Successful Exclusive Breastfeeding For the First Six Months International Baby Food Action Network...

Successful Exclusive Successful Exclusive Breastfeeding For the Breastfeeding For the

First Six MonthsFirst Six Months

International Baby Food Action Network (IBFAN) Asia Pacific

Breastfeeding Promotion Network of India

Draft - 31 March 2005Draft - 31 March 2005

Global and National Recommendations for Global and National Recommendations for Infant and Young Child FeedingInfant and Young Child Feeding

Exclusive breastfeeding for 6 Exclusive breastfeeding for 6 monthsmonths

Introduce nutritionally adequate Introduce nutritionally adequate and safe complementary foods after and safe complementary foods after the infant reaches 6 months of agethe infant reaches 6 months of age

Continuing to breastfeed for 2 years Continuing to breastfeed for 2 years or beyond.or beyond.

Put Your National Position Put Your National Position Here__________Here__________

What isWhat is Exclusive Breastfeeding?Exclusive Breastfeeding?

GivGivinging an infant only an infant only breastmilk, with the breastmilk, with the exception of drops or exception of drops or syrups consisting of syrups consisting of vitamins, mineral vitamins, mineral supplements, or supplements, or drugsdrugs

No food or drinkNo food or drink other other than breastmilk—not than breastmilk—not eveneven water water

Benefits to the BabyBenefits to the Baby

• Complete food for Complete food for the first six monthsthe first six months

• Perfect nutrition Perfect nutrition • Higher IQHigher IQ• Emotional bondingEmotional bonding• Prevents infectionsPrevents infections• Prevents chronic Prevents chronic

diseasesdiseases• Easily digestedEasily digested

Benefits to the MotherBenefits to the Mother

• Reduces post Reduces post delivery bleeding and delivery bleeding and anemiaanemia

• Helps delay next Helps delay next pregnancypregnancy

• Protective effect Protective effect against breast and against breast and ovarian cancerovarian cancer

• Helps to loose weightHelps to loose weight• Emotional bondingEmotional bonding• Needs no preparationNeeds no preparation

Benefits to the SocietyBenefits to the Society

• Reduces Reduces absenteeism of absenteeism of mothers from work mothers from work as they are less as they are less prone to disease.prone to disease.

• EconomicalEconomical

• Enhances Enhances BondingBonding

Successful Breastfeeding…Successful Breastfeeding…

Exclusive breastfeeding Exclusive breastfeeding for the first six monthsfor the first six months


Major HurdlesMajor Hurdles

• Lack of family supportLack of family support

• Lack of support by health professionalsLack of support by health professionals

• Commercial influenceCommercial influence

• Feeling of not enough milk among womenFeeling of not enough milk among women


Important Do’sImportant Do’s• Initiate breastfeeding as early as possible within one hour Initiate breastfeeding as early as possible within one hour

of birth.of birth.

• Do not give the baby any prelacteal feedsDo not give the baby any prelacteal feeds

• No bottles, artificial teats or pacifier No bottles, artificial teats or pacifier

• Breastfeeding on demand at least 8-10 times in a day and Breastfeeding on demand at least 8-10 times in a day and at night aat night a

• Breastfeed in a correct positionBreastfeed in a correct position

• Build mother’s confidence to sustain good milk supply and Build mother’s confidence to sustain good milk supply and alleviate feeling of not enough milk.alleviate feeling of not enough milk.


• Initiate Breastfeeding Within Initiate Breastfeeding Within One One Hour of Hour of BirthBirth


No Prelacteal FeedsNo Prelacteal Feeds

• Replace colostrum Replace colostrum

• Reduce baby’s Reduce baby’s desire for desire for breastfeedingbreastfeeding

• Greater risk of Greater risk of infectioninfection

• Risk of intolerance, Risk of intolerance, allergyallergy


• No Bottles, No Bottles, Artificial Teats or Artificial Teats or Pacifiers for Pacifiers for Breastfeeding Breastfeeding Infants Infants

It lead to nipple It lead to nipple confusionconfusion


Breastfeed on demandBreastfeed on demand• 8-10 times or more in 24 8-10 times or more in 24

hourshours• Breastfeed at nightBreastfeed at night• No restrictions on length of No restrictions on length of breastfeedsbreastfeeds• No restrictions on No restrictions on

frequency of frequency of breastfeedsbreastfeeds

MORE SUCKLING MORE MILKMORE SUCKLING MORE MILK

Successful Breastfeeding…Successful Breastfeeding…Breastfeeding in the Correct PositionBreastfeeding in the Correct Position

Anatomy of the BreastAnatomy of the Breast

Milk producing glands

Lactiferous canaliculi

Lactiferous sinuses

Myoepithelial tissue

Adipose tissue

Signs of Correct Signs of Correct AttachmentAttachment

• Mouth wide open Mouth wide open • Lower lip is turned Lower lip is turned

outsideoutside• Chin touching the breast Chin touching the breast • Black part of the breast Black part of the breast

not visible below the not visible below the lower liplower lip

• Large black portion of Large black portion of breast and nipple breast and nipple including milk collecting including milk collecting ducts are inside baby’s ducts are inside baby’s mouthmouth

• Tongue under the teatTongue under the teat

Incorrect Sucking Incorrect Sucking PositionPosition• Mouth is not wide openMouth is not wide open

• Chin is away from the Chin is away from the breastbreast

• Baby is sucking only Baby is sucking only nipplenipple

• Most black portion of Most black portion of the breast is outside the breast is outside the baby’s mouththe baby’s mouth

• Tongue away from the Tongue away from the teatteat

Causes of Incorrect Causes of Incorrect AttachmentAttachment

• Use of feeding bottles. Leads to Use of feeding bottles. Leads to nipple confusionnipple confusion

• Inexperienced motherInexperienced mother

• Functional difficulty with the mother Functional difficulty with the mother or the babyor the baby

• Lack of skilled supportLack of skilled support

Successful Successful Breastfeeding…Breastfeeding…

Build Mother’s ConfidenceBuild Mother’s Confidence

• During prenatal periodDuring prenatal period

• During antenatal PeriodDuring antenatal Period

• During postnatal periodDuring postnatal period

• More prolactin More prolactin secreted at nightsecreted at night

• Secreted after feed Secreted after feed to produce next feedto produce next feed

• Suppresses Suppresses ovulationovulation

The Prolactin reflexThe Prolactin reflex

Baby sucking

Sensory Impulses from nippleProlactin

in blood

Breastmilk ProductionBreastmilk Production

The Oxytocin reflexThe Oxytocin reflex

Breastmilk TransferBreastmilk Transfer

• Works before or during Works before or during feed to make milk flowfeed to make milk flow

• Makes uterus contractBaby

sucking

Sensory Impulses from nipple

Oxytocin in blood

How does the mother’s How does the mother’s confidence play partconfidence play part

Breastmilk TransferBreastmilk Transfer

Thinks lovingly of baby

CONFIDENCE Sound of baby Sight of baby

Pain Worry Stress Doubt

The Feeling of “Not Enough The Feeling of “Not Enough Milk”Milk”

Not True. Just a perceptionNot True. Just a perception

Reinforce mothers:Reinforce mothers:

Self confidence is mustSelf confidence is must

Ensure frequent sucklingEnsure frequent suckling

Ensure effective sucklingEnsure effective suckling

ConclusionConclusion

Exclusive Breastfeeding for First Exclusive Breastfeeding for First Six MonthsSix Months

Being Successful-Being Successful-• Initiate breastfeeding as early as possible within one hour of Initiate breastfeeding as early as possible within one hour of

birth.birth.• Do not give the baby any prelacteal feedsDo not give the baby any prelacteal feeds• No bottles, artificial teats or pacifier No bottles, artificial teats or pacifier • Breastfeeding on demand at least 8-10 times in a day and at Breastfeeding on demand at least 8-10 times in a day and at

night anight a• Breastfeed in a correct positionBreastfeed in a correct position• Build mother’s confidence to sustain good milk supply and Build mother’s confidence to sustain good milk supply and

alleviate feeling of not enough milk.alleviate feeling of not enough milk.

Newborn deserves the best Nutrition, Improved Survival, Optimum Development and Healthy Life

Breastfeeding can do this miracle !!!

Successful Exclusive Breastfeeding For the First Six Months International Baby Food Action Network...

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