Session 3A - Early Intiation of Breast-Feeding

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Objectives:

 To use information to counsel women on optimum breast feeding,


advantages of breastfeeding and disadvantages of bottle feeding,
 Explaining physiology of lactation.
 Counsel mothers on their own nutrition during pregnancy or lactation.
 Emphasize on early initiation and feeding Colostrum.
 Take breastfeeding history in the antenatal/postnatal wards or OPD
clinic before counseling and use.
 Demonstrate appropriate listening and learning skills when counseling
a mother on feeding her infant.
Child Health Status

Infants who are not breastfed are 15


times more likely to die from
pneumonia and 11 times more likely to
die of diarrhoea than those who are
breastfed.
Timing of Breast Feeding Initiation:

 Early initiation of breastfeeding, defined as initiation of


breastfeeding within 1 hour of birth, is done by only 21% of mothers.
Breast feeding should be initiated as soon as the baby is born or within
half hour after birth.
 Initiation of breast feeding is very vital as failure results in lactation
failure. To become skillful, it is necessary to practice.
Initiating Breast Feeding in the Labour Room

The paramedic attending to the mother in the Labour room of a health


facility should take the responsibility to initiate breast feeding.
 As soon as the baby is born and the cord has been properly clamped,
the baby should be dried and put on to the mother’s abdomen in a
prone position. This should ideally be with skin to skin contact.
Bring the baby up to the mother’s breast and allow the baby to suckle
at the breast for a few minutes at each breast. The baby can remain
with the mother until the placenta is expelled. Suckling at the breast
stimulates oxytocin release which helps in the expulsion of the
placenta and reduces bleeding.
Initiating Breast Feeding after Delivery at
Home
 The Midwife conducting the delivery is primarily responsible to initiate
breast feeding after a home delivery. If a LHW is present during the
delivery, she should assist the Midwife in initiating breast feeding.
 As soon as the baby is born and the cord has been clamped properly.
Baby should be dried and put onto the mother’s abdomen in a prone
position. There should be skin to skin contact.
 Baby should be assisted to suckle at both breasts for a few minutes at
each breast. Then the baby can remain with the mother and suckle until the
placenta has been expelled. Later, the baby should be put to the breast at
frequent intervals to ensure early production of breast milk and a good 'let-
down’ reflex, which is due to oxytocin production stimulated by suckling.

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