Women Infants and Child

What is WIC?
A federally funded supplemental food program for infants and children, pregnant, postpartum, and lactating women.
Participants must be income eligible and at nutritional risk. Participants receive nutritional education along with vouchers
for basic nutritional foods to supplement their diet.
Before you or your children can be screened for WIC we need to see proof of:
Your Identity – bring "one" of these for yourself and the person being screened
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Current Medicaid Card
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Birth Certificate
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Driver’s License
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Social Security Card
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Work or School ID
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Voter Registration Card
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Hospital Birth Record
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Immunization Record
Your Residence – bring "one" of these
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Current Medicaid Card
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Current bill for electric, gas, telephone, or cable
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Current lease or receipt
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Driver’s License
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Current Medicaid Card
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Food Stamp Letter
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Current Pay Stub
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Signed Statement From Employer
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W-2 Forms
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Income Tax Forms For Most Recent Year
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Unemployment Letter/Notice
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Check Stub/Award Letter From Social Security
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Recent Leave and Earnings Statement (LES) for Military
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Foster Child Placement/Award Letter
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Tax Forms or Accounting Records for Self-Employed
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Copies of Alimony or Child Support Checks
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Statement From Person(s) That Provide You Money/Resources
** Remember**
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If you or anyone that lives with you receives Medicaid, bring the Medicaid card to the clinic. This card may meet the proof requirements.
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Proof of household income must be provided when you have the purple KCHIP III card.
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If you do not have proof and cannot get proof, please let us know.
Cold and Flu Season: Medications and Breast Feeding Mom's
Doraine Bailey, MA, IBCLC
Reviewed by Patricia R. Wigle, Pharm D
University of Cincinnati (UC) College of Pharmacy
During the cold and flu season, many mothers are looking for
information on non-prescription (e.g., over-the-counter [OTC])
medicines they can use to treat their own cold symptoms.
In general, mothers who want to use a medication should:
ask the pharmacist at the store if a medication is right forher, her baby and her symptoms;
avoid taking extra strength or long acting forms of OTCmedications;
Avoid taking multi-ingredient OTC medications; and
Watch for liquids that may also contain alcohol – thesemake mom sleepy and the alcohol can pass to the baby.
There are four or so families of medications commonly used for
colds. They include:
1) antihistamines 3) antitussives
2) decongestants 4) analgesics
Research shows that most of these medications work rather poorly
for cold symptoms. Furthermore,
over-the-counter (OTC) coughand cold products should not be used to treat infants and
children less than 2 years of age because serious and
potentially life threatening adverse events can occur from
such use.
Antihistamines
carry the risk of making mom or baby very sleepy.Dr. Tom Hale, a breastfeeding pharmacologist, suggests using the
non-sedating kind such as Claritin (loratadine), Clarinex
(desloratadine), Allegra (fexofenadine), or Zyrtec (cetirizine ).
Recent studies have shown that the older sedating antihistamines,
such as chlorpheniramine, diphenhydramine (Benadryl) and others,
produce significant sedation, including problems with driving
relatively equivalent to drinking alcohol. In addition, they really don't
help much with cold symptoms.
Decongestants
are only used to reduce congestion in the upperairways, particularly the nose. Those containing pseudoephedrine
(e.g., Sudafed ) may reduce milk production significantly, so
caution is recommended for mothers with low milk supply or in late
lactation (10+months). Many medicines have been reformulated to
remove pseudoephedrine and replace it with phenylephrine.
Theoretically, phenlyephrine (Sudafed PE) should not pass into
breastmilk*, and there are no indications of it affecting milk supply.
Intra nasal (spray) decongestants such as Afrin (oxymetazoline )
and several others of this family, are quite useful for a short term.
But, they are highly addicting because rebound congestion occurs
uniformly after 12 hours and doses are needed again, and again,
and again. So, if a mom must use a nasal decongestant, use one
of the sprays, but stop using it after 3-4 days.
Antitussives
are promoted to aid in sputum production and loosenchest congestion. Two, guaifenesin and dextromethorphan, are
fairly ineffective. However, they are safe for use while
breastfeeding. Short-term use of cough syrups containing codeine
appear safe. If codeine is used, the infant should be monitored for
sedation and decreased milk intake or other changes in feeding
habits. Carbetapentane , benzonatate (tessalon perles)* or
pentoxyverine* are newer antitussives but have not been studied
for transfer into human milk.
Analgesics
, such as acetaminophen and ibuprofen, are okay touse as pain relievers on an occasional basis. They do pass into
mother’s milk in small doses and long term use can produce GI
symptoms in some infants.
*no data on transfer into human milk
Resources with comprehensive product listings:
AAP Policy Statement The Transfer of Drugs and Other Chemicals Into Human Milk, revised September 2001, http://
aappolicy.aappublications.org/cgi/content/full/pediatrics;108/3/776.
http://www.loveyourbaby.com/breast-feeding-and-cold-medicine.html (Lay)
http://www.breastfeedingnetwork.org.uk/pdfs/Cough_and_Cold_Remedies_and_Breastfeeding_July_2009.pdf (British, but written by
PharmD
Adapted from: “Notes from Dr. Hale”, Medications and More Newsletter, Volume 2, November 2004.

