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Barriers and Probable Solutions for Enhancing Breast-Feeding Rates.pptx
- 1. Barriers and ProbableSolutions for Enhancing Breast-Feeding Rates
- 2. Overcoming Barriers inBreastfeeding • Dr.D.Gunasingh MD DCH • Dean and Principal, • Professor of Pediatrics • Arunai Medical College & Hospital, • Tiruvannamalai
- 6. Barriers… Save the ChildrenUK and the World Health Organization: "The active and aggressive promotion of breast milk substitutes by their manufacturers and distributors continues to be a substantial global barrier to breastfeeding. • "Promotion and marketing have turned infant formula, which should be seen as a specialised food that is vitally important for those babies who cannot be breastfed, into a normal food for any infant." • .” The mother knows that there is an alternative to breastfeeding”… Barrier
- 7. Sarah Redshaw, fromthe BabyCentre website, said: "It is crucial to bear in mind the various barriers and challenges faced by mothers when it comes to breastfeeding. • "Generally mothers are aware that breastfeeding is best for their baby but often don't get the right support if they encounter problems in the early weeks - which many, many do. • "As a result, significant numbers give up on breastfeeding
- 8. 5,416 different speciesof mammals.
- 9. • Launched in2004, the World Breastfeeding Trends Initiative (WBTi) assists countries to assess the status of and benchmark the progress in implementation of the Global Strategy for Infant and Young Child Feeding in a standard way. • The WBTi assists countries to measure strengths and weaknesses on the ten parameters of policy and programmes and 5 practices that protect, promote and support optimal infant and young child feeding (IYCF) practices.
- 16. The prevalence ofinitiation of breastfeeding in the Vellore Medical College Hospital • Place: • Government Vellore Medical College Hospital Post Natal Ward. • Primarily caters to rural population of Vellore and Thiruvannamalai districts • Design: • Population survey / cross-sectional survey • Study population: • Women who delivered live baby within last 24 hours and willing to participate in the study. • Both mother and baby have no complication
- 17. • Sample Size •Total Number of Mothers Interviewed: 150 • Year: 2006 • Total Number of Deliveries: 5710 • Total Number of Normal Deliveries: 2227 • Total Number of LSCS: 2207 • Others: 1276 • Maternal Death: 17
- 18. Results • Only 1mother in 150 initiated breastfeeding within one hour of childbirth • > 99% of the mothers initiated breastfeeding after one hour • Only 1 mother was given the baby inside the labour room • No mother was told by healthcare professionals (HCP) to breast-feed immediately • 20% of the neonates received pre-lactile feeds • 95% of the infants had received breastfeeds. 5% of the infants did not receive breastfeeds at the time of interview.
- 19. • 20% ofthe mothers had problems in initiation of breastfeeding. But, nobody received any help from the HCPs. • Only 5% of the mothers were aware that they have to initiate breast-feeding within 1 hour of delivery. • No mother had ante-natal counselling. • 90% of the mothers knew that colostrum is good for the baby • Only 5% of the mothers knew that exclusive breastfeeding duration is six months • 99% of the mothers were aware that bottle-feeds are dangerous for the health of the infant • Only 10% of the mothers, in caesarian section, had initiated breast-feeding within 4 hours.
- 20. Barriers • Lack ofQuality research to identify the gaps recommended standard breastfeeding practices • Caesarian section, interfere with early initiation because of pain and exhaustion • Working mothers • The perception of breasts as sexual objects may lead women to feel uncomfortable about breastfeeding in public. Nuturing function is downplayed Male health providers are often faced with challenges. • Formula used in first few days without any valid reasons…Fear of hypoglycemia.. • Preterm may not suck effectively Probable solution • Need more research • Appropriate pain management and ? Reducing LSCS • Adequate support • ??? • Use formula as medicine … use rationally • Oropharyngeal colostrum…MOM…Donors milk
- 21. Barriers Probable solution Lackof training & knowledge among health care provider to give practical help in the delivery room Frequent hands on training sessions by a knowledgeable person Lack of scientific approach to insufficient milk Proper training Violation of “The Infant Milk Substitutes, Feeding Bottles and Infant Foods (Regulation of Production, Supply and Distribution) Act, 1992 as Amended in 2003 (IMS Act) “ Need to create more awareness A structured lactation management course by medical university is not available TNMGRU may start a course IBCLC qualified experienced Medical Lactation consultant not available We need to have more medical lactation consultant
- 24. Decline of Breastfeeding Inthe 19th century breastfeeding was almost universal; Borden developed condensedmilk in 1856 Nestlé produced ‘Farine Lactée’in 1867, substitute feeding became feasible. Overthe next 100 years, breastfeeding rates declined as women entered the workforce and formula companies began widespread advertising campaigns. Mortality in very young infants from malnutrition,diarrhoea and pneumonia— virtually unknown previously—increased dramatically
- 25. Decline of Breastfeeding •In 1944, 88% of Swedish mothers were breastfeeding their infants at 2 months of age; by 1970 the rate had declined to 30%.
- 26. Overcoming Barriers inBreastfeeding • Dr.D.Gunasingh MD DCH • Dean and Principal, • Professor of Pediatrics • Arunai Medical College & Hospital, • Tiruvannamalai
- 31. Barriers… Save the ChildrenUK and the World Health Organization: "The active and aggressive promotion of breast milk substitutes by their manufacturers and distributors continues to be a substantial global barrier to breastfeeding. • "Promotion and marketing have turned infant formula, which should be seen as a specialised food that is vitally important for those babies who cannot be breastfed, into a normal food for any infant." • .” The mother knows that there is an alternative to breastfeeding”… Barrier
- 32. Sarah Redshaw, fromthe BabyCentre website, said: "It is crucial to bear in mind the various barriers and challenges faced by mothers when it comes to breastfeeding. • "Generally mothers are aware that breastfeeding is best for their baby but often don't get the right support if they encounter problems in the early weeks - which many, many do. • "As a result, significant numbers give up on breastfeeding
- 33. 5,416 different speciesof mammals.
- 34. • Launched in2004, the World Breastfeeding Trends Initiative (WBTi) assists countries to assess the status of and benchmark the progress in implementation of the Global Strategy for Infant and Young Child Feeding in a standard way. • The WBTi assists countries to measure strengths and weaknesses on the ten parameters of policy and programmes and 5 practices that protect, promote and support optimal infant and young child feeding (IYCF) practices.
- 41. The prevalence ofinitiation of breastfeeding in the Vellore Medical College Hospital • Place: • Government Vellore Medical College Hospital Post Natal Ward. • Primarily caters to rural population of Vellore and Thiruvannamalai districts • Design: • Population survey / cross-sectional survey • Study population: • Women who delivered live baby within last 24 hours and willing to participate in the study. • Both mother and baby have no complication
- 42. • Sample Size •Total Number of Mothers Interviewed: 150 • Year: 2006 • Total Number of Deliveries: 5710 • Total Number of Normal Deliveries: 2227 • Total Number of LSCS: 2207 • Others: 1276 • Maternal Death: 17
- 43. Results • Only 1mother in 150 initiated breastfeeding within one hour of childbirth • > 99% of the mothers initiated breastfeeding after one hour • Only 1 mother was given the baby inside the labour room • No mother was told by healthcare professionals (HCP) to breast-feed immediately • 20% of the neonates received pre-lactile feeds • 95% of the infants had received breastfeeds. 5% of the infants did not receive breastfeeds at the time of interview.
- 44. • 20% ofthe mothers had problems in initiation of breastfeeding. But, nobody received any help from the HCPs. • Only 5% of the mothers were aware that they have to initiate breast-feeding within 1 hour of delivery. • No mother had ante-natal counselling. • 90% of the mothers knew that colostrum is good for the baby • Only 5% of the mothers knew that exclusive breastfeeding duration is six months • 99% of the mothers were aware that bottle-feeds are dangerous for the health of the infant • Only 10% of the mothers, in caesarian section, had initiated breast-feeding within 4 hours.
- 45. Barriers • Lack ofQuality research to identify the gaps recommended standard breastfeeding practices • Caesarian section, interfere with early initiation because of pain and exhaustion • Working mothers • The perception of breasts as sexual objects may lead women to feel uncomfortable about breastfeeding in public. Nuturing function is downplayed Male health providers are often faced with challenges. • Formula used in first few days without any valid reasons…Fear of hypoglycemia.. • Preterm may not suck effectively Probable solution • Need more research • Appropriate pain management and ? Reducing LSCS • Adequate support • ??? • Use formula as medicine … use rationally • Oropharyngeal colostrum…MOM…Donors milk
- 46. Barriers Probable solution Lackof training & knowledge among health care provider to give practical help in the delivery room Frequent hands on training sessions by a knowledgeable person Lack of scientific approach to insufficient milk Proper training Violation of “The Infant Milk Substitutes, Feeding Bottles and Infant Foods (Regulation of Production, Supply and Distribution) Act, 1992 as Amended in 2003 (IMS Act) “ Need to create more awareness A structured lactation management course by medical university is not available TNMGRU may start a course IBCLC qualified experienced Medical Lactation consultant not available We need to have more medical lactation consultant
- 49. Decline of Breastfeeding Inthe 19th century breastfeeding was almost universal; Borden developed condensedmilk in 1856 Nestlé produced ‘Farine Lactée’in 1867, substitute feeding became feasible. Overthe next 100 years, breastfeeding rates declined as women entered the workforce and formula companies began widespread advertising campaigns. Mortality in very young infants from malnutrition,diarrhoea and pneumonia— virtually unknown previously—increased dramatically
- 50. Decline of Breastfeeding •In 1944, 88% of Swedish mothers were breastfeeding their infants at 2 months of age; by 1970 the rate had declined to 30%.