3 Exclusive Breast Feeding Dr Faridi
Transcript of 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
1/18
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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Successful Breastfeeding
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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Successful Breastfeeding
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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Successful Breastfeeding
No Prelacteal Feeds
Replace colostrum
Reduce babys desire forbreastfeeding
Greater risk of infection
Risk of intolerance,allergy
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Successful Breastfeeding
No Bottles, ArtificialTeats or Pacifiers forBreastfeeding Infants
It lead to nipple confusion
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Successful Breastfeeding
Breastfeeding in the Correct Position
Milk producing glands
Lactiferous canaliculi
Lactiferous sinuses
Myoepithelial tissue
Adipose tissue
Anatomy of the Breast
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Successful Breastfeeding
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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