{"id":18748,"date":"2016-08-03T21:13:20","date_gmt":"2016-08-04T01:13:20","guid":{"rendered":"http:\/\/www.healthynewbornnetwork.org\/?p=18748"},"modified":"2022-12-06T17:14:07","modified_gmt":"2022-12-06T22:14:07","slug":"respectful-maternity-care-can-lead-successful-breastfeeding-win-mother-baby","status":"publish","type":"post","link":"https:\/\/www.healthynewbornnetwork.org\/blog\/respectful-maternity-care-can-lead-successful-breastfeeding-win-mother-baby\/","title":{"rendered":"Respectful Maternity Care Can Lead to Successful Breastfeeding: A Win for Mother and Baby"},"content":{"rendered":"

As maternal-newborn health advocates recognize the importance of breastfeeding during World Breastfeeding Week<\/a>, we at White Ribbon Alliance thought it would be helpful to show how important our call for respectful maternity care is for successful breastfeeding. This connection isn\u2019t necessarily obvious, even to those who are considered respectful-care or breastfeeding experts.<\/p>\n

This year\u2019s theme, Breastfeeding: A Key to Sustainable Development<\/a>, highlights the many benefits that breastfeeding presents to mothers, babies, and society. Beautifully put by the organizers, \u201cBreastfeeding is a key element in getting us to think about how to value our wellbeing from the start of life, how to respect each other, and care for the world we share.\u201d<\/p>\n

We start with the premise that exclusive breastfeeding for the first six months of the baby\u2019s life, and continuous support for breastfeeding and offering complementary foods thereafter, is best for the health of both mother and baby, a premise that is almost universally accepted after years of research and advocacy.<\/p>\n

But did you know that providing a mother with respectful, dignified care<\/a> during pregnancy, childbirth, and the immediate moments after childbirth can increase the chances that she will breastfeed her child?<\/p>\n

The respect and dignity afforded a pregnant woman during pregnancy and childbirth is critical in ensuring that she feels supported during the first hours and days after giving birth, when the breastfeeding relationship is first established. When a woman gives birth in a respectful, supportive environment, where her rights are protected and her dignity preserved, she is empowered to take care of her baby and breastfeed.<\/p>\n

These are the critical factors that respected, women-centered care provide for the initiation of breastfeeding:<\/p>\n

    \n
  1. Freedom from harm and ill-treatment:<\/em> Women should not be denied food and drink during childbirth or be separated from their babies without medical indication and separation should be avoided if possible even when there is a medical indication. Women and babies should remain together every hour of every day for the duration of their stay in the medical facility.<\/li>\n
  2. Information and informed consent:<\/em> Women should be provided with information about the benefits of breastfeeding to mother and baby, and enough information and support to successfully initiate and maintain breastfeeding. Breastmilk substitutes or pacifiers should not be offered without medical necessity and without the parents\u2019 informed consent.<\/li>\n
  3. Companionship:<\/em> Companions \u2013 husbands, mothers, sisters, and others \u2013 should be present in postnatal wards to provide additional support and encouragement. Postnatal companions are critical to providing the support needed in establishing breastfeeding, especially in cases of surgical birth and multiple babies.<\/li>\n
  4. Privacy:<\/em> Ensuring privacy for the mother and baby dyad can aid successful initiation of breastfeeding. This is especially important in the first hour after birth when mother and baby should have an opportunity to spend time skin-to-skin, uninterrupted and get to know each other. Midwives have a key role in preserving the privacy of the mother-baby dyad in this critical time for both, offering them an opportunity to initiate breastfeeding for the first time.<\/li>\n
  5. Dignity and respect:<\/em> Women should be respected in their choices to breastfeed their babies \u2013 or not \u2013 and provided with support when needed to initiate, maintain, or reestablish breastfeeding or information on how to safely offer breastfeeding substitutes.<\/li>\n
  6. Equality, freedom from discrimination, and equitable care:<\/em> Breastfeeding is especially important in times of emergencies and conflict and when women are escaping with their children. Breastfeeding should be supported as a first line of defense in times of crisis and women should be provided with supportive advice on how to initiate, maintain, or restart their milk supply (yes, this is possible!) in cases where breastfeeding was interrupted. Breastfeeding should be supported for women who have undergone surgical births or babies who were born prematurely. Mothers of prematurely born or sick babies might need additional support and encouragement to successfully breastfeed their babies. HIV-positive mothers on ARVs should be supported and encouraged to breastfeed.<\/li>\n
  7. Healthcare and the highest attainable standard of health:<\/em> In order to ensure successful breastfeeding in the facility and beyond, women need the support of knowledgeable providers who are trained to provide lactation support. Midwives are uniquely positioned to provide this kind of support and help women in initiating and maintaining breastfeeding. Exclusive breastfeeding, without any supplementary foods or liquids, should be encouraged for the first six months and breastfeeding with supplementary foods thereafter for as long as mother and baby desire to continue.<\/li>\n<\/ol>\n

    Above all, it is critical to support women and let them know that they can do this. Breastfeeding can be challenging, and by giving women the quality, respectful and dignified care they deserve, we will help more women succeed, ensuring more babies start their lives on the strongest footing possible. To achieve better health for all, we have to start from a place of respect for childbirth and the mother-baby dyad \u2013 this is the foundation for a satisfying and empowering breastfeeding experience.<\/p>\n

    For additional information:<\/p>\n

      \n
    1. WHO, Infant and Young Child Feeding, Fact sheet<\/a><\/li>\n
    2. MCSP, Postnatal Care for Mothers and Newborns, Highlights from the WHO 2013 Guidelines<\/a><\/li>\n
    3. UNICEF, Ten Steps to Successful Breastfeeding<\/a><\/li>\n
    4. WHO, Breastfeeding in Emergencies: A Question of Survival<\/a><\/li>\n
    5. Improvement of maternal and newborn health through midwifery<\/a><\/li>\n
    6. WHO, Guidelines on HIV and Infant Feeding 2010<\/a><\/li>\n
    7. Healthy Newborn Network<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      As maternal-newborn health advocates recognize the importance of breastfeeding during World Breastfeeding Week, we at White Ribbon Alliance thought it would be helpful to show how important our call for respectful maternity care is for successful breastfeeding. This connection isn\u2019t necessarily obvious, even to those who are considered respectful-care or breastfeeding experts. This year\u2019s theme, … Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":18747,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"acf":[],"yoast_head":"\nHealthy Newborn Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/respectful-maternity-care-can-lead-successful-breastfeeding-win-mother-baby\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Respectful Maternity Care Can Lead to Successful Breastfeeding: A Win for Mother and Baby - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"As maternal-newborn health advocates recognize the importance of breastfeeding during World Breastfeeding Week, we at White Ribbon Alliance thought it would be helpful to show how important our call for respectful maternity care is for successful breastfeeding. 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mortality.\r\n\r\nWith tens of thousands of members in 148 countries and National Alliances in 15, WRA is amplifying the voices of people suffering from the greatest burden of morbidity and mortality of complications due to pregnancy and childbirth.\r\n\r\nWe invite you to visit our website to learn more about what we are doing and how you can play your part.\r\n<h2>What we do<\/h2>\r\nThe White Ribbon Alliance is a leader in advocacy and represents an opportunity for new partnerships to work together to advance safe motherhood and newborn health everywhere. The WRA:\r\n<ul>\r\n \t<li>\u00a0\u00a0 Educates its members and member organizations through seminars, working groups etc.;<\/li>\r\n \t<li>\u00a0\u00a0 Creates with its members educational, communication and technical materials for use by members and others;<\/li>\r\n \t<li>\u00a0\u00a0 Organizes policy efforts directed at national and local governments to increase funding and programs for Safe Motherhood;<\/li>\r\n \t<li>\u00a0\u00a0 Supports and assists countries (other than the U.S.) to create a national White Ribbon Alliance (i.e., Indonesia, India, Fiji, Rwanda, Nigeria, etc.).<\/li>\r\n<\/ul>","post_title":"White Ribbon Alliance for Safe Motherhood","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"white-ribbon-alliance-safe-motherhood","to_ping":"","pinged":"","post_modified":"2016-08-26 10:34:34","post_modified_gmt":"2016-08-26 14:34:34","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=853","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"issues":[{"ID":132,"post_author":"7211","post_date":"2015-10-21 15:20:24","post_date_gmt":"2015-10-21 15:20:24","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>Early and exclusive breastfeeding for the first six months of a child\u2019s life reduces child mortality and has health benefits that extend into adulthood. Breastfeeding benefits not only the child but the mother and family also, as it is free of cost and reduces the risk of infection in newborns, enhances neurodevelopment, and reduces the risk of acquiring certain non-communicable illnesses in adulthood. Breastmilk substitutes and animal milk not only lack essential immune-building components, they also expose the infant to an increased risk of infection and morbidity.<\/h2>\n<p>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">44<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690991173051{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of infants under six months of age who are exclusively breastfed (2015-2020)<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">800<\/span>k<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690991296488{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of infant deaths that can be <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6735804\/\">attributed to suboptimal breastfeeding practices<\/a><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">20<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690991361409{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage reduction in risk of newborn death when <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5025980\/#:~:text=About%2020%25%20of%20all%20neonatal,the%20neonatal%20period%20%5B17%5D.\">breastfeeding is initiated within one hour of birth<\/a><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"More information\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]Human milk feeding and breastfeeding have immediate and long-term benefits for all babies, including the preterm and low birth weight. Feeding small and sick newborns is challenging because of immaturity or medical conditions that interfere with effective oral feeding. Moreover, small newborns are further affected by variation in the gut microbiome and increased risk for infections.<\/p>\n<p>They often need care in special or intensive care units, which commonly results in separation from their mothers, creating additional challenges to feeding. Care for small and sick newborns must include the promotion of safe and optimal use of human milk (with cup or nasogastric tube), and subsequent transition to breastfeeding, to achieve adequate gain weight and growth in these infants. Staff caring for these babies require specific knowledge and competencies, as well as sufficient supplies for feeding small and sick newborns.<\/p>\n<p>Studies have shown that Early Total Enteral Feeding (ETEF) is safe and decreases the incidence of infections, including necrotizing enterocolitis (NEC), enhances cognitive development, reduces days on parental nutrition, and helps shorten the time to achieve full feeds. Own mother\u2019s milk is the first choice for such babies. Delayed initiation of and infrequent breastmilk feeding can affect the establishment of milk supply and result in decreased milk supply and unnecessary use of breast milk substitutes. If the small baby cannot suckle at the breast, it is important to express, starting with the colostrum within an hour of birth to support the onset of lactation. Such mothers should continue to express every 2-3 hours for eight or more sessions during the day, including at night for ensuring no disruption of lactation and milk supply. To achieve low risk of contamination of expressed breast milk, it is very important to ensure hygienic milk collection, storage, and handling practices.<\/p>\n<p>When own mother\u2019s milk is not available, WHO and UNICEF promote the use of pasteurized donor human milk (PDHM) as the second option in preference to formulas. However, WHO has specified that, this \u201crecommendation (is) relevant for settings where safe and affordable milk-banking facilities are available or can be set up;\u201d The use of formulas as the next option requires counseling the mothers and families on their proper and clean preparation. The use of preterm formulas should only be recommended when the VLBW baby is not gaining weight on standard formula and if it can be afforded. For babies smaller than 1500gm, the WHO recommends adding vitamin D, calcium, phosphorus, and iron supplements.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/infant-and-young-child-feeding\">WHO Infant Feeding Recommendations<\/a><\/li>\n<li><a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/nutritionlibrary\/breastfeeding\/unicef-who-capture-the-moment-eibf-2018.pdf?sfvrsn=587210cf_2\" target=\"_blank\" rel=\"noopener noreferrer\">Early Initiation of Breastfeeding to Promote Exclusive Breastfeeding<\/a><\/li>\n<li><a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/question-and-answers-hub\/q-a-detail\/coronavirus-disease-covid-19-breastfeeding\">Coronavirus disease (COVID-19): Breastfeeding Q&A (WHO)<\/a> + <a href=\"https:\/\/www.who.int\/news-room\/commentaries\/detail\/breastfeeding-and-covid-19\">Scientific Brief\u00a0<\/a><\/li>\n<li>Lancet Breastfeeding Series (2016)<\/li>\n<li><a href=\"http:\/\/www.who.int\/maternal_child_adolescent\/topics\/child\/nutrition\/breastfeeding\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">WHO Resources on Breastfeeding<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/breastfeeding-advocacy-toolkit\/\">Breastfeeding Advocacy Toolkit<\/a><\/li>\n<li>\n<p class=\"entry-title\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">WHO recommendations for care of the preterm or low-birth-weight infant (2022)<\/a><\/p>\n<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Breastfeeding and feeding of small and sick newborns","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"breastfeeding-and-feeding-of-small-and-sick-newborns","to_ping":"","pinged":"","post_modified":"2023-11-21 12:34:55","post_modified_gmt":"2023-11-21 17:34:55","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=132","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[],"countries":[],"ft_img_caption":"","about_the_author":"","author_image":false},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/18748"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/users\/7211"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/comments?post=18748"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/18748\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/18747"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=18748"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/categories?post=18748"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/tags?post=18748"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}