Session 8
Baby Friendly Hospital
practices
Where prevention of PTCT and infant
feeding decisions can be integrated into
MCH services
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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
8/1
Antenatal preparation for breastfeeding
With mothers groups:
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Explain benefits of breastfeeding
Give simple information on how to breastfeed
Explain what happens after delivery
Discuss mothers’ questions
With mother individually:
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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
prelacteal 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-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
8/9
Demand feeding
(‘unrestricted’ or ‘baby-led’
feeding)
• No restrictions on
frequency of
breastfeeds
• No restrictions on
length of breastfeeds
• Finish the first breast
first
8/10
Advantages of demand feeding
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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 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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