Baby Friendly Hospital Initiative
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- Title
- Baby Friendly Hospital Initiative
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INVITATION
Baby Friendly Hospital Initiative
Dear Members,
Following the initiative by the present
executive, it has been decided that IMA
Pondicherry should bring out a news letter or a
bulletin at regular intervals, so as to communicate
and interact with all its members in a better
manner. In the inaugural issue ofthis bulletin it has
been decided to focus our attention on a very
interesting concept which has become a
‘‘GLOBAL INITIATIVE” on the recommenda
tion of WHO and UNICEF.
Innocenti declaration w'as adopted by 32
governments and 10 United Nations and other
agencies at a WHO/UNICEF meeting on
1 “ August 1990. This declaration aims to protect,
promote and support BREAST FEEDING
Practices and to create a baby friendly w'orld. This
concept was also supported at world summit for
children, United Nations held on 30 September
1990. They have urged the governments and
societies to make appropriate changes in their
nations so as to make the hospitals baby friendly.
“BABY FRIENDLY HOSPITALS “ is a term
coined by Mr. James Grant, Executive Director of
UNICEF. Any hospital or maternity service that
implements all ten essential steps to successful
breast feeding (A joint WHO/UNICEF statement
1989) is recognized as a baby friendly hospital.
accepted by professional organizations like IMA,
IAP, FOCGSI, IHA, ACASH, TNA, BPNI and
IX Annual Conference
of the IMA Pondicherry is to
be held on the 10th & 11th
October
1992.
The
Organising committee take
the pleasure of inviting you
to attend the conference.
others. In pondicherry there has been a surge of
interest and a few leading nursing homes have
expressed their desire to become Baby friendly by
this year end. Necessary steps have been initiated
in this direction.
The Ten Steps to be adopted by the hospitals
providing maternity services and care for new
bom infants to become baby friendly include:
1. Have a written breast feeding 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 breast feeding.
4. Help mothers initiate breast feeding in a
half-hour of birth.
5. Show mothers how’ to breast feed 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 rootsting-in. - Allow mothers and
infants to remain together - 24 hours a day.
8. Encourage breast-feeding on demand.
9. Give no artificial teats or pacifiers (also
WW -■ * An IMA Pondicherry publication
called dummies or soothers) to breast-feeding
infants.
10. Foster the establishment of breast
feeding support groups and refer mothers to them
on discharge from the hospital or clinic.
Through this bulletin we would like to elicit
your reactions, comments and ideas regarding the
future activities of IMA Pondicherry. Wish to
meet you in the Annual conference.
Yours Sincerely,
S. Swum*
Sr. Vice President.
A list of the hospitals and nursing homes at
pondicherry is to be prepared for sending to the
1 IQ. State implementation committee of the baby
friendly initiative will assess and certify such
hospitals I nursing homes. Kindly send the
addresses of hospitals or nursing homes desiring
for certification.
V subscription dues£>
1 am sure all the Nursing homes in Pondicherry
state will get the certification by implementing the
“ Ten Steps to Successful Breast Feeding”.
AIDS, being a public health concern, merits some
attention. At local national and international
levels, the struggle against it has started in right
earnest. We are learning gradually how to
dominate AIDS rather than allowing aids and its
phobia to dominate us. All the members of Indian
Medical Association stand great responsibility to
fight against this menace. It is time for all of us to
educate the public about its awareness.
We are all deeply concerned regarding the con
sumer protection Laws and its implementation. It
is time to unite, discuss and fight against the
sinister implications of such a system that will
make medical profession defensive and cost of
medical treatment prohibitively costly to the
society. I am sure, with our strong commitment to
the profession and sincerity of service to the
society, we will bring fresh meaning to the Doctor
- Patient relationship.
We are going to have our Annual Pondicherry
State Conference on 10"'and 11"'October with Dr.
Prabhakara Rao,Vice-President, IMA as its
chairman. The copy of the programs must have
been received by you. It is my earnest appeal that
all of you should come and attend this conference
to make it a grand success.
From the President........
Dear members,
It gives me a great pleasure to
share my views with you in this
news bulletin of Indian
Medical association, the first issue in 1991-1992.
1 am sure Dr.S.Srinivasan Senior Vice-President
being the editor will endeavor to bring out the
news bulletin regularly.
This news bulletin is dedicated to “ Baby Friendly
Hospital Initiative” , the meeting of which was
held at the Head Quarters of Indian Medical
Association on 27"' March, 1992. As it stands, this
initiative has to be implemented in 1000 public I
friendly hospitals in India by the end of 1992 with
the help of UNICEF.
IMA insignia
During the early years the emblem of IM A
was designed and adopted to mbe used on all
official stationary. The emblem gives the year
of establishment of IMA as well as its name.
The significance of a torch depicting knowl
edge, snakes depicting medicine and twigs
with leaves depicting peace and tranquility.
The emblem cannot be used on personal
stationary of any member.
BREASTFEEDING - ITS VALUE IN FIRST 4-6 MONTHS OF LIFE
EXCLUSIVE
Exclusive breastfeeding is a relatively new concept, developed by
scientific
ressearch
in
(lactation.
Exclusive
breastfeeding
the
area
of
“ilk
human
refers
to
production
feeding
the
baby
only on breastmilk, and nothing else, not even water in the first 4
to 6 months of life.
It has been established scientifically that
months of life,
in the
first 4 to 6
all that a baby needs is breasfilk. There is no
need for any other milk food or drink, not even water in hot and
dry weather. Breastmilk is nature's specially created complete food
for your child. It provides all the nutrients the baby requires in
any easily digested form. Its composition also changes from feed to
feed to suit the needs of the baby.
Exclusive breastfeeding should start immediately after birth. The
yellowish milk which is produced in the first 2 to 3 days is called
colostrum.
This is highly nutritive and protects
the
child from
infections and allergies. Though small in quantity it is sufficient
for the baby in the first 2 to 3 days. Colostrum should never be
discarded as is the practice in some communities. Nothing should be
given immediately after birth. Infact the baby- should be put to the
breasts as early as possible. Early initiation to suckling leads to
better milk production.
Exclusive breastfeeding is a mother's privilege and the she should
enjoy feeding her baby. Exclusive breastfeeding in the first 4 to 6
months will give your baby the best possible start of life.
It is quite common for mothers to feel that their babies are not
getting enough and to start the baby off on top -ilk. However this
feeling of insufficiency is more apparent than real. All mothers
can produce sufficient milk. Breastfeed more often and Che flow of
milk will increase. More the baby suckles the breast, more the milk
produced.
Crying does not always
could be
mean that
the baby
is hungry.
He or
she
crying out of discomfort, wet nappies or simply because
he or she wants to be carried and cuddled.
...2. .
:: 2 : :
If the baby passes light coloured urine 6 times a day and puts on
1/2 to 1 kg, in a month, the mother can be assured that the baby is
healthy and is getting more than enough.
further it is quite normal for exclusively breastfed babies Lo have
small loose stools several times a day or sometimes not pass stools
for 4 to 5 days or bring out a little milk every now and then. As
long as the baby is happy and active and passes urine 6 times a day
there is no need for worry, it is not diarrhoea.
There is no special diet for a mother while she is breastfeeding.
She needs to eat her normal food in an increased quantity. A
healthy diet should however contain all types of foods e.g. wheat,
rice, pulses, vegetables, fruit and milk. In order to successfully
breastfeed the mother should eat well and take sufficient rest.
Though there is a general agreement onthe fact that breastmilk is
the best for the baby, there has been a considerable increase in the
use of the bottle in recent times. The disturbing fact is that this
fashion is now invading the rural areas. This is mainly due to
conflicting views floating around and the wide spread perception
among mothers that bottle-feeding and the use of commercial milks,
foods are good, sophisticated and convenient. This is specially
true with mothers from lower and middle income families.
Bottle-feeding can lead to serious illness and death.Cow's or
buffalo's milk, milk powder solutions and other infant foods given
by bottles do not give babies any protection against diarrhoea,
coughs and colds and other diseases. The more often a baby is ill,
more are the chances of malnourishment. A bottle-fed baby is 25
times more likely to die of diarrhoea than a baby fed exclusively
on breastmilk in the first 4 to 6 months.
The best food for a baby who for whatever reason cannot be
breastfed is milk squeezed from the mother's breasl. It should be
given with a clean cup or spoon. Cups and spoons are safer than
bottles and teats.
further
commercial
milk
foods
and
animal
milks
are
frightfully
. . .3. .
expensive
and
beyond
Che
reach
of
rose
-iddle
ciass
and
lower
incone families. This tn turn forces mothers Co give diluted milk
to the babies depriving him or her of valuable nutrition.
Once
a
is
put
on
breast
is
suckled
baby
mother's
top
milk,
is
the
frequency with
reduced.
This
leads
which
to
the
lesser
breastmilk production. Here again the baby will lose out.
Solid foods can be started after 4 months but definitely before 6
months, the baby at this stage requires more calories than what
breastmilk can give . Breastmilk however should be continued with
well into the second year.
Give
your
child
a
great
start
to
the
life
with
exclusive
breastfeeding and remember
1.
Breastmilk is all that your child requires in the first 4 to 6
months. No need for any other food or drink - not even water.
2.
Start breastfeeding immediately after birth
3.
Bottle-feeding is dangerous
4.
Start on solids after 4 months but not later than 6 months.
'5.
Commercial
milk
foods
and
animal
milks
are
inferior
to
breastmilk.
6.
Continue breastfeeding well into 2nd year.
Dr. Arun Gupta M.D.
Paediatrician
CENTRAL COORDINATOR
BPNI
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