1 / 24

Ensuring Breastfeeding in Hospitals

Ensuring Breastfeeding in Hospitals. Arun Gupta MD FIAP Regional Coordinator International Baby Food Action Network (IBFAN) June 30 2009 BL Kapoor Memorial Hospital, Delhi. What is in today. Some questions? National guidelines and where we stand About the hormonal control of breastfeeding

bnielson
Télécharger la présentation

Ensuring Breastfeeding in Hospitals

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Ensuring Breastfeeding in Hospitals Arun Gupta MD FIAP Regional Coordinator International Baby Food Action Network (IBFAN) June 30 2009 BL Kapoor Memorial Hospital, Delhi

  2. What is in today • Some questions? • National guidelines and where we stand • About the hormonal control of breastfeeding • About the science and evidence • What is the role of support, help and counselling • What can you do for your hospitals to ensure this support

  3. Some Questions • How many deliveries take place?, ratio :Normal and CS • What is an optimal practice of breastfeeding? • What difficulties you face in ensuring breastfeeding within an hour or exclusive breastfeeding later.

  4. Questions • Do you see women having problems during breastfeeding , what kind? • What is commonest reason for not achieving the optimal? • What is importance of oxytocin and prolactin? • What do you do if a woman says “ I don’t have enough milk”

  5. 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

  6. Sub Optimal Breastfeeding in India (0-6 months)

  7. Feeding Practices (First Year)

  8. Breast Anatomy - Structure

  9. Prolactin Reflex Secretion continues AFTER feed to produce NEXT feed To increase milk productions

  10. Oxytocin Reflex For milk ejection

  11. Helping and Hindering the Oxytocin Reflex For milk ejection

  12. Under-5 deaths preventable through universal coverage with individual interventions (2000) India Percent 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% Breastfeeding* Complementary feeding Clean delivery Hib vaccine Clean water, sanitation, hygiene Zinc Vitamin A Intervention Antenatal steroids Newborn temperature management Tetanus toxoid Antibiotics for PRM Measles vaccine Nivirapine and replacement feeding Insecticide-treated materials Antimalarial IPT in pregnancy *Breastfeeding: Exclusive for first 6 months and continued for 6 to 12 months Source: Jones et al. LANCET 2003;362:65-71

  13. Deaths attributed to sub-optimal breastfeeding among children

  14. 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 Pub.

  15. FEASIBILTY : The impact of community interventions: Improving infant feeding in rural Haryana, India The impact of community interventions: Improving infant feeding in rural Haryana, India through multiple contacts is feasible and improves uptake of other child health interventions. Health policy and Planning 2005; 20(5):328-336. • Similar results are there in Bangladesh, Ghana, Bolivia, Madagascar. • IMR lowered by 32% with Exclusive breastfeeding going up from 39 to 70%

  16. Not enough milk • The cycle of not enough milk

  17. Not Enough Milk

  18. What can you do? • Skills to staff that deals with women at birth and during postpartum period. • BPNI offers training courses ‘3 in 1’ Infant and Young Child feeding Counselling A training programme, (Integrated breastfeeding , complementary feeding and infant feeding & HIV counselling): 7 days: costing Rs 8000, 24 participants in one course.

  19. ‘3 in 1’ training in progress

  20. What can you do? • Implement the Infant Milk Substitutes Feeding Bottles, and Infant Foods (Regulation of Production, Supply and Distribution) Act 1992 as amended in 2003, in letter and spirit. • IMS Act bans all kinds of promotion whether sponsorship, ads or …

  21. What can you do? • Create support for women employees as a Crèche in the hospital so that mother and baby can be close during first six months at least.

  22. Any questions you may have ! • Thanks !!

More Related