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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
BABY-FRIENDLY HOSPITAL INITIATIVERevised, Updated and Expanded for Integrated Care
UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
Global Strategy for Infant and Young Child Feeding
The aim of the Global Strategy is to improve – through optimal feeding – the nutritional
status, growth and development, health, and thus the survival of infants and young children.
It supports exclusive breastfeeding for 6 months, with timely, adequate, safe and appropriate complementary feeding, while continuing breastfeeding for two years and beyond.
It also supports maternal nutrition, and social and community support.
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
The aim of the Baby Friendly Hospital Initiative
To implement the Ten Steps to Successful Breastfeeding
and to end the distribution of free and low-cost
supplies of breastmilk substitutes to health facilities.
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
Course Aims
The aim of this course is that every staff member will confidently
support mothers with early and exclusive breastfeeding,
and that this facility moves towards achieving Baby-friendly designation.
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
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Infant Feeding Recommendation for HIV-positive Women
Exclusive breastfeeding is recommended for HIV-infected mothers for the first six months of life
unless replacement feeding is acceptable, feasible, affordable, sustainable and safe for
them and their infants before that time.
When replacement feeding is acceptable, feasible, affordable, sustainable and safe avoidance of all
breastfeeding by HIV-infected mothers is recommended.
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The overall aim of the International Code of Marketing
of Breast-milk Substitutes is the safe and adequate nutrition
of all infants.
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
Skin to Skin Contact and Early Breastfeeding
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First Skin to Skin Contact5/3
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Parts of the Breast6/1
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Helping the Oxytocin Reflex 6/2
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
What can you see?
Good attachment Poor attachment
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
What can you see?
Good attachment Poor attachment
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
Breastfeeding Positions7/1
In lineCloseSupported Facing
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009
BREASTFEED OBSERVATION AIDMother's name _______________________________ Date ___________________Baby's name _________________________________ Baby's age ______________Signs that breastfeeding is going well: Signs of possible difficulty:GENERALMother: Mother:
Mother looks healthy Mother looks ill or depressedMother relaxed and comfortable Mother looks tense and uncomfortableSigns of bonding between mother and baby No mother/baby eye contact
Baby: Baby:Baby looks healthy Baby looks sleepy or illBaby calm and relaxed Baby is restless or cryingBaby reaches or roots for breast if hungry Baby does not reach or root
BREASTSBreasts look healthy Breasts look red, swollen, or soreNo pain or discomfort Breast or nipple painfulBreast well supported with fingers away from nipple Breasts held with fingers on areola Nipples protractile Nipples flat, not protractileBABY’S POSITIONBaby’s head and body in line Baby’s neck and head twisted to feedBaby held close to mother’s body Baby not held closeBaby’s whole body supported Baby supported by head and neck onlyBaby approaches breast, nose to nipple Baby approaches breast, lower lip/chin to nipple
BABY’S ATTACHMENTMore areola seen above baby’s top lip More areola seen below bottom lipBaby’s mouth open wide Baby’s mouth not open wideLower lip turned outwards Lips pointing forward or turned inBaby’s chin touches breast Baby’s chin not touching breast
SUCKLINGSlow, deep sucks with pauses Rapid shallow sucksCheeks round when suckling Cheeks pulled in when sucklingBaby releases breast when finished Mother takes baby off the breast
Mother notices signs of oxytocin reflex No signs of oxytocin reflex noticedNotes:
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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital – 20 hour Course 2009