The Baby Friendly Initiative in Health Services
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The Baby Friendly Initiative in Health Services. Health Canada Recommendation. Exclusive breastfeeding for the first six months of life for healthy term infant, as breast milk is the best food for optimal growth.

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Health canada recommendation
Health Canada Recommendation

  • Exclusive breastfeeding for the first six months of life for healthy term infant, as breast milk is the best food for optimal growth.

  • Infants should be introduced to nutrient rich solid foods with particular attention to iron at six months with continued breastfeeding for up to two years and beyond.


What Is It?

  • A ten step plan that summarizes the maternity practices necessary to support breastfeeding.

  • The implementation of RNAO best practices that protect, support and promote breastfeeding.

  • Endorsement of the WHO/UNICEF International Code of Marketing of Breast-milk Substitutes.



1.Have a written breastfeeding policy that is routinely communicated to all staff and volunteers.


2. Train all health care providers in the knowledge and skills necessary to implement the breastfeeding policy.



.


5. Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants.


6. Give newborn infants no food or drink other than breastmilk unless medically indicated.


  • Practice rooming-in breastmilk unless medically indicated.

  •  Allow mothers and infants to remain together 24 hours a day.


8 encourage breastfeeding on demand
8. Encourage breastfeeding on demand. breastmilk unless medically indicated.


9 give no artificial teats or pacifiers to breastfeeding infants
9. Give no artificial teats or pacifiers to breastmilk unless medically indicated. breastfeeding infants.


10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.


Compliance with the international code of marketing of breast milk substitutes
Compliance with groups and refer mothers to them on discharge from the hospital or clinic.The International Code of Marketing of Breast-Milk Substitutes.


The World Health Organization Code groups and refer mothers to them on discharge from the hospital or clinic.

for the Marketing of Breastmilk Substitutes

  • Aim: To contribute to the provision of safe and adequate nutrition for all infants.

  • Scope: All breast-milk substitutes, bottles and nipples and any information concerning their use.

  • Advertising: no advertising of the above products to the public.


The World Health Organization Code groups and refer mothers to them on discharge from the hospital or clinic.

for the Marketing of Breastmilk Substitutes

  • Labels: Breastmilk substitute labels must clearly state the superiority of breastfeeding with proper instructions and no pictures of infants.

  • Samples: No free samples to mothers, their families or health care workers.

  • Facilities: No promotion of products covered under the scope (displays, posters, pamphlets etc.).


The World Health Organization Code groups and refer mothers to them on discharge from the hospital or clinic.

for the Marketing of Breastmilk Substitutes

  • Health Care Workers: Accept no gifts or samples.

  • Supplies: No free or low-cost supplies of breast milk substitutes to hospitals.

  • Information: Educational materials must explain the benefits of breastfeeding and the costs associated with formula feeding.


In February 2010 Chatham-Kent Public Health Unit achieved Baby Friendly Accreditation!

Where Do We Go From Here?

Continue to monitor breastfeeding rates at hospital discharge, 48 hours post-discharge, and 2 weeks

Work to increase exclusive breastfeeding rates to 6 months and develop a method to obtain data

Send in yearly reports to the Breastfeeding Committee for Canada

Continue to work with local agencies to increase breastfeeding awareness, support and practices

Re-assessment in 2015


Who benefits from baby friendly
Who Benefits From Baby Friendly Accreditation! Baby Friendly?


The woman and her child
The woman and her child Baby Friendly Accreditation!

  • Consistent care & information

  • Skilled help

  • Getting off to a good start

  • Breastfeeding is valued

  • Mothers are empowered


Caregivers for mothers and babies
Caregivers for Baby Friendly Accreditation! Mothers and Babies

  • Increased knowledge

  • Increased skills

  • Professional competence

  • Respect for women

Care becomes “woman-centred”

not “task-centred”


Health care facilities
Health Care Facilities Baby Friendly Accreditation!

  • High Standards of care are measured and met

  • Meets the RNAO Best Practice Standards for care of breastfeeding mothers and babies


The family
The Family Baby Friendly Accreditation!

  • Health and development of the infant

  • Health of the mother

  • Saves money


The community
The Community Baby Friendly Accreditation!

  • Environmentally Friendly

  • Social programs

  • Decreased costs for medical care


BREAST IS BEST Baby Friendly Accreditation!

FOR

BABY

FOR

MOTHER

FOR CHATHAM-KENT


Breastfeeding is normal
Breastfeeding Is Normal Baby Friendly Accreditation!

  • It’s done worldwide

  • Initiation rate 84% at CKHA

  • Exclusive breastfeeding at discharge is 40-50%

  • Breastfeeding rates are dropping dramatically until only about 9% are exclusively breastfeeding to 6 months


Attitudes about breastfeeding
Attitudes About Breastfeeding Baby Friendly Accreditation!

  • Attitude affects Behaviour

  • Important to explore:

    • Feelings about breastfeeding

    • Myths about Breastfeeding


When breastfeeding is normal babies are protected
When Breastfeeding is Normal, Babies Are Protected Baby Friendly Accreditation!

Venezuelan President Hugo Chavez talks with people affected by flooding in Araira, 50 km (31 miles) from Caracas this past February.


Why should mothers breastfeed

Why Should Mothers Baby Friendly Accreditation! Breastfeed?


Baby Baby Friendly Accreditation!

  • Nutritional qualities

  • Anti-infective qualities

  • Physical qualities

  • Psychological qualities


Nutritional qualities
Nutritional Qualities Baby Friendly Accreditation!

  • Nutritionally complete for the first 6 months of life

  • Ensures adequate infant growth


Anti infective qualities
Anti-infective Qualities Baby Friendly Accreditation!

  • Provides anti-bodies

  • Enhances baby’s immune system

  • Protection from:

    • Gastrointestinal illnesses

    • Respiratory infections

    • Ear infections

    • Some childhood cancers


Physical qualities
Physical Qualities Baby Friendly Accreditation!

  • Improved visual development

  • Higher IQ

  • Protection from:

    • Diabetes

    • Obesity

    • SIDS

  • Easier to digest


Psychological qualities
Psychological Qualities Baby Friendly Accreditation!

  • Strong maternal/infant bonding

  • Greater chance of child developing a secure attachment to mother

  • Baby’s needs can be met quickly (builds trust)


Mother
Mother Baby Friendly Accreditation!

  • Physical qualities

  • Psychological qualities


Physical qualities1
Physical Qualities Baby Friendly Accreditation!

  • Protection from:

    • Pre-menopausal Breast and Ovarian cancer

    • Hemorrhage

    • Osteoporosis

  • Helps weight loss


Psychological qualities1
Psychological Qualities Baby Friendly Accreditation!

  • Empowering

  • Food for baby always available

  • Low cost

  • “Mothering Hormones”


How milk is not made
How Milk Is NOT Made!!! Baby Friendly Accreditation!


Anatomy
Anatomy Baby Friendly Accreditation!


The action of breastfeeding
The Action of Breastfeeding Baby Friendly Accreditation!


The action of bottle feeding
The Action of Bottle Feeding Baby Friendly Accreditation!


How milk is made
How Milk Is Made Baby Friendly Accreditation!


Community resources
Community Resources Baby Friendly Accreditation!

  • Public Health

  • Lactation Consultants

  • Baby Weigh In

  • As Parent And Baby Grow

  • Mother Nurture


References
References Baby Friendly Accreditation!

  • Riordan & Auerbach Breastfeeding and Human Lactation

  • The Breastfeeding Atlas - lactpress 2002

  • Health canada 2002

  • Www.Breastfeedingniagara.Com

  • Breastfeeding Committee for Canada

  • Http://www.Breastfeedingbasics.Org/cgi-bin/deliver.Cgi/content/anatomy/str_internal.html

  • La Leche League Canada

  • http://www.brianpalmerdds.com/pdf/Otitis_media.pdf. Palmer, B. (2001). Otitis Media: An anatomical perspective

  • http://www.breastfeeding.com/helpme/helpme_images_anatomy.html

  • Best Start


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