BREASTFEEDING

INTERNATIONAL CODE

REPUBLIC ACT 7600- ROOMING IN AND

BREASTFEEDING ACT OF 1992

EXECUTIVE ORDER 51- NATIONAL CODE OF

MARKETING OF BREASTMILK SUBSTITUTES,
BREASTMILK SUPPLEMENT AND OTHER
RELATED PRODUCTS
 BABY FRIENDLY HOSPITAL INITIATIVE
(1)have a written breastfeeding policy that is routinely
communicated to all health care staff
(2)train all health care staff in skills necessary to implement
this policy
(3)inform all pregnant women about the benefits and
management of breastfeeding
(4)help mothers initiate breastfeeding within half an hour of
birth
(5)Show mothers how to breastfeed, and how to maintain
lactation even if they should be separated from their infants
 (6) give newborn infants no food or drink other than
breast milk, unless medically indicated,
(7) practice rooming-in - that is, allow mothers and
infants to remain together -24 hours a day
(8) Encourage breastfeeding on demand,
(9) give no artificial teats or pacifiers (also called
dummies or soothers) to breastfeeding infants, and
(10) foster the establishment of breastfeeding support
groups and refer mothers to them on discharge from
the hospital or Clinic
 COLOSTRUM

“The perfect food for the newborn”

COMPONENTS OF BREASTMILK
Lysozymes
Immunoglobulins
Hormone
growth factors
immune function modulators
Anti- inflammatory cellular components
 BREAST MILK COW’S MILK

WATER Enough Extra needed

ENERGY Equal Equal

PROTEIN Correct amount, easy to digest Too much difficult to digest

CARBOHYDRATE Lactose- plenty Lactose- less oligosaccharides

oligosaccharides
FAT EFA’s- present No EFA’s
Lipase to digest No lipase
VITAMINS Adequate depending on Low Vitamin A, C and Iron
mother’s nutritional adequacy

ANTI- INFECTIVE FACTORS IgA, Lactoferrin, Lysozyme, etc None

GROWTH FACTORS Present None

HORMONES RESPONSIBLE FOR LACTATION

• PROLACTIN OXYTOCIN

• ESTROGEN
• HUMAN PLACENTAL LACTOGEN
• PROGESTERONE
 FACTORS THAT REGULATE MILK PRODUCTION

INFANT FACTORS:
- Using commercial infant formula and a baby bottle
- Baby refusing the breast
- Baby sleeping for long periods or that does not wake
up
- Long periods between feedings
- Weak suction
- Short tongue frenulum
FACTORS THAT REGULATE MILK PRODUCTION
MATERNAL FACTORS:
- Stress/ anxiety
- Separation of mother and child
- Hormonal imbalance
- New pregnancy
- Insufficient breast tissue
- Surgery to the breast or nipple
- Mother who does not wake up
- Breast injury/ bad breastfeeding position
- Poor nutrition of mother
ADVANTAGES
BREASTFEEDING
B est for babies

R eadily available

E nvironmentally friendly

A ntibodies

S afe

T emperature perfect
F inancial saving

E asily digestible

E arlier passage of meconium

D eaths reduced

I mmunity

N utrient rich

G rowth
 OTHER ADVANTAGES:
Psychological benefits to both the mother and the
infant
Promotes better postpartum uterine involution
Provides emotional satisfaction from the maternal-
infant
The risk of developing breast and endometrial
cancers
enhances maternal weight loss postpartum
 CONTRAINDICATIONS:
Galactosemia to the infant
 Maternal use of illegal drugs, anti- neoplastic agents,
radiopharmaceuticals
Active TB infection
Maternal HIV infection
POSITIONS FOR
BREASTFEEDING
 CRADLE
POSITION
CROSS
OVER/
CROSS
CRADLE
HOLD
 CLUTCH,
FOOTBALL
HOLD
SIDE LYING
SIGNS OF GOOD ATTACHMENT
 SIGNS OF EFFECCTIVE SUCKLING
• Slow, deep sucks and swallowing sounds
• Cheeks full and not drawn in
• Baby feeds calmly
• Baby finishes feed by him/herself and seems satisfied
• Mother feels no pain