Session 8Session 8Baby Friendly Hospital

practices Baby Friendly Hospital

practices

Where prevention of PTCT and infant Where prevention of PTCT and infant feeding decisions can be integrated into feeding decisions can be integrated into MCH servicesMCH services

• Health education activities• Treatment of sexually transmitted diseases• Family planning services• Antenatal care• Delivery and postpartum care• Well baby clinics, Immunization

programme and ICDS programme• Voluntary Counselling and Testing Centres

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Antenatal preparation for breastfeedingAntenatal preparation for breastfeeding

With mothers groups:• Explain benefits of breastfeeding• Give simple information on how to breastfeed• Explain what happens after delivery• Discuss mothers’ questions

With mother individually:• Ask about previous experience• Ask if any questions or worries• Examine breasts if she is worried• Build her confidence

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Dangers of Dangers of prelacteal feedsprelacteal feeds

• They replace colostrum - greater risk of infection - risk of intolerance, allergy

• They interfere with suckling - artificial feeds satisfy hunger - bottles interfere with attachment - baby suckles less - more difficult to establish breastfeeding

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Advantages of rooming-inAdvantages of rooming-in

• Mother can respond to baby, helps bonding• Baby cries less, less temptation to give bottle

feeds• Mother more confident about breastfeeding• Breastfeeding continues longer

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Demand feedingDemand feeding(‘unrestricted’ or ‘baby-led’

feeding)

• No restrictions on frequency of breastfeeds

• No restrictions on length of breastfeeds

• Finish the first breast first

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Advantages of demand feedingAdvantages of demand feeding

• Breastmilk ‘comes in’ sooner• Baby gains weight faster• Fewer difficulties such as engorgement• Breastfeeding more easily established

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Help with an early breastfeedHelp with an early breastfeed

• Avoid hurry and noise• Ask mother how she feels, how breastfeeding is

going• Observe a breastfeed• Help with positioning if necessary• Give relevant information about: - demand feeding - signs baby ready to feed - how milk ‘comes in’• Answer mother’s questions

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