Women Need Support

Women Need Support to Breastfeed Successfully All About Breastfeeding www.aabreastfeeding.com [email_address] 5/25/09 All About Breastfeeding Lori J. Isenstadt, IBCLC

Global Strategy for Infant and Young Child Feeding
Adopted by the WHA and UNICEF Executive board in 2002
5/25/09 All About Breastfeeding Lori J. Isenstadt, IBCLC

Life begins here …. 5/25/09 All About Breastfeeding Lori J. Isenstadt, IBCLC

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

Science Support Science is catching up to what parents already know. Babies were born to breastfeed. 5/25/09 All About Breastfeeding Lori J. Isenstadt, IBCLC

Risk of neonatal mortality according to time of initiation of breastfeeding Pediatrics 2006;117:380-386 Six times more risk of death

Deaths attributed to sub-optimal breastfeeding among children May 2009

Impact of Suboptimum breastfeeding on child mortality and DALYs May 2009 All About Breastfeeding Due to Non- EBF Due to Non- EBF 1.4 million deaths due to suboptimum breastfeeding 43.5 million DALYs due to suboptimum breastfeeding

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
5/25/09 This is just a few long term effects

Exclusive breastfeeding Reduces HIV Transmission Risk 5/25/09 All About Breastfeeding Lori J. Isenstadt, IBCLC Lancet , 31 March 2007

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.

Women All Over the World Need Support

Women at work …need support Crèches etc.

What matters to succeed

Successful Breastfeeding…
Breastfeeding in the Correct Position
5/25/09 Anatomy of the Breast
Milk producing glands
Lactiferous canaliculi
Lactiferous sinuses
Myoepithelial tissue
Adipose tissue

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 baby’s mouth
Tongue under the teat

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 baby’s mouth
Tongue away from the teat
5/25/09

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

5/25/09 Prolactin – a very important hormone for lactating mothers
More prolactin secreted at night
Secreted after feed to produce next feed
Suppresses ovulation
The Prolactin reflex Baby sucking Sensory Impulses from nipple Prolactin in blood Breastmilk Production

The Oxytocin reflex Breastmilk Transfer
Works before or during feed to make milk flow
Makes uterus contract
Baby sucking Sensory Impulses from nipple Oxytocin in blood

5/25/09 All About Breastfeeding Lori J. Isenstadt, IBCLC How does the mother’s confidence play part Breastmilk Transfer Thinks lovingly of baby CONFIDENCE Sound of baby Sight of baby Pain Worry Stress Doubt

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 mother’s confidence
Ensure frequent, effective suckling

Women need help of this kind… Wouldn’t it be nice if this environment existed in every community!

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

One way to Support is to Sign up

Mum power: The friends from ante-natal class converge on McDonald's for the feed-in. Maddie Reynolds is fourth from the left This looks like so much fun. I just want to join them.

Make breastfeeding visible, and more widely available !! All About Breastfeeding Lori J. Isenstadt, IBCLC The First Lady of Timor Leste at 7 th Ministerial Consultation on Children Thank you

Women Need Support

by Aisenstadt on May 28, 2009

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