Teaching Module 1 for BRF
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Transcript of Teaching Module 1 for BRF
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OPTIMUM BREAST FEEDING
PRACTICES
Saving Newborn Lives by Early Initiation of Breastfeeding and Exclusive Breastfeeding
Courtesy:
HELP [Health Education & Literacy Programme]
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OPTIMUM BREAST FEEDING
PRACTICES
Initiate breastfeeding within a half-hour of
birth
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Early initiation of breastfeeding
for the normal newborn
Why?
Increases duration of breastfeeding
Allows skin-to-skin contact for warmth and
colonization of baby with maternal organisms
Provides colostrum as the babys first
immunization
Takes advantage of the first hour of alertness Babies learn to suckle more effectively
Improved developmental outcomes
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OPTIMUM BREAST FEEDING
PRACTICES
Encourage breastfeeding on demand
( Day &Night)
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What is Demand Feeding
Fed whenever the baby cries
Frequent suckling at least 8-10 times per
day
Scheduled feeding interferes with successful
lactation
A sleepy baby should be awakened to haveat least 8-10 feeds in 24 hours
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On demand, unrestricted breastfeeding
Why?
Earlier passage of meconium
Lower maximal weight loss
Breast-milk flow established sooner
Larger volume of milk intake on day 3
Less incidence of jaundice
From: Yamauchi Y, Yamanouchi I. Breast-feeding frequency during the first 24 hours after birth in full-
term neonates. Pediatrics, 1990, 86(2):171-175.
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Demand Feeding
Prevents engorgement and mastitis
Is critical for child spacing
Keeps baby satisfied
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Advantages of Night feeding
Sustains milk supply
Useful for working mothers
Helps ensure 8-10 feeds/24 hours
More prolactin at night
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No Prelacteal Feeds
Replace colostrum
Reduce babys desire for breastfeeding
Greater risk of infection
Risk of intolerance, allergy
Can cause nipple confusion if given in abottle
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Exclusive Breast Feeding
Exclusive breastfeeding for first 6 months of
life
Giving an infant only breastmilk
No food or drink other than breastmilk
not even water
No Ghutti/Honey etc.
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Feeding at both breasts
Helps sustain milk supply
Breast feeding for 2 years
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Ten Steps To Successful Breast Feeding
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Have a written breastfeeding policythat is routinely communicated to all
health care staff.
STEP 1:
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Train all health care staff inskills necessary to implement
this policy.
STEP 2:
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Inform all pregnant womenabout the benefits and
management of breastfeeding
STEP 3:
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Show mothers how to breastfeed,
and how to maintain lactation
even if they should be separated
from their infants.
STEP 5:
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Give newborn infants no food ordrink other than breast milk
unless medically indicated.
STEP 6:
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Practise rooming in
allowmothers and infants to remain
together 24 hours a day.
STEP 7:
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Encourage breastfeeding ondemand.
STEP 8:
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Give no artificial teats orpacifiers (also called dummies
or soothers) to breastfeeding
infants.
STEP 9:
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Foster the establishment of
breastfeeding support groups
and refer mothers to them on
discharge from the hospital orclinic.
STEP 10:
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Delayed initiation
Discarding Colostrum
Mothers negative attitude towards Breast Feeding
Sick mother or babySeperation of baby frm mother
Use of bottles, nipples, formula milk & other
substitutesExhaustion of mother
Lack of sleep
Working mothers
Factors which hinder
Optimum Breast Feeding