes, you will be timed out, and your progress will be lost.)

Step 2: Baseline Chart Review/Log

  1. Utilize the Baseline chart review/log.
  2. Log information for 12 patients under 1 year of age.

Note: After completing the baseline chart review, review our FAMP-IT Toolkit (famp-it.org). Utilize the FAMP-IT toolkit for future chart reviews in PDSA Cycle-1 and PDSA Cycle-2.

Step 3: PDSA Cycle-1 Chart Review/Log

  1. Complete the PDSA Cycle-1 chart review/log utilizing famp-it.org
  2. Log information for 12 patients under 1 year of age.

Step 4: PDSA Cycle-2 Chart Review/Log

  1. Complete the PDSA Cycle-2 chart review/log utilizing famp-it.org.
  2. Log information for 12 patients under 1 year of age.

Step 5: Post-FAMP-IT Knowledge-Based Assessment Survey

  1. After completing all 3 chart reviews (a total of 36 chart reviews), please take the Post-FAMP-IT Knowledge-Based Assessment Survey.
    (This survey is designed to take approximately 10-15 minutes of your time. It’s important to note that once you open the survey, please complete, and submit it promptly. After 15 minutes, you will be timed out, and your progress will be lost.)

How to Claim CME/CE Credits

CME Credits as a Pediatrician
CME Credits as a Physician Associate
CE Credits as a Nurse Practitioner
Claiming NAPNAP CE Credits as a pediatric-focused Nurse Practitioner

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