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Women Need Support to Breastfeed Successfully

Women Need Support to Breastfeed Successfully. Write your Name /Organisation date and Place here. Global Strategy for Infant and Young Child Feeding. Adopted by the WHA and UNICEF Executive board in 2002. Life begins here …. Optimal Infant and Young Child Feeding.

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Women Need Support to Breastfeed Successfully

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  1. Women NeedSupport to Breastfeed Successfully Write your Name /Organisation date and Place here

  2. Global Strategy for Infant and Young Child Feeding • Adopted by the WHA and UNICEF Executive board in 2002

  3. Life begins here ….

  4. Optimal Infant and Young Child Feeding • Starting breastfeeding within one hour of birth • Exclusive breastfeeding for the first six months • Introducing appropriate and adequate complementary feeding after 6 months along with Continued breastfeeding for two years or beyond

  5. Science Support

  6. Risk of neonatal mortality according to time of initiation of breastfeeding Six times more risk of death Pediatrics 2006;117:380-386

  7. Deaths attributed to sub-optimal breastfeeding among children

  8. Impact of Suboptimum breastfeeding on child mortality and DALYs Due to Non- EBF 1.4 million deaths due to suboptimum breastfeeding Due to Non- EBF 43.5 million DALYs due to suboptimum breastfeeding

  9. Long term effects • Subjects who were breastfed experienced lower mean blood pressure and total cholesterol, as well as higher performance in intelligence tests. Prevalence of overweight/obesity and type-2 diabetes was lower among breastfed subjects. • A 2007 WHO Publication

  10. Exclusive breastfeeding Reduces HIV Transmission Risk Lancet , 31 March 2007

  11. What women need to succeed? Breastfeeding education and support • Accurate and un- biased information to all family members, community • One to one counselling during pregnancy • At birth support to begin breastfeeding • Counselling, home visits, and support to maintain exclusive breastfeeding , like support on positioning and nutrition • Counselling for complementary feeding • Counselling to prevent breastfeeding problems and take care if they do arise • Referral for breastfeeding problems like breast engorgement, sore nipples, not enough milk, and breast infection.

  12. Women All Over the World Need Support

  13. Women at work …need support Crèches etc.

  14. What matters to succeed

  15. Successful Breastfeeding… Breastfeeding in the Correct Position • Milk producing glands • Lactiferous canaliculi • Lactiferous sinuses • Myoepithelial tissue • Adipose tissue Anatomy of the Breast

  16. Signs of Correct Attachment • Mouth wide open • Lower lip is turned outside • Chin touching the breast • Black part of the breast not visible below the lower lip • Large black portion of breast and nipple including milk collecting ducts are inside baby’s mouth • Tongue under the teat

  17. Incorrect Sucking Position • Mouth is not wide open • Chin is away from the breast • Baby is sucking only nipple • Most black portion of the breast is outside the baby’s mouth • Tongue away from the teat

  18. Causes of Incorrect Attachment • Use of feeding bottles. Leads to nipple confusion • Inexperienced mother • Functional difficulty with the mother or the baby • Lack of skilled support

  19. Breastmilk Production The Prolactin reflex Sensory Impulses from nipple Prolactin in blood • More prolactin secreted at night • Secreted after feed to produce next feed • Suppresses ovulation Baby sucking

  20. Breastmilk Transfer The Oxytocin reflex Sensory Impulses from nipple Oxytocin in blood • Works before or during feed to make milk flow • Makes uterus contract Baby sucking

  21. Breastmilk Transfer How does the mother’s confidence play part Pain Worry Stress Doubt Thinks lovingly of baby CONFIDENCE Sound of baby Sight of baby

  22. The Feeling of “Not Enough Milk” Not true. Just a perception, this is not a disease entity, just a symptom of underlying problem. You need to know from the mother, why she feels that her baby is not getting enough, and can solve her problems by • Reinstating mother’s confidence • Ensure frequent, effective suckling

  23. Women need help of this kind…

  24. Which children grow healthy and achieve development potential? • Well nourished mothers • Exclusively breastfed for the first six months, begin breastfeeding within an hour • Enough and right food to eat later • Complementary feeding ,continued breastfeeding • Cared well • Hygiene and sanitary environment • Treated when sick

  25. One way to Support is to Sign up

  26. Mum power: The friends from ante-natal class converge on McDonald's for the feed-in. Maddie Reynolds is fourth from the left

  27. Make breastfeeding visible, and more widely available !! Thank you The First Lady of Timor Leste at 7th Ministerial Consultation on Children

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