پاورپوینت کامل Ten steps to successful breastfeeding 78 اسلاید در PowerPoint

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پاورپوینت کامل Ten steps to successful breastfeeding 78 اسلاید در PowerPoint

اسلاید ۴: Breastfeeding policy What should it coverAt a minimum, it should include:The 10 steps to successful breastfeedingAn institutional ban on acceptance of free or low cost supplies of breast-milk substitutes, bottles, and teats and its distribution to mothersA framework for assisting HIV positive mothers to make informed infant feeding decisions that meet their individual circumstances and then support for this decisionOther points can be addedSlide 4.1.3

اسلاید ۵: Breastfeeding policy How should it be presentedIt should be:Written in the most common languages understood by patients and staffAvailable to all staff caring for mothers and babiesPosted or displayed in areas where mothers and babies are cared forSlide 4.1.4

اسلاید ۶: Step 1: Improved exclusive breast-milk feeds while in the birth hospital after implementing the Baby-friendly Hospital InitiativeAdapted from: Philipp BL, Merewood A, Miller LW et al. Baby-friendly Hospital Initiative improves breastfeeding initiation rates in a US hospital setting. Pediatrics, 2001, 108:677-681.Slide 4.1.5

اسلاید ۷: پاورپوینت کامل Ten steps to successful breastfeeding 78 اسلاید در PowerPointStep 2.Train all health-care staff in skills necessary to implement this policy.A JOINT WHO/UNICEF STATEMENT (1989)Slide 4.2.1

اسلاید ۸: Areas of knowledgeAdvantages of breastfeedingRisks of artificial feedingMechanisms of lactation and sucklingHow to help mothers initiate and sustain breastfeedingHow to assess a breastfeedHow to resolve breastfeeding difficultiesHospital breastfeeding policies and practicesFocus on changing negative attitudes which set up barriersSlide 4.2.2

اسلاید ۹: Additional topics for BFHI training in the context of HIVTrain all staff in: Basic facts on HIV and on Prevention of Mother-to-Child Transmission (PMTCT)Voluntary testing and counselling (VCT) for HIVLocally appropriate replacement feeding optionsHow to counsel HIV + women on risks and benefits of various feeding options and how to make informed choicesHow to teach mothers to prepare and give feedsHow to maintain privacy and confidentialityHow to minimize the “spill over” effect (leading mothers who are HIV – or of unknown status to choose replacement feeding when breastfeeding has less risk)Slide 4.2.3

اسلاید ۱۰: Step 2: Effect of breastfeeding training for hospital staff on exclusive breastfeeding rates at hospital dischargeAdapted from: Cattaneo A, Buzzetti R. Effect on rates of breast feeding of training for the Baby Friendly Hospital Initiative. BMJ, 2001, 323:1358-1362.Slide 4.2.4

اسلاید ۱۱: Slide 4.2.5Step 2: Breastfeeding counselling increases exclusive breastfeedingAll differences between intervention and control groups are significant at p<0.001.From: CAH/WHO based on studies by Albernaz, Jayathilaka and Haider.Age:(Albernaz) (Jayathilaka)(Haider)2 weeks after diarrhoea treatment4 months3 months

اسلاید ۱۲: Which health professionals other than perinatal staff influence breastfeeding successSlide 4.2.6

اسلاید ۱۳: پاورپوینت کامل Ten steps to successful breastfeeding 78 اسلاید در PowerPointStep 3.Inform all pregnant women about the benefits of breastfeeding.A JOINT WHO/UNICEF STATEMENT (1989)Slide 4.3.1

اسلاید ۱۴: Antenatal education should include:Benefits of breastfeedingEarly initiationImportance of rooming-in (if new concept)Importance of feeding on demandImportance of exclusive breastfeedingHow to assure enough breastmilkRisks of artificial feeding and use of bottles and pacifiers (soothers, teats, nipples, etc.)Basic facts on HIVPrevention of mother-to-child transmission of HIV (PMTCT)Voluntary testing and counselling (VCT) for HIV and infant feeding counselling for HIV+ women Antenatal education should not include group education on formula preparationSlide 4.3.2

اسلاید ۱۵: Slide 4f

اسلاید ۱۶: Step 3: The influence of antenatal care on infant feeding behaviourAdapted from: Nielsen B, Hedegaard M, Thilsted S, Joseph A, Liljestrand J. Does antenatal care influence postpartum health behaviour Evidence from a community based cross-sectional study in rural Tamil Nadu, South India. British Journal of Obstetrics and Gynaecology, 1998, 105:697-703.Slide 4.3.3

اسلاید ۱۷: Step 3: Meta-analysis of studies of antenatal education and its effects on breastfeedingAdapted from: Guise et al. The effectiveness of primary care-based interventions to promote breastfeeding: Systematic evidence review and meta-analysis… Annals of Family Medicine, 2003, 1(2):70-78.Slide 4.3.4

اسلاید ۱۸: پاورپوینت کامل Ten steps to successful breastfeeding 78 اسلاید در PowerPointStep 4.Help mothers initiate breastfeeding within a half-hour of birth.A JOINT WHO/UNICEF STATEMENT (1989)Slide 4.4.1

اسلاید ۱۹: New interpretation of Step 4 in the revised BFHI Global Criteria (2006):“Place babies in skin-to-skin contact with their mothers immediately following birth for at least an hour and encourage mothers to recognize when their babies are ready to breastfeed, offering help if needed.”Slide 4.4.2

اسلاید ۲۰: Early initiation of breastfeeding for the normal newborn WhyIncreases duration of breastfeedingAllows skin-to-skin contact for warmth and colonization of baby with maternal organismsProvides colostrum as the baby’s first immunizationTakes advantage of the first hour of alertnessBabies learn to suckle more effectivelyImproved developmental outcomesSlide 4.4.3

اسلاید ۲۱: Early initiation of breastfeeding for the normal newborn HowKeep mother and baby togetherPlace baby on mother’s chestLet baby start suckling when readyDo not hurry or interrupt the processDelay non-urgent medical routines for at least one hour Slide 4.4.4

اسلاید ۲۲: Impact on breastfeeding duration of early infant-mother contactAdapted from: DeChateau P, Wiberg B. Long term effect on mother-infant behavior of extra contact during the first hour postpartum. Acta Peadiatr, 1977, 66:145-151.Early contact: 15-20 min suckling and skin-to-skin contact within first hour after deliveryControl: No contact within first hourSlide 4.4.5

اسلاید ۲۳: Temperatures after birth in infants kept either skin-to-skin with mother or in cotAdapted from: Christensson K et al. Temperature, metabolic adaptation and crying in healthy full-term newborns cared for skin-to-skin or in a cot. Acta Paediatr, 1992, 81:490.Slide 4.4.6

اسلاید ۲۴: Protein composition of human colostrum and mature breast milk (per litre)From: Worthington-Roberts B, Williams SR. Nutrition in Pregnancy and Lactation, 5th ed. St. Louis, MO, Times Mirror/Mosby College Publishing, p. 350, 1993.Slide 4.4.7

اسلاید ۲۵: Effect of delivery room practices on early breastfeeding Adapted from: Righard L, Alade O. Effect of delivery room routines on success of first breastfeed .Lancet, 1990, 336