#world breast feeding week 2011
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World Breastfeeding Week
(1-7th August 2011)
&Breastfeeding
Dr Yog Raj Khinchi
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World Breastfeeding Week
(1-7th August 2011)
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The World Alliance for Breastfeeding Action (WABA) was formed in1991 to act on the Innocenti Declaration 1990 (WHO and UNICEF)
to protect, promote and support breastfeeding.
As part of its action plan to facilitate and strengthen social
mobilization for breastfeeding, WABA envisioned a globalunifying breastfeeding promotion strategy.
A day dedicated to breastfeeding was suggested to be marked in the
calendar of international events. The idea of a day's celebration was
later turned into a week.
This has become to be known as World Breastfeeding Week (WBW)
celebrated every year from 1ST to 7TH August to commemorate
the Innocenti Declaration. WBW is endorsed by WHO and UNICEF.
World Alliance for Breastfeeding Action (WABA)
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WBW over the years: Themes1997: Breastfeeding- Natures Way
1998: Breastfeeding- The Best Investment
1999: Breastfeeding- Education for Life
2000: Breastfeeding- Its Your Right!
2001: Breastfeeding in the Information Age
2002: Breastfeeding- Healthy Mothers and Healthy Babies
2003: Breastfeeding in a Globalised World for Peace and Justice
2004: Exclusive Breastfeeding: The gold Standard Safe, Sound, Sustainable
2005: Breastfeeding and Family Foods: LOVING & HEALTHY
2006: Code Watch: 25 Years of Protecting Breastfeeding
2007: Breastfeeding: The 1ST Hour- Save ONE million babies!
2008: Mother Support: Going for the Gold Everyone Wins!
2009: Breastfeeding: A Vital Emergency Response Are you ready?
2010: Breastfeeding: Just 10 steps! The baby-friendly way!!
2011: Talk to me! Breastfeeding- a 3D experience
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Objectives of WBW 2011
Sustain the momentum from your WBW celebrations-Campaign
for breastfeeding friendly environment !
Reach out to people specially youth with information on
breastfeeding & support other needs.
Protect against commercial influences by baby food manufactures.
Advocate for community and family support to help enhancebreastfeeding and complementary feeding.
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Breastfeeding
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Benefits of breast milk (contd.)
Protects against infection
Prevents allergies
Better intelligence
Promotes emotional bonding
Less heart disease, diabetes and lymphoma
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Benefits to mother
Helps in involution of uterus, prevents PPH
Delays pregnancy (lactation amenorrhea)
Decreases mothers workload, saves time andenergy
Lowers risk of breast and ovarian cancer
Helps regain figure faster (avoids obesity in mother)
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Anatomy of breastMyoepithelial cells
Epithelial cells
ducts
Lactiferous sinus
Areola
Montgomery gland
AlveoliSupporting tissue
and fat
Nipple
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Physiology of lactation
Hormonal secretions in the mother
Prolactin helps in production of milk
Oxytocin causes ejection of milk
Reflexes in the baby rooting, sucking &
swallowing
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Prolactin production
Enhanced by
How early the baby is put to the breast
How often and how long baby feeds at breast
How well the baby is attached to the breast
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Prolactin milk secretion reflex
Hindered by
Delayed initiation of breastfeeds
Prelacteal feeds
Making the baby wait for feeds
Pacifiers, bottles
Certain medication given to mothers
Painful breast conditions
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E
nhancing factors Hindering factors
Emptying
of breast
Sucking
Expression
of milk
Nightfeeds
Bottle feeding,
Incorrect positioning,Painful breast
Sensory impulse
from nippleProlactin in
blood
Prolactin milk secretion reflex
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Baby sucking
Sensory impulse
from nipple to brain
Oxytocin contracts
myoepithelial cells
Oxytocin milk ejection reflex
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Thinks lovingly of baby
Sound of the baby
Sight of the baby
CONFIDENCE
Worry
Stress
Pain
Doubt
Stimulated by Inhibited by
Oxytocin milk ejection reflex
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Mother learns to position
baby
Baby learns to take breast
Rooting reflex
Swallowing reflex
Sucking reflex
Feeding reflexes in the baby
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Composition of preterm and full term
human milk (g/dl)
3.5
1.0
7.0
Fat
Protein
Lactose
3.5
2.0
6.0
Full Term Preterm
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How breast milk composition varies
Colostrum Foremilk Hindmilk
Fat
Protein
Lactose
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For successful breastfeeding
A willing and motivated mother
An active and sucking newborn
A motivator who can bring both mother and
newborn together ( health professional or relative )
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Successful breastfeeding
Have a written breastfeeding policy
Motivate mother from antenatal period
Put to breast within 30 minutes of birth
Promote rooming-in of mother and baby
Promote frequent breastfeeding
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Successful breastfeeding (contd.)
Dont give prelacteal feeds
Dont use bottle to feed
Support mother in breastfeeding the baby
Arrange mother craft classes in health facilities
Treat breastfeeding problems early
Exclusive breastfeeding till 6 months
Addition of home-based liquids/semisolids after 6 months
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Position of baby in relation to the mother
The babys whole body should face the mother andbe close to her
The babys head and neck should be supported, ina straight line with his body, to face the breast
Babys abdomen should touch mothers abdomen,to be as close as possible to his mother
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Signs that a baby is attached well at the breast
1. The babys mouth is wide open
2. The babys chin touches the breast3. The babys lower lip is curled outward
4. Usually the lower portion of the areola is
not visible
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Signs that a baby is attached well at the breast
babys mouth is wide openlower lip is curled outward
lower portion of
the areola is not
visible
chin touches
the breast
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A baby suckling in an incorrect position
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A baby suckling in a correct position
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Signs that a baby is attached well at the breast
babys mouth is wide openlower lip is curled outward
lower portion of
the areola is not
visible
chin touches
the breast
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Causes of Not enough milk
Enough and proper breast feeding is not done
Too short or hurried breastfeeding
Night feeds stopped early
Poor suckling position
Poor oxytocin reflex (anxiety, lack of confidence)
Engorgement or mastitis
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Management of Not enough milk
Put baby to breast frequently
Baby to be correctly attached to breast
Build mothers confidence
Use galactogogues judiciously
Adequate weight gain and urine frequency 5-6 times aday are reliable signs of enough milk intake
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Expressed breast milk (EBM)
Indications
Sick mother, local breast problems
Preterm / sick baby
Working mother
Storage
Clean wide-mouthed container with tight lid
At room temperature 6-8 hrs
Refrigerator: 24 hours, Freezer - 20 C : for 3 months
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Ten steps to successful breastfeeding
(baby friendly hospital initiative, BFHI)
Every facility providing maternity servicesand care for newborn infants should :
1.
Have a written breastfeeding policy that isroutinely communicated to all health care staff
2. Train all health care staff in skills necessary to
implement this policy
3. Inform all pregnant women about the benefits
and management of breastfeeding
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Ten steps to successful breastfeeding (contd)
4. Help mothers initiate breastfeeding within half hour
of birth
5. Show mothers how to breastfeed, and how to
maintain lactation even if they are separated from
their infants
6. Give no food or drink, unless medically indicated till
6 months of age
7. Practice rooming-in : allow mothers and infants to
remain together 24 hrs a day
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8. Encourage breastfeeding on demand
9. Give no artificial teats or pacifiers (also calleddummies or soothers) to breastfeeding infants
10. Foster the establishment of breastfeeding support
groups and refer mothers to them on discharge fromthe hospital.
Ten steps to successful breastfeeding (contd)