“Breast feeding saves more lives than any other preventive intervention.” WHO, UNICEF, WABA, recommendations on breast feeding are Initiation of breast feeding with in first hour after birth Exclusive breast feeding for first 6 months Breast feeding on demand No use of bottles teats or pacifiers Continued breast feeding for 2 years or more along with complementary feeds
World alliance for breast feeding action Formed on 14 th august 1991global network of organization which works along with WHO and UNICEF Themes of WABA 1992-baby friendly hospital initiative 1993- mother friendly work place initiative 2004- exclusive BF the gold standard safe, sound, and sustainable 2014- a winning goal for life 2023- lets make BF and work, work! 2024- closing the gap- BF support for all
IMPACT ON CHILD SURVIVAL AND GLOBAL SITUATION To prevent over 800000 deaths in children under 5 in world 6 times greater chance of survival An exclusively breast feeding child is 14 times less likely to die in 1 st 6 months than non breast fed child Drastically decrease deaths from respiration and diarrhea Globally : Only 39% of children less than 6 months of age in the developing world are exclusively breast fed. 58% babies continued breast feeding for 20-23months India: 41.6% women breast fed with in 1 st hour and 54.9% were exclusively breast feeding for 6 months.
Proper growth of mouth and jaw Digestion Satisfaction Special bond between mother and baby Positive repercussions of life like stimulation, behavior, speech, sense of well-being, security. Decrease risk of chronic conditions later in life like obesity, high cholesterol, high BP, DM. Better intelligence and behavior Increase and continued production of milk Decrease PPH Delays return of fertility Decrease breast and uterine cancer.
Benefits of breast feeding when baby is sick Milk before the baby got cold a d during cold
Risks of mixed feedings : liquid foods or foods together with breast feeding before 6 months diarrhoea , infectious diseases, decreased milk secretion Risks of artificial feed : expensive, risk of illness of death, risk with dilution, clean, utensils, etc. Formula is not an acceptable substitute for breast milk.
Basics for breast feeding Oxytocin is shy hormone many things inhibits oxytocin like teaching, asking questions, peering, information giving, bright light, unpleasant environment and lack of privacy. Recognize when the baby is hungry Early signs that the baby is hungry– stirring, mouth opening, and turning heads / seeking/ rooting. Signs that baby is really hungry– stretching increasing movement and hand to mouth. Late signs that baby is hungry– crying, lots of movement and color turning red
Laid back breast feeding position
Baby gazing and eye to eye contact, comfortable semi-reclined position, supports all parts especially shoulders and neck. Advantages: Mother does not need to learn technique Mother will bond and learn her baby’s signs of hunger Helps initiate breast feeding more quickly Mother can relax and have eye to eye contact with baby Gravity is not pulling the baby away from breast so less likely to become sore Closeness will protect baby’s temperature, respiration and heart rate Can be used in OT
Care givers responsibilities in breast feeding Wash hands, high standard hygiene, introduce yourself, Listen to mother, recognize normality, prioritizes care, increase mother confidence, decrease intervention, Permission to touch her baby, and even her breast, decrease mother baby separation Assess position, skin to skin contact, record breast feeding initiation time. Recognize deviations Encourage laid back position Recognize hand expression
Challenges in breast feeding Sore nipples Perceived low milk supply Breast engorgement mastitis non infective mastitis, infective mastitis Inverted /flat nipple Breast abscess
In the first few days of birth volume of colostrum is less Find the comfortable method for mother Avoid squeezing and sliding your fingers over the skin as this can cause breast tissue damage Avoid pulling the nipple as this can cause nipple trauma
New born care
Care of new born
Conclusion : We need to give women our time and compassion, there is no place for judgment or blame. Helping a baby feed will not just have an effect on the baby and the mother now, but it will have lasting, lifelong, lifesaving benefits