Session-5-Birthing-Practices-Breastfeeding (1).ppt
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The document outlines practices to support early breastfeeding initiation immediately after birth, emphasizing skin-to-skin contact between mother and baby for at least one hour. It details supportive measures that help or hinder breastfeeding, the role of a doula, and the consequences of cesarean sections on breastfeeding. The text concludes with the importance of a calm environment and supportive practices to ensure successful breastfeeding initiation.
Session-5-Birthing-Practices-Breastfeeding (1).ppt
- 1. Session 5: Birth Practices and Breastfeeding Step 4 UNICEF/WHO 20 hour Course 2006
- 2. OBJECTIVES 1. Describe how the actions during labour and birth can support early breastfeeding. 2. Explain the importance of early skin to skin contact for mother and baby; 3. Explain ways to help initiate early breastfeeding; 4. List ways to support breastfeeding after a caesarean section.
- 3. What practices during labor and immediately after birth could help a mother and her baby to start breastfeeding well ?
- 4. Step 4 Help mothers initiate breastfeeding with half hour after birth.
- 5. Step 4 – new interpretation Place babies 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 feed, offering help when needed.
- 6. Sige nanay, kaunting ire pa.. The care that a mother experiences during labor and birth can affect breastfeeding and how she cares for her baby .
- 7. What practices HELPS a woman initiate breastfeeding soon after birth ?
- 8. Practices that Helps • Emotional support • Attention on the effects of pain medications on the baby • Offering light foods and fluids
- 9. • Freedom of movement • Avoidance of unnecessary CS • Early mother-baby contact • Facilitate the first feed. Practices that Helps
- 10. What practices HINDERS a woman initiate breastfeeding soon after birth ?
- 11. Practices that may HINDER • Lying on bed during labor & delivery • Lack of support • Withholding food and fluids • Pain medications / IV lines • Episiotomy • Wrapping baby tightly • Separating the mother from the baby
- 12. What are the possible differences it will have on the mother and on the baby if a doula stays with the mother during labour and delivery ?
- 13. Effect of Support to Mother Increase mothers’ confidence Speed labor & delivery Reduce stress Reduce perception of pain Encourage mobility Reduced need for intervention
- 14. Effect of Support to Baby : • Increased alertness of baby • Reduced risk of hypothermia and hypoglycemia • Early and frequent feeding • Easier bonding with the baby
- 15. What support can the doula give ? Encourage her to walk and move in labor Offer light nourishment and fluids Built mother’s confidence Suggest ways to lessen pain and anxiety Holding hands, massaging her Using positive words
- 16. Non-medication methods of pain relief Labor support Walking and moving around Massage Warm water Verbal and physical assurance Quiet environment with no bright lights, few people around Labor and giving birth positioning of the mother’s choice
- 17. Effects of pain medications It can increase the risk of : 1. Longer labor 2. Operative interventions 3. Delayed start to mother - baby contact and breastfeeding 5. Separation of MOM & baby after birth 6. Sleepy, hard to arouse baby 7. Diminished sucking reflex 8. Reduced milk intake
- 18. What effect might giving fluid or withholding fluid have on a woman in labor ? • Labor and birth is hard work. Woman needs energy to do this work. • Gets hungry after a normal delivery. • IV fluid only if there is a clear medical indication
- 19. Birth Practices When giving birth, all woman need: • A skilled attendant present • Minimal use of invasive procedure • Universal precaution against infection • Use of Interventions only when medically indicated
- 20. Skin to Skin Contact and Early Breastfeeding 5/1 ©UNICEF C107-2
- 21. Skin to skin contact • ENSURE uninterrupted, unhurried skin to skin contact • Start immediately, even before cord clamping, • Arrange that this skin to skin contact continue for at least one hour after birth.
- 22. Importance of skin to skin contact 1. Calms the mother and baby 2. Keeps baby warm 3. Assist in metabolic adaptation and blood glucose stabilization in the baby 4. Reduces baby crying and stress cont
- 23. • Enables colonization of baby’s gut with mother’s normal body bacteria • Facilitates bonding • Allows the baby to find the breast and self attach Importanc e of STS
- 24. • Babies should be dried off as they are placed on the mother’s skin. Babies who are not stable at birth can receive STS contact later when they are stable. Skin to Skin Contact and Early Breastfeeding UNICEF/HQ92-0369/ Roger Lemoyne, Thailand Dr Nils Bergman, Cape Town, South Africa
- 25. What could be BARRIERS to ensuring early skin to skin ( STS) contact ? ?
- 26. Barriers to Skin To Skin contact 1. Concern that baby will get cold 2. Baby needs to be examined / bathe 3. Baby is not alert , sedated 4. Mother tired / needs to be stitched 5. Mother does not want to hold baby 6. Delivery room is busy / No staff available to stay with mother and baby
- 27. Barriers to Skin To Skin contact • Twin births – interval of delivery usually varies • On mother’s labor/delivery chart, record the time STS started and finished
- 28. How to assist the first time at the breast (initiation) 1. Help recognize pre-feeding behaviors or cues : • Taking a short rest in an alert state • Bringing hands to his mouth • Focusing on areola • Moving towards breast • Finding the nipple cont
- 29. How to assist the first time at the breast (initiation) 2. There should be no pressure on the mother and baby regarding • how soon the first feed takes place, • how long a first feed would last, • how well attached the baby is or • how much colostrum the baby takes INTRODUCTION TO THE BREAST rather than A FEED.
- 30. What are the Role of the Health Worker during initiation of breastfeeding ? • Provide time and calm environment • Help mother find a comfortable position • Point out positive behaviors of the baby such as alertness and rooting • Build the mother’s confidence • Avoid rushing the baby to the breast or pushing the breast into the baby’s mouth
- 31. What effects could a CESARIAN section have on the mother ? 1. Frightened or stressed 2. Have IV drip/ urinary catheter 3. Confined to bed 4. Restricted fluid and food intake 5. Have received anesthetics
- 32. Possible Effect of cesarean section 6. Altered levels of hormones of lactation 7. Higher risk of infection, bleeding 8. Separated from baby 9. Feel a sense of failure 10.Is a high risk of not breastfeeding
- 33. Possible Effect of cesarean section 11. May have more breathing problems 12. May need suction of mucus 13. Maybe sedated 14. Is less likely to have early contact 15. Is more likely to receive supplements 16. Is more likely to have nursery care
- 34. How can we help initiate BF after a cesarean section ? • Presence of a supportive health worker / doula • Encourage mother to have STS contact as soon as possible • Assist initiated breastfeeding • Help find comfortable position STS – skin to skin
- 35. Summary Step 4 – help mothers initiate BF within half-hour of birth. New interpretation: Place babies skin to skin contact with their mothers immediately after birth for at least an hour and encourage mothers to recognize whether their babies are ready to breastfeed, offering help when needed.
- 36. SUMMARY Competent woman, in control,supported, ready to interact with baby Early STS contact Alert baby Search breast Breastfeeding initiated Good supportive practices
- 38. Thank you very much for your attention my dear breast friends!!