— †¹»¹® €‚ „± ²†·...
Embed Size (px)
Transcript of — †¹»¹® €‚ „± ²†·...
- 1. H MRCPCH DCH IBCLC www.pediatros-thes.gr
- ( CLC, )
- CLC Care Award Program www.ilca.org
- , ,
- (, , play specialists)
- 8. 4. 4. () 3. 3. 2. 2. 1. 1.
- , !
- ( , )
- Conflict of interest ,
- Liaison office
- risk management
- 10 Steps to Optimal Breastfeeding in Paediatrics
- 1. Have a written breastfeeding policy and train staff in necessary skills.
- 2. When an infant is seen, for either a well visit or due to illness, ascertain the mothers
- infant feeding practices, and assist in establishment or management of breastfeeding as
- 3. Provide parents with written and verbal information about breastfeeding.
- 4. Facilitate unrestricted breastfeeding or, if necessary, milk expression for mothers
- regardless of the childs age.
- 5. Give breastfed children other food or drink only when age appropriate or when medically
- indicated, and if medically indicated, use only alternative feeding methods most
- conducive to return to breastfeeding.
- 6. If hospitalization is needed, ensure facility allows 24-hours mother/child rooming in.
- 7. Administer medications and schedule procedures so as to cause the least possible
- disturbance of feeding.
- 8. Maintain a human milk bank, according to standards.
- 9. Provide information and contacts concerning community support available.
- 10. Maintain appropriate monitoring and records/data collection procedures to permit quality
- assurance assessment, progress rounds or staff meetings, and feedback.
- : BFHI WHO Section 1, 2009
- 13. BFHI Expansion and Integration
- + Mother-friendly care !
- World Health Assembly. International Code of Marketing of Breast-milk Substitutes. Geneva: World Health Organization; 1981.
- United Nations Childrens Fund, World Health Organization. Section 1. In: Baby Friendly Hospital Initiative: Revised, Updated and Expanded for Integrated Care. World Health Organization, UNICEF and Wellstart International, Geneva, 2009.
- American Academy of Pediatrics Section on Breastfeeding. Sample Hospital Breastfeeding Policy for Newborns , 2009. www.aap.org/bookstore (accessed January 27, 2010).
- Rosenberg KD, Stull JD, Adler MR, et al. Impact of hospital policies on breastfeeding outcomes . Breastfeed Med 2008; 3:110116.
- ABM Clinical Protocol #7: Model Breastfeeding Policy (Revision 2010). The Academy of Breastfeeding Medicine Protocol Committee. Breastfeeding Medicine, Volume 5, Number 4, 2010
- ABM Clinical Protocol #14: Breastfeeding-Friendly Physicians Office, Part 1: Optimizing Care for Infants and Children The Academy of Breastfeeding Medicine Protocol Committee. Breastfeeding Medicine Volume 1, Number 2, 2006.
- Hillenbrand K, Larsen P. Effect of an educational intervention about breastfeeding on the knowledge, confidence, and behaviors of pediatric resident physicians . Pediatrics 2002;110(5):e59.
- Papaventsis S . Return to breastfeeding: a survival guide for parents and health professionals . Patakis, 2011.