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Breast Milk Smart Nutrient for New Born

Pembicara: Dr. Bharat Parmar

GURU BESAR DAN KEPALA BAGIAN PEDIATRI di ZYDUS MEDICAL College, Rumah Sakit Sipil.

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Keterangan

The World Health Organization (WHO) recommends breastfeeding until 2 years old or longerTrusted Source because the benefits continue that long. The benefits of breastfeeding are so numerous that most healthcare practitioners recommend it for everyone for as long as possible, barring medical problems that prevent it. Breast milk contains antibodies and other elements that protect the newborn from illness and chronic disease.

Join us in this exclusive session on the occasion of World Breastfeeding Week, Our Key Speaker Dr Bharat Parmar will be explaining the importance of breastfeeding and how it acts as a game changer & smart nutrient for Newborn.

Ringkasan

  • Brisk feeding, or breastfeeding, is presented as the optimal way to ensure child health and survival, particularly within the first six months of life. The World Health Organization (WHO) recommends initiation within the first hour after birth and exclusive feeding for the first six months, highlighting its importance for receiving vital nutrients like colostrum.
  • Breastfeeding is described as a natural, species-specific food source for infants, with success hinging on learned and practiced child-rearing skills. The Baby-Friendly Hospital Initiative (BHAFI) has significantly promoted exclusive breastfeeding, emphasizing demand feeding as the preferred mode of infant nourishment. WABA, the World Alliance for Breastfeeding Action, actively promotes breastfeeding globally, celebrating World Breastfeeding Week annually.
  • Antenatal care involves motivating mothers to exclusively breastfeed, ensuring adequate nutrition, and addressing any breast or nipple defects. In delivery rooms, immediate breastfeeding initiation is encouraged, discouraging pre-lacteal feeds, and promoting rooming-in and frequent breastfeeding, including nighttime feeds. Primary immunization sessions reinforce exclusive breastfeeding and offer guidance on weaning and food preparation.
  • Proper breastfeeding technique involves correct positioning with the baby's head and body aligned, face facing the breast, and body close to the mother. A good latch is indicated by more areola visible above the baby's mouth, a wide-open mouth, an outward-turned lower lip, and the cheek touching the breast. Effective sucking involves slow, deep sucks with pauses.
  • Signs of adequate milk intake include frequent urination (6-8 times in 24 hours), consistent weight gain, and contentment after feeds. Initiation of breastfeeding should occur within half an hour after normal delivery and four hours after a cesarean section, avoiding prelacteal feeds that may diminish the baby's desire to suck.
  • Rooming-in and skin-to-skin contact promote mother-infant bonding and successful breastfeeding. Sucking should be continued as long as the baby desires, ensuring they receive both foremilk (for thirst) and hindmilk (for nutrition and milk production). Reflexes such as rooting, sucking, and swallowing are crucial for successful breastfeeding.
  • Common breastfeeding problems include flat or inverted nipples, engorgement, and sore or cracked nipples. Measures to address these issues include nipple manipulation, warm compresses, analgesics, and proper positioning. Burping after feeding is sometimes recommended to alleviate abdominal distension, but is not universally endorsed due to SIDS concerns.
  • The composition of human milk differs significantly from cow's milk. Human milk contains less protein (primarily whey protein, easily digestible), more lactose, essential fatty acids, cholesterol, and enzymes. It also has a lower solute load, ensuring gentle load on the infant's immature kidneys. The calcium-to-phosphorus ratio favors calcium absorption.
  • Breastfeeding offers numerous benefits to both baby and mother. Babies receive optimal nutrition, warmth, and immunological protection. Breastfed babies are less likely to suffer from various diseases and have higher intelligence quotients. Mothers experience uterine contraction, delayed ovulation, and a reduced risk of certain cancers and osteoporosis.
  • Contraindications to breastfeeding include congenital lactose intolerance, galactosemia in the infant, and certain medications or conditions in the mother. The key message is to initiate breastfeeding as soon as possible after birth, feed frequently (8-10 times a day), and continue breastfeeding throughout the illness and into the second year of life, alongside complementary feeding after 4-6 months.

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