WORLD BREASTFEEDING
WEEK 2025
“PrioritiseBreastfeeding”
IAP &NNF--KERALA
Children and adolescents who were breastfed as
babies :
▪less likely to be overweight or obese.
▪perform better on intelligence tests and have higher
school attendance.
▪associated with higher income in adult life.
▪Improving child development and reducing health
costs results in economic gains for individual
families as well as at the national level.
▪Benefits that are particular to pre-term are better
cognitive (brain)development and visual acuity&
reducing incidence of necrotizing enterocolitis
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Breastfeeding: A Public Health
Priority
▪Exclusive breastfeeding for 6 months has
protection against gastrointestinal infections
which is observed not only in developing but
also industrialized countries.
▪Early initiation of breastfeeding, within 1 hour
of birth, protects the newborn from acquiring
infections and reduces newborn mortality.
▪The risk of mortality due to diarrhea and other
infections can increase in infants who are
either partially breastfed or not breastfed at all.
▪Breast-milk is also an important
source of energy and nutrients in
children aged 6–23 months
▪It can provide half or more of a
child’s energy needs between the
ages of 6 and 12 months, and one
third of energy needs between 12
and 24 months
▪Breast milk is also a critical source of
energy and nutrients during illness
and reduces mortality among
children who are malnourished.
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▪ Protects mothers against ovarian
and breast cancer.
▪ Protection against breast cancer is
dose related - the longer the
mother breastfeeds for, the better
the protection
▪Protects against hip fractures
▪Reduced risk of Type 2 diabetes
▪Can help promote weight loss -
breastfeeding uses around 500
calories a day
▪Can reduced stress/feelings of
anxiety and promotes bonding
with baby
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LANCET
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REF: UNICEF SCORE CARD 2024:
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The Exclusive Breastfeeding rate for
India under 6 months is 63.7%,
complimentary feeding rate is 45%
and minimal acceptable diet 11.3%
is too low.
Barriers to breastfeeding- Reasons and concerns
for women
Bottle feeding is more normal.
Perception that bottles are more convenient .
Influence of family/friends.
Negative prior experiences.
Embarrassment about feeding in public .
Lacking in confidence to feed.
Wanting baby to sleep through the night.
Worry about feeding in public.
Wanting others to be involved.
Lack of knowledge/understanding - how it works.
•Increasing rates of exclusive breastfeeding can help drive progress
against other global nutrition targets (stunting, anemia in women of
reproductive age, low birth weight, childhood overweight and wasting)
and is one of the most powerful tools policy-makers have at their
disposal to improve the health of their people and their economies.
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How do we Prioritise??
Let’s Turn Our Hospitals to be
Breastfeeding Friendly
▪ Although the “Ten Steps to Successful
Breastfeeding” provide a clear framework,
their implementation across Indian
hospitals remains inconsistent and
Fragmented.
▪Implementation of the IMS Act is weak..
▪Direct observation of breastfeeding in the
hours after birth is a critical part of the Ten
Steps to ensure that the mother has the
knowledge and skills to continue
breastfeeding after she leaves the birthing
facility.
▪Written infant feeding policy in all
Hospitals
▪Not promoting infant formula,
bottles or teats
▪Making breastfeeding care
standard practice
▪Keeping track of support for
breastfeeding
▪Data management & monitoring
TEN STEPS TO BFHI
▪Training staff on supporting
mothers to breastfeed
▪Assessing health workers’
knowledge & skills
▪Anatomy of breast
▪Physiology of breast feeding
▪Practical aspects
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•Discussing the importance of
breastfeeding.
•Health talk, display of posters,
distribution of booklets. or
pamphlets.
•Discuss with pregnant
women & family members
too.
•Obtain detail history of
breastfeeding in previous
children.
•Nutritional & diet
counselling.
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Immediate Skin to Skin Contact and Early Breast Feedingin
contact
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▪ Decreases Stress in Baby
▪ Allows to breast feed when baby
is hungry
▪ Mother can Learn feeding cues
▪ Gets Better quality sleep
▪ Good milk supply
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25Responsive feeding prevents engorgement and mastitis in
breast
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A total score less than 8 is considered low/ unsatisfactory.
LATCH scoreis assessed at 6-12 hour after birth and before discharge.
Assessing adequacy of
breast feeds
1. Sleeps well in between
feeds
2. Passes urine at least 6-8
times in a day
3. Crosses birth weight by 2
weeks
4. Gains weight at least 25-30
g/day after initial 7-10 days
5.LATCH score > 8
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▪Prioritize breastfeeding: create sustainable support systems (WBW 2025-
THEME by WABA)
▪This WBW, the spotlight is back on environment and climate change.
▪ A supportive environment for breastfeeding not only benefits families but also
significantly reduces the environmental impact associated with artificial
feeding.
▪ WBW2025 aims to connect actors across all levels involved in breastfeeding
support to create resilient and sustainable support systems.
▪In 2023, the global exclusive breastfeeding rate at 6 months was 48%,
close to the World Assembly target of 50% for 2025.
▪ To ensure positive growth and reach the new 2030 target of 70%
exclusive breastfeeding at 6 months, participation of individuals and
organisations.