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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 Owned & Operated by Professional Services, Inc. (PSI) 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.