the baby friendly way Just 10 Steps Promote - Protect - Support
Just 10 Steps <ul><li>WHO/UNICEF Innocenti Declaration titled “ The Protection, Promotion and Support of breastfeeding – w...
Just 10 Steps Breast milk… Human  breast milk  refers to the milk produced by a mother to feed her baby. It provides the p...
Just 10 Steps <ul><li>Mother’s milk provides optimal nutrition & emotional nurturing for the growth of infants </li></ul><...
Just 10 Steps <ul><li>Most complete form of nutrition </li></ul><ul><li>Protective against infection & chronic disease </l...
Just 10 Steps <ul><li>Convenient </li></ul><ul><li>Lose weight faster </li></ul><ul><li>Reduced the risk of: </li></ul><ul...
Just 10 Steps <ul><li>Mother-infant separation after birth </li></ul><ul><li>Suggesting mom to get some sleep </li></ul><u...
Just 10 Steps <ul><li>Formula is SAME as mother’s milk </li></ul><ul><li>Need a “perfect diet”- balanced diet to breastfee...
Just 10 Steps <ul><li>Care providers play a crucial role in breastfeeding in the early postpartum period. Who are the care...
Just 10 Steps <ul><li>Promotion of breastfeeding depends on changing attitude of staff </li></ul><ul><li>Need to create a ...
Just 10 steps
Just 10 Steps <ul><li>Review current hospital policy </li></ul><ul><li>Does it include national goals? </li></ul><ul><li>D...
Step 1 Have a written breastfeeding policy that is routinely communicated to all health care staff. Just 10 Steps
Just 10 Steps Why have a Policy ? <ul><li>Requires a course of action, provides guidance </li></ul><ul><li>Helps establish...
Just 10 Steps <ul><li>Use plain language to address each step </li></ul><ul><li>Make it available to all staff caring for ...
Step 2 Train all health care staff in skills necessary to implement this policy. Just 10 Steps
Just 10 Steps
Just 10 Steps
<ul><li>Advantages of breastfeeding </li></ul><ul><li>Mechanism of lactation and sucking </li></ul><ul><li>Helping mothers...
Step 3 Inform all pregnant women about the benefits and management of breastfeeding. Just 10 Steps
Just 10 Steps
Prenatal education should include: Just 10 Steps <ul><li>The benefits of breastfeeding </li></ul><ul><li>The benefits of e...
Just 10 Steps <ul><li>WHO/UNICEF recommendation encourages that the baby should be put on the breast within ? </li></ul>
Step 4 Help mothers initiate breastfeeding within half hour after birth. Just 10 Steps
Just 10 Steps
Get started right after delivery ! Just 10 Steps <ul><li>Baby is most alert in the first 1-2 hours </li></ul><ul><li>Baby ...
Just 10 Steps <ul><li>Provides emotional attachment and hormonal stimulation for milk production </li></ul><ul><li>Provide...
Step 5 Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants . ...
Just 10 Steps
Step 6 Give newborn infants no food or drink other than breast milk, unless medically indicated. Just 10 Steps
Step 7 Practice rooming-in; allow mothers and infants to remain together – 24 hours a day. Just 10 Steps
Rooming-in Just 10 Steps <ul><li>Has positive effect on duration of breastfeeding </li></ul><ul><li>Provides unlimited con...
Just 10 Steps
Just 10 Steps <ul><li>How often should the baby be breast fed ? </li></ul>
Just 10 Steps Step 8 Encourage breastfeeding on demand.
Breastfeeding on cue results in: Just 10 Steps <ul><li>Promotes bonding </li></ul><ul><li>Earlier passage of meconium </li...
Just 10 Steps Step 9 Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
Just 10 Steps
Just 10 Steps Step 10 Foster the establishment of support groups and refer mothers to them on discharge from the hospital ...
Just 10 Steps <ul><li>Reference:  </li></ul><ul><li>Unicef/WHO 1989; Ten Steps to Breastfeeding  Jan Riordan/Baumbech 4th ...
Just 10 Steps Thank you
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just 10 steps latest

  1. 1. the baby friendly way Just 10 Steps Promote - Protect - Support
  2. 2. Just 10 Steps <ul><li>WHO/UNICEF Innocenti Declaration titled “ The Protection, Promotion and Support of breastfeeding – which year ? </li></ul><ul><li>WHO/UNICEF recommends exclusive breastfeeding for ? </li></ul>
  3. 3. Just 10 Steps Breast milk… Human breast milk refers to the milk produced by a mother to feed her baby. It provides the primary source of nutrition for newborns before they are able to eat and digest other foods. <ul><li>provides ideal nutrition for infants and contributes to their healthy growth and development </li></ul><ul><li>Reduces incidence and severity of infectious diseases thereby lowering infant morbidity and mortality </li></ul><ul><li>Contributes to women’s health by reducing the risk of breast & ovarian ca by increasing the space between pregnancies </li></ul><ul><li>Provides social and economic benefits to the family and nation </li></ul>
  4. 4. Just 10 Steps <ul><li>Mother’s milk provides optimal nutrition & emotional nurturing for the growth of infants </li></ul><ul><li>Provides positive economic advantages to baby, mother, family and the community </li></ul><ul><li>Healthy mothers & babies mean substantial saving in health care costs </li></ul>Why Breastfeed ?
  5. 5. Just 10 Steps <ul><li>Most complete form of nutrition </li></ul><ul><li>Protective against infection & chronic disease </li></ul><ul><li>Enhanced immune system </li></ul><ul><li>Less obesity in childhood and adulthood </li></ul>Benefits of Breastfeeding
  6. 6. Just 10 Steps <ul><li>Convenient </li></ul><ul><li>Lose weight faster </li></ul><ul><li>Reduced the risk of: </li></ul><ul><ul><li>Ovarian CA </li></ul></ul><ul><li>Breast CA </li></ul><ul><li>Osteoporosis </li></ul><ul><li>Safest in disaster setting & poverty </li></ul>Benefits of breastfeeding
  7. 7. Just 10 Steps <ul><li>Mother-infant separation after birth </li></ul><ul><li>Suggesting mom to get some sleep </li></ul><ul><li>Interruption/lack of privacy </li></ul><ul><li>Incorrect information </li></ul><ul><li>Lack of support </li></ul>Practices Which Discourage Breastfeeding <ul><li>Unnecessary formula supplementation </li></ul><ul><li>Pacifiers/bottles </li></ul><ul><li>Strict timing of feeding </li></ul><ul><li>No role model or promotion efforts </li></ul>
  8. 8. Just 10 Steps <ul><li>Formula is SAME as mother’s milk </li></ul><ul><li>Need a “perfect diet”- balanced diet to breastfeed </li></ul><ul><li>Won’t make enough milk </li></ul><ul><li>Can’t nurse when mother or baby are sick or on meds </li></ul>MYTHS
  9. 9. Just 10 Steps <ul><li>Care providers play a crucial role in breastfeeding in the early postpartum period. Who are the care providers in the early postpartum period ? </li></ul>
  10. 10. Just 10 Steps <ul><li>Promotion of breastfeeding depends on changing attitude of staff </li></ul><ul><li>Need to create a realistic expectations about breastfeeding </li></ul><ul><li>Information about breastfeeding needs to be available throughout pregnancy </li></ul><ul><li>Appropriate resources must be available to mothers </li></ul>The Need for Education
  11. 11. Just 10 steps
  12. 12. Just 10 Steps <ul><li>Review current hospital policy </li></ul><ul><li>Does it include national goals? </li></ul><ul><li>Does it meet JCIA & other hospital standards? </li></ul><ul><li>Is there a training component </li></ul>What can Hospitals do ?
  13. 13. Step 1 Have a written breastfeeding policy that is routinely communicated to all health care staff. Just 10 Steps
  14. 14.
  15. 15. Just 10 Steps Why have a Policy ? <ul><li>Requires a course of action, provides guidance </li></ul><ul><li>Helps establish consistent care for couples </li></ul><ul><li>Provides a standard that can be evaluated </li></ul>What should the Policy Cover ? <ul><li>Ten steps to Successful Breastfeeding </li></ul><ul><li>An institutional ban on free supplies of breast-milk substitutes </li></ul><ul><ul><li>No promotion of products in health care facility </li></ul></ul><ul><ul><li>No company reps to advise mothers </li></ul></ul><ul><ul><li>No gifts of personal samples to health care workers </li></ul></ul>
  16. 16. Just 10 Steps <ul><li>Use plain language to address each step </li></ul><ul><li>Make it available to all staff caring for mothers & babies </li></ul><ul><li>Post it in areas where mothers & babies are cared for </li></ul>How to Present the Policy
  17. 17. Step 2 Train all health care staff in skills necessary to implement this policy. Just 10 Steps
  18. 18.
  19. 19. Just 10 Steps
  20. 20. Just 10 Steps
  21. 21. <ul><li>Advantages of breastfeeding </li></ul><ul><li>Mechanism of lactation and sucking </li></ul><ul><li>Helping mothers initiate and sustain breastfeeding </li></ul><ul><li>How to assess a breastfeeding session </li></ul><ul><li>How to resolve breastfeeding difficulties </li></ul><ul><li>Importance of feeding on cue </li></ul><ul><li>Proper positioning and attachment </li></ul><ul><li>Risks of artificial feeding and using pacifiers </li></ul><ul><li>Hospital breastfeeding policies and practices </li></ul>Training should include: Just 10 Steps
  22. 22. Step 3 Inform all pregnant women about the benefits and management of breastfeeding. Just 10 Steps
  23. 23. Just 10 Steps
  24. 24. Prenatal education should include: Just 10 Steps <ul><li>The benefits of breastfeeding </li></ul><ul><li>The benefits of early initiation </li></ul><ul><li>The importance of rooming in/ learning baby’s cues </li></ul><ul><li>The importance of feeding on cue </li></ul><ul><li>How to assure enough milk </li></ul><ul><li>Proper positioning and attachment </li></ul><ul><li>The importance of exclusive breastfeeding </li></ul><ul><li>The risk of using bottles and pacifiers </li></ul><ul><li>Within the cultural context of the patient </li></ul>
  25. 25. Just 10 Steps <ul><li>WHO/UNICEF recommendation encourages that the baby should be put on the breast within ? </li></ul>
  26. 26. Step 4 Help mothers initiate breastfeeding within half hour after birth. Just 10 Steps
  27. 27. Just 10 Steps
  28. 28. Get started right after delivery ! Just 10 Steps <ul><li>Baby is most alert in the first 1-2 hours </li></ul><ul><li>Baby will be alert and ready to feed by 20-30 minutes </li></ul><ul><li>How to initiate in 30 minutes: </li></ul><ul><li> Keep mother and baby together </li></ul><ul><ul><li> Let the baby start nursing when ready </li></ul></ul><ul><ul><li> do not hurry or interrupt the process </li></ul></ul><ul><li>Mom has a burst of energy </li></ul><ul><li>Helps the placenta release </li></ul>
  29. 29. Just 10 Steps <ul><li>Provides emotional attachment and hormonal stimulation for milk production </li></ul><ul><li>Provides colostrum </li></ul><ul><li>Takes advantages of the first hour of alertness </li></ul>Why initiate soon ?
  30. 30. Step 5 Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants . Just 10 Steps
  31. 31. Just 10 Steps
  32. 32. Step 6 Give newborn infants no food or drink other than breast milk, unless medically indicated. Just 10 Steps
  33. 33. Step 7 Practice rooming-in; allow mothers and infants to remain together – 24 hours a day. Just 10 Steps
  34. 34.
  35. 35. Rooming-in Just 10 Steps <ul><li>Has positive effect on duration of breastfeeding </li></ul><ul><li>Provides unlimited contact between mother and child </li></ul><ul><li>Enhances mother and infant bonding </li></ul><ul><li>Babies sleep more quietly than those who are separated </li></ul>Benefits of rooming-in <ul><li>Cost effective </li></ul><ul><li>Requires no additional personnel </li></ul><ul><li>Reduces infection </li></ul><ul><li>Helps establish and maintain breastfeeding </li></ul><ul><li>Facilitates the bonding process which can positively effect BF duration </li></ul>
  36. 36. Just 10 Steps
  37. 37. Just 10 Steps <ul><li>How often should the baby be breast fed ? </li></ul>
  38. 38. Just 10 Steps Step 8 Encourage breastfeeding on demand.
  39. 39. Breastfeeding on cue results in: Just 10 Steps <ul><li>Promotes bonding </li></ul><ul><li>Earlier passage of meconium </li></ul><ul><li>Decreased weight loss </li></ul><ul><li>Breast milk flow is established sooner </li></ul><ul><li>Less incidence of jaundice </li></ul>
  40. 40. Just 10 Steps Step 9 Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
  41. 41. Just 10 Steps
  42. 42. Just 10 Steps Step 10 Foster the establishment of support groups and refer mothers to them on discharge from the hospital or clinic.
  43. 43. Just 10 Steps <ul><li>Reference: </li></ul><ul><li>Unicef/WHO 1989; Ten Steps to Breastfeeding Jan Riordan/Baumbech 4th edition; ILCA </li></ul><ul><li>BFHI sec. 3 Breastfeeding promotion & support in a baby friendly hospital </li></ul><ul><li>Yamauchi Y. Yamanouchi (1990) the relationship between rooming-in/not rooming-in and breastfeeding variables. Acta Paed Scand 79;1017-1022 </li></ul><ul><li>Rush J et al. (1989) Care of new mother and baby in ;Chalmers I et al. (eds) Effective care in pregnancy and childbirth oxford: 1333-1346 </li></ul><ul><li>Handout #11 Some breastfeeding Myths – Jack Newman </li></ul>
  44. 44. Just 10 Steps Thank you

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