By

Rajkumar
Need for this skill presentation :

Last two decades – decline in breast feeding

North Madras slums – 43% mother gave up
with in few days
Exclusive breast feeding - 17% in Punjab
Nationwide – 42% at one month and 10% by
the end of six months
Incident of bottle feeding by 6 months - 75%
Delaying first feed – common
Discarding colostrum – 30 to 40%
“Every year abandonment of breast
feeding is a significant factor in the
death of over 1 million infants and
millions of others suffer impaired
growth and development”
A Mother’s privilege, a baby’s right

A complete diet for the new born

Easily available, simple feed
Easily digestible
Hygienic
Cost nothing
Protects from diseases
Provides emotional security
Group education and group
discussion
Advantages :
It saves time
More mothers together, so facilitating
mother to mother interactions
Audio visual can be used
Graduated mother or nurse ???
Place
Hospital
Community
Graduate mother :
Successful breast fed her infant
Learnt all skills of successful BF
Good orator, convince others about BF
Available on telephone

“She should have a complete idea about the skills of BF, proper
positioning, and know all the causes of crying in a baby & that
crying in a baby is not always due to hunger”
Skills to be taught to them

Starts from “Antenatal”

1) Antenatal breast examination
2)Antenatal preparation
3)Essential Antenatal education
A) Importance of exclusive BF
Protective properties
Nutritionally perfect for infant
Dangers of bottle feeding
Emotional / bonding benefits
Healthier for mothers
B) Importance of early initiation of BF
C) Importance of proper positioning
D) Importance of “On demand” (unrestricted) feeding

4) Antenatal counseling
5) Early postpartum period
a) Positioning, attachment and removal of infant
b) Signs that baby attached well to breast
c) Length and frequency of feeding
d) Indicators of adequacy
e) No supplementation, dummies, pacifiers
f) Breast care
g) Diet
Wrong attitudes to be discouraged

Colostrum is not good for baby

Sweet water after birth will give
Babies should not suckle until milk “comes in”
A woman should stop breast feeding if she
becomes pregnant
If a baby is sick she should stop BF
It may go bad if the baby doesn’t suck for a day
Many baby need more than breast milk,
especially if they cry
Mothers do not have enough milk
Bottle feeding makes a baby healthier
Breast feeding is old fashioned
It may spoil a woman figure & interfere with her
relationship with men
It is better to be free to go out with friends
Working mothers can’t breast feed and work
It is embarrassing to breastfeed in public