Certified Lactation Consultant Exam (Healthy
Children Project)
The World Health Organization and UNICEF have set out three strategies
needed for increasing breastfeeding initiation and duration in every country.
What are the 3 strategies? - -Breastfeeding Promotion
Breastfeeding Protection
Breastfeeding Support
-Focuses on advantages of breastfeeding on a personal (personal
connection), community, country (amount spent on healthcare), or global
level (waste from formula & formula products)
Focuses on the good "advantages" of breastfeeding - -Breastfeeding
Promotion
-Focuses on government, manufacturer, and social responsibility to assure
breast feeding's ability to compete with commercial interests.
Includes addressing improper marketing practices
Addressing breastfeeding in public, at work, jury duty, family law, mothers in
prison, etc.. - -Breastfeeding Protection
-Focuses on the interaction of "helpers" with family as well as program
development and implementation - -Breastfeeding Support
-Women how do not breastfeed are at a greater risk for what diseases? - -
Myocardial infarction
Metabolic syndrome
Coronary artery disease
Stroke
DMII
HTN
Hyperlipidemia
Cardiovascular disease
Breast, endometrial, and ovarian cancer
-Reason #1 why women do not exclusively breastfeed - -Unrealistic
expectations from society about motherhood. Along with lack of preparation
for what the newborn period would be like.
-Reason #2 why women do not exclusively breastfeed - -Lack of timely
interventions. Mother's problems at 3-7 days posed the greatest risk for
stopping which is when they are home from the hospital and alone with no
support. The fastest drop-off is in the first 10 days following discharge from
the hospital
, -The International Code of Marketing of Breast milk Substitutions - -An
international health policy framework to regulate the marketing of breast
milk substitutes in order to protect breastfeeding. It was written in response
to the marketing activities of the infant feeding industry which were
promoting formula feeding over breastfeeding, which in turn was leading to a
dramatic increase in maternal and infant morbidity and mortality.
-What does "The Code" do? - -Regulates the marketing of breast milk
substitutes which includes infant formulas and any other food or drink,
together with feeding bottles, and teats, intended for babies and young
children. Sets standards for the labeling and quality of products and for how
the law should be implemented and monitored within countries. Aims to
make sure that parental choices on feeding are based on full, impartial
information, rather than misleading, inaccurate or biased marketing claims.
-The Global Strategy for Infant & Young Child Feeding - -Is intended as a
guide for action; it identifies interventions with a proven positive impact, it
emphasizes providing mothers and families the support they need to carry
out their crucial roles, and it explicitly defines the obligations and
responsibilities in this regard of governments, international organizations,
and other concerned parties.
-What contributes to low rates of exclusive breastfeeding globally? - -
Caregiver and societal beliefs favoring mixed feedings (believing that breast
milk is not enough or that babies actions/issues are related to the breast
milk/breastfeeding)
Hospital and healthcare practices and policies that are not supportive of
breastfeeding
Lack of adequate skilled support
Aggressive promotion of infant formula and other breast milk substitutes
rather than promoting support for breastfeeding
Inadequate maternity and paternity leave legislation and other workplace
policies
Lack of knowledge about the dangers of not exclusively breastfeeding and of
proper breastfeeding techniques
-How to support exclusive breastfeeding - -Increase hospital and health
system capacity including revitalizing, expanding, and institutionalizing the
baby-friendly hospital initiative in health systems
Provide community based strategies including communication campaigns
tailored to the local context
Strengthen the monitoring, enforcement, and legislation related to "The
Code" and subsequent resolutions.
Enact at least 6 months paid maternity leave
Invest in training and capacity building in breastfeeding protection,
promotion, and support
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