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Breast feeding initiation
- 1. Exclusive BreastfeedingExclusive Breastfeeding && Babyfriendly HospitalBaby friendly Hospital InitiativeInitiative Jeelani Saima HabeebJeelani Saima Habeeb Ph.D (N) ScholarPh.D (N) Scholar
- 2. Global and NationalRecommendations forGlobal and National Recommendations for Infant and Young Child FeedingInfant and Young Child Feeding Exclusive breastfeeding for 6Exclusive breastfeeding for 6 monthsmonths Introduce nutritionally adequateIntroduce nutritionally adequate and safe complementary foodsand safe complementary foods after the infant reaches 6 monthsafter the infant reaches 6 months of ageof age Continuing to breastfeed for 2Continuing to breastfeed for 2 years or beyond.years or beyond.
- 3. What isWhat is ExclusiveBreastfeeding?Exclusive Breastfeeding? GivGivinging an infant onlyan infant only breastmilk, with thebreastmilk, with the exception of drops orexception of drops or syrups consisting ofsyrups consisting of vitamins, mineralvitamins, mineral supplements, or drugssupplements, or drugs No food or drinkNo food or drink otherother than breastmilk—notthan breastmilk—not eveneven waterwater
- 4. Benefits to theBabyBenefits to the Baby • Complete food for theComplete food for the first six monthsfirst six months • Perfect nutritionPerfect nutrition • Higher IQHigher IQ • Emotional bondingEmotional bonding • Prevents infectionsPrevents infections • Prevents chronicPrevents chronic diseasesdiseases • Easily digestedEasily digested
- 5. Benefits to theMotherBenefits to the Mother • Reduces post deliveryReduces post delivery bleeding and anemiableeding and anemia • Helps delay nextHelps delay next pregnancypregnancy • Protective effectProtective effect against breast andagainst breast and ovarian cancerovarian cancer • Helps to loose weightHelps to loose weight • Emotional bondingEmotional bonding • Needs no preparationNeeds no preparation
- 6. Benefits to theSocietyBenefits to the Society • ReducesReduces absenteeism ofabsenteeism of mothers from work asmothers from work as they are less prone tothey are less prone to disease.disease. • EconomicalEconomical • Enhances BondingEnhances Bonding
- 7. Successful Breastfeeding…Successful Breastfeeding… ExclusivebreastfeedingExclusive breastfeeding for the first six monthsfor the first six months
- 8. Successful Breastfeeding…Successful Breastfeeding… MajorHurdlesMajor Hurdles • Lack of family supportLack of family support • Lack of support by health professionalsLack of support by health professionals • Commercial influenceCommercial influence • Feeling of not enough milk among womeFeeling of not enough milk among womenn
- 9. Successful Breastfeeding…Successful Breastfeeding… ImportantDo’sImportant Do’s • Initiate breastfeeding as early as possible within one hourInitiate breastfeeding as early as possible within one hour of birth.of birth. • Do not give the baby any prelacteal feedsDo not give the baby any prelacteal feeds • No bottles, artificial teats or pacifierNo bottles, artificial teats or pacifier • Breastfeeding on demand at least 8-10 times in a day andBreastfeeding on demand at least 8-10 times in a day and at a nightat a night • Breastfeed in a correct positionBreastfeed in a correct position • Build mother’s confidence to sustain good milk supply andBuild mother’s confidence to sustain good milk supply and alleviate feeling of not enough milk.alleviate feeling of not enough milk.
- 10. Successful Breastfeeding…Successful Breastfeeding… •Initiate Breastfeeding WithinInitiate Breastfeeding Within OneOne Hour of BirthHour of Birth
- 11. Successful Breastfeeding…Successful Breastfeeding… NoPrelacteal FeedsNo Prelacteal Feeds • Replace colostrumReplace colostrum • Reduce baby’s desireReduce baby’s desire for breastfeedingfor breastfeeding • Greater risk ofGreater risk of infectioninfection • Risk of intolerance,Risk of intolerance, allergyallergy
- 12. Successful Breastfeeding…Successful Breastfeeding… •No Bottles, ArtificialNo Bottles, Artificial Teats or Pacifiers forTeats or Pacifiers for Breastfeeding InfantsBreastfeeding Infants It lead to nippleIt lead to nipple confusionconfusion
- 13. Successful Breastfeeding…Successful Breastfeeding… Breastfeedon demandBreastfeed on demand • 8-10 times or more in 248-10 times or more in 24 hourshours • Breastfeed at nightBreastfeed at night • No restrictions on lengthNo restrictions on length of breastfeedsof breastfeeds • No restrictions onNo restrictions on frequency of breastfeedsfrequency of breastfeeds MORE SUCKLING MOREMORE SUCKLING MORE MILKMILK
- 14. Successful Breastfeeding…Successful Breastfeeding… Breastfeedingin the Correct PositionBreastfeeding in the Correct Position Anatomy of the BreastAnatomy of the Breast Milk producing glands Lactiferous canaliculi Lactiferous sinuses Myoepithelial tissue Adipose tissue
- 15. Signs of CorrectSignsof Correct AttachmentAttachment • Mouth wide openMouth wide open • Lower lip is turned outsideLower lip is turned outside • Chin touching the breastChin touching the breast • Black part of the breast notBlack part of the breast not visible below the lower lipvisible below the lower lip • Large black portion of breastLarge black portion of breast and nipple including milkand nipple including milk collecting ducts are insidecollecting ducts are inside baby’s mouthbaby’s mouth • Tongue under the teatTongue under the teat
- 16. Incorrect Sucking PositionIncorrectSucking Position • Mouth is not wide openMouth is not wide open • Chin is away from theChin is away from the breastbreast • Baby is sucking onlyBaby is sucking only nipplenipple • Most black portion of theMost black portion of the breast is outside thebreast is outside the baby’s mouthbaby’s mouth • Tongue away from theTongue away from the teatteat
- 17. Causes of IncorrectAttachmentCauses of Incorrect Attachment • Use of feeding bottles. Leads to nippleUse of feeding bottles. Leads to nipple confusionconfusion • Inexperienced motherInexperienced mother • Functional difficulty with the mother or theFunctional difficulty with the mother or the babybaby • Lack of skilled supportLack of skilled support
- 18. Successful Breastfeeding…Successful Breastfeeding… BuildMother’s ConfidenceBuild Mother’s Confidence • During prenatal periodDuring prenatal period • During antenatal PeriodDuring antenatal Period • During postnatal periodDuring postnatal period
- 19. • More prolactinMoreprolactin secreted at nightsecreted at night • Secreted after feedSecreted after feed to produce next feedto produce next feed • SuppressesSuppresses ovulationovulation The Prolactin reflexThe Prolactin reflex Baby sucking Sensory Impulses from nippleProlactin in blood Breastmilk ProductionBreastmilk Production
- 20. The Oxytocin reflexTheOxytocin reflex Breastmilk TransferBreastmilk Transfer • Works before or duringWorks before or during feed to make milk flowfeed to make milk flow • Makes uterus contract Baby sucking Sensory Impulses from nipple Oxytocin in blood
- 21. How does themother’sHow does the mother’s confidence play partconfidence play part Breastmilk TransferBreastmilk Transfer Thinks lovingly of baby CONFIDENCE Sound of baby Sight of baby Pain Worry Stress Doubt
- 22. The Feeling of“Not EnoughThe Feeling of “Not Enough Milk”Milk” Not True. Just a perceptionNot True. Just a perception Reinforce mothers:Reinforce mothers: Self confidence is mustSelf confidence is must Ensure frequent sucklingEnsure frequent suckling Ensure effective sucklingEnsure effective suckling
- 23. Good Breastfeeding TechniquesGoodBreastfeeding Techniques
- 24. Breastfeeding PositionsBreastfeeding Positions CradleHoldCradle Hold • This is the most commonThis is the most common position used by mothers.position used by mothers. • Infant’s head is supported inInfant’s head is supported in the elbow, the back andthe elbow, the back and buttock is supported by thebuttock is supported by the arm and lifted to the breastarm and lifted to the breast..
- 25. Football Hold PositionFootballHold Position • The infant is placed under theThe infant is placed under the arm, like holding a footballarm, like holding a football • Baby’s body is supported with theBaby’s body is supported with the forearm and the head isforearm and the head is supported with the hand.supported with the hand. • Many mothers are notMany mothers are not comfortable with this positioncomfortable with this position • Good position after operativeGood position after operative proceduresprocedures Breastfeeding PositionsBreastfeeding Positions
- 26. Side Lying PositionSideLying Position • The mother lies on her sideThe mother lies on her side propping up her head andpropping up her head and shoulder with pillows.shoulder with pillows. • The infant is also lying downThe infant is also lying down facing the mother.facing the mother. • Good position after CaesareanGood position after Caesarean section.section. • Allows the new mother some rest.Allows the new mother some rest. Most mothers are scared ofMost mothers are scared of Breastfeeding PositionsBreastfeeding Positions
- 27. Cross Cradle HoldCrossCradle Hold PositionPosition • Ideal for early breastfeeding.Ideal for early breastfeeding. • Mother holds the baby crosswiseMother holds the baby crosswise in the crook of the arm oppositein the crook of the arm opposite the breast the infant is to be fed.the breast the infant is to be fed. • The baby's trunk and head areThe baby's trunk and head are supported with the forearm andsupported with the forearm and palm.palm. • The other hand is placedThe other hand is placed Breastfeeding PositionsBreastfeeding Positions
- 28. Australian HoldAustralian Hold PositionPosition •This is also called theThis is also called the saddle holdsaddle hold • Usually used for olderUsually used for older infantsinfants • Not commonly used byNot commonly used by mothers.mothers. • Best used in older infantsBest used in older infants with runny nose, earwith runny nose, ear Breastfeeding PositionsBreastfeeding Positions
- 29. ConclusionConclusion Exclusive Breastfeeding forFirst SixExclusive Breastfeeding for First Six MonthsMonths Being Successful-Being Successful- • Initiate breastfeeding as early as possible within one hour of birth.Initiate breastfeeding as early as possible within one hour of birth. • Do not give the baby any prelacteal feedsDo not give the baby any prelacteal feeds • No bottles, artificial teats or pacifierNo bottles, artificial teats or pacifier • Breastfeeding on demand at least 8-10 times in a day and at night aBreastfeeding on demand at least 8-10 times in a day and at night a • Breastfeed in a correct positionBreastfeed in a correct position • Build mother’s confidence to sustain good milk supply and alleviateBuild mother’s confidence to sustain good milk supply and alleviate feeling of not enough milk.feeling of not enough milk.
- 30. Newborn deserves thebest Nutrition, Improved Survival, Optimum Development and Healthy Life Breastfeeding can do this miracle !!!
- 31. 3131 The Ten Stepsof theThe Ten Steps of the WHO/UNICEFWHO/UNICEF Baby-FriendlyBaby-Friendly Hospital InitiativeHospital Initiative Launched in 1991, byLaunched in 1991, by UNICEF and the World Health OrganizationUNICEF and the World Health Organization To ensure that allTo ensure that all hospitals, maternity facilities andhospitals, maternity facilities and communitiescommunities becomebecome Centers of Breastfeeding SupportCenters of Breastfeeding Support
- 32. 3232 The Baby Friendly- 10 Steps Have a written breastfeeding policy that is routinelyHave a written breastfeeding policy that is routinely communicated to all health care staff.communicated to all health care staff. Train all health care staff in skills necessary to implementTrain all health care staff in skills necessary to implement this policy.this policy. Inform all pregnant women about the benefits andInform all pregnant women about the benefits and management of breastfeeding.management of breastfeeding. Help mothers initiate breastfeeding within one half-hour ofHelp mothers initiate breastfeeding within one half-hour of birth.birth. Show mothers how to breastfeed and maintain lactation,Show mothers how to breastfeed and maintain lactation, even if they should be separated from their infants.even if they should be separated from their infants.
- 33. 3333 The Baby Friendly- 10 Steps Give newborn infants no food or drink other than breastmilk,Give newborn infants no food or drink other than breastmilk, unless medically indicated.unless medically indicated. Practice rooming in - that is, allow mothers and infants toPractice rooming in - that is, allow mothers and infants to remain together 24 hours a day.remain together 24 hours a day. Encourage breastfeeding on demand.Encourage breastfeeding on demand. Give no artificial nipples or pacifiers (soothers) toGive no artificial nipples or pacifiers (soothers) to breastfeeding infants.breastfeeding infants. Foster the establishment of breastfeeding support groupsFoster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital orand refer mothers to them on discharge from the hospital or clinic.clinic.
- 34. 3434 BFHI 10-Steps basedon Research If every baby were exclusively breastfed fromIf every baby were exclusively breastfed from Birth forBirth for 6 months6 months,, an estimated 1.5 million lives world-widean estimated 1.5 million lives world-wide would be saved each year.would be saved each year. Babies and Mother’s lives would be enhancedBabies and Mother’s lives would be enhanced with implementing the 10-Steps because:with implementing the 10-Steps because:
- 35. • Immediate postpartumbreastfeeding helpsImmediate postpartum breastfeeding helps Mother/ChildMother/Child bondingbonding • BreastmilkBreastmilk AAlonelone is the perfect food foris the perfect food for BabyBaby’s first 6-months’s first 6-months – Nutrients, antibodies, Hormones, Antioxidants, other factorsNutrients, antibodies, Hormones, Antioxidants, other factors • Stimulates immune system – response to diseases & vaccinationStimulates immune system – response to diseases & vaccination – Protects from diarrhea and acute respiratory infectionsProtects from diarrhea and acute respiratory infections • Health and emotional benefits forHealth and emotional benefits for MotherMother – Sense of empowerment and satisfactionSense of empowerment and satisfaction • Decreased blood loss postpartumDecreased blood loss postpartum • Delayed return to fertilityDelayed return to fertility • Decreased risk of breast and ovarian cancerDecreased risk of breast and ovarian cancer • Provides social/economic benefits to theProvides social/economic benefits to the FamilyFamily • EnvironmentEnvironment BenefitsBenefits BFHI 10-Steps based on Research
- 36.
Editor's Notes
- #20 SLIDE-12(Production of breatsmilk - Prolactin reflex) We will now see how the breast milk is produced. As the baby suckles on the breast ..-click-.. it provides a sensory stimulus through nerve endings in the nipple to the anterior pituitary gland situated in the brain …-click-… resulting in the release of hormone called prolactin.. This hormone acts on glands in the breast for milk production. Thus, milk production is dependent on the sucking stimulus i.e. more the baby sucks more prolactin will be secreted and hence more milk will be produced …-click-… More prolactin is produced at night. Prolactin is helpful in producing next feed and in suppression of ovulation.
- #21 SLIDE-12(Production of breatsmilk - Prolactin reflex) We will now see how the breast milk is produced. As the baby suckles on the breast ..-click-.. it provides a sensory stimulus through nerve endings in the nipple to the anterior pituitary gland situated in the brain …-click-… resulting in the release of hormone called prolactin.. This hormone acts on glands in the breast for milk production. Thus, milk production is dependent on the sucking stimulus i.e. more the baby sucks more prolactin will be secreted and hence more milk will be produced …-click-… More prolactin is produced at night. Prolactin is helpful in producing next feed and in suppression of ovulation.
- #22 SLIDE-12(Production of breatsmilk - Prolactin reflex) We will now see how the breast milk is produced. As the baby suckles on the breast ..-click-.. it provides a sensory stimulus through nerve endings in the nipple to the anterior pituitary gland situated in the brain …-click-… resulting in the release of hormone called prolactin.. This hormone acts on glands in the breast for milk production. Thus, milk production is dependent on the sucking stimulus i.e. more the baby sucks more prolactin will be secreted and hence more milk will be produced …-click-… More prolactin is produced at night. Prolactin is helpful in producing next feed and in suppression of ovulation.
- #32 A father watches as his wife breastfeeds their new baby in the maternity ward of the Singburi Hospital, Thailand Fathers are encouraged to learn about the benefits and become active supporters of breastfeeding. Thailand is one of 12 developing countries to take the lead in instituting the "ten steps" of baby-friendly practice in as many hospitals as possible.
- #33 Ten steps to successful breastfeeding
- #34 Ten steps to successful breastfeeding