Breast feeding and complimentary feeds

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

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Breast feeding and complimentary feeds

  1. 1. Breast feeding and Complimentary feeding
  2. 2. 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.
  3. 3. 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.
  4. 4. 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’
  5. 5. Proper positioning
  6. 6. Reflexes that help in Breastfeeding
  7. 7. Role of oxytocin and prolaction
  8. 8. Reflexes in mother
  9. 9. Breastfeeding • Exclusive and on-demand feeding • Proper ‘burping’ after feeds • Right lateral position after feeding
  10. 10. 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
  11. 11. Contraindications • Infant – Galactosemia, Congenital lactose intolerance • Mother – Antithyroid drugs, Chemotherapeutic drugs (malignancy) antipsychotic drugs
  12. 12. Common breast feeding problems • Inverted nipples
  13. 13. Common breast feeding problems • Sore nipples • Breast engorgement • Breast abscess
  14. 14. Complimentary feeding
  15. 15. Optimal Infant Feeding
  16. 16. 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)
  17. 17. Amount of complimentary feeds
  18. 18. Complementary bridge and safety net

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