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Do they think these discussions should have started earlier on,ine pregnancy or later, or was this the right time? Work with families and communities to support women in their choice of infant feeding. Although we view breastfeeding as a natural process, it is still a skill that has to be learned.

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For example, if the left breast is used to start one feed, at the next feeding start with the right breast. Communicate information on the advantages of breastfeeding including health benefits, economic benefits, etc. Breastfeeding lowers the rate of breast and ovarian cancer in the mother. Was ongoing support, advice and reassurance given to them?

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Demonstrations are important as breasfeeding is a skill that mothers learn. Breast milk protects babies from infections and illnesses.

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Just because a baby is crying, it does not brreastfeeding that she does not have enough breast milk. Providing information and demonstrating breastfeeding techniques Encouragement and support What am I going to learn? Some women may choose not to breastfeed. Women may need some help to successfully feed their babies. Teach the mother how to express just a little milk to relieve discomfort but not enough to stimulate more milk production.

Help the mother whenever she needs assistance bresatfeeding especially if she is a first time or adolescent mother or a mother with other special needs.

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National health authorities bresstfeeding decide whether health services in that country should principally promote and support breastfeeding or promote and support replacement feeding among HIV-infected mothers. It is easier to carry out than feeding formula; it takes no preparation; is always at the correct temperature, it is always clean and is always available.

You need to be aware of this recommendation and you should develop the skills to support women to achieve this. Was skin-to-skin contact promoted after birth the baby placed on the onlibe upper abdomen? Do they remember what was discussed with them? Breastfeeding plays a crucial role in the health, growth and development of babies and has benefits for the mother too.

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You should also discuss continued breastfeeding after six months and introduction of other foods in addition to breast milk. Support for breastfeeding twins Many mothers who give noline to two or more babies are worried they will not have enough milk. After birth, what advice and support was given to them to breastfeed their babies? Refer to breastfeeding aids and materials to help you become more familiar with correct positioning and attachment.

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Also consider holding a special session for breastfeeding problems. To treat engorgement, recommend that the mother puts warm compresses on her breasts or takes a warm shower and expresses enough milk to reduce discomfort which helps make attachment easier.

These women may experience discomfort in their breasts for a period of time. By the end of this session you should be able to: Communicate the advantages and benefits of breastfeeding for both mother and baby Demonstrate how to breastfeed a baby, including positioning and attachment Assess actual and potential difficulties and how to work with women on ways to overcome them Explain the opportunities for HIV-infected mothers to breast feed and improve HIV-free survival of their baby Breastfeeding During pregnancy and after the birth it is important to discuss with women the importance of exclusive breastfeeding for six months.

What is so good about breastfeeding?

Reassure them that this will pass. Determine what support exists in the community.

These women need extra support and reassurance, especially if they are onlins a community where breastfeeding is the norm. If needed, refer her to a trained infant feeding counsellor.

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Advice to women who are not breastfeeding Some women may not be able to breastfeed and others may choose not to. One way is to talk with all family members on the importance of exclusive breastfeeding. You should also discuss continued breastfeeding after six months and introduction of other foods in addition to breast milk.

Make sure parents are aware of all the newborn danger s and that they understand it is especially important to bring a low birth-weight newborn to a health facility if they have any worries, addult these small babies are at particular risk from infections and feeding difficulties.

A woman's right to take an informed decision should be supported demi respected. Reassure the mother that her body will make enough breast milk to satisfy her baby's needs.

adulr Breastfeeding can contribute to birth spacing. It also makes it more likely that she will start to breastfeed. Antiretroviral treatments can dramatically reduce the risk of mother-to-child transmission during breastfeeding and increase the chance of HIV-free survival of the baby that is, staying free of HIV infection and also staying alive.

Encourage the mother to feed one baby at a time until breastfeeding is established. You should respect this decision, even if you disagree with it and support her to replacement feed safely.

National health authorities should have a policy to indicate whether health services should promote and support breastfeeding or replacement feeding among HIV-infected mothers. You might find it useful to on,ine to more specialized breastfeeding tools and materials to support your discussion. Providing information and demonstrating breastfeeding techniques Encouragement and support What am I going to learn?

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Good attachment occurs when the baby's: mouth covers most of areola dark part of the nipple with some of the breastfefding visible above the mouth mouth is wide open lower lip is turned outwards. Positioning and attachment To help a mother learn how to breastfeed first encourage her to get herself into a comfortable position. It is important for all mothers to start skin-to-skin contact from birth as soon breastfeefing possible following birth — preferably in the first hour.

Make a list of the different points discussed.

Help the mother to make sure the baby is attaching properly.