BFHI AND PRIMARY BFHI AND PRIMARY HEALTH CARE HEALTH CARE DR.KHALID IQBAL DR.KHALID IQBAL Neonatologist Neonatologist & Lactation Consultant & Lactation Consultant Dubai Dubai Hospital, DUBAI. Hospital, DUBAI.
BFHI AND PRIMARY BFHI AND PRIMARY HEALTH CAREHEALTH CARE
DR.KHALID IQBALDR.KHALID IQBALNeonatologistNeonatologist & Lactation Consultant& Lactation Consultant
Dubai Dubai Hospital, DUBAI.Hospital, DUBAI.
BABY-FRIENDLY WAY
BABY FRIENDLY HOSPITAL INITIATIVE (BFHI)
FACILITY-BASED
MATERNITY - BASED
NEED FOR MORE ATTENTION
STEP 10
Step 10 has not achieved full implementation in a wide variety of settings
THE EXPANSION AND INTEGRATION
1. TO CREATE MORE CREATIVE AND SUPPORTIVE MOTHER AND BABY-FRIENDLY CARE
2. TO REDUCE POST-DISCHARGE LACTATION FAILURE
BREASTFEEDING PROCESS
STAGE 1 INITIATION – LABOUR SUITE
STAGE 2 ESTABLISHMENT – POSTNATAL WARDS
STAGE 3 MAINTAINING BREASTFEEDING AND SUSTAINABILITY (Step 10)
(Primary Health Centres and Community Health Education)
BFHI AND PRIMARY HEALTH CARE CENTRES
CONTINUATION OF BABY FRIENDLY PRACTICES
MAINTAINING EXCLUSIVE BREASTFEDING
EXPANSION AND INTEGRATION POSSIBILITIES
PRIMAY HEALTH CARE CENTRES
To promote links between hospitals and healthcentres with regard to shared MCH care, followed by the closely related baby-friendlyhospital initiative (BFHI)
PRIMARY HEALTH CENTRES
WELL VISIT BABIES WITH ILLNESS
Vaccinations and Treating minor ailments & Referrals
Monitoring
WELL VISITS
METABOLIC SCREENING –5th DAY
ASSESSMENT OF BREASTFEEDING AND GROWTH MONITORING
VACCINATION
RE-EVALUATING THE FEEDING PRACTICES, ASSISTING IF NEEDED, MAINTAINING BREASTFEEDING.
FEEDING PRACTICES
1. EXCLUSIVE BREASTFEEDING
2. MIXED FEEDING
3. BOTTLE-FEEDING
1. EXCLUSIVE BREASTFEEDING
SUPPORT TO CONTINUE FOR 6 MONTHS AND
ABOUT COMPLEMENTARY FEEDING
2. MIXED FEEDING
REASON TO SUPPLEMENT:
NOT ENOUGH MILK SYNDROME
WORKING MOTHERS
ADVICE FROM RELATIVES/FRIENDS
3. BOTTLE-FEEDING
REASON:
NO MILK/NOT ENOUGH MILK
WORKING MOTHERS
MATERNAL MEDICATION
BABY DID NOT SUCK
3. BOTTLE-FEEDING
MANAGEMENT
1.COUNSELLING- Hazards of bottle-feeding
2. RE-LACTATION
WEIGHT REDUCED
REASON
IMPROPER FEEDING
USING OLD GROWTH CHARTS
TREATMENT OF MINOR AILMENT
JAUNDICE
DIARRHOEA
10 STEPS TO OPTIMAL BREASTFEEDING IN PRIMARY HEALTH CARE
1. HAVE A WRITTEN BREASTFEEDING POLICY
2. TRAIN ALL MEDICAL STAFF IN THE SKILLS NECESSARY FOR LACTATION MANAGEMENT
3. DURING A WELL VISIT, ALWAYS EVALUATE THE MOTHERS’ FEEDING PRACTICES AND ASSIST THEM AS NEEDED
4. WHEN AN INFANT IS SEEN DUE TO ANY ILLNESS, APPROPRIATE BREASTFEEDING ADVICE MUST BE GIVEN IN ADDITION TO MEDICAL TREATMENT
5. IF AN INFANT IS SICK AND HOSPITALISATION IS NEEDED, REFER TO THE HOSPITAL WHERE 24-HOUR ROOMING-IN IS PRACTISED.
6. THE PARENTS SHOULD BE PROVIDED PROPER HEALTH EDUCATION WITH WRITTEN AND VERBAL INFORMATION ABOUT BENEFITS AND MANAGEMENT OF BREASTFEEDING.
7. DEMAND FEEDING, EXCLUSIVE BREASTFEEDING AND APPROPRIATE COMPLIMENTARY FEEDING WILL BE FACILITATED.
8. ALL MOTHERS WILL BE TAUGHT HOW TO EXPRESS BREASTMILK MANNUALLY AND HOW TO STORE IT APPROPRIATELY SPECIALLY FOR WORKING MOTHERS
9. FOR BOTTLE-FED BABIES, MOTHERS WILL BE TAUGHT HOW TO INITIATE RE-LACTATION AND RE-ESTABLISH BREASTFEEDING.
10. PROVIDE INFORMATION AND CONTACTS ABOUT COMMUNITY SUPPORT GROUPS AVAILABLE.
THANK YOU