Advocacy on Exclusive Breast feeding

and
Complementary Feeding Practices
Major Causes of Childhood Deaths (2002)
 Preventive Interventions

Hib vaccine

Clean delivery of newborns

Zinc

Complementary feeding

Insecticide-treated materials

Breastfeeding

0 2 4 6 8 10 12 14
Percentage Proportion of all deaths
Sour ce: The Lancet 2003:362:9377:65-71
 Early Initiation of breastfeeding

 Place the newborn on mother’s chest and abdomen for

skin-to- skin contact Keeps newborn warm
 Early initiation: within half an hour
 Stimulates breast milk production
 Colostrums is infants first vaccine
 Fosters bonding between mother and newborn
 NO Prelacteal Feeds

 Water, sugar solution, solution of Jaggery

Gripewater, Bonnison, Somva,Vitamins, tonics or
other types of milk should not be given.

 Prelacteal feeds give no advantage to healthy

child and there is no loss if they are not given
 Exclusive Breastfeeding
 Exclusive Breastfeeding means , to give only breast-milk,
not even wateror any prelacteal to baby for the first six
months.

 Water or other prelacteal feeds replaces breastfeed.

 Breast milk provides all nutrients in correct amount to
satisfy hunger and thirst of infant up to 6 months of age.

 Exclusive breastfeeding results in less number of diarrhea.

 Prolongs amenorrhea - fertility control.

 It must be remembered that benefits of breastfeeding are
reduced if it is not exclusive breastfeeding.
 Frequency of breastfeeding

 On demand- as often as the infant wants .

 Usually a gap of 2-3 hours but the duration must be decided by

the baby.

 Frequent breastfeeding stimulates milk production and prevents

breast engorgement.

 Breast milk quickly and easily digested by the baby.

 Use of Both Breasts

 Continue breast feeding from one breast till the baby

release the breast.

 Baby should not be taken off from the breast – HIND Milk.

 Offer the second breast – let the baby decide

 Never use bottle or pacifiers.

 Breastfeeding – Sick mother or Baby

 Continue breast feeding – breast milk protects against

illness

 Feed more time for recovery of the baby

 Breastfeeding and Working women

 Use Expressed breast milk

 Expressed breast milk can be stored for 8
hours at room temperature in a cool place
and 72 hours in refrigerator
 Use cup and spoon
 Wet nursing
 Complementary Feeding

 After completion of sixth month of age , breastfeed

must be supplemented by complementary feeding.
 Staple cereal of the family should be used.
 Porridge can be made with suji,broken
wheat,ground rice,ragi, millets etc.
 Adding sugar or jaggery and ghee or oil to increase
energy value.
 Consistancy should be thick.
 Vegetables and mashed fruits (not
juices).
 Protective foods Milk, curd, lassi, egg
 Amylase rich (Malted) foods
 Continued breastfeeding

 Breastfeeding should be
continued till 2 years or more.
 Active feeding or adopting caring

attitude towards child while

feeding stimulates appetite and
development.