Baby Friendly Hospital practices

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Session 8

• Baby Friendly Hospital practices

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Where prevention of PTCT and infant feeding
decisions can be integrated into MCH services

• Health education activities
• Treatment of sexually transmitted diseases
• Family planning services
• Antenatal care
• Delivery and postpartum care
• Well baby clinics, Immunization programme and
  ICDS programme
• Voluntary Counselling and Testing Centres

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Antenatal preparation for breastfeeding

• With mothers groups
• Explain benefits of breastfeeding
• Give simple information on how to breastfeed
• Explain what happens after delivery
• Discuss mothers questions
• With mother individually
• Ask about previous experience
• Ask if any questions or worries
• Examine breasts if she is worried
• Build her confidence

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Dangers of prelacteal feeds They replace
colostrum - greater risk of infection -
risk of intolerance, allergy They interfere
with suckling - artificial feeds satisfy
hunger - bottles interfere with

attachment - baby
suckles less - more difficult to establish
breastfeeding
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Advantages of rooming-in

• Mother can respond to baby, helps bonding
• Baby cries less, less temptation to give bottle
  feeds
• Mother more confident about breastfeeding
• Breastfeeding continues longer

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Demand feeding (unrestricted or baby-led
feeding) No restrictions on frequency of
breastfeeds No restrictions on length of
breastfeeds Finish the first breast first
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Advantages of demand feeding

• Breastmilk comes in sooner
• Baby gains weight faster
• Fewer difficulties such as engorgement
• Breastfeeding more easily established

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Help with an early breastfeed

• Avoid hurry and noise
• Ask mother how she feels, how breastfeeding is
  going
• Observe a breastfeed
• Help with positioning if necessary
• Give relevant information about
• - demand feeding
• - signs baby ready to feed
• - how milk comes in
• Answer mothers questions

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