Women Need Support
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  • 1. Women Need Support to Breastfeed Successfully Write your Name /Organisation date and Place here 5/25/09 All About Breastfeeding Lori J. Isenstadt, IBCLC
  • 2. Global Strategy for Infant and Young Child Feeding
    • Adopted by the WHA and UNICEF Executive board in 2002
  • 3. Life begins here ….
  • 4. 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
  • 5. Science Support
  • 6. Risk of neonatal mortality according to time of initiation of breastfeeding Pediatrics 2006;117:380-386 Six times more risk of death
  • 7. Deaths attributed to sub-optimal breastfeeding among children
  • 8. Impact of Suboptimum breastfeeding on child mortality and DALYs Due to Non- EBF Due to Non- EBF 1.4 million deaths due to suboptimum breastfeeding 43.5 million DALYs due to suboptimum breastfeeding
  • 9. 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
  • 10. Exclusive breastfeeding Reduces HIV Transmission Risk Lancet , 31 March 2007
  • 11. 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.
  • 12. Women All Over the World Need Support
  • 13. Women at work …need support Crèches etc.
  • 14. What matters to succeed
  • 15. Successful Breastfeeding…
    • Breastfeeding in the Correct Position
    Anatomy of the Breast
    • Milk producing glands
    • Lactiferous canaliculi
    • Lactiferous sinuses
    • Myoepithelial tissue
    • Adipose tissue
  • 16. 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
  • 17. 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
  • 18. 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
  • 19.
    • 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
  • 20. 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
  • 21. 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
  • 22. 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
  • 23. Women need help of this kind…
  • 24. 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
  • 25. One way to Support is to Sign up
  • 26. Mum power: The friends from ante-natal class converge on McDonald's for the feed-in. Maddie Reynolds is fourth from the left
  • 27. Make breastfeeding visible, and more widely available !! The First Lady of Timor Leste at 7 th Ministerial Consultation on Children Thank you