Presented by : DR.A.

JAYASUDHA,
PRINCIPAL
Mrs.K.Jeyanthi, Assoc.Professor
 WABA
• The World Alliance for
Breastfeeding Action
(WABA)
• Formed on 14 February,
1991.
• A global network of
organizations and
individuals
• Dedicate themselves to
protect, promote and
support this right.
 Aim of breast feeding week
celebration
• To get the goal of breastfeeding by
mother for their baby of first six months
Theme of Breast feeding week-2017
Sustaining Breast feeding together
 Mothers of 21st century
• Mothers of 21st century are the greatest
mothers of all ages
Breastfeeding: Youth can act
to make a difference !
 India has the largest youth population in the world
 Youth are back bone to the nation
 Youth can change the future of the society
 Youth are the future mothers
 Raising teen pregnancy
 Youth can reach out to the community and spreads the
information
Breast milk is the most complete
nutritional package for infants!
It cannot be duplicated through any other
infant feeding choice. From the first
moments of life, Breastfeeding has
positive developmental impacts throughout
the child’s life, even after breastfeeding
has stopped.
Exclusive
breastfeeding is an
infant's consumption
of human milk for
the FIRST SIX
MONTHS of life
with no
supplementation of
any water, juice,
nonhuman milk, and
foods.
 No liquids
honey,
glucose
water,
water, gripe
water,
juices

No Exclusive No other
semisolid breast milk like
or solid Feeding – animal or
foods 6 Months powder

No vitamin
drops
 Humans Milk Cows Milk
Water (gm) 85.2 87.4
Energy (kcal) 77 65
Protein (gm) 1.1 3.5
Fat (gm) 4 3.5
CHO(gm) 9.5 4.9
Vitamin A(IU) 240 140
Ascorbic acid (mg) 5 1
Anti microbial Active Inactive
enzymes
Bio diverse probiotics Active Destroyed
Macrophages Active Inactive
Thick , sticky yellowish milk
Small quantity
More protein , vitamins A and K
Enhances the development and
maturation of the baby’s gastrointestinal
tract.
Suffices the caloric needs of newborn in
the first few days of life
Large amount of growth factors, white
cells & anti bodies
Purgative action – clears meconium &
helps to prevent jaundice
 TRANSITIONAL MILK next two weeks
 Increase in quantity
 Changes in appearance and composition.
 Immunoglobulin and protein content decreases
 Fat and sugar content increases .
 Suits growing needs of a baby

MATURE MILK – after second week

 Increases in Quantity
 Appears thinner , more watery
 Contains all the nutrients needed for healthy
physical and mental development of the baby.
FOREMILK HINDMILK

Comes at the starts of a feed Comes later in a feed

It watery has a low level of fat Is richer in fat

Is high in lactose, sugar, protein, It satisfies the baby’s hunger

vitamins, minerals and water

It satisfies the baby’s thirst Supplies more energy than fore milk
 Good attachment
lower lip is curled outward baby’s mouth is wide open

chin touches lower portion

the breast of the areola is
not visible
Breast milk and
human colostrum
are made for
babies and is the
best first food

Easily digested
and well absorbed
Contains essential amino
acids

Rich in essential fatty

acids

Better bioavailability of
iron and calcium
Protects against
infections

Prevents
allergies

Prevents under five

child deaths
Better intelligence

Promotes emotional
bonding

Less chance for

heart disease,
diabetes and
lymphoma
 Physical
 Social
 Emotional
 Economic
 Decreased bleeding and risk of
hemorrhage after birth
 Weight loss due to increased
caloric needs
 Reduction of breast cancer risk,
especially women who breastfeed
for more than 2 years
 Reduction of uterine and ovarian
cancer risk
 Improved bone density and
reduction of hip fractures in
later life
 Fertility reduction, although
breastfeeding should not be
used as sole contraception
 No mixing, measuring, or
clean-up of feeding supplies!
 Promotes bonding and a
close relationship between
mother and infant
 Infants with fewer
illnesses results in
lower health care costs

 Healthierbabies have
fewer sick days for
parents
 Breast milk is always
available
 Travel is easier
 Breastfeeding can be
done discreetly
Contributes to
child survival
Saves money
Promotes family
planning
Environment
friendly
 Contributes to child
survival
Decreases cost by
preventing illness and
allergies
Contributes to
population control and
spacing of pregnancies
 Higher employee productivity and lower
absenteeism
 Increased employment retention
 Worriless and concentrated work
 Good work life balance
 How do I know my baby feels hungry
 How to ensure that the baby has taken
adequate feed
 What should I do if my milk is not
adequate for the baby
 How to overcome common problems
like inverted or flat nipple.
Government policies to promote
breast feeding
 Maternity Benefit (Amendment)
Act, 2017
• The Maternity Benefit (Amendment) Bill
2017,an amendment to the Maternity Benefit
Act, 1961
 Increased Paid Maternity Leave
• The Maternity Benefit Amendment Act
(March - 2017) has increased the duration of
paid maternity leave available for women
employees (Central Government )from the
existing 12 weeks to 26 weeks.
 Nine months maternity leave
Government of Tamil
Nadu increased the
maternity leave period
from the existing six
months or 180 days to
nine months, i.e. 270
days.
(November - 2016)

According to Tamil Nadu Fundamental rule(101 A)

Six months of
Maternity leave is
granted at PSG
groups of institutions
for woman for two
children
 Extension of maternity leave

Mothers may have, the

option of extending
maternity leave for a
further period, at first on
half pay, and then no
pay, but without loss of
other service benefits,
seniority, etc.
 Breaks for breast feeding
• Article 42 of the Indian
Constitution and under
the Maternity Benefit
Act of 1961 provides
for two nursing breaks
for every nursing
mother until her child
is 15 months old.
 Nursing space
• The mother can go to
the child or the child be
brought to the mother
during work hours. If
the child is brought to
the mother, nursing
space should also be
provided.
 Work from Home option
• Depending upon the nature of work, women
employees may be able to avail this benefit on
terms that are mutually agreed with the
employer.
 Crèche facility
• Crèche facility mandatory for every
establishment employing 50 or more
employees.
• Women employees would be permitted to
visit the crèche 4 times during the day.
 India launches MAA - a programme to
promote breastfeeding
• To enhance optimal
breastfeeding practices
which includes initiation
of breastfeeding within
an hour of birth,
exclusive breastfeeding
for the first six months,
and continued
breastfeeding for at least
two years.
 MAA(Mother’s Absolute Affection )
• An opportunity to improve rates of
breastfeeding and appropriate child
feeding practices in the country
• The government will train nurses in
government hospitals, Accredited Social
Health Activists (ASHA), Auxiliary Nurse
Mid-wives (ANM) to provide relevant
information and counselling support to
mothers for breastfeeding.
 Govt of Tamil Nadu
• The government of
Tamil Nadu is
opening lactation
booths at bus
stands across the
state to encourage
mothers to
breastfeed while in
public
 Support from the family
• Support the
mother’s choice to
breastfeed
• Help the mother
with baby care and
household works
• Take care of the
older children
 Support from the partner
• Mothers who feel
supported by their
partners are more
confident in their
ability to
breastfeed, and are
less likely to
perceive a low milk
supply
 Role of health care professionals
• Creating awareness
• Emphasizing exclusive
breast feeding
• Refer the mothers to
the available
community resources
(Lactation consultant)
• Participate in events
that promote breast
feeding
 Breast milk Bank
• In India, breast milk donation is an
emerging concept and has been initiated
in some cities across the country.
 Recapitulation

• What is the meaning of

Exclusive Breast Feeding ?
 Answer
• Only breast milk should be given to
the baby for the first six months of
life
• No other feed should be given
• When breast feeding should be
initiated ?
 Answer
• Breast feeding should be initiated
within the first hour of life
• How long the breast feeding can be
continued?
 Answer

• Breast feeding can be continued for

at least two years of life
• How long the colostrum is secreted?
 Answer

• Colostrum is secreted for the first 3

days / 72 hours
• What is the duration of
transitional milk?
 Answer

• Transitional milk is secreted for the

first two weeks (after the
cololstrum)
• When is the mature milk
secreted?
 Answer

• The mature milk is secreted after

two weeks
• What is the theme of this year
breast feeding week celebration?
 Answer

• Sustaining breast feeding

together
• Expand the term WABA?
 Answer
• World Alliance for Breastfeeding
Action
• What is the duration of maternity
leave provided for the central and
State Government employees?
 Answer

• Central Government – 26 weeks/6 months

• State Government – 270 days/ 9 months
• Expand the term MAA?
 Answer

• Mother’s Absolute Affection