#World Breast Feeding Week 2011

8/6/2019 #World Breast Feeding Week 2011

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World Breastfeeding Week

(1-7th August 2011)

&Breastfeeding

Dr Yog Raj Khinchi


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World Breastfeeding Week

(1-7th August 2011)


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The World Alliance for Breastfeeding Action (WABA) was formed in1991 to act on the Innocenti Declaration 1990 (WHO and UNICEF)

to protect, promote and support breastfeeding.

As part of its action plan to facilitate and strengthen social

mobilization for breastfeeding, WABA envisioned a globalunifying breastfeeding promotion strategy.

A day dedicated to breastfeeding was suggested to be marked in the

calendar of international events. The idea of a day's celebration was

later turned into a week.

This has become to be known as World Breastfeeding Week (WBW)

celebrated every year from 1ST to 7TH August to commemorate

the Innocenti Declaration. WBW is endorsed by WHO and UNICEF.

World Alliance for Breastfeeding Action (WABA)


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WBW over the years: Themes1997: Breastfeeding- Natures Way

1998: Breastfeeding- The Best Investment

1999: Breastfeeding- Education for Life

2000: Breastfeeding- Its Your Right!

2001: Breastfeeding in the Information Age

2002: Breastfeeding- Healthy Mothers and Healthy Babies

2003: Breastfeeding in a Globalised World for Peace and Justice

2004: Exclusive Breastfeeding: The gold Standard Safe, Sound, Sustainable

2005: Breastfeeding and Family Foods: LOVING & HEALTHY

2006: Code Watch: 25 Years of Protecting Breastfeeding

2007: Breastfeeding: The 1ST Hour- Save ONE million babies!

2008: Mother Support: Going for the Gold Everyone Wins!

2009: Breastfeeding: A Vital Emergency Response Are you ready?

2010: Breastfeeding: Just 10 steps! The baby-friendly way!!

2011: Talk to me! Breastfeeding- a 3D experience


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Objectives of WBW 2011

Sustain the momentum from your WBW celebrations-Campaign

for breastfeeding friendly environment !

Reach out to people specially youth with information on

breastfeeding & support other needs.

Protect against commercial influences by baby food manufactures.

Advocate for community and family support to help enhancebreastfeeding and complementary feeding.


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Breastfeeding


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Benefits of breast milk (contd.)

Protects against infection

Prevents allergies

Better intelligence

Promotes emotional bonding

Less heart disease, diabetes and lymphoma


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Benefits to mother

Helps in involution of uterus, prevents PPH

Delays pregnancy (lactation amenorrhea)

Decreases mothers workload, saves time andenergy

Lowers risk of breast and ovarian cancer

Helps regain figure faster (avoids obesity in mother)


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Anatomy of breastMyoepithelial cells

Epithelial cells

ducts

Lactiferous sinus

Areola

Montgomery gland

AlveoliSupporting tissue

and fat

Nipple


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Physiology of lactation

Hormonal secretions in the mother

Prolactin helps in production of milk

Oxytocin causes ejection of milk

Reflexes in the baby rooting, sucking &

swallowing


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Prolactin production

Enhanced by

How early the baby is put to the breast

How often and how long baby feeds at breast

How well the baby is attached to the breast


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Prolactin milk secretion reflex

Hindered by

Delayed initiation of breastfeeds

Prelacteal feeds

Making the baby wait for feeds

Pacifiers, bottles

Certain medication given to mothers

Painful breast conditions


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E

nhancing factors Hindering factors

Emptying

of breast

Sucking

Expression

of milk

Nightfeeds

Bottle feeding,

Incorrect positioning,Painful breast

Sensory impulse

from nippleProlactin in

blood

Prolactin milk secretion reflex


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Baby sucking

Sensory impulse

from nipple to brain

Oxytocin contracts

myoepithelial cells

Oxytocin milk ejection reflex


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Thinks lovingly of baby

Sound of the baby

Sight of the baby

CONFIDENCE

Worry

Stress

Pain

Doubt

Stimulated by Inhibited by

Oxytocin milk ejection reflex


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Mother learns to position

baby

Baby learns to take breast

Rooting reflex

Swallowing reflex

Sucking reflex

Feeding reflexes in the baby


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Composition of preterm and full term

human milk (g/dl)

3.5

1.0

7.0

Fat

Protein

Lactose

3.5

2.0

6.0

Full Term Preterm


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How breast milk composition varies

Colostrum Foremilk Hindmilk

Fat

Protein

Lactose


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For successful breastfeeding

A willing and motivated mother

An active and sucking newborn

A motivator who can bring both mother and

newborn together ( health professional or relative )


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Successful breastfeeding

Have a written breastfeeding policy

Motivate mother from antenatal period

Put to breast within 30 minutes of birth

Promote rooming-in of mother and baby

Promote frequent breastfeeding


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Successful breastfeeding (contd.)

Dont give prelacteal feeds

Dont use bottle to feed

Support mother in breastfeeding the baby

Arrange mother craft classes in health facilities

Treat breastfeeding problems early

Exclusive breastfeeding till 6 months

Addition of home-based liquids/semisolids after 6 months


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Position of baby in relation to the mother

The babys whole body should face the mother andbe close to her

The babys head and neck should be supported, ina straight line with his body, to face the breast

Babys abdomen should touch mothers abdomen,to be as close as possible to his mother


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Signs that a baby is attached well at the breast

1. The babys mouth is wide open

2. The babys chin touches the breast3. The babys lower lip is curled outward

4. Usually the lower portion of the areola is

not visible


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babys mouth is wide openlower lip is curled outward

lower portion of

the areola is not

visible

chin touches

the breast


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A baby suckling in an incorrect position


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A baby suckling in a correct position


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babys mouth is wide openlower lip is curled outward

lower portion of

the areola is not

visible

chin touches

the breast


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Causes of Not enough milk

Enough and proper breast feeding is not done

Too short or hurried breastfeeding

Night feeds stopped early

Poor suckling position

Poor oxytocin reflex (anxiety, lack of confidence)

Engorgement or mastitis


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Management of Not enough milk

Put baby to breast frequently

Baby to be correctly attached to breast

Build mothers confidence

Use galactogogues judiciously

Adequate weight gain and urine frequency 5-6 times aday are reliable signs of enough milk intake


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Expressed breast milk (EBM)

Indications

Sick mother, local breast problems

Preterm / sick baby

Working mother

Storage

Clean wide-mouthed container with tight lid

At room temperature 6-8 hrs

Refrigerator: 24 hours, Freezer - 20 C : for 3 months


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Ten steps to successful breastfeeding

(baby friendly hospital initiative, BFHI)

Every facility providing maternity servicesand care for newborn infants should :

1.

Have a written breastfeeding policy that isroutinely communicated to all health care staff

2. Train all health care staff in skills necessary to

implement this policy

3. Inform all pregnant women about the benefits

and management of breastfeeding


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Ten steps to successful breastfeeding (contd)

4. Help mothers initiate breastfeeding within half hour

of birth

5. Show mothers how to breastfeed, and how to

maintain lactation even if they are separated from

their infants

6. Give no food or drink, unless medically indicated till

6 months of age

7. Practice rooming-in : allow mothers and infants to

remain together 24 hrs a day


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8. Encourage breastfeeding on demand

9. Give no artificial teats or pacifiers (also calleddummies or soothers) to breastfeeding infants

10. Foster the establishment of breastfeeding support

groups and refer mothers to them on discharge fromthe hospital.

Ten steps to successful breastfeeding (contd)

#World Breast Feeding Week 2011

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