Women Need Support to Breastfeed Successfully

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Women NeedSupport to Breastfeed Successfully

• Write your Name /Organisation date and Place here

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Global Strategy for Infant and Young Child Feeding

• Adopted by the WHA and UNICEF Executive board in
  2002

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Life begins here .
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Optimal Infant and Young Child Feeding

• Starting breastfeeding within one hour of birth
• Exclusive breastfeeding for the first six months
• Introducing appropriate and adequate
  complementary feeding after 6 months along with
  Continued breastfeeding for two years or beyond

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Science Support
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Risk of neonatal mortality according to time of
initiation of breastfeeding
Six times more risk of death
Pediatrics 2006117380-386
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Deaths attributed to sub-optimal breastfeeding
among children
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Impact of Suboptimum breastfeeding on child
mortality and DALYs
Due to Non- EBF
1.4 million deaths due to suboptimum
breastfeeding
Due to Non- EBF
43.5 million DALYs due to suboptimum
breastfeeding
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Long term effects

• Subjects who were breastfed experienced lower
  mean blood pressure and total cholesterol, as
  well as higher performance in intelligence tests.
  Prevalence of overweight/obesity and type-2
  diabetes was lower among breastfed subjects.
• A 2007 WHO Publication

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Exclusive breastfeeding Reduces HIV Transmission
Risk
Lancet , 31 March 2007
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What women need to succeed?

• Breastfeeding education and support
• Accurate and un- biased information to all family
  members, community
• One to one counselling during pregnancy
• At birth support to begin breastfeeding
• Counselling, home visits, and support to maintain
  exclusive breastfeeding , like support on
  positioning and nutrition
• Counselling for complementary feeding
• Counselling to prevent breastfeeding problems and
  take care if they do arise
• Referral for breastfeeding problems like breast
  engorgement, sore nipples, not enough milk, and
  breast infection.

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Women All Over the World Need Support
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Women at work need support Crèches etc.
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What matters to succeed
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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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Signs of Correct Attachment

• Mouth wide open
• Lower lip is turned outside
• Chin touching the breast
• Black part of the breast not visible below the
  lower lip
• Large black portion of breast and nipple
  including milk 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 the breast
• Baby is sucking only nipple
• Most black portion of the breast is outside the
  babys mouth
• Tongue away from the teat

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Causes of Incorrect Attachment

• Use of feeding bottles. Leads to nipple confusion
• Inexperienced mother
• Functional difficulty with the mother or the baby
• Lack of skilled support

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Breastmilk Production
The Prolactin reflex
Sensory Impulses from nipple
Prolactin in blood

• More prolactin secreted at night
• Secreted after feed to produce next feed
• Suppresses ovulation

Baby sucking
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Breastmilk Transfer
The Oxytocin reflex
Sensory Impulses from nipple
Oxytocin in blood

• Works before or during feed to make milk flow
• Makes uterus contract

Baby sucking
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Breastmilk Transfer
How does the mothers confidence play part
Pain Worry Stress Doubt
Thinks lovingly of baby CONFIDENCE Sound of baby
Sight of baby
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The Feeling of Not Enough Milk

• Not true. Just a perception, this is not a
  disease entity, just a symptom of underlying
  problem.
• You need to know from the mother, why she feels
  that her baby is not getting enough, and can
  solve her problems by
• Reinstating mothers confidence
• Ensure frequent, effective suckling

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Women need help of this kind
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Which children grow healthy and achieve
development potential?

• Well nourished mothers
• Exclusively breastfed for the first six months,
  begin breastfeeding within an hour
• Enough and right food to eat later
• Complementary feeding ,continued breastfeeding
• Cared well
• Hygiene and sanitary environment
• Treated when sick

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One way to Support is to Sign up
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Mum power The friends from ante-natal class
converge on McDonald's for the feed-in. Maddie
Reynolds is fourth from the left
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Make breastfeeding visible, and more widely
available !!
Thank you
The First Lady of Timor Leste at 7th Ministerial
Consultation on Children