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SESSION 13
MATERNAL HEALTH CONCERN
Breastfeeding Promotion and Support
A Training Course for Health Professionals
Adapted from the Baby Friendly Hospital Initiative:
Revised, Updated and Expanded for Integrated Care (Section 3)
WHO/UNICEF 2009
Session Objectives:
At the end of this session, participants will
be able to:
1. Discuss the nutritional needs of breastfeeding
women
2. Outline how breastfeeding assists in child
spacing
3. Discuss breastfeeding management when the
mother is ill
4. Review basic information on medication and
breastfeeding
22
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
2. How Breastfeeding Assists in
Child Spacing
3
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
What can you tell a mother about how
breastfeeding helps to space children?
4
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Breastfeeding and spacing of
pregnancy
• BF can delay the return of ovulation and
menstruation
– Can help to space pregnancies
• The Lactation Amenorrhea method (LAM)
helps women who wish to use BF for child
spacing
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 5
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
The LAM method is 98% effective in preventing
conception IF 3 conditions are met:
1. Mother is not
menstruating, and
2. Mother is exclusively BF,
(day and night) with no
very long intervals
between feeds, and
3. Baby is <6 months old.
6
Session 13 : Maternal Health Concerns Ministry
of Health Malaysia
LAM
• If any of these 3 conditions are
not met, it is advisable for the
mother to use another method of
family planning to achieve
pregnancy delay.
• Most family planning methods
are compatible with BF with
exception of estrogen containing
contraceptive pills.
7
Session 13 : Maternal Health Concerns Ministry
of Health Malaysia
3. Breastfeeding Management
When Mother is ill
8
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
What can you tell a mother about
breastfeeding if she is ill?
9
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Breastfeeding when mother is ill
• Women can continue to BF in nearly all cases
when they are ill
• There are many benefits to continuing BF
during illness
10
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Benefits of continuing breastfeeding
when mother is ill
• Baby may show signs of distress if BF
suddenly stops
• May be difficult to return to BF after the mother
has recovered
• Stopping BF leaves baby exposed to hazards
of artificial feeding
11
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 11
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Benefits of continuing breastfeeding
when mother is ill
• BF is less work than preparing formula
— Baby can lie beside mother and feed prn without her moving
• Mother and baby can stay together
— knows baby is safe, feels happy
• Baby continues to receive benefits of BF
12
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 12
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Mothers with chronic illness
• may need extra help to establish breastfeeding
—E.g mother with diabetes may experience
complications during delivery
—Can interfere with establishing BF
—With appropriate help, can BF
normally
13
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
13
Session 13 : Maternal Health Concerns Ministry
of Health Malaysia
What kind of help with breastfeeding
may be needed if a mother is ill?
14
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Assisting with breastfeeding when
mother is ill
• Explain the value of continuing to BF
• Minimise separation
• Give plenty of fluids, esp if she has fever
• Assist mother to find comfortable position for
feeding
• If too difficult/unwell, help to express and cup
feed baby
• Choose treatment and medications that are safe
for BF
• Assist mother to re-establish BF after recovery
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 15
Are there any situations related to the
mother’s health that may require the use
of foods other than breastmilk?
16
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Use of Artificial Feeds
• Very few situations related to maternal
health that require the use of artificial
feeds
• Distinguish between:
– illness that is contraindication
for BF
– situation surrounding the
illness that makes
BF difficult
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
17
Hospitalisation
• Hospitalisation is NOT a contraindication
to breastfeed
• Baby should be kept with mother
• If mother not able to take care of infant
– Ask family member to stay and help
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 18
Maternal Addiction
• BF remains the feeding method of choice
for majority of infants
– even in tobacco, alcohol and drug use
• For hard-drug users
– Decisions on case by case basis
• BF not recommended for IV drug users
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 19
Contagious illness
• With common contagious illness (chest infection,
sore throat, GI)
– Baby is at risk of being exposed to the infection
through contact
– When mother continue to BF, baby receives
protection from the infection
• For most maternal infections: (TB, Hep B)
– BF not contraindicated
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 20
Maternal conditions
Mother who should avoid BF
• HIV infection :
For replacement feeding if it is acceptable, feasible,
affordable, sustainable and safe (AFASS);
• HTLV-I (Human T-cell Leukemia virus)
• On chemotherapy /radiotherapy
Maternal conditions
• Mother who should avoid BF TEMPORARILY
• Severe illness that prevent a mother from caring for her
infant, for example sepsis;
• Herpes simplex virus type 1 (HSV-1):
Direct contact between lesions on the mother’s breasts
and the infant’s mouth should be avoided until all active
lesions have resolved;
Maternal conditions
Mother who CAN CONTINUE BF
• Tuberculosis ( Except active , untreated PTB)
• Hepatitis B : Give baby hepatitis B vaccine, within first 48 hours or
ASAP
• Hepatitis C;
• Mastitis : If BF is very painful, milk must be removed by expression
• Breast abscess:
BF should continue on the unaffected breast; feeding from the
affected breast can resume once the abscess has been drained
4. Medications and Breastfeeding
24
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Maternal Medications and BF
1. If a mother requires medication, it is often
possible for the doctor to prescribe a drug
that may be safely taken during BF.
—Most drugs pass into breastmilk only in
small amounts and few affect the baby.
—In most cases, stopping BF may be
more dangerous to the baby than the drug.
25
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Maternal Medications and Breastfeeding
2. A medication the mother takes is more likely to
affect a premature / baby < 2 months old .
– If there is a concern, it is usually possible to
find a drug or treatment that is more
compatible with breastfeeding.
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 26
Maternal Medications and Breastfeeding
3. If a BF mother is taking a drug that you are not
sure about:
Encourage mother to continue BF while you find out
more.
Watch the baby for side effects
Check the WHO list
Ask Dr/ pharmacist for more information
If baby has side effects and mother’s medication
cannot be changed, consider a replacement feeding
method, temporarily if possible.
27
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Maternal Medications and BF
4. Traditional treatments, herbal medicines
and other treatments may have effects on
the baby.
– Try to find out more about them if they are commonly
used in your area.
– Meantime encourage the mother to continue BF and
to observe the baby for side effects.
28
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Other substances that can adversely
affect breastfed infants
• Alcohol
– taken before BF >>> infant sedation
and reduced milk intake
• Smoking
– Maternal use of nicotine often decrease the
duration of BF, and can
adversely affect the infant, but
BF is preferable to formula feeding in
smoking mothers.
– Infants should not be exposed to tabacco smoke.
Session 13 : Maternal Health Concerns Ministry
of Health Malaysia 29
Other substances that can adversely
affect breastfed infants
• Abuse of amphetamines, cocaine and
related stimulants may produce harmful
effects on BF babies, especially if the
infant is additionally exposed to the drugs
by inhalation of smoked drugs
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 30
Breastfeeding and Mother’s Medication - Summary
Safe in usual dosage:
Most commonly used drugs:
Analgesics and antipyretics:
short courses of paracetamol, acetylsalicylic acid, ibuprofen;
occasional doses of morphine and pethidine.
Antibiotics:
ampicillin, amoxicillin, cloxacillin and other penicillins, erythromycin
Antituberculosis drugs( Except streptomycin )
Antimalarials (except mefloquine, fansidar), anthelminthics,
antifungals.
Bronchodilators (e.g. salbutamol), corticosteroids, antihistamines,
Antacids, drugs for diabetes, most antihypertensives, digoxin
Nutritional supplements of iodine, iron and vitamins.
Breastfeeding and Mother’s Medication - Summary
BF contraindicated:
• Anticancer drugs (antimetabolites);
• Radioactive substances (stop breastfeeding temporarily)
Continue BF:
Side-effects possible; monitor baby for drowsiness:
psychiatric drugs and anticonvulsants
Use alternative drug if possible:
Chloramphenicol, tetracyclines, metronidazole
Monitor baby for jaundice:
Sulfonamides, dapsone, sulfamethoxazole+trimethoprim
(cotrimoxazole), sulfadoxine+pyrimethamine (fansidar)
Use alternative drug (may decrease milk supply):
Estrogens, including estrogen-containing contraceptives,
thiazide diuretics, ergometrine
Maternal Medications and BF
Excessive use of topical iodine
(e.g povidone-iodine )
 Esp. on open wounds or mucous membrane
 Can >>>>> thyroid suppression or electrolyte
abnormalities in breastfed newborn
 Should be avoided.
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 33
Summary
1. Nutritional needs of BF women
• All mothers need to eat enough foods so that they will
feel well and be able to care for their families.
• Mothers do not need to eat special foods or avoid certain
foods when breastfeeding.
• If the food supply is limited, it is better for the health and
nutrition of both mother and baby and less expensive to
give the mother food so that she can care for her baby
than to give artificial feeds to the baby.
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia 34
2. How breastfeeding helps to space births
The LAM method is 98% effective if three conditions are
met:
1
2
3
35
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
2. How breastfeeding helps to space births
The LAM method is 98% effective if three conditions are
met:
- The mother is not menstruating,
- The mother is exclusively breastfeeding, with no very
long intervals between feeds,
- Baby is less than 6 months old.
If any of these three conditions are not met it is advisable
for the mother to use another method of family planning.
36
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
3. Breastfeeding management when the mother is ill
You can assist BF during maternal illness by:
• Explain the value of continuing to BF during illness,
• Minimising separation
• Giving plenty of fluids, especially if there is a fever,
37
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Breastfeeding management when the mother is ill
You can assist BF during maternal illness by:
• Assist mother to find comfortable position for feeding,
• Assist mother to express, and cup feeding baby if
mother is too unwell ,
• Choose medications that are safe for BF,
• Assist mother and baby to re-establish BF when the
mother recovers.
38
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
4. Medications and breastfeeding
• Use safe medications for mother.
• Watch baby for side effects
• Babies under ? months of age are more likely to show side
effects.
• Know where to get more information or advice on
medications.
39
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
Session 13 : Maternal Health Concerns Ministry of
Health Malaysia
THANK YOU
40
Session 13 : Maternal Health Concerns Ministry
of Health Malaysia

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Session 13 Maternal Health Concerns

  • 1. SESSION 13 MATERNAL HEALTH CONCERN Breastfeeding Promotion and Support A Training Course for Health Professionals Adapted from the Baby Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care (Section 3) WHO/UNICEF 2009
  • 2. Session Objectives: At the end of this session, participants will be able to: 1. Discuss the nutritional needs of breastfeeding women 2. Outline how breastfeeding assists in child spacing 3. Discuss breastfeeding management when the mother is ill 4. Review basic information on medication and breastfeeding 22 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 3. 2. How Breastfeeding Assists in Child Spacing 3 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 4. What can you tell a mother about how breastfeeding helps to space children? 4 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 5. Breastfeeding and spacing of pregnancy • BF can delay the return of ovulation and menstruation – Can help to space pregnancies • The Lactation Amenorrhea method (LAM) helps women who wish to use BF for child spacing Session 13 : Maternal Health Concerns Ministry of Health Malaysia 5 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 6. The LAM method is 98% effective in preventing conception IF 3 conditions are met: 1. Mother is not menstruating, and 2. Mother is exclusively BF, (day and night) with no very long intervals between feeds, and 3. Baby is <6 months old. 6 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 7. LAM • If any of these 3 conditions are not met, it is advisable for the mother to use another method of family planning to achieve pregnancy delay. • Most family planning methods are compatible with BF with exception of estrogen containing contraceptive pills. 7 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 8. 3. Breastfeeding Management When Mother is ill 8 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 9. What can you tell a mother about breastfeeding if she is ill? 9 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 10. Breastfeeding when mother is ill • Women can continue to BF in nearly all cases when they are ill • There are many benefits to continuing BF during illness 10 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 11. Benefits of continuing breastfeeding when mother is ill • Baby may show signs of distress if BF suddenly stops • May be difficult to return to BF after the mother has recovered • Stopping BF leaves baby exposed to hazards of artificial feeding 11 Session 13 : Maternal Health Concerns Ministry of Health Malaysia 11 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 12. Benefits of continuing breastfeeding when mother is ill • BF is less work than preparing formula — Baby can lie beside mother and feed prn without her moving • Mother and baby can stay together — knows baby is safe, feels happy • Baby continues to receive benefits of BF 12 Session 13 : Maternal Health Concerns Ministry of Health Malaysia 12 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 13. Mothers with chronic illness • may need extra help to establish breastfeeding —E.g mother with diabetes may experience complications during delivery —Can interfere with establishing BF —With appropriate help, can BF normally 13 Session 13 : Maternal Health Concerns Ministry of Health Malaysia 13 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 14. What kind of help with breastfeeding may be needed if a mother is ill? 14 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 15. Assisting with breastfeeding when mother is ill • Explain the value of continuing to BF • Minimise separation • Give plenty of fluids, esp if she has fever • Assist mother to find comfortable position for feeding • If too difficult/unwell, help to express and cup feed baby • Choose treatment and medications that are safe for BF • Assist mother to re-establish BF after recovery Session 13 : Maternal Health Concerns Ministry of Health Malaysia 15
  • 16. Are there any situations related to the mother’s health that may require the use of foods other than breastmilk? 16 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 17. Use of Artificial Feeds • Very few situations related to maternal health that require the use of artificial feeds • Distinguish between: – illness that is contraindication for BF – situation surrounding the illness that makes BF difficult Session 13 : Maternal Health Concerns Ministry of Health Malaysia 17
  • 18. Hospitalisation • Hospitalisation is NOT a contraindication to breastfeed • Baby should be kept with mother • If mother not able to take care of infant – Ask family member to stay and help Session 13 : Maternal Health Concerns Ministry of Health Malaysia 18
  • 19. Maternal Addiction • BF remains the feeding method of choice for majority of infants – even in tobacco, alcohol and drug use • For hard-drug users – Decisions on case by case basis • BF not recommended for IV drug users Session 13 : Maternal Health Concerns Ministry of Health Malaysia 19
  • 20. Contagious illness • With common contagious illness (chest infection, sore throat, GI) – Baby is at risk of being exposed to the infection through contact – When mother continue to BF, baby receives protection from the infection • For most maternal infections: (TB, Hep B) – BF not contraindicated Session 13 : Maternal Health Concerns Ministry of Health Malaysia 20
  • 21. Maternal conditions Mother who should avoid BF • HIV infection : For replacement feeding if it is acceptable, feasible, affordable, sustainable and safe (AFASS); • HTLV-I (Human T-cell Leukemia virus) • On chemotherapy /radiotherapy
  • 22. Maternal conditions • Mother who should avoid BF TEMPORARILY • Severe illness that prevent a mother from caring for her infant, for example sepsis; • Herpes simplex virus type 1 (HSV-1): Direct contact between lesions on the mother’s breasts and the infant’s mouth should be avoided until all active lesions have resolved;
  • 23. Maternal conditions Mother who CAN CONTINUE BF • Tuberculosis ( Except active , untreated PTB) • Hepatitis B : Give baby hepatitis B vaccine, within first 48 hours or ASAP • Hepatitis C; • Mastitis : If BF is very painful, milk must be removed by expression • Breast abscess: BF should continue on the unaffected breast; feeding from the affected breast can resume once the abscess has been drained
  • 24. 4. Medications and Breastfeeding 24 Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 25. Maternal Medications and BF 1. If a mother requires medication, it is often possible for the doctor to prescribe a drug that may be safely taken during BF. —Most drugs pass into breastmilk only in small amounts and few affect the baby. —In most cases, stopping BF may be more dangerous to the baby than the drug. 25 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 26. Maternal Medications and Breastfeeding 2. A medication the mother takes is more likely to affect a premature / baby < 2 months old . – If there is a concern, it is usually possible to find a drug or treatment that is more compatible with breastfeeding. Session 13 : Maternal Health Concerns Ministry of Health Malaysia 26
  • 27. Maternal Medications and Breastfeeding 3. If a BF mother is taking a drug that you are not sure about: Encourage mother to continue BF while you find out more. Watch the baby for side effects Check the WHO list Ask Dr/ pharmacist for more information If baby has side effects and mother’s medication cannot be changed, consider a replacement feeding method, temporarily if possible. 27 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 28. Maternal Medications and BF 4. Traditional treatments, herbal medicines and other treatments may have effects on the baby. – Try to find out more about them if they are commonly used in your area. – Meantime encourage the mother to continue BF and to observe the baby for side effects. 28 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 29. Other substances that can adversely affect breastfed infants • Alcohol – taken before BF >>> infant sedation and reduced milk intake • Smoking – Maternal use of nicotine often decrease the duration of BF, and can adversely affect the infant, but BF is preferable to formula feeding in smoking mothers. – Infants should not be exposed to tabacco smoke. Session 13 : Maternal Health Concerns Ministry of Health Malaysia 29
  • 30. Other substances that can adversely affect breastfed infants • Abuse of amphetamines, cocaine and related stimulants may produce harmful effects on BF babies, especially if the infant is additionally exposed to the drugs by inhalation of smoked drugs Session 13 : Maternal Health Concerns Ministry of Health Malaysia 30
  • 31. Breastfeeding and Mother’s Medication - Summary Safe in usual dosage: Most commonly used drugs: Analgesics and antipyretics: short courses of paracetamol, acetylsalicylic acid, ibuprofen; occasional doses of morphine and pethidine. Antibiotics: ampicillin, amoxicillin, cloxacillin and other penicillins, erythromycin Antituberculosis drugs( Except streptomycin ) Antimalarials (except mefloquine, fansidar), anthelminthics, antifungals. Bronchodilators (e.g. salbutamol), corticosteroids, antihistamines, Antacids, drugs for diabetes, most antihypertensives, digoxin Nutritional supplements of iodine, iron and vitamins.
  • 32. Breastfeeding and Mother’s Medication - Summary BF contraindicated: • Anticancer drugs (antimetabolites); • Radioactive substances (stop breastfeeding temporarily) Continue BF: Side-effects possible; monitor baby for drowsiness: psychiatric drugs and anticonvulsants Use alternative drug if possible: Chloramphenicol, tetracyclines, metronidazole Monitor baby for jaundice: Sulfonamides, dapsone, sulfamethoxazole+trimethoprim (cotrimoxazole), sulfadoxine+pyrimethamine (fansidar) Use alternative drug (may decrease milk supply): Estrogens, including estrogen-containing contraceptives, thiazide diuretics, ergometrine
  • 33. Maternal Medications and BF Excessive use of topical iodine (e.g povidone-iodine )  Esp. on open wounds or mucous membrane  Can >>>>> thyroid suppression or electrolyte abnormalities in breastfed newborn  Should be avoided. Session 13 : Maternal Health Concerns Ministry of Health Malaysia 33
  • 34. Summary 1. Nutritional needs of BF women • All mothers need to eat enough foods so that they will feel well and be able to care for their families. • Mothers do not need to eat special foods or avoid certain foods when breastfeeding. • If the food supply is limited, it is better for the health and nutrition of both mother and baby and less expensive to give the mother food so that she can care for her baby than to give artificial feeds to the baby. Session 13 : Maternal Health Concerns Ministry of Health Malaysia 34
  • 35. 2. How breastfeeding helps to space births The LAM method is 98% effective if three conditions are met: 1 2 3 35 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 36. 2. How breastfeeding helps to space births The LAM method is 98% effective if three conditions are met: - The mother is not menstruating, - The mother is exclusively breastfeeding, with no very long intervals between feeds, - Baby is less than 6 months old. If any of these three conditions are not met it is advisable for the mother to use another method of family planning. 36 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 37. 3. Breastfeeding management when the mother is ill You can assist BF during maternal illness by: • Explain the value of continuing to BF during illness, • Minimising separation • Giving plenty of fluids, especially if there is a fever, 37 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 38. Breastfeeding management when the mother is ill You can assist BF during maternal illness by: • Assist mother to find comfortable position for feeding, • Assist mother to express, and cup feeding baby if mother is too unwell , • Choose medications that are safe for BF, • Assist mother and baby to re-establish BF when the mother recovers. 38 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 39. 4. Medications and breastfeeding • Use safe medications for mother. • Watch baby for side effects • Babies under ? months of age are more likely to show side effects. • Know where to get more information or advice on medications. 39 Session 13 : Maternal Health Concerns Ministry of Health Malaysia Session 13 : Maternal Health Concerns Ministry of Health Malaysia
  • 40. THANK YOU 40 Session 13 : Maternal Health Concerns Ministry of Health Malaysia