Teaching Module 1 for BRF

8/12/2019 Teaching Module 1 for BRF

1/27

OPTIMUM BREAST FEEDING

PRACTICES

Saving Newborn Lives by Early Initiation of Breastfeeding and Exclusive Breastfeeding

Courtesy:

HELP [Health Education & Literacy Programme]


2/27


PRACTICES

Initiate breastfeeding within a half-hour of

birth


3/27

Early initiation of breastfeeding

for the normal newborn

Why?

Increases duration of breastfeeding

Allows skin-to-skin contact for warmth and

colonization of baby with maternal organisms

Provides colostrum as the babys first

immunization

Takes advantage of the first hour of alertness Babies learn to suckle more effectively

Improved developmental outcomes


4/27


5/27


PRACTICES

Encourage breastfeeding on demand

( Day &Night)


6/27

What is Demand Feeding

Fed whenever the baby cries

Frequent suckling at least 8-10 times per

day

Scheduled feeding interferes with successful

lactation

A sleepy baby should be awakened to haveat least 8-10 feeds in 24 hours


7/27

On demand, unrestricted breastfeeding

Why?

Earlier passage of meconium

Lower maximal weight loss

Breast-milk flow established sooner

Larger volume of milk intake on day 3

Less incidence of jaundice

From: Yamauchi Y, Yamanouchi I. Breast-feeding frequency during the first 24 hours after birth in full-

term neonates. Pediatrics, 1990, 86(2):171-175.


8/27

Demand Feeding

Prevents engorgement and mastitis

Is critical for child spacing

Keeps baby satisfied


9/27

Advantages of Night feeding

Sustains milk supply

Useful for working mothers

Helps ensure 8-10 feeds/24 hours

More prolactin at night


10/27

No Prelacteal Feeds

Replace colostrum

Reduce babys desire for breastfeeding

Greater risk of infection

Risk of intolerance, allergy

Can cause nipple confusion if given in abottle


11/27

Exclusive Breast Feeding

Exclusive breastfeeding for first 6 months of

life

Giving an infant only breastmilk

No food or drink other than breastmilk

not even water

No Ghutti/Honey etc.


12/27

Feeding at both breasts

Helps sustain milk supply

Breast feeding for 2 years


13/27

Ten Steps To Successful Breast Feeding


14/27

Have a written breastfeeding policythat is routinely communicated to all

health care staff.

STEP 1:


15/27

15

Train all health care staff inskills necessary to implement

this policy.

STEP 2:


16/27


17/27

Inform all pregnant womenabout the benefits and

management of breastfeeding

STEP 3:


18/27


19/27

Show mothers how to breastfeed,

and how to maintain lactation

even if they should be separated

from their infants.

STEP 5:


20/27


21/27

Give newborn infants no food ordrink other than breast milk

unless medically indicated.

STEP 6:


22/27

Practise rooming in

allowmothers and infants to remain

together 24 hours a day.

STEP 7:


23/27


24/27

Encourage breastfeeding ondemand.

STEP 8:


25/27

Give no artificial teats orpacifiers (also called dummies

or soothers) to breastfeeding

infants.

STEP 9:


26/27

Foster the establishment of

breastfeeding support groups

and refer mothers to them on

discharge from the hospital orclinic.

STEP 10:


27/27

Delayed initiation

Discarding Colostrum

Mothers negative attitude towards Breast Feeding

Sick mother or babySeperation of baby frm mother

Use of bottles, nipples, formula milk & other

substitutesExhaustion of mother

Lack of sleep

Working mothers

Factors which hinder

Optimum Breast Feeding

Documents

Teaching Module 1 for BRF