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Breast feeding and
Complimentary feeding
Ten steps in BFHI
• Have a written breastfeeding policy that is
routinely communicated to all health care staff.
• Train a...
Ten steps in BFHI
• Give newborn infants no food or drink other than
breastmilk, unless medically indicated.
• Practice ro...
Initiation of Breast Feeding
• Within half an hour after normal delivery and
within 4 hours after caesarean section
• No p...
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 adeq...
Contraindications
• Infant – Galactosemia, Congenital lactose
intolerance
• Mother – Antithyroid drugs,
Chemotherapeutic d...
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 a...
Amount of complimentary feeds
Complementary bridge and safety net
Breast feeding and complimentary feeds
Breast feeding and complimentary feeds
Breast feeding and complimentary feeds
Breast feeding and complimentary feeds
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.

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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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