need

1. Introduction
Breastfeeding practices has been proved to be very beneficial to both mother and baby
thus the creation of the following laws support the full implementation of this
program:
 Executive Order 51
 Republic Act 7600
 The Rooming-In and Breastfeeding Act of 1992
Program Objectives and Goals
 Protection and promotion of breastfeeding and lactation management education
training
Activities and Strategies
1. Full Implementation of Laws Supporting the Program
a. EO 51 THE MILK CODE – protection and promotion of breastfeeding to ensure
the safe and adequate nutrition of infants through regulation of marketing of infant
foods and related products. (e.g. breast milk substitutes, infant formulas, feeding
bottles, teats etc. )
Breastfeeding or Lactation
Management Education Training
Introduction
Breastfeeding practices has been proved to be very beneficial to both mother and baby
thus the creation of the following laws support the full implementation of this
program:
 Executive Order 51
 Republic Act 7600
 The Rooming-In and Breastfeeding Act of 1992
Program Objectives and Goals
 Protection and promotion of breastfeeding and lactation management education
training
Activities and Strategies

2. 1. Full Implementation of Laws Supporting the Program
a. EO 51 THE MILK CODE – protection and promotion of breastfeeding to ensure
the safe and adequate nutrition of infants through regulation of marketing of infant
foods and related products. (e.g. breast milk substitutes, infant formulas, feeding
bottles, teats etc. )
b. RA 7600 THE ROOMING –IN and BREASTFEEDING ACT of 1992
 An act providing incentives to government and private health institutions
promoting and practicing rooming-in and breast-feeding.
 Provision for human milk bank.
 Information, education and re-education drive
 Sanction and Regulation
2. Conduct Orientation/Advocacy Meetings to Hospital/ Community
Advantages of Breastfeeding:
Mother
 Oxytocin help the uterus contracts
 Uterine involution
 Reduce incidence of Breast Cancer
 Promote Maternal-Infant Bonding
 Form of Family planning Method (Lactational Amenorrhea)
Baby
 Provides Antibodies
 Contains Lactoferin (binds with Iron)
 Leukocytes
 Contains Bifidus factorpromotes growth of the Lactobacillusinhibits the growth of
pathogenic bacilli
Positions in Breastfeeding of the baby:
1. Cradle Hold = head and neck are supported
2. Football Hold
3. Side Lying Position
BEST FOR BABIES
REDUCE INCIDENCE OF ALLERGENS
ECONOMICAL
ANTIBODIES PRESENT
STOOL INOFFENSIVE (GOLDEN YELLOW)
TEMPERATURE ALWAYS IDEAL
FRESH MILK NEVER GOES OFF
EMOTIONALLY BONDING

3. EASY ONCE ESTABLISHED
DIGESTED EASILY
IMMEDIATELY AVAILABLE
NUTRITIONALLY OPTIMAL
GASTROENTERITIS GREATLY REDUCED
Pumping and storing breastmilk
Whether you're going back to work, want to have your partner help with feedings, or want to
make sure you have breastmilk for your baby if you are away for a few hours, you will need to
pump and store your breastmilk. Get tips on pumping your milk and storing it safely.
Pumpingyour breastmilk
If you are unable to breastfeed your baby directly, make sure to pump during the times your baby
would normally eat. This will help you to continue making milk.
Before you pump, wash your hands with soap and water. If soap and water are not available, use an
alcohol-based hand sanitizer that has at least 60% alcohol. Make sure the area where you are
pumping and your pump parts and bottles are clean. You do not need to wash your breasts and
nipples before pumping.
If you need help to get your milk to start flowing without your baby there, you can:
 Think about the things you love about your baby. Bring a photo or a blanket or item of
clothing that has your baby's scent on it.
 Apply a warm, moist cloth to your breasts.
 Gently massage your breasts.
 Gently rub your nipples.
 Visualize the milk flowing down.
 Sit quietly and think of a relaxing setting.
Storage of breastmilk
After each pumping, you can:
 Keep milk at room temperature. Breastmilk is OK for up to 4 hours after pumping at room
temperature (up to 77°F).
 Refrigerate it. Breastmilk is OK in the refrigerator for up to 4 days.

4.  Place milk in the freezer. If you're not going to use refrigerated breastmilk within 4 days of
pumping, freeze it right after pumping.
 Use cooler packs. You can put breastmilk in a cooler or insulated cooler pack with frozen ice
packs for up to 24 hours after pumping. After 24 hours in a cooler the breastmilk should be
refrigerated or frozen.
When storing breastmilk, use breastmilk storage bags, which are made for freezing human milk. You
can also use clean glass or hard BPA-free plastic bottles with tight-fitting lids. Do not use containers
with the recycle number 7, which may contain BPA. Do not use disposable bottle liners or other
plastic bags to store breastmilk.
Storage bottles or bags to refrigerate or freeze your breastmilk also qualify as tax-deductible
breastfeeding gear. Most insurance plans must cover breastfeeding supplies, such as storage bags, in
addition to breast pumps. Call your insurance company to learn more.
View our guide to storing fresh breastmilk or learn tips for freezing milk.
Tips for freezing milk
 Clearly label milk containers with the date the milk was expressed. Include your child's name
if you are giving the milk to a child care provider.
 Freeze in small amounts (2 to 4 ounces, or ¼ to ½ cups) for later feedings.
 Leave an inch or so from the milk to the top of the container, because it will get bigger when
freezing.
 Wait to tighten bottle caps or lids until the milk is completely frozen.
 Store milk in the back of the freezer, not on the shelf of the freezer door, so that it doesn't
start to thaw out.
Tips of thawing and warming the milk
 Thaw the oldest breastmilk first.
 Breastmilk does not need to be warmed. Some moms prefer to serve it at room temperature.
Some moms serve it cold.
 Thaw the bottle or bag of frozen milk by putting it in the refrigerator overnight.
 If you decide to warm the breastmilk:
o Keep the container sealed while warming.
o Hold it under warm, not hot, running water, or set it in a container of water that is
warm, not hot.
o Never put a bottle or bag of breastmilk in the microwave. Microwaving creates
hot spots that could burn your baby and damage the milk.
o Test the temperature before feeding it to your baby by dropping some on your wrist.
The milk should feel warm, not hot.
 Swirl the milk to mix the fat, which may have separated. Do not shake the milk.
 Use breastmilk within 24 hours of thawing it in the refrigerator. This means 24 hours from
when the breastmilk is no longer frozen, not from when you take it out of the freezer.

5.  Once breastmilk is thawed to room temperature or warmed after being in the refrigerator or
freezer, use it within 2 hours. If you have any leftover milk when the baby is finished
feeding, be sure to throw it out within 2 hours.
 Do not refreeze breastmilk after it has been thawed.
Positioning
Proper positioning for breastfeeding is important to help your baby to eat and transfer
milk and swallow and to prevent or minimize nipple soreness for you.
Follow these guidelines to achieve proper positioning for breastfeeding:
 Sit in a comfortable seat.
 Use a nursing pillow or bed pillows to support the weight of your baby.
 Use a footstool during nursing if helpful.
 Always bring your baby to your breast; do not lean your breast into your baby.
 Place your baby in a relaxed and flexed position with his or her head slightly extended.
 Make sure your baby’s head and body are at the breast level.
 Check your baby’s positioning: if your baby is correctly aligned, you should be able to
draw an imaginary line from the ear to the shoulder to your baby’s hip.
 Offer breast support with the c-hold, which is thumb on top and fingers and underneath
the breast.
 Rotate your baby’s nursing positions to put your baby’s mouth on a different part of
your breast. Try using the cross cradle, cradle, side lying and football hold.
Colostrum is the first stage of breast milk. It occurs during pregnancy and lasts for several
days after the birth of the baby. ... It is also much thicker than the milk that is produced later
in breastfeeding. Colostrumis high in protein, fat-soluble vitamins, minerals, and
immunoglobulins.

6. Can I use a breastpump for colostrum?
Hand expression with a preterm baby. If you have a preterm baby, using hand expression and
a breast pump will help you make more milk: If your baby cannot feed well at the breast,
you will need to express colostrum and milk. ... Hand expression usually works better than
a breast pump during the first 24 hours or so.
How long colostrum stays in breastmilk?
After about 3 to 4 days of producing colostrum, your breasts will start to feel firmer. This is a
sign that your milk supply is increasing and changing from colostrum to breast milk, which
resembles skim (cow's) milk. Sometimes a mother's milk may take longer than a few days to
come in.
How much colostrum newborn need?
Studies of large numbers of breastfed babies suggest that on average they consume about 1/2
ounce of colostrum per feeding in the first 24 hours, 2/3 ounce per feeding by 48 hours, and
one ounce per feeding by 72 hours, when mature milk production begins.
What color?
Here are the normal changes in breast milk color by stage. Colostrum: Colostrum is the first
breast milk that your body makes. ... While colostrum is sometimes clear, thin, and watery, it's
more often yellow or orange and thick. The high levels of beta-carotene in colostrum give it its
dark yellow or orange color.
How can I tell if my newborn is getting enough milk?
You can't see how much milk is going into your baby's tummy, but the following signs will
help you be sure that he's feeding well:
 Your baby is feeding at least eight to 12 times in 24 hours. He comes off your breast when
he's ready, and seems settled and content in between feeds, which may be frequent!
 Breastfeeding feels comfortable and pain-free. Letdown may be painful, but this only lasts
half a minute.
 Your breasts feel softer and less full after feeds.
 Your nipple looks the same shape after you've fed your baby, not squashed, pinched, or
white. However, if you have flat or inverted nipplesyour nipple is more likely to be drawn out
after a feed.
 Your baby looks a healthy colour.
 Your baby is alert when he is awake, and readily wakes for feeds.

7.  Your baby has one or two heavy, wet nappies in the first 48 hours. Once he's over five days
old, he has five or six heavy, wet nappies.
 By five days, your baby’s poos are a yellowy-mustard colour and he's doing two poos
(around the size of a £2 coin) every 24 hours.
 You can see your baby swallow while he is feeding, and he seems to be latched on
properly. You'll be able to hear him swallowing more clearly too, once your milk has come
in.
 Your baby changes rhythm while sucking, and pauses during feeds. He should start feeding
again when he's ready.
What is colostrum? Colostrum is the initial milk a woman produces
midway through pregnancy and during the first few days after she
delivers. This thick, concentrated fluid, which is often a golden color, is
very low in volume and might not seem like much, but it actually provides
huge benefits to your baby. "During the first days of a newborn's life,
there is little to no need for nutrition, but there's a tremendous need for
proper and specific biological actions that occur to program the baby's
immune system
What does colostrum do? A better question might be, what doesn't it
do?
Colostrum contains just what a baby needs in the right amounts—it's low
in sugar but high in protein, and much of that is in the form of immune
factors, such as secretory immunoglobulin A, which is designed to line
the baby's intestine and protect it from bacteria and viruses that can
cause infection." And that's not all. Colostrum also contains fat-soluble
vitamins and antioxidants, helps to colonize the intestine with
lactobacillus (protective bacteria), and has a natural laxative effect that
promotes pooping
What if I'm having trouble breastfeeding—or don't plan
to breastfeed?
Of course, it's a no-brainer that a new mom would want her baby to have
such protection, but some women might have trouble breastfeeding at
first. "There can be a problem with getting the colostrum out of the breast
if there is either too much stress, there is a disconnect in the ducts from
prior breast surgery, or there is ineffective milk expression

8. Myth #1. If babies feed a lot, that means they aren't
getting enough milk.
Myth # 2. Giving the breast a nursing "rest" can help
ensure more milk.
Myth # 3. Formula fed babies sleep better.
Myth # 6: Never wake a sleeping baby to breastfeed.
Fact: Most of the time your baby will wake you -- and be
ready to eat -- every two-and-a-half to three hours.
However, your baby may feed vigorously for two or three
hours -- known as "cluster feedings" -- then sleep a longer
than usual.
"It's okay to let them sleep a little longer than usual, but
you should never have more than one four-and-a-half-
hour period of sleeping per day," says Sternum. If your
baby is regularly sleeping through feeding time, wake baby
when it's time to eat. It's important for your baby to feed
on schedule, and you need to express milk on schedule to
keep up a good supply.
Myth # 7:Breastfeeding prevents you from getting
pregnant.