mcn-bfhi-section-3.3.ppt

UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2006
BABY-FRIENDLY HOSPITAL INITIATIVE
Revised, Updated and Expanded for Integrated Care
“Maternity”,
1963,
©
2003
Estate
of
Pablo
Picasso/Artists
Rights
Society
(ARS),
New
York

Global Strategy for
Infant and Young Child Feeding
The aim of the Global Strategy is to improve
– through optimal feeding – the nutritional
status, growth and development, health, and
thus the survival of infants and young children.
It supports exclusive breastfeeding for 6 months,
with timely, adequate, safe and appropriate
complementary feeding, while continuing
breastfeeding for two years and beyond.
It also supports maternal nutrition, and social
and community support.
1/1

The aim of the
Baby Friendly Hospital Initiative
To implement
the Ten Steps to Successful Breastfeeding
and
to end the distribution of free and low-cost
supplies of breastmilk substitutes
to health facilities.
1/2

Course Aims
The aim of this course is that
every staff member will confidently
support mothers with early and exclusive
breastfeeding,
and that this facility moves towards
achieving Baby-friendly designation.
1/3

3/1
Original
illustration
by
Jenny
Corkery

Infant Feeding Recommendation
for HIV-positive Women
When replacement feeding is acceptable,
feasible, affordable, sustainable and safe,
avoidance of all breastfeeding
by HIV-infected mothers is recommended.
Otherwise, exclusive breastfeeding
is recommended during the first months
of life and then should be discontinued
as soon as it is feasible.
3/2

4/1
Original
illustration
by
Jenny
Corkery

The overall aim of the
International Code of Marketing
of Breastmilk Substitutes
is the safe and adequate nutrition
of all infants.
4/2

Skin to Skin Contact and
Early Breastfeeding
5/1
©UNICEF
C107-2

Skin to Skin Contact and
Early Breastfeeding
5/2
UNICEF/HQ92-0369/
Roger
Lemoyne,
Thailand

First Skin to Skin Contact
5/3
Dr
Nils
Bergman,
Cape
Town,
South
Africa

Parts of the Breast
6/1
Adapted
from
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2

Helping the Oxytocin Reflex 6/2
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2

What can you see?
Good attachment Poor attachment
6/3
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2

What can you see?
Good attachment Poor attachment
6/4
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2

Breastfeeding Positions
7/1
In line
Close
Supported
Facing
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2

BREASTFEED OBSERVATION AID
Mother's name _______________________________ Date ___________________
Baby's name _________________________________ Baby's age ______________
Signs that breastfeeding is going well: Signs of possible difficulty:
GENERAL
Mother: Mother:
 Mother looks healthy  Mother looks ill or depressed
 Mother relaxed and comfortable  Mother looks tense and uncomfortable
 Signs of bonding between mother and baby  No mother/baby eye contact
Baby: Baby:
 Baby looks healthy  Baby looks sleepy or ill
 Baby calm and relaxed  Baby is restless or crying
 Baby reaches or roots for breast if hungry  Baby does not reach or root
BREASTS
 Breasts look healthy  Breasts look red, swollen, or sore
 No pain or discomfort  Breast or nipple painful
Breast well supported with fingers away from nipple  Breasts held with fingers on areola
BABY’S POSITION
 Baby’s head and body in line  Baby’s neck and head twisted to feed
 Baby held close to mother’s body  Baby not held close
 Baby’s whole body supported  Baby supported by head and neck only
 Baby approaches breast, nose to nipple  Baby approaches breast, lower lip/chin to nipple
BABY’S ATTACHMENT
 More areola seen above baby’s top lip  More areola seen below bottom lip
 Baby’s mouth open wide  Baby’s mouth not open wide
 Lower lip turned outwards  Lips pointing forward or turned in
 Baby’s chin touches breast  Baby’s chin not touching breast
SUCKLING
 Slow, deep sucks with pauses  Rapid shallow sucks
 Cheeks round when suckling  Cheeks pulled in when suckling
 Baby releases breast when finished  Mother takes baby off the breast
Mother notices signs of oxytocin reflex  No signs of oxytocin reflex noticed
Notes:
7/2

Assess a
Breastfeed
7/3
©UNICEF
C107-5

©UNICEF
C107-7
Wide Open
Mouth
7/4

Assess a
Breastfeed
7/5
©UNICEF
C107-9

Assess a
Breastfeed
7/6
UNICEF/HQ91-0168/
Betty
Press,
Kenya

8/1
9/1
Original
illustration
by
Jenny
Corkery

Case study
9/2
UNICEF/HQ91-0168/
Betty
Press,
Kenya
“Sleeping all the time”
“Refusing” the breast
3 stools in week
12% under birth weight
Bottle with honey and
water twice yesterday
2 weeks old
Healthy at birth
Discharged Day 2
Case study
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2

Kangaroo
Mother Care
10/1
Dr
Nils
Bergman,
Cape
Town,
South
Africa

Kangaroo
Mother
Care
Dr
Nils
Bergman,
Cape
Town,
South
Africa 10/2

Positioning a
preterm
infant
10/3
UNICEF/HQ93-0287/
Roger
Lemoyne,
China

Twins Grow
Well on
Breastmilk
UNICEF/HQ92-0260/
Lauren
Goodsmith,
Mauritania
10/4

DANCER Hand
Position
10/5
©UNICEF
C107-21

Chin Support 10/6
Kay
Hoover
and
Barbara
Wilson-Clay,
from
The
Breastfeeding
Atlas

Hand
Expression
11/1
©UNICEF 910164F

Cup Feeding
11/2
Promoting
breastfeeding
in
health
facilities:
A
short
course
for
administrators
and
policy
makers
WHO/NUT/96.3,
Wellstart
International

Supplementer
11/3
Dr
Ruskhana
Haider,
Dhaka,
Bangladesh

Size and Shape
There are many
different shapes and
sizes of breast and
nipple.
Babies can breastfeed
from almost all of them.
12/1
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2

Full Breast
UNICEF
C-107-19
12/2

Engorged Breast
©
UNICEF
C-10-25
12/3

Syringe method for inverted nipples
12/7
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2

Lactational Amenorrhea Method (LAM)
13/1
Institute for Reproductive Health, Georgetown, Washington, DC
1. Have your menses returned?
2. Are you giving supplements or
are there long periods without
breastfeeding either day or night?
3. Is your baby more than six
months old?
Ask the mother or advise her to ask herself these three questions:
There is only a 1-2% chance of
pregnancy at this time.
YES
NO
NO
NO
YES
YES
When the answer to ANY
one of these questions
becomes YES
The mother’s chance of
pregnancy is increased.
For continued protection,
and to achieve child
spacing, a complementary
family planning method
needs to be used, and
breastfeeding continue.

UNICEF/WHO/UNAIDS
Infant Feeding Recommendation for
HIV-positive Women
When replacement feeding is acceptable,
feasible, affordable, sustainable and safe,
(AFASS) avoidance of all breastfeeding
by HIV-infected mothers is recommended.
Otherwise, exclusive breastfeeding is
recommended during the first months of
life and should be then discontinued
as soon as it is feasible.
13/2

14/1
Original
illustration
by
Jenny
Corkery

Course Aims
The aim of this course is that
every staff member will confidently support
mothers to succeed
with early and exclusive breastfeeding,
and that this facility moves towards
achieving Baby-Friendly designation.
15/1

Where are we
now?
Developing a Plan:
Step One
15/2

Where do we
want to be?
15/3
Developing a Plan:
Step Two

Developing a Plan:
Step Three
15/4
How will
we get
there?

How will we know if
we are there?
Developing a Plan:
Step Four
15/5

How will we sustain it?
15/6
Developing a Plan:
Step Five

mcn-bfhi-section-3.3.ppt

More Related Content

Similar to mcn-bfhi-section-3.3.ppt

More from ayansamosisa

Recently uploaded

mcn-bfhi-section-3.3.ppt