3 exclusive breast feeding dr faridi

7/27/2019 3 Exclusive Breast Feeding Dr Faridi

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Successful Early

Initiation and Exclusive

Breastfeeding up to Six

Months of Age


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Helping Women to Be

Successful inBreastfeeding the Baby


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Global and National Recommendations

for Infant and Young Child Feeding

Initiate breastfeedingwithin one hour of birth

Exclusive breastfeeding

for first 6 months of life Introduce nutritionally

adequate and safecomplementary foodsafter the infant reaches6 months of age

Continue to breastfeedfor 2 years or beyond.


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Benefits to the Baby

Complete food for the first six months

Perfect nutrition

Higher IQ Emotional bonding

Prevents infections

Prevents chronic diseases Easily digested


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Benefits to the Mother

Reduces post delivery bleeding and anemia

Helps delay next pregnancy - LAM

Protective effect against breast and ovariancancer

Helps to loose weight

Emotional bonding Needs no preparation


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Benefits to the Society

Reduces absenteeism of mothers from workas they are less prone to disease.

Economical Enhances Bonding


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Economic benefits of BF

US $3.6 billion saving if EBF 64% to 75% (in hospital) 29% to 50% (at 6 months)

[Weimer J,US dept. Agriculture Report-13]

Medical cost at 12 months US $200 less in BFcompared to formula fed

[Honey & ware 1997]


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Exclusive Breastfeeding

& Lipid Profile

S. Cholesterol, total triglycerides and poorHDL/LDL ratio

significantly more in EBF infants

compared to mixed-feds and formula-feds

and improve by six months of age for

better brain growth[Eur J Clin Nutr 2008; 62:203-209]


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Exclusive Breastfeeding &

Anemia

Term AGA infants on

Exclusive Breastfeeding till 6 months

born toAnemic orNon-anemic mothers

Do not develop

Iron Deficiency Anemia[International Breastfeed J 2007;3:3]


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First year is critical!

Malnutrition strikes the most in infancy beginning in 3-4th month ,29-30 % at 6 months, goes up and peaks about 46% by 18months, flat curve after that (NFHS 3).

Years of life

Brain development

Underweight (-2sd) NFHS-3

Over 60 million

10 lakh children

die duringfirst month,

14 lakhs by

1 year, and 20 lakhs

by 5 yrs. 2/3rd are related to poor feeding.


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Percentage of Neonatal Deaths (2-28

days) Saved with Early Initiation

Risk of neonataldeath is 4 fold, if

milk based fluids orsolids are given tobreastfed neonates

Imitation after day 1is associated with

2.4 fold increase inrisk of death

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22.3

16.3

0

5

10

15

20

25

Within 1 hour 1-24 hour

Initiation of breastfeeding

PEDIATRICS 2006; 117:380-386


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U-5 deaths reduction by preventive

Interventions

Sourc e: Jo nes et al. LANCET 2003;362:65-71

0% 2% 4% 6% 8% 10% 12% 14% 16% 18%

Breastfeeding

Complementary feeding

Clean delivery

Hib vaccine

Clean water, sanitation, hygiene

Zinc

Vitamin A

Antenatal steroids

Newborn temperature management

Tetanus toxoid

Antibiotics for PRM

Measles vaccine

Nivirapine and replacement feeding

Insecticide-treated materials

Antimalarial IPT in pregnancy

Intervention

Percent

Breastfeeding is

defined as exclusive

breastfeeding for first

6 months and

continuedbreastfeeding during

6-11 months


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Successful Breastfeeding

Initiate Breastfeeding Within One Hour of Birth


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What is Exclusive

Breastfeeding?

Giving an infant onlybreastmilk

No food or drink other

than breastmilknoteven water

No Ghutti/Honey etc.


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Is Breast feeding So Simple?

Animal Kingdom:

1.Offspring on feet

2.Moves to udders

3.Makes position

No role of Mother

Human Beings:

1.Baby holds neck 3 mo

2.Walks at 1 yr

3.Mother makesposition

No role of Baby


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How to Protect Breastfeeding

Make Nationalbreastfeeding policy

Include Breastfeeding

in clinical practice Obtain Training in

breastfeedingmanagement


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Global Strategy for Infant and

Young Child Feeding

Adopted by the WHAand UNICEF Executiveboard in 2002


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Strategies

Development of BREASTFEEDING support clinics/Lactation management clinics in hospitals run by skilled/trained counselors

Promoting BREASTFEEDING friendly PHCs/Private

clinics/hospitals supported by SKILLED staff. Building IYCF counselling as service in job profile of

workers

Developing community led initiatives :Peer counselling

support groups Eliminate MISINFORMATION from media (International

Code)

Establishing national and state level resource centers


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Major Hurdles

Lack of family support

Lack of support by health professionals Commercial influence

Feeling of not enough milk among women


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Important Dos

Initiate breastfeeding as early as possible within onehour of birth.

Do not give the baby any prelacteal feeds No bottles, artificial teats or pacifier

Breastfeeding on demand at least 8-10 times in aday and at night a

Breastfeed in a correct position Build mothers confidence to sustain good milk

supply and alleviate feeling of not enough milk.


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No Prelacteal Feeds

Replace colostrum

Reduce babys desire forbreastfeeding

Greater risk of infection

Risk of intolerance,allergy


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No Bottles, ArtificialTeats or Pacifiers forBreastfeeding Infants

It lead to nipple confusion


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Breastfeeding in the Correct Position

Milk producing glands

Lactiferous canaliculi

Lactiferous sinuses

Myoepithelial tissue

Adipose tissue

Anatomy of the Breast


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Build Mothers Confidence

During prenatal period

During antenatal Period During postnatal period


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The Feeling of Not Enough

Milk

Not true. Just a perception

Reinstate mothers confidence

Ensure frequent, effective suckling


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More prolactinsecreted at night

Secreted after feedto produce next feed

Suppresses

ovulation

The Pro lactin reflex

Baby

sucking

Sensory Impulses

from nippleProlactin

in blood

Breastmilk Production


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The Oxy toc in ref lex

Breastmilk Transfer

Works before or during

feed to make milk flow

Makes uterus contractBaby

sucking

Sensory Impulses

from nippleOxytocin

in blood


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How does the motherscon f idence play part

Breastmilk Transfer

Thinks lovingly

of baby

CONFIDENCE

Sound of baby

Sight of baby

Pain

WorryStress

Doubt


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Mother learns to

position baby

Baby learns to takebreast

Rooting reflex

Swallowing reflex

Sucking reflex

Feeding reflexes in the baby


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Signs of Correct Attachment

Mouth wide open

Lower lip is turned outside

Chin touching the breast

Black part of the breast notvisible below the lower lip

Large black portion ofbreast and nipple includingmilk collecting ducts are

inside babys mouth Tongue under the teat


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Incorrect Sucking Position

Mouth is not wide open

Chin is away from thebreast

Baby is sucking onlynipple

Most black portion ofthe breast is outside

the babys mouth

Tongue away from theteat


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Causes of Incorrect

Attachment

Use of feeding bottles. Leads to nippleconfusion

Inexperienced mother

Functional difficulty with the mother or thebaby

Lack of skilled support


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Conclusion

Exclusive Breastfeeding for First SixMonths

Being Successfu l-

Initiate breastfeeding as early as possible within one hour ofbirth.

Do not give the baby any prelacteal feeds

No bottles, artificial teats or pacifier

Breastfeeding on demand at least 8-10 times in a day and at

night a Breastfeed in a correct position

Build mothers confidence to sustain good milk supply andalleviate feeling of not enough milk.


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Be

a

leader


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3 exclusive breast feeding dr faridi

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