Importance of Breast feeding,Dr.Ayesha.pptx

KMC
Baby friendly hospital initiative
UNICEF
WHO

1. Importance of Breastfeeding Dr.Ayesha Babar Kawish Head Al-Shifa School of Public Health Al-Shifa Trust Eye Hospital,RWP [email protected]

2. Situation in Pakistan Pakistan stands at  18% for “Early initiation of breastfeeding” and only 37.7% of mothers practise “exclusive breastfeeding for 6 months” . Statistics suggested that 44 per cent of Pakistani children are stunted (lower height for age, having poor cognition and other development milestones).

3. WHO & UNICEF recomendation WHO and UNICEF recommend that  children initiate breastfeeding within the first hour of birth and be exclusively breastfed for the first 6 months of life  – meaning no other foods or liquids are provided, including water. Infants should be breastfed on demand – that is as often as the child wants, day and night.

4. Benefits of Colostrum Contains all the nutrients that a new-born needs Provides enough fluid Immunizes the baby Contains a mild laxative to clear meconium and prevent jaundice Slides #2. 4

5. Advantages of the Composition of Breastmilk Low protein Less stress on kidneys Easy to digest Less allergenic Higher ratio of whey: casein (better absorption) High lactose Energy source for brain development Slide #2. 5

6. Advantages of the Composition of Breastmilk Fat composition Easily digested Hind milk has more fat High water content Contains 87% Water No need to give water during first 6 months

7. Immune Factors in Breastmilk Breastmilk prevents infection and shortens the duration of illness. Immune Factors: Secretory lgA – coats mucus membrane Macrophages – destroy bacteria Lactoferrin – binds iron Lysozyme – anti-infective enzyme Bifidus factor – lactobacillus bifidus (Probiotic) Anti-viral factors Slide #2. 7

8. Breastfeeding Prevents and Delays Allergies S.lgA blocks the entry of foreign proteins and other allergens Avoids early exposure to the proteins in animal milks that act as allergens Reduces the chances of developing allergic conditions like atopic dermatitis (eczema) and asthma even in children with a family history of allergies Slide#2. 8

9. 1.Maternal Benefits The Holy Quran says: Mothers shall suckle their children for two whole years (that is) for those who wish to perfect the suckling. ( Surah Baqarah:233) Islam enhances a mother’s right threefold. Islam elevates status of breastfeeding women, even of wet nurses. Slide #2. 9

10. Maternal Benefits of Breastfeeding Stimulates expulsion of placenta Prevents postpartum haemorrhage Promotes uterine involution Lactational amenorrhoea: reduced iron loss (no menstrual bleeding) prevents conception for 4 to 6 months Decreases mother’s workload: breastmilk is available anytime, anywhere, clean, sterilized and warm Helps mother return to her pre-pregnancy weight and figure Reduces risk of breast cancer Promotes attachment between baby and mother Gives pride, satisfaction and confidence Slide#2. 10

11. 2.Benefits to Babies Meets nutrient needs perfectly complete food easily digested enough water Promotes bonding with mother Always available, 24 hours a day at the right temperature Protects against disease hygienic immune factors Prevents allergies Slide #2. 11

12. 3.Benefits to the Family Less expensive – almost free Less illness: less expenditure and less emotional stress Birth spacing, if desired Less work for family to feed the baby – breastmilk is convenient and available. Slide#2. 12

13. 4.Benefits to the Country Saves foreign exchange by not importing infant formula. Healthy babies – health nation. Less illness means less expenditure on curative health services. Child survival. Population control. Slide#2. 13

14. Disadvantages of Not Breastfeeding Increased cost Recurrent infections due to contamination and lack of immune factors Composition of other milks not optimum for growth and development Swallowing air and nipple confusion Allergy to cow’s milk Dilution errors Inconvenience Bottles need washing and boiling Milk needs warming Slide#2. 14

15. Overview of Optimum Breastfeeding Practices Early initiation ( as soon as possible,within hour of birth) No prelacteal feeds (give colostrums) Exclusive breastfeeding 6 months of age Feeding on demand (day and night) Frequent breastfeeding ( 8-10times per day) Feeding at both breasts Continued breastfeeding for 2 years Slide #5. 18

16. Effects of Optimum Breastfeeding Practices “THE SUCCESSFUL LACTATION LOOP” SUCKING OF BABY Frequent Vigorous Effective At both breasts Sufficient time MILK SUPPLY Good let- down reflex More milk production Breast emptied (hind milk) MOTHER Confident Comfortable No pain Motivated to breastfeed BABY Satisfied Growing well Motivated to breastfeed Slide #5. 19

17. Harmful Effects of Prelacteal Feeds Can cause diarrhea or other infections. Babies will be less hungry and suck less, so breast milk takes longer to come in. Cow’s milk can cause allergies Prelacteal feeds can cause nipple confusion if given in a bottle. Slide #5. 20

18. Exclusive Breastfeeding Exclusive breastfeeding is defined as giving only breast milk for first 6 months of baby with: No prelacteal feeds No additional water, herb water, sherbat , and tea No supplementary fresh animal milk or formula feeds No semi-solid foods Except medicines and vaccinations Slide #5. 21

19. Disadvantages of Feeding Water Water can be contaminated and a source of infection It can interfere with optimal breastfeeding. reduced sucking decrease milk supply nipple confusion Slide #5. 22

20. What is ‘Demand’ Feeding? Baby is fed whenever he cries or mother feels baby need to be feed Babies feed irregularly at first; some very often, some less often. Within 2 weeks they settle into a routine. Frequently sucking at least 8-10 times day and night, ensures increased milk production. Scheduled feeding may interfere with successful lactation. A sleepy baby should be awakened to have at least 8-10 feeds in 24 hours. Slide #5. 23

21. Advantages of Demand Feeding Prevents problems like engorgement and mastitis. Keeps baby satisfied. Promotes optimum growth. Increase prolactin production. Slide #5. 24

22. Advantages of Night -feeding Sustains milk supply. Is useful for working mothers who have less chance to breastfeed during the day. Helps ensure 8-10 feeds/days ( 24 hours). Can be more convenient than preparing bottles at night. Helps in birth spacing Slide #5. 25

23. Length of Times at the Breast The length of each breastfeeding should be according to baby’s demand. “Slow-feeders” can be stimulated to feed longer to make sure they get the hind milk. Sore nipples are caused by sucking in the wrong position not by prolonged sucking. Slide #5. 26

24. Other Aspects of Breastfeeding Pattern Optimum Breastfeeding also includes: Sucking at both breast at each feed. Expressing breast milk to maintain milk supply if breastfeeding is interrupted temporarily. breastfeeding for 2 years to provide: High quality nutrition Protection against disease. Slide #5. 27

25. Key Counselling Messages For a Healthy Baby Start breastfeeding as soon as possible,within one hour after your baby is born. Feed your baby the first milk. It cleans the stomach and prevents infection. First milk is not stale. It looks different because it contains extra protective ingredients for your new baby. After the traditional lick of honey, do not give prelacteal feeds. Only feed breast milk. Breastfeed on demand , day and night. Do not give water or food to the baby in first six months. Ask medicals staff for help if you have any problems. Eat healthy food and drink enough liquids to satisfy thirst while you are breastfeeding . Slide #5. 28

26. The Baby-friendly Hospital Initiative (BFHI) The Baby-friendly Hospital Initiative (BFHI) is  a global effort launched by WHO and UNICEF to implement practices that protect, promote and support breastfeeding . It was launched in 1991 in response to the Innocenti Declaration.

27. Ten steps to successful breastfeeding

28. Thankyou!