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    Breastfeeding

    Deddy S Putra

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    Why breastfeeding

    Benefits to the baby

    Species specific

    Complete food The right temperature

    Easily digested and well absorbed

    Protects against infection Promotes emotional bonding

    Better growth and development

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    Why breastfeeding

    Milk from each mammal differs and isspecies specific

    Variation of milk composition are due to:

    Variety of size and physical appearance

    Length of gestation

    Growth rate

    Frequency of feeding

    Living habitat

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    Why breastfeeding

    Benefits to family and society

    Saves money

    Promotes family planning Decreases need for hospitalization

    Contributes to child survival

    Decreases pollution

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    Anatomy of the breast

    Breast consist of:

    Glandular tissue

    Glands

    lactiferous ductules

    ducts

    sinuses (storage of milk) nipple

    Supportive tissue

    Fat

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    Types of breast milk (2) Preterm milk

    is the milk of a mother who delivers

    prematurely.

    Contains higher quantities of proteins, sodium,iron and immunoglobulins needed by the preterm

    baby Fore milkis secreted at the start of a feed.

    It is rich in proteins, sugar vitamins, minerals and

    water. It satisfies the babys thirst Hind milkcomes later at the end of a feed.

    It is richer in fat content and provides more energy

    It satisfies the babys hunger

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    The policy of breastfeeding

    Breastmilk alone can provide100% of babys need during the first 6months of life

    70 % during 6-8 months55 % during 9-11 months

    30 % during 12- 23 months

    So exclusive BF for six monthsBF + complementary food after 6 months

    Family food + BF until at least 2 years of age

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    Key messages to promote

    exclusive breastfeeding (1)

    Put baby at the breast as soon as possibleafter birth, preferably in the delivery room

    Do not discard colostrum

    Keep baby close to mother (rooming in)

    Mother may lie down or sit in bed or on a

    chair to feed the baby Breastfeed during day and night at least 8

    times in 24 hours

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    Key messages to promote

    exclusive breastfeeding (2)

    The more the baby sucks at the breast themore milk the breast will produce

    Allow the baby to empty the breast thenfeed him at the other breast until heleaves the nipple on his own

    Do not give baby any other food until heis 6 months old (incl water, or fruits)

    Do not use bottles or pacifier

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    Positioning and attachment

    Proper attachment of baby whilebreastfeeding includes:

    1. Babys chin touches mothers breast2. Majority of areola inside babys mouth3. Lower and upper lips turned outwards4. Babys mouth wide open

    5. Mother feels no pain6. No sound except swallowing sound

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    Contraindications

    to breastfeeding

    Galactosemia, a hereditary metabolic disease. Mother on antimetabolic /anticancer /radioactive

    drug. In this situations breastfeeding should be

    withheld for a period the mother is on the drug HIV mothers: breastfeeding in such situation

    increases the risk of mother to babytransmission.

    If artificial milk is not acceptable, feasible,affordable, safe or sustainable (AFASS),exclusive breastfeeding is still the best option

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    Air Susu Ibu,

    hadiah sangat berhargayang dapat diberikan orang

    tua pada bayinya.

    Pada keadaan miskin,

    mungkin merupakan hadiahsatu-satunya yg dapat

    diberikan.

    Pada keadaan sakit, dapat

    merupakan pemberian yang

    menyelamatkan jiwanya

    TERIMA KASIH