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The Baby Friendly
Initiative in Health
Services
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Health Canada Recommendation
• Exclusive breastfeeding for the first six months of life for healthy term infant, as breast milk is the best food for optimal growth.
• Infants should be introduced to nutrient rich solid foods with particular attention to iron at six months with continued breastfeeding for up to two years and beyond.
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•A ten step plan that summarizes the maternity practices necessary to support breastfeeding.
• The implementation of RNAO best practices that protect, support and promote breastfeeding.
• Endorsement of the WHO/UNICEF International Code of Marketing of Breast-milk Substitutes.
What Is It?
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The Ten Step Plan
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1. Have a written breastfeeding policy that is routinely communicated to all staff and volunteers.
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2. Train all health care providers in the knowledge and skills necessary to implement the breastfeeding policy.
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3. Inform all pregnant women about the benefits and management of breastfeeding.
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.4. Help mothers initiate breastfeeding within a half-hour of birth.
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5. Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants.
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6. Give newborn infants no food or drink other than breastmilk unless medically indicated.
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7. Practice rooming-in
Allow mothers and infants to remain together 24 hours a day.
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8. Encourage breastfeeding on demand.
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9. Give no artificial teats or pacifiers to breastfeeding infants.
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10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.
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Compliance with The International Code of Marketing of Breast-Milk
Substitutes.
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Aim: To contribute to the provision of safe and adequate nutrition for all infants.
Scope: All breast-milk substitutes, bottles and nipples and any information concerning their use.
Advertising: no advertising of the above products to the public.
The World Health Organization Code for the Marketing of Breastmilk Substitutes
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Labels: Breastmilk substitute labels must clearly state the superiority of breastfeeding with proper instructions and no pictures of infants.
Samples: No free samples to mothers, their families or health care workers.
Facilities: No promotion of products covered under the scope (displays, posters, pamphlets etc.).
The World Health Organization Code for the Marketing of Breastmilk Substitutes
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Health Care Workers: Accept no gifts or samples.
Supplies: No free or low-cost supplies of breast milk substitutes to hospitals.
Information: Educational materials must explain the benefits of breastfeeding and the costs associated with formula feeding.
The World Health Organization Code for the Marketing of Breastmilk Substitutes
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Where Do We Go From Here?1.Continue to monitor breastfeeding rates at hospital discharge, 48 hours post-discharge, and 2 weeks
2.Work to increase exclusive breastfeeding rates to 6 months and develop a method to obtain data
3.Send in yearly reports to the Breastfeeding Committee for Canada
4.Continue to work with local agencies to increase breastfeeding awareness, support and practices
5.Re-assessment in 2015
In February 2010 Chatham-Kent Public Health Unit achieved Baby Friendly Accreditation!
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Who Benefits From Baby Friendly?
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The woman and her child
• Consistent care & information
• Skilled help
• Getting off to a good start
• Breastfeeding is valued
• Mothers are empowered
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Caregivers for Mothers and Babies
• Increased knowledge
• Increased skills
• Professional competence
• Respect for women
Care becomes “woman-centred” not “task-centred”
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Health Care Facilities
• High Standards of care are measured and met
• Meets the RNAO Best Practice Standards for care of breastfeeding mothers and babies
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The Family
• Health and development of the infant
• Health of the mother
• Saves money
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The Community
• Environmentally Friendly
• Social programs
• Decreased costs for medical care
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BREAST IS BESTFOR
MOTHER
FOR
BABY
FOR CHATHAM-KENT
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Breastfeeding Is Normal• It’s done worldwide• Initiation rate 84% at CKHA• Exclusive breastfeeding at
discharge is 40-50%• Breastfeeding rates are dropping
dramatically until only about 9% are exclusively breastfeeding to 6 months
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Attitudes About Breastfeeding
• Attitude affects Behaviour• Important to explore:– Feelings about breastfeeding–Myths about Breastfeeding
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When Breastfeeding is Normal, Babies Are Protected
Venezuelan President Hugo Chavez talks with people affected by flooding in Araira, 50 km (31 miles) from Caracas this past February.
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Why Should Mothers
Breastfeed?
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Baby• Nutritional qualities• Anti-infective qualities• Physical qualities• Psychological qualities
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Nutritional Qualities
• Nutritionally complete for the first 6 months of life• Ensures adequate infant growth
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Anti-infective Qualities • Provides anti-bodies• Enhances baby’s immune system• Protection from:
Gastrointestinal illnesses Respiratory infections Ear infections Some childhood cancers
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Physical Qualities• Improved visual development• Higher IQ• Protection from:
DiabetesObesitySIDS
• Easier to digest
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Psychological Qualities• Strong maternal/infant bonding• Greater chance of child developing a
secure attachment to mother• Baby’s needs can be met quickly
(builds trust)
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Mother• Physical qualities• Psychological qualities
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Physical Qualities• Protection from:
Pre-menopausal Breast and Ovarian cancerHemorrhageOsteoporosis
• Helps weight loss
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Psychological Qualities
• Empowering• Food for baby always available • Low cost• “Mothering Hormones”
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How Milk Is NOT Made!!!
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Anatomy
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The Action of Breastfeeding
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The Action of Bottle Feeding
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How Milk Is Made
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Community Resources
• Public Health• Lactation Consultants• Baby Weigh In • As Parent And Baby Grow • Mother Nurture
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References
• Riordan & Auerbach Breastfeeding and Human Lactation• The Breastfeeding Atlas - lactpress 2002• Health canada 2002• Www.Breastfeedingniagara.Com• Breastfeeding Committee for Canada • Http://www.Breastfeedingbasics.Org/cgi-bin/deliver.Cgi/content/anatomy/
str_internal.html• La Leche League Canada• http://www.brianpalmerdds.com/pdf/Otitis_media.pdf. Palmer, B. (2001).
Otitis Media: An anatomical perspective • http://www.breastfeeding.com/helpme/helpme_images_anatomy.html• Best Start