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MATERNALFRIENDLYCARE
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Maternal Friendly Care
New criteria for BFHI hospitals
Towards ensuring evidence based practices
used;
for supporting mothers
and towards ensuring initiation
and continuation of breast feeding practice
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MATERNALFRIENDLYCHILDBIRTHINITIATIVE
MFCI
Ten Steps of Mother Friendly
Childbirth Initiative
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Ten Steps of Mother Friendly
Childbirth Initiative
1. Offers all birthing mothers
unrestricted access to a birth
companion of her choice unrestricted access to
continuous emotional and
physical support from a skilledwomen (doula)
Professional midwifery care
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Ten Steps of Mother Friendly
Childbirth Initiative
3. Provides culturallycompetent care
http://localhost/var/www/apps/conversion/tmp/scratch_4/Bacaan%20Nuri%20Imam%20Muda%20-%20YouTube.FLVhttp://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20Sami%20Yusuf%20-%20Mother.flvhttp://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20Sami%20Yusuf%20-%20Mother.flvhttp://localhost/var/www/apps/conversion/tmp/scratch_4/Bacaan%20Nuri%20Imam%20Muda%20-%20YouTube.FLV7/24/2019 c1 Mother Friendly Care New
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Ten Steps of Mother Friendly
Childbirth Initiative
4. Provides the birthing women freedomto move
about in labourand to assume her position of
choice during birth (unless medically
contraindicated)
http://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20Labor_%20Birth%20and%20Frash%20Babies.flvhttp://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20Labor_%20Birth%20and%20Frash%20Babies.flv7/24/2019 c1 Mother Friendly Care New
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5. Has clearly defines policies and procedures
for antenatal care, delivery and postnatal
care
Ten Steps of Mother Friendly
Childbirth Initiative
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6. Does not routinely employ practices andprocedures that are unsupported by scientificevidence based
Shaving
Enemas
Unnecessary infusions / branulas
Early rupture of membranes
Unnecessary fetal monitoring
Induction rate of less than 10% / episiotomy rate of20% or less / LSCS rate of less than 10% in communityhospitals and less than 15% in referral hospitals / VBACrates in excess of 60%
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Childbirth Initiative
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7. Educate staff on non-drug methods of pain
reliefmusic, self hypnosis, TENS (trans
cutaneous nerve stimulation), warm baths, back
massage etc
Ten Steps of Mother Friendly
Childbirth Initiative
http://localhost/var/www/apps/conversion/tmp/scratch_4/bacaan%20paling%20merdu_sedap%20surah%20Qaaf%2016-35%20-%20YouTube.FLVhttp://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20Kopratasa%20-%20Permata%20Untuk%20Isteri.flvhttp://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20for%20the%20rest%20of%20my%20life%20maher%20zain%20with%20lyric%20[HQ].flvhttp://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20for%20the%20rest%20of%20my%20life%20maher%20zain%20with%20lyric%20[HQ].flvhttp://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20Kopratasa%20-%20Permata%20Untuk%20Isteri.flvhttp://localhost/var/www/apps/conversion/tmp/scratch_4/bacaan%20paling%20merdu_sedap%20surah%20Qaaf%2016-35%20-%20YouTube.FLVhttp://localhost/var/www/apps/conversion/tmp/scratch_4/bacaan%20paling%20merdu_sedap%20surah%20Qaaf%2016-35%20-%20YouTube.FLVhttp://localhost/var/www/apps/conversion/tmp/scratch_4/bacaan%20paling%20merdu_sedap%20surah%20Qaaf%2016-35%20-%20YouTube.FLV7/24/2019 c1 Mother Friendly Care New
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What can you tell a patient about pain relief?
10Session 5 : Birth Practices and BreastfeedingMinistry of Health Malaysia
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Pain relief
Offer non-medication methods ofpain relief before offering painmedications.
Labour support
Walking and moving around
Massage, warm water
Verbal and physical reassurance Quiet environment/no bright lights
Labouring and birth positions ofmothers choice
11Session 5 : Birth Practices and BreastfeedingMinistry of Health Malaysia
http://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20Erotic%20Massage%20Excerpt-%20Foot%20Massage.flvhttp://localhost/var/www/apps/conversion/tmp/scratch_4/YouTube%20-%20Erotic%20Massage%20Excerpt-%20Foot%20Massage.flv7/24/2019 c1 Mother Friendly Care New
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8. Encourage all mothers and families including
those with sick and premature babies or those
with congenital abnormalities to touch, hold,
breastfeed and care for their babies wherepossible.
Ten Steps of Mother Friendly
Childbirth Initiative
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What are important practices immediately
after birth that can help a mother and baby?
13Session 5 : Birth Practices and BreastfeedingMinistry of Health Malaysia
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Skinto-skin Contact
Ensure uninterrupted, unhurried skin-to-skin contact between every mother
unwrap healthy baby.
Start immediately, even before cordclamping, or as soon as possible in the
first few minutes after birth.
Arrange that this skin-to-skin contactcontinue for at least one hour after
birth.
14Session 5 : Birth Practices and BreastfeedingMinistry of Health Malaysia
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital20 hour Course 2006
First Skin to Skin Contact5/3
DrNils
Bergman,Cape
Town,
SouthAfrica
15First Skin to Skin Contact
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9. Discourages non-religious circumcision of the
newborn.
Ten Steps of Mother Friendly
Childbirth Initiative
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10. Strives to achieve the WHO-UNICEF
Ten Steps of the Baby Friendly Hospital
Initiative to promote successfulbreastfeeding.
Ten Steps of Mother Friendly
Childbirth Initiative
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TEN STEPS TO SUCCESSFUL BREASTFEEDING
1. Have a written breastfeeding policythat is routinely communicated to all
health care staff.
2. Trainall health care staff in skills necessary to implement this policy.3. Inform all pregnant women about the benefits and management of
breastfeeding.
4. Help mothers initiate breastfeeding within a half-hour of birth.
5. Show mothers how to breastfeed, and how to maintain lactation even if they
should be separated from their infants.6. Give newborn infants no food or drink other than breastmilk unless medically
indicated.
7. Practise rooming in - allow mothers and infants to remain together - 24 hours a
day.
8. Encourage breastfeeding on demand.9. Give no artificial teats or pacifiers (also called dummies or soothers) to
breastfeeding infants.
10. Foster the establishment of breastfeeding support groups and refer mothers
to them on discharge from the hospital or clinic.
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BFHIASSESSMENT& MOTHERFRIENDLY
SERVICES
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