BIGG

Guideline: Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services

World Health Organization.

Année de publication: 2017

Breastfeeding is the cornerstone of child survival, nutrition and development and maternal health. The World Health Organization (WHO) recommends exclusive breastfeeding for the first 6 months of life, followed by continued breastfeeding with appropriate complementary foods for up to 2 years or beyond. This guideline examines each of the practices in the Ten Steps to Successful Breastfeeding, in order to bring together evidence and considerations to inform practice. The scope of the guideline is limited to specific practices that could be implemented in facilities providing maternity and newborn services to protect, promote and support breastfeeding.

Breast Feeding, Maternal-Child Health Services, Infant Health, Hospitals, Maternity, Health Promotion

Texte intégral

This guideline is part of

| Recommendations included in this guideline: (15)

Mothers should be supported to recognize their infants’ cues for feeding, closeness and comfort, and enabled to respond accordingly to these cues with a variety of options, during their stay at the facility providing maternity and newborn services

Recommendation strength:recommended

Facilities providing maternity and newborn services should have a clearly written breastfeeding policy that is routinely communicated to staff and parents

Recommendation strength:recommended

For preterm infants who are unable to breastfeed directly, non-nutritive sucking and oral stimulation may be beneficial until breastfeeding is established.

Recommendation strength:recommended

Mothers should be discouraged from giving any food or fluids other than breast milk, unless medically indicated

Recommendation strength:recommended

Mothers should be coached on how to express breast milk as a means of maintaining lactation in the event of their being separated temporarily from their infants.

Recommendation strength:recommended

Health-facility staff who provide infant feeding services, including breastfeeding support, should have sufficient knowledge, competence and skills to support women to breastfeed

Recommendation strength:recommended

If expressed breast milk or other feeds are medically indicated for preterm infants, feeding methods such as cups or spoons are preferable to feeding bottles and teats.

Recommendation strength:recommended

As part of protecting, promoting and supporting breastfeeding, discharge from facilities providing maternity and newborn services should be planned for and coordinated, so that parents and their infants have access to ongoing support and receive appropriate care

Recommendation strength:recommended

All mothers should be supported to initiate breastfeeding as soon as possible after birth, within the first hour after delivery.

Recommendation strength:recommended

Facilities providing maternity and newborn services should enable mothers and their infants to remain together and to practise rooming-in throughout the day and night. This may not apply in circumstances when infants need to be moved for specialized medical care.

Recommendation strength:recommended

Where facilities provide antenatal care, pregnant women and their families should be counselled about the benefits and management of breastfeeding.

Recommendation strength:recommended

If expressed breast milk or other feeds are medically indicated for term infants, feeding methods such as cups, spoons or feeding bottles and teats may be used during their stay at the facility

Recommendation strength:recommended

Mothers should receive practical support to enable them to initiate and establish breastfeeding and manage common breastfeeding difficulties.

Recommendation strength:recommended

Mothers should be supported to practise responsive feeding as part of nurturing care

Recommendation strength:recommended

Early and uninterrupted skin-to-skin contact between mothers and infants should be facilitated and encouraged as soon as possible after birth

Recommendation strength:recommended

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