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8/9/2019 Advocay on Breast Feeding & Complementary Feeding
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8/9/2019 Advocay on Breast Feeding & Complementary Feeding
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Major Causes of Childhood Deaths (2002)Major Causes of Childhood Deaths (2002)
Diarrhoea15%
Measles5%
Other 29%
Malaria10%
Neonatal23%
ARI18%
Malnutrition50%
Sour ce: W HO, 2003
8/9/2019 Advocay on Breast Feeding & Complementary Feeding
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Preventive InterventionsPreventive Interventions
0 2 4 6 8 10 12 14
Breastfeeding
Insecticide-treated materials
Complementary feeding
Zinc
Clean delivery of newborns
Hib vaccine
Percentage Proportion of all deathsSource:The Lancet 2003:362:9377:65-71
8/9/2019 Advocay on Breast Feeding & Complementary Feeding
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Early Initiation of breastfeedingEarly Initiation of breastfeeding
Place the newborn on mother s chest and abdomen forPlace the newborn on mother s chest and abdomen forskinskin--toto-- skin contact Keeps newborn warmskin contact Keeps newborn warmEarly initiation: within half an hourEarly initiation: within half an hourStimulates breast milk productionStimulates breast milk productionColostrums is infants first vaccineColostrums is infants first vaccine
Fosters bonding between mother and newbornFosters bonding between mother and newborn
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NO Prelacteal FeedsNO Prelacteal Feeds
Water,Water, sugarsugar solution,solution, solutionsolution of of JaggeryJaggeryGripewaterGripewater, , BonnisonBonnison, , Somva,VitaminsSomva,Vitamins, , tonicstonics ororotherother typestypes ofof milkmilk shouldshould notnot bebe givengiven. .
PrelactealPrelacteal feedsfeeds givegive nono advantageadvantage to to healthyhealthychildchild andand therethere is is nono lossloss ifif theythey areare notnot givengiven
8/9/2019 Advocay on Breast Feeding & Complementary Feeding
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Exclusive BreastfeedingExclusive Breastfeeding
Exclusive Breastfeeding means , to give only breast Exclusive Breastfeeding means , to give only breast- -milk,milk,not evennot even waterorwateror anyany prelactealprelacteal to baby for the first sixto baby for the first sixmonths.months.
Water or otherWater or other prelactealprelacteal feeds replaces breastfeed.feeds replaces breastfeed.Breast milk provides all nutrients in correct amount toBreast milk provides all nutrients in correct amount tosatisfy hunger and thirst of infant up to 6 months of age.satisfy hunger and thirst of infant up to 6 months of age.
Exclusive breastfeeding results in less number of diarrhea.Exclusive breastfeeding results in less number of diarrhea.
Prolongs amenorrheaProlongs amenorrhea - - fertility control.fertility control.
It must be remembered that benefits of breastfeeding areIt must be remembered that benefits of breastfeeding arereduced if it is not exclusive breastfeeding.reduced if it is not exclusive breastfeeding.
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Frequency of breastfeedingFrequency of breastfeeding
O n demandO n demand- - as often as the infant wants .as often as the infant wants .
Usually a gap of 2Usually a gap of 2- -3 hours but the duration must be3 hours but the duration must be
decided by the baby.decided by the baby.
Frequent breastfeeding stimulates milk production andFrequent breastfeeding stimulates milk production and
prevents breast engorgement.prevents breast engorgement.
Breast milk quickly and easily digested by the baby.Breast milk quickly and easily digested by the baby.
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Use of Both BreastsUse of Both Breasts
Continue breast feeding from one breast till the babyContinue breast feeding from one breast till the baby
release the breast.release the breast.
Baby should not be taken off from the breast Baby should not be taken off from the breast HIN DHIN D
M ilk.M ilk.
O ffer the second breast O ffer the second breast let the baby decidelet the baby decide
Never use bottle or pacifiers.
Never use bottle or pacifiers.
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BreastfeedingBreastfeeding Sick mother or BabySick mother or Baby
Continue breast feedingContinue breast feeding breast milk protects against breast milk protects against
illnessillness
Feed more time for recovery of the babyFeed more time for recovery of the baby
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Breastfeeding and Working womenBreastfeeding and Working women
Use Expressed breast milkUse Expressed breast milkExpressed breast milk can be stored for 8Expressed breast milk can be stored for 8hours at room temperature in a cool placehours at room temperature in a cool placeand 72 hours in refrigeratorand 72 hours in refrigeratorUse cup and spoonUse cup and spoon
Wet nursingWet nursing
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C omplementary FeedingC omplementary Feeding
After completion of sixth month of age , After completion of sixth month of age ,breastfeed must be supplemented bybreastfeed must be supplemented by
complementary feeding.complementary feeding.Staple cereal of the family should be used.Staple cereal of the family should be used.Porridge can be made withPorridge can be made with suji,brokensuji,broken
wheat,groundwheat,ground rice,ragirice,ragi, millets etc., millets etc. Adding sugar or Adding sugar or jaggery jaggery and ghee or oil toand ghee or oil toincrease energy value.increase energy value.
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ConsistancyConsistancy should be thick.should be thick. Vegetables and mashed fruits (not Vegetables and mashed fruits (not juices). juices).Protective foods M ilk, curd,Protective foods M ilk, curd, lassilassi, egg, egg
Amylase rich ( Malted) foods Amylase rich ( Malted) foods
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