Teaching Module2 for BRF

8/12/2019 Teaching Module2 for BRF

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"IF WE ARE THE FUTURE AND WE RE DYING,

THERE IS NO FUTURE"

- MARY PHIRI , 2001

Optimum Breast Feeding

Why & How

Saving Newborn Lives by Early Initiation of Breastfeeding and Exclusive Breastfeeding

Courtesy:HELP [Health Education & Literacy Programme]


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Outline of Presentation

Situation Analysis. Why Breast Feeding.How to achieve Optimum Breast Feeding.


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42 countries account for 90% U5 deaths6 countries account for 50% of U5 deaths

Pakistan 2 nd only to Afghanistan


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Neonatal Mortality Rates Countries NMR Afghanistan 45

Pakistan 41

India 35

Nepal 28

Bangladesh 27

Sri Lanka 10

Optimum Breast feeding practices canreduce 22% of these deaths


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1st hour initiation cuts 22% of all deaths

100%15.8%

11 Lac

Neonatal

Deaths

2.5 lac

If we enhance initiation ofBF within one hour

2.5 lac babies will be savedPediatrics 2006;117:380-386


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Optimal Infant feeding practice reduces Under-five mortality

3%

3%

4%

4%

5%

6%

7%

13%

0% 2% 4% 6% 8% 10% 12% 14%

Antenatal steroids

Water, sanitation,hygiene

Clean delivery

Hib vaccine

Zinc

Continued BF withComplementary feeding

Insecticide treatedmaterials

Exclusive Breastfeeding

Source: Lancet Child Survival Series 2003


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What is Optimum Breast Feeding?

Initiate breastfeeding within a half-hour of birthEncourage breastfeeding on demand (Day &Night)Frequent suckling at least 8-10 times per day A sleepy baby should be awakened to have at least 8-10 feeds in 24

hoursExclusive breastfeeding for first 6 months of lifeBreast feeding for 2 years

Benefits of Breast Feeding

Allows skin-to-skin contact for warmth for babyProvides colostrum as the baby s first immunizationTakes advantage of the first hour of alertnessBabies learn to suckle more effectivelyKeeps baby satisfied


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Breast Feeding Practices in South Asia(Early Initiation)

Countries BFP (%)

Sri Lanka 80

Bangladesh 43

India 41

Nepal 35

Pakistan 27


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Bottle FeedingCross-Country Comparison

22

15

27

32

4

0 10 20 30 40 50 60 70 80 90 100

Bangladesh 2004

India 2006

Nepal 2006

Sri Lanka 2000

Pakistan 2007

Percentage


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Median duration of Breast Feeding

Male 20.3 monthsFemale 18.4 months


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Effect of delivery room practiceson early Breast Feeding

Adapted from: Righard L , Alade O. Effect of delivery room routines on success of first breastfeed.Lancet, 1990, 336:1105-1107.

0%10%20%30%40%

50%60%70%

Continuous contactn=38

Separation for proceduresn=34

P e r c e n t a g e

Successful sucking pattern

63%P


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Factors Associated with No EarlyInitiation of Breast Feeding

* Adjusted Odds Ratio; 95% confidence interval

1.481.95 1.88

0.00

1.00

2.00

3.00

Working mothers Caesarian sectiondelivery Province Sindh

AOR*(95% CI)

Ref: Hazir T, aglo K,AkramDS..JofPHNutrition2012


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Factors Associated with Non-exclusiveBreast Feeding

1.762.31

1.71

0.00

2.00

4.00

Working mothers Rishest wealthindex

Province Punjab

AOR*(95% CI)

* Adjusted Odds Ratio; 95% confidence interval Ref: Hazir T, aglo K,AkramDS..JofPHNutrition2012


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Factors associated with BottleFeeding

1.411.93

2.41

1.47

0.00

2.00

4.00

Father'seducationsecondary+

4 & more ANCvisits Richest wealthindex ProvincePunjab

AOR*(95% CI)

* Adjusted Odds Ratio; 95% confidence interval Ref: Hazir T, aglo K,AkramDS..JofPHNutrition2012


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What should be done

Ante Natal Counseling

Early initiation of Breast Feeding in Labour room.Post Natal Counseling.Restriction on advertisement of Breast MilkSubstitutes including bottles.Support for mothers with Breast Feedingproblems.


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THE LAST WORD

Depriving an infant of his/herdue share of breast milk is the

worst kind of child abuseinflicted at the very beginning

of life

Infant feeding should not be amatter of trial and error

Teaching Module2 for BRF

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