Download BREASTFEEDING The First Hour

4.
This position ensures early instinctive stimulation and
gives warmth,
love,
security and food.
It also initiates the
bonding process between the baby and the mother.
The
baby is very alert and responsive in the first 3060
minutes after delivery and hence is at her best instinctive
level.
CENTER FOR PATIENT PARTNERSHIP
DEPARTMENT OF PEDIATRICS
5.
Kicks from the baby will give tender firm jerks to the
womb stimulating it to contract.This will help to expel
the placenta and reduce bleeding.
6.
Once the baby realizes that food is in close proximity,
she starts salivating.
7.
Breast odour is a strong stimulus which drives the baby
toward the nipple. The baby's sense of smell is well
developed. The odour of a substance secreted by the
nipple is similar to the smell of a substance in the
amniotic fluid which surrounds the baby in the womb.
8.
Nipple Massage by the baby makes it protract.
This helps
attachment.Nipple massage also releases a hormone
called oxytocin in the mother.
This helps to contract the
uterus,
reduce bleeding and prevent maternal anaemia.
9.
The baby starts to make mouthing movements. The
baby's hands should have amniotic fluid on them,as it
guides the baby to the nipple.
10. The baby's shoulder, hip and neck muscles are sufficiently
developed to help her move.
11. Even with her limited vision,
the baby can see the areola.
If the baby raises her head,
she can also see her mother's
face.Whenever possible, raise mother's head on a pillow
to facilitate mother-baby visual contact.
12. The baby then reaches the nipple,raises her head and
gets nicely attached onto the nipple with her mouth wide
open to take a mouthful of breast.This first skintoskin
contact must continue until the baby finishes her first
breastfeed.
The baby is kept warm by being in skin-to-skin contact with
the mother. This initial experience is a strong stimulus for
neurodevelopment. In addition, the baby's risk of infection is
reduced because safe germs (
bacteria)from the mother start
to colonise her skin and intestines,and prevent harmful
germs from growing
References :
www.
breastcrawl.
org
www.
waba.
org.
my
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
DEPARTMENT OF ANESTHESIOLOGY
BREASTFEEDING
The First Hour
DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DEPARTMENT OF ANESTHESIOLOGY
DEPARTMENT OF PEDIATRICS
4/F, Podium Bldg. Ortigas Avenue, Pasig City,
Metro Manila, Philippines
Tel. No. (632) 635-6789 Ext. 6322
CENTER FOR PATIENT PARTNERSHIP
Empowering our patients to be our partners in
the management of their health
2/F, Podium Building, Ambulatory Center
Ortigas Avenue, Pasig City, Metro Manila, Philippines
Tel. No. (632) 635-6789 Ext. 6444
E-mail: [email protected]
www.themedicalcity.com
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Patient Information
Breastfeeding: The first hour
Early initiation and exclusive breastfeeding for six months
can SAVE more than ONE million babies!
!·
!·
!·
!
The potential for saving ONE million babies starts with
ONE simple action:allowing the baby to initiate
breastfeeding in the first hour of life.
Immediate skintoskin contact of the mother and baby
and continuing with exclusive breastfeeding for six
months could reduce infant and underfive mortality,
by
reducing the overwhelmingly high neonatal mortality
rate.
Health ministries should include the initiation of
breastfeeding in the first hour as a key indicator for
preventive health and support the newly revised and
revitalized Baby Friendly Hospital Initiative (
BFHI).
Support from health workers,policy makers,families
and communities could help mothers and babies
breastfeed successfully and save ONE million lives.
Benefits of Breastfeeding
Did You Know?
Every newborn,when placed on the mother's abdomen
soon after birth has the ability to find its mother's breast all
on its own and to decide ? when to take the first breastfeed.
This is called the 'Breast Crawl'.
UNICEF,WHO and WABA along with the scientific
community strongly recommend initiating breastfeeding
within half an hour of birth.? ? Evidence shows that
breastfeeding in the first hour can prevent 22% of all deaths
? among babies below one month in developing countries.
Breastfeeding is Nature's best medicine. It provides more
benefits than any drug modern medicine can offer.
EXCLUSIVE
Breastfeeding protects against illness and death.It protects
against:
!
Diarrhea
!
Ear Infections
!
!
!
!
!
!
Serious Infections like Meningitis and Pneumonia
Sudden Infant Death
Allergies
Obesity
Diabetes
Some childhood cancers like leukemia and lymphoma
Breastfeeding Promotes:
!
!
!
!
Higher IQ
Better school performance even up to the teenage
years
Better vision,
especially in premature infants
Breastfeeding can provide pain relief for babies
For Mothers,breastfeeding can decrease
blood loss immediately after delivery
protect against breast cancer hasten
return to prepregnancy weight
Breastfeeding helps families save on:
!
!
!
P40,
00060,
000 a year
(
the cost of formula feeding)
Medical expenses
Cost of care for chronic diseases like diabetes
Myths and Misconceptions
“I don't have any milk.”
Every woman's body is prepared to breastfeed by the time
she gives birth. In the first 1-2 days, the breasts produce a
small amount of very rich milk called “colostrum.” This milk
is filled with infection-fighting antibodies. Because the baby's
stomach is just the size of a marble, even a small amount of
colostrum is enough to meet the baby's needs for as long as
the mother breastfeeds regularly.
“I don't want to start breastfeeding right away.
I'm tired and I need my rest.”
Beginning to breastfeed as soon as possible is a great
way to help a mother's body recover. Breastfeeding
right after birth helps the uterus contract and
decreases the amount of blood loss. Breastfeeding also
releases hormones in the mother's body that help
decrease pain and stress.
“Breastfeeding 24 hours a day is too tiring. I'd
rather give bottles during the night.”
The best way to maintain milk supply is to breastfeed
around the clock. Waking up every 2-3 hours can be
very tiring at first, but as you and your baby become
experts at breastfeeding, this becomes much easier. It's
less exhausting to bring your baby to the breast than it
is to get up from the bed and make a bottle of formula
every time your baby cries.
“My breasts are engorged and my nipples are
sore. It hurts to breastfeed.”
Early initiation and frequent breastfeeding help prevent
engorgement. Sore nipples are usually due to poor
positioning of the baby on the breast.
Proper latching
on will alleviate the pain.
Medications like paracetamol
can be safely taken by mothers to relieve pain.
The Breast Crawl
UNICEF,WHO and WABA along with the scientific
community strongly recommend initiating breastfeeding
within half an hour of birth. Evidence shows that early
initiation can prevent 22% of all deaths among babies below
one month in developing countries.
Every newborn, when placed on the mother's abdomen,
soon after birth,? has the ability to find its mother's breast
all on its own and to decide ? when to take the first
breastfeed.This is called the 'Breast Crawl'.
Soon after delivery and after the baby has cried and started
breathing well.
1.
The baby should be thoroughly dried with a soft cotton
cloth.
2.
The baby is shown to the mother and kept close to her
and held briefly in cheektocheek contact.
3.
The baby is then placed prone in between the mother's
bare breasts.The baby and the mother's chest are both
naked, so that the baby has full skin-to-skin contact with
the mother.
A cloth can be placed on top of the mother
and baby so that they keep warm while continuing with
skin to skin contact.Care should be taken to prevent
the baby from falling.