Successful Early Initiation and Exclusive Breastfeeding up to Six Months of Age - PowerPoint PPT Presentation

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Successful Early Initiation and Exclusive Breastfeeding up to Six Months of Age

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Title: Successful Early Initiation and Exclusive Breastfeeding up to Six Months of Age


1
Successful Early Initiation and Exclusive
Breastfeeding up to Six Months of Age
2
Helping Women to Be Successful in Breastfeeding
the Baby
3
Global and National Recommendations for Infant
and Young Child Feeding
  • Initiate breastfeeding within one hour of birth
  • Exclusive breastfeeding for first 6 months of
    life
  • Introduce nutritionally adequate and safe
    complementary foods after the infant reaches 6
    months of age
  • Continue to breastfeed for 2 years or beyond.

4
Benefits to the Baby
  • Complete food for the first six months
  • Perfect nutrition
  • Higher IQ
  • Emotional bonding
  • Prevents infections
  • Prevents chronic diseases
  • Easily digested

5
Benefits to the Mother
  • Reduces post delivery bleeding and anemia
  • Helps delay next pregnancy - LAM
  • Protective effect against breast and ovarian
    cancer
  • Helps to loose weight
  • Emotional bonding
  • Needs no preparation

6
Benefits to the Society
  • Reduces absenteeism of mothers from work as they
    are less prone to disease.
  • Economical
  • Enhances Bonding

7
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 BF
    compared to formula fed
  • Honey ware 1997

8
Exclusive Breastfeeding Lipid Profile
  • S. Cholesterol, total triglycerides and poor
    HDL/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 62203-209

9
Exclusive Breastfeeding Anemia
  • Term AGA infants on
  • Exclusive Breastfeeding till 6 months
  • born to
  • Anemic or Non-anemic mothers
  • Do not develop
  • Iron Deficiency Anemia
  • International Breastfeed J 200733

10
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 18 months, flat
    curve after that (NFHS 3).

1
2
3
4
5
Years of life
11
Percentage of Neonatal Deaths (2-28 days) Saved
with Early Initiation
Risk of neonatal death is 4 fold, if milk based
fluids or solids are given to breastfed
neonates Imitation after day 1 is associated with
2.4 fold increase in risk of death
PEDIATRICS 2006 117380-386
1/18
12
U-5 deaths reduction by preventive Interventions
Percent
0
2
4
6
8
10
12
14
16
18
Breastfeeding
Complementary feeding
Clean delivery
Hib vaccine
Clean water, sanitation, hygiene
Zinc
Vitamin A
Breastfeeding is defined as exclusive
breastfeeding for first 6 months and continued
breastfeeding during 6-11 months
Intervention
Antenatal steroids
Newborn temperature management
Tetanus toxoid
Antibiotics for PRM
Measles vaccine
Nivirapine and replacement feeding
Insecticide-treated materials
Antimalarial IPT in pregnancy
Source Jones et al. LANCET 200336265-71
13
Successful Breastfeeding
  • Initiate Breastfeeding Within One Hour of Birth

14
What is Exclusive Breastfeeding?
  • Giving an infant only breastmilk
  • No food or drink other than breastmilk not even
    water
  • No Ghutti/Honey etc.

15
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 makes position
  • No role of Baby

16
How to Protect Breastfeeding
  • Make National breastfeeding policy
  • Include Breastfeeding in clinical practice
  • Obtain Training in breastfeeding management

17
Global Strategy for Infant and Young Child Feeding
  • Adopted by the WHA and UNICEF Executive board in
    2002

18
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

19
Successful Breastfeeding
  • Major Hurdles
  • Lack of family support
  • Lack of support by health professionals
  • Commercial influence
  • Feeling of not enough milk among women

20
Successful Breastfeeding
  • Important Dos
  • Initiate breastfeeding as early as possible
    within one hour 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 a
    day and at night a
  • Breastfeed in a correct position
  • Build mothers confidence to sustain good milk
    supply and alleviate feeling of not enough milk.

21
Successful Breastfeeding
  • No Prelacteal Feeds
  • Replace colostrum
  • Reduce babys desire for breastfeeding
  • Greater risk of infection
  • Risk of intolerance, allergy


22
Successful Breastfeeding
  • No Bottles, Artificial Teats or Pacifiers for
    Breastfeeding Infants
  • It lead to nipple confusion

23
Successful Breastfeeding Breastfeeding in the
Correct Position
  • Milk producing glands
  • Lactiferous canaliculi
  • Lactiferous sinuses
  • Myoepithelial tissue
  • Adipose tissue

Anatomy of the Breast
24
Successful Breastfeeding
  • Build Mothers Confidence
  • During prenatal period
  • During antenatal Period
  • During postnatal period

25
The Feeling of Not Enough Milk
  • Not true. Just a perception
  • Reinstate mothers confidence
  • Ensure frequent, effective suckling

26
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
27
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
28
Breastmilk Transfer
How does the mothers confidence play part
Pain Worry Stress Doubt
Thinks lovingly of baby CONFIDENCE Sound of baby
Sight of baby
29
Feeding reflexes in the baby
Rooting reflex
Mother learns to position baby
Sucking reflex
Baby learns to take breast
Swallowing reflex
30
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

31
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

32
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

33
Conclusion
  • Exclusive Breastfeeding for First Six Months
  • Being Successful-
  • Initiate breastfeeding as early as possible
    within one hour 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 a
    day and at night a
  • Breastfeed in a correct position
  • Build mothers confidence to sustain good milk
    supply and alleviate feeling of not enough milk.

34
Be a leader
35
Thank you friends
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