Transcript Slide 1

The Baby
Friendly
Initiative in
Health
Services
Health Canada Recommendation
• Exclusive breastfeeding for the first six months of life
for healthy term infant, as breast milk is the best
food for optimal growth.
• Infants should be introduced to nutrient rich solid
foods with particular attention to iron at six months
with continued breastfeeding for up to two years and
beyond.
What Is It?
•A ten step plan that
summarizes the maternity
practices necessary to
support breastfeeding.
• The implementation of
RNAO best practices that
protect, support and
promote breastfeeding.
• Endorsement of the
WHO/UNICEF
International Code of
Marketing of Breast-milk
Substitutes.
The Ten Step Plan
1. Have a written breastfeeding policy
that is routinely communicated to all
staff and volunteers.
2. Train all health
care providers in
the knowledge
and skills
necessary to
implement the
breastfeeding
policy.
3. Inform all pregnant
women about the
benefits and
management of
breastfeeding.
4. Help mothers initiate breastfeeding
within a half-hour of birth.
.
5. Show mothers how to breastfeed and how to maintain
lactation even if they should be separated from their infants.
6. Give newborn
infants no food or
drink other than
breastmilk unless
medically indicated.
7. Practice rooming-in
Allow mothers and
infants to remain
together 24 hours a day.
8. Encourage breastfeeding on demand.
9. Give no artificial teats or pacifiers to
breastfeeding infants.
10. Foster the establishment of breastfeeding support
groups and refer mothers to them on discharge from
the hospital or clinic.
Compliance with
The International Code of
Marketing of Breast-Milk
Substitutes.
The World Health Organization Code
for the Marketing of Breastmilk Substitutes
Aim: To contribute to the
provision of safe and adequate
nutrition for all infants.
Scope: All breast-milk
substitutes, bottles and nipples
and any information concerning
their use.
Advertising: no advertising of
the above products to the public.
The World Health Organization Code
for the Marketing of Breastmilk Substitutes
Labels: Breastmilk substitute
labels must clearly state the
superiority of breastfeeding with
proper instructions and no
pictures of infants.
Samples: No free samples to
mothers, their families or health
care workers.
Facilities: No promotion of
products covered under the
scope (displays, posters,
pamphlets etc.).
The World Health Organization Code
for the Marketing of Breastmilk Substitutes
Health Care Workers:
Accept no gifts or samples.
Supplies: No free or lowcost supplies of breast milk
substitutes to hospitals.
Information: Educational
materials must explain the
benefits of breastfeeding
and the costs associated
with formula feeding.
In February 2010 Chatham-Kent Public Health Unit achieved
Baby Friendly Accreditation!
Where Do We Go From Here?
1.
Continue to monitor breastfeeding rates
at hospital discharge, 48 hours postdischarge, and 2 weeks
2.
Work to increase exclusive breastfeeding
rates to 6 months and develop a method
to obtain data
3.
Send in yearly reports to the
Breastfeeding Committee for Canada
4.
Continue to work with local agencies to
increase breastfeeding awareness,
support and practices
5.
Re-assessment in 2015
Who Benefits From
Baby Friendly?
The woman and her child
• Consistent care &
information
• Skilled help
• Getting off to a good start
• Breastfeeding is valued
• Mothers are empowered
Caregivers for
Mothers and Babies
• Increased knowledge
• Increased skills
• Professional competence
• Respect for women
Care becomes “woman-centred”
not “task-centred”
Health Care Facilities
• High Standards of
care are measured
and met
• Meets the RNAO Best
Practice Standards for
care of breastfeeding
mothers and babies
The Family
• Health and development of
the infant
• Health of the mother
• Saves money
The Community
• Environmentally
Friendly
• Social programs
• Decreased costs for
medical care
BREAST IS BEST
F
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FOR CHATHAM-KENT
Breastfeeding Is Normal
• It’s done worldwide
• Initiation rate 84% at CKHA
• Exclusive breastfeeding at
discharge is 40-50%
• Breastfeeding rates are dropping
dramatically until only about 9%
are exclusively breastfeeding to
6 months
Attitudes About Breastfeeding
• Attitude affects Behaviour
• Important to explore:
– Feelings about breastfeeding
–Myths about Breastfeeding
Venezuelan President Hugo
Chavez talks with people
affected by flooding in
Araira, 50 km (31 miles)
from Caracas this past
February.
When Breastfeeding is Normal, Babies
Are Protected
Why Should Mothers
Breastfeed?
Baby
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Nutritional qualities
Anti-infective qualities
Physical qualities
Psychological qualities
Nutritional Qualities
• Nutritionally complete for the
first 6 months of life
• Ensures adequate infant growth
Anti-infective Qualities
• Provides anti-bodies
• Enhances baby’s immune system
• Protection from:
Gastrointestinal illnesses
Respiratory infections
Ear infections
Some childhood cancers
Physical Qualities
• Improved visual development
• Higher IQ
• Protection from:
Diabetes
Obesity
SIDS
• Easier to digest
Psychological Qualities
• Strong maternal/infant bonding
• Greater chance of child developing a
secure attachment to mother
• Baby’s needs can be met quickly
(builds trust)
Mother
• Physical qualities
• Psychological qualities
Physical Qualities
• Protection from:
Pre-menopausal Breast and Ovarian
cancer
Hemorrhage
Osteoporosis
• Helps weight loss
Psychological Qualities
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Empowering
Food for baby always available
Low cost
“Mothering Hormones”
How Milk Is NOT Made!!!
Anatomy
The Action of Breastfeeding
The Action of Bottle Feeding
How Milk Is Made
Community Resources
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Public Health
Lactation Consultants
Baby Weigh In
As Parent And Baby Grow
Mother Nurture
References
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Riordan & Auerbach Breastfeeding and Human Lactation
The Breastfeeding Atlas - lactpress 2002
Health canada 2002
Www.Breastfeedingniagara.Com
Breastfeeding Committee for Canada
Http://www.Breastfeedingbasics.Org/cgibin/deliver.Cgi/content/anatomy/str_internal.html
La Leche League Canada
http://www.brianpalmerdds.com/pdf/Otitis_media.pdf. Palmer, B. (2001).
Otitis Media: An anatomical perspective
http://www.breastfeeding.com/helpme/helpme_images_anatomy.html
Best Start