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BREASTFEEDING AND COMPLEMENTARY FEEDING: SITUATION IN INDIA. DR. SHRIRAM V GOSAVI PG COMMUNITY MEDICINE DEPT. MGIMS, SEVAGRAM. GLOBAL RECOMMENDATIONS FOR INFANT AND YOUNG CHILD FEEDING. Initiation of early BF Exclusive breastfeeding Introduction of Complementary
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BREASTFEEDING AND COMPLEMENTARY FEEDING: SITUATION IN INDIA DR. SHRIRAM V GOSAVI PG COMMUNITY MEDICINE DEPT. MGIMS, SEVAGRAM
GLOBAL RECOMMENDATIONS FOR INFANT AND YOUNG CHILD FEEDING Initiation of early BF Exclusive breastfeeding Introduction of Complementary feeding
RISK OF NEONATAL MORTALITY ACCORDINGTO TIME OF INITIATION OF BF
If increasing delay in initiation of breastfeeding American Academy of Pediatrics • Overall late initiation (after day 1) was associated with a 2.6-fold risk of death from infectious disease • Partial breastfeeding during first month associated with 6 fold adjusted risk of death from infectious disease Source: Pediatr, 2005; 115:496–506.
PROGRESS IN EXCLUSIVE BREASTFEEDING RATES IN <6 MTHS OLD CHILD IN WORLD
State wise situation of early initiation of Breastfeeding with in 1 hr, NFHS-3 (2005-06)
Early initiation of Breastfeeding & education of mother, NFHS-3 (2005-06)
Early initiation of breastfeeding & wealth status, NFHS-3 (2005-06)
Early initiation of breastfeeding & the place of delivery, NFHS-3 (2005-06)
State wise situation of Exclusive Breastfeeding (0-6 Mths), NFHS-3 (2005-06)
State wise situation of complementary feeding (6-9 Mths), NFHS-3 (2005-06)
POSSIBLE REASONS FOR SUBOPTIMAL BREASTFEEDING & COMPLEMENTRY FEEDING Lack of proper information to mothers Lack of counseling on feeding of infants Lack of proper feeding skill’s Inadequate health care support Inability of health care providers to help mothers experiencing breastfeeding difficulty Aggressive promotion of baby foods by commercial industries & Lack of proper support structures at community & work place like maternity entitlements & crèches
References National Family Health Survey - 3. International Institute for Population Sciences. Availableat: http://www.nfhsindia.org/nfhs3_national_report.html WHO/UNICEF Global Strategy for Infant and Young Child Feeding, World Health Organization (WHO), 2002. Available at: http://www.who.int/child-adolescent health/NUTRITION/ global_strategy.htm American Academy of Pediatrics. Section on breastfeeding -Breastfeeding and the use of human milk. Pediatr 2005; 115: 496–506. Dr. Arun Gupta et al. Breastfeeding and Complementary Feeding as a Public Health Intervention for Child Survival in India, Indian Journal of Pediatric, Jan-2010.