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The Baby Friendly Initiative in Health Services

The Baby Friendly Initiative in Health Services. 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.

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The Baby Friendly Initiative in Health Services

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  1. The Baby Friendly Initiative in Health Services

  2. 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.

  3. What Is It? • 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.

  4. The Ten Step Plan

  5. 1.Have a written breastfeeding policy that is routinely communicated to all staff and volunteers.

  6. 2. Train all health care providers in the knowledge and skills necessary to implement the breastfeeding policy.

  7. 3. Inform all pregnant women about the benefits and management of breastfeeding.

  8. Help mothers initiate breastfeeding • within a half-hour of birth. .

  9. 5. Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants.

  10. 6. Give newborn infants no food or drink other than breastmilk unless medically indicated.

  11. Practice rooming-in •  Allow mothers and infants to remain together 24 hours a day.

  12. 8. Encourage breastfeeding on demand.

  13. 9. Give no artificial teats or pacifiers to breastfeeding infants.

  14. 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.

  15. Compliance with The International Code of Marketing of Breast-Milk Substitutes.

  16. The World Health Organization Code for the Marketing of Breastmilk Substitutes • 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.

  17. The World Health Organization Code for the Marketing of Breastmilk Substitutes • 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.).

  18. The World Health Organization Code for the Marketing of Breastmilk Substitutes • 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.

  19. In February 2010 Chatham-Kent Public Health Unit achieved Baby Friendly Accreditation! Where Do We Go From Here? Continue to monitor breastfeeding rates at hospital discharge, 48 hours post-discharge, and 2 weeks Work to increase exclusive breastfeeding rates to 6 months and develop a method to obtain data Send in yearly reports to the Breastfeeding Committee for Canada Continue to work with local agencies to increase breastfeeding awareness, support and practices Re-assessment in 2015

  20. Who Benefits From Baby Friendly?

  21. The woman and her child • Consistent care & information • Skilled help • Getting off to a good start • Breastfeeding is valued • Mothers are empowered

  22. Caregivers for Mothers and Babies • Increased knowledge • Increased skills • Professional competence • Respect for women Care becomes “woman-centred” not “task-centred”

  23. Health Care Facilities • High Standards of care are measured and met • Meets the RNAO Best Practice Standards for care of breastfeeding mothers and babies

  24. The Family • Health and development of the infant • Health of the mother • Saves money

  25. The Community • Environmentally Friendly • Social programs • Decreased costs for medical care

  26. BREAST IS BEST FOR BABY FOR MOTHER FOR CHATHAM-KENT

  27. 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

  28. Attitudes About Breastfeeding • Attitude affects Behaviour • Important to explore: • Feelings about breastfeeding • Myths about Breastfeeding

  29. 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.

  30. Why Should MothersBreastfeed?

  31. Baby • Nutritional qualities • Anti-infective qualities • Physical qualities • Psychological qualities

  32. Nutritional Qualities • Nutritionally complete for the first 6 months of life • Ensures adequate infant growth

  33. Anti-infective Qualities • Provides anti-bodies • Enhances baby’s immune system • Protection from: • Gastrointestinal illnesses • Respiratory infections • Ear infections • Some childhood cancers

  34. Physical Qualities • Improved visual development • Higher IQ • Protection from: • Diabetes • Obesity • SIDS • Easier to digest

  35. 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)

  36. Mother • Physical qualities • Psychological qualities

  37. Physical Qualities • Protection from: • Pre-menopausal Breast and Ovarian cancer • Hemorrhage • Osteoporosis • Helps weight loss

  38. Psychological Qualities • Empowering • Food for baby always available • Low cost • “Mothering Hormones”

  39. How Milk Is NOT Made!!!

  40. Anatomy

  41. The Action of Breastfeeding

  42. The Action of Bottle Feeding

  43. How Milk Is Made

  44. Community Resources • Public Health • Lactation Consultants • Baby Weigh In • As Parent And Baby Grow • Mother Nurture

  45. 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

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