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Helping Babies Grow

Learn about the collaboration between Laerdal Global Health and Nifty Feeding Cup to improve alternative oral feeding methods for small infants. Discover the step-by-step approach to transitioning babies to breastfeeding and the challenges faced during this process. Join us in making innovation happen for the growth and development of premature babies.

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Helping Babies Grow

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  1. Helping Babies Grow Laerdal Global Health December 2016

  2. Helping Babies Breathe to Helping Babies Grow Small Baby’s Breastfeeding Journey Nifty Feeding Cup Collaboration Making Innovation happen

  3. Laerdal Global Health • Established 2010 as a not-for-profit company • with the goal of • Helping save 400.000 more lives per year • by • Helping train and equip over 1 million • birth attendants to become efficient lifesavers • Introducingdisruptive innovations • Implementing through effective alliances

  4. Helping Babies Breathe • Over 350,000 trained • in 77 countries • 30 countries have • national scale up plans • Studies in Tanzania, Uganda and Nepal showthe program can • reduce early mortality by 50%, when well implemented

  5. Why successful? • Essentials steps only • Hands-on, simulation based • Peer training model • Highly affordable tools • Locally owned implementation • Broadly endorsed

  6. Helping Babies Survive 23% 20% 36% Helping Babies Breathe Essential Care for Every Baby Essential Care for Small Babies 28 days

  7. Breastfeeding and Skin-to-skin Care are key parts of both training programs

  8. Helping Babies Grow Bundle Works Nifty Feeding Cup MamaBreast PreemieNatalie CarePlus

  9. Helping Babies Breathe to Helping Babies Grow Small Baby’s Breastfeeding Journey Nifty Feeding Cup Collaboration Making Innovation happen

  10. ? ? ? What was Kangaroo Mother Care again? Skin-to-Skin Breastfeeding Infection Protection Exploration Phase How might we help provide breastmilk for babies who have not developed suckling reflex?

  11. Literature Research

  12. Immersion Trips Co-creation Workshops

  13. Growth • Monitoring http://mrl.li/mok2GjOa

  14. Need Identification Small Baby’s Breastfeeding Journey • Growth • monitoring • Obtaining • breastmilk • Feeding amount • and frequency • Transition • to breast • Exclusive • breastfeeding • Feeding • method

  15. Obtaining • breastmilk

  16. Obtaining Breast Milk FIRST DAYS • Initiating breastfeeding within first hour • Baby’s need for rich colostrum • Establishing breast milk production without the normal stimuli of the baby FIRST WEEKS • Baby’s breastfeeding: compress and vacuum • Any expression (hand expression vs breast pumps) should start with stimulation • When available, pumps are introduced too early. Hand expression supplements pumping. Early stimulation of the breast Improve effectiveness of hand expression

  17. Feeding amount • and frequency

  18. Feeding Amount and Frequency • Mother’s perception of baby’s need can be too high • Leading to overfeeding or feeding of other substances than breast milk • Understanding baby’s hunger and satiety cues requires skills • Extra device (syringe) is needed for measuring milk • Feeding amount need to be adjusted based on growth • Guidelines are not comprehensive or easy to apply in real-life More research needed on feeding amount & frequency Training on hunger and satiety cues

  19. Feeding Method Feeding From Breast, Alternative Oral Feeding, NG tube Feeding • First step: Positioning the baby on the breast • If not latchin:Assessing ability to regulate Breathing - Swallowing - Suckling • NG Tube Feeding • Cup/Spoon Feeding • 83% of preterms are late and moderate preterms • Who are more likely stable at birth • May not need NG tube feeding • Can potentially benefit fromcup/spoonfeeding until transition to breast Help classifying a baby for right feeding method

  20. Challenges with Cup/Spoon Feeding Inconsistent tools reused No standard cup/spoon size Pouring milk in to inactive baby’s mouth Feeding baby in horizontal position Pace of feeding not controlled by baby Impatience during baby’s feeding breaks Baby not kept warm while feeding Improve alternative oral feeding to fit the needs of small babies

  21. Transition • to breast

  22. Transition to Breast • Challenging period with combined feeding methods (from breast and with cup/spoon) • Not emphasized enough in guidelines • Getting discharged before baby latches on breast • Reduced SS durations after discharge from hospital • Biggest concern during transition: How much did the baby take from breast? Develop a step-by-step approach to ensure transition Improve guidelines to focus more on transition to breast

  23. Growth • monitoring

  24. Design Brief How might we improve alternative oral feeding for feeding small infants correctly?

  25. Define cup/spoon As a feeding method for preterm babies • Facilitate baby’s active participation in feeding by providing small volumes without pouring • Soft surface area for interaction of tongue/lipsandmilk, stimulating baby to suckle and swallow • Graduations for measuring volume of milk. • Easy to clean and reusable • Improve training for assessing which preterms are qualified for cup/spoon feeding

  26. Nifty Team Collaboration

  27. Helping Babies Breathe to Helping Babies Grow Mother and Small Baby’s Breastfeeding Journey Nifty Feeding Cup Collaboration Making Innovation happen

  28. Helping Babies Grow Bundle

  29. Making Innovation happen Innovation is all about impact

  30. Efficient implementation requires collaboration

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