Breast feeding and complimentary feeds
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Breast feeding and complimentary feeds

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Comprehensive review of breast feeding and complimentary feeding for health care professionals.

Comprehensive review of breast feeding and complimentary feeding for health care professionals.

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Breast feeding and complimentary feeds Breast feeding and complimentary feeds Presentation Transcript

  • Breast feeding and Complimentary feeding
  • Ten steps in BFHI • Have a written breastfeeding policy that is routinely communicated to all health care staff. • Train all health care staff in skills necessary to implement this policy. • Inform all pregnant women about the benefits and management of breastfeeding. • Help mothers initiate breastfeeding within one half-hour of birth. • Show mothers how to breastfeed and maintain lactation,even if they should be separated from their infants.
  • Ten steps in BFHI • Give newborn infants no food or drink other than breastmilk, unless medically indicated. • Practice rooming in - that is, allow mothers and infants to remain together 24 hours a day. • Encourage breastfeeding on demand. • Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants. • Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.
  • Initiation of Breast Feeding • Within half an hour after normal delivery and within 4 hours after caesarean section • No prelacteal feeds • First 2-4 days: colostrum (10-40 mL) • Practice ‘Rooming in’
  • Proper positioning
  • Reflexes that help in Breastfeeding
  • Role of oxytocin and prolaction
  • Reflexes in mother
  • Breastfeeding • Exclusive and on-demand feeding • Proper ‘burping’ after feeds • Right lateral position after feeding
  • Breast milk – Is it sufficient? • Adequate urine output (6-8 times/day) • Passing 2-6 liquid stools per day • Gaining adequate weight • Sleeps 2-3 hours after feeds • Proper positioning and breastfeeding technique
  • Contraindications • Infant – Galactosemia, Congenital lactose intolerance • Mother – Antithyroid drugs, Chemotherapeutic drugs (malignancy) antipsychotic drugs
  • Common breast feeding problems • Inverted nipples
  • Common breast feeding problems • Sore nipples • Breast engorgement • Breast abscess
  • Complimentary feeding
  • Optimal Infant Feeding
  • Complimentary feeds • Preferably home made feeds • Cereals like rice is the best choice • Locally available, economical and acceptable • Cereal-pulse combination is better (fortification of aminoacids)
  • Amount of complimentary feeds
  • Complementary bridge and safety net