BREASTFEEDING Flashcards
Rooming-in and Breastfeeding Act of 1992
RA 7600
Expanded Breastfeeding Promotion Act of 2009
RA 10028
National Code of Marketing of Beast Milk substitute, Breast Milk
supplements and other related products/Milk Code of the
Philippines
EO 51 of 1986
B- Breastfeeding is the Right of the mother
R- Rooming-in encourages, supports and protects breastfeeding
E- Exemptions- Infants whose conditions do not permit rooming-in and breast-feeding as determined by
the attending physician
A- Advocate breastfeeding within 30 minutes for babies who are delivered normally and within 3-4 hours
for babies who were born via caesarean section
S- Sanctions will be imposed for institutions who will violate
T- Tax Incentive is given to institutions who follow RA 7600
RA 7600
M- Manufacturers and distributors shall not be permitted to give, directly or indirectly, samples and
supplies of milk products.
I- Information and Educational materials must promote the superiority of breastmilk.
L- Labels of milk products must not state information discouraging the use of breastmilk
C- Code aims to contribute to the provision of safe and adequate nutrition for infants
EO 51
W- Working women must be provided with safe and healthy working condition
E- Employees shall be granted break intervals in addition to the regular time-off for meals to breastfeed or
express milk.
L- Law mandates that the time-off are compensated hours.
L- Lactation Station must be provided for breastfeeding mothers
RA 10028
Ten Steps to Successful Breastfeeding (WHO/UNICEF)
- Have a written breastfeeding policy that is routinely communicated to all health care staff.
- Train all health care staff in the skills necessary to implement this policy.
- Inform all pregnant women about the benefits and management of breastfeeding.
- Help mothers initiate breastfeeding within one hour of birth.
- Show mothers how to breastfeed and how to maintain lactation even if they are separated from
their infants. - Give infants no food or drink other than breastmilk , unless medically indicated.
- Allow mothers and infants to remain together 24 hours a day.
- Encourage breastfeeding on demand.
- Giver no pacifiers or artificial nipples to breastfeeding infants.
- Foster the establishment of breastfeeding support groups and refer breastfeeding mothers when
they are discharge from the hospital.
is how babies are meant to be fed
Breastfeeding
Milk from a human mother contains more than __different sugar
molecules
200
*Many of the sugar molecules in breast milk are not digested by the
baby, instead they are meant for the
baby’s gut bacteria
Human breast milk lay the foundation for the new baby’s
immune system.
mature human breast milk has an increased
number of fat and other nutrients that support
infant growth
Colostrum is being produced from
about __-__ weeks of pregnancy,
although many mothers are not
aware that the milk is there since it
may not be leaking or easy to
express.
16-22
The first milk produce in the breast after the baby’s birth is called ______-
* The semi-transparent, thick, sticky breast milk is often called ‘liquid gold’, not just because of its
yellow or orangey colour, but because it’s so important for nourishing and protecting the
vulnerable newborn.
* It is made up of a special combination of nutrients and immunological factors which perfectly
meet the nutritional and immunological needs of the newborn infant. Antibodies in the colostrum
are particularly high during the first two hours after birth.
COLOSTRUM
At first colostrum is produce in a very small amounts – just
__ TO __ ml (1.4 to 1.8 fl oz) over 24 hours. The baby’s
stomach is only the size of a marble, that’s all the baby needs.
* Colostrum is also very easy to digest. What it lacks in
quantity it makes up for in quality
40 to 50 ml
- it provides the newborn
baby with the first natural vaccination which protect the baby from infection
after the baby leaves the sterile womb.
High levels of antibodies and white blood cells
The next couple of weeksMilk is changing from colostrum to mature milk.
* It becomes creamier in colour and texture, and also higher in fat, calories and lactose (a natural
sugar), making it the ideal food for the rapidly growing newborn.
* It is still full of protective antibodies, live cells, ‘good’ bacteria and other bioactive ingredients to
help keep the baby healthy.
TRANSITIONAL MILK
Four weeks onwards: MATURE MILK
* Milk is rich in protein, sugar, vitamins and minerals, plus numerous bioactive components – such
as hormones, growth factors, enzymes and live cells – to support the baby’s healthy growth
and development.
* From four weeks, the nutritional content and levels of ingredients in mature milk generally
remain fairly consistent. But the composition of the breast milk can still change from day to day
and feed to feed
Mature milk
—This is the protruding part of the breast and is
the part the baby can grasp easily. It is flexible and contains
nerve endings which trigger both the production and the
release of milk. Each nipple has 15 to 25 nipple pores, which
enable the milk to flow to the baby.
Nipple
This is the dark circular area around the nipple. It
covers the milk collection tissues, so the baby should
enclose a large portion of the areola when feeding. This way,
the baby’s gums will squeeze the milk out of these tissues.
Areola
These are the cells inside the breast which
produce the milk. They are surrounded by lots of capillaries
(very small blood vessels). The blood in the capillaries is
rich in nutrients. Alveoli select the ingredients from this
blood to make milk.
Alveoli
This is a system of ductules,
ducts, collecting sinuses, and nipple pores. There are 15 to
25 duct systems in the mature adult breast. They function
by transporting the milk from the alveoli and ultimately
emptying it into the corresponding nipple pores, which are
the tiny openings in the nipple.
Milk-transporting tissue
2 Mechanisms for the Success of Breastfeeding:
1.Suckling Stimulation
2.Milk Ejection Reflex