Mother, Infant and Young Child Nutrition & Malnutrition Mother, Infant and Young Child Nutrition & Malnutrition - Feeding practices including micronutrient deficiencies prevention, control of wasting, stunting and underweight
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Protection, Promotion and Support of Healthy Maternal, Infant and Young Child Feeding

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Home  »  Nutrition Protection, Promotion & Support  »  The Essential Nutrition Actions (ENA) Approach  »  Exclusive Breastfeeding for Infants 0-6 months

The Essential Nutrition Actions (ENAs) Approach

Exclusive Breastfeeding for Infants 0-6 months

  1. Exclusive breastfeeding at delivery

All mothers should be assisted by a trained service provider to:

  • Give unrestricted skin-to-skin contact immediately after delivery.
  • Initiate breast-feeding within 60 minutes (Breast Crawl).
  • Give the colostrums or "First Milk" to the baby
  • Empty one breast before switching baby to other breast
  • Do not give Pre-lacteal - no water, glucose or any other fluids.
  • Breastfeed frequently and on-demand, day and night (at least 8 times)

Note: Service provider should observe the breastfeed session to assess positioning and attachment and counsel accordingly.

Every newborn, when placed on the mother's abdomen, has ability to find his mother's breast all on her own and to decide for herself when to take the first breastfeed. This is known as the Breast Crawl.

  1. Exclusive breastfeeding for the first six months
  • Trained service provider should ask about any complications or challenges a mother is facing and counsel on solutions. It is important to observe a breastfeeding session to assess position and attachment and counsel accordingly.
  • Trained service provider should make sure the mother:
  • Has not introduced other foods/fluids to the baby.
  • Feeds the baby on-demand, day and night (at least 8 times);
  • Empties one breast before giving the other.
  1. Prevention of Mother to Child Transmission of HIV/AIDS ( (PMTCT)  
  • All HIV negative and not-knowing-status breastfeeding mothers should be encouraged to go for HIV Individual counselling and Testing
  • All HIV positive mothers should be supported on infant feeding in the context of HIV
  1. Control of Infant Iron Deficiency Anaemia
  2. Control of Infant Vitamin A Deficiency
  3. Monthly Growth Monitoring and Promotion
  • All infants are weighed monthly and their growth is plotted on the Growth Monitoring Chart.
  • Their mothers are adequately informed and counselled using the counselling Cards.
  • Children who do not gain weight for more than two months or are losing weight or fall below the bottom line are promptly referred for malnutrition assessment.
  • The Table of Minimum Expected Weight Gain gives the expected weights after one month and after two months. It can be used to check on a child's growth.
  • Plotting on the Child Health Card can not be continued from the previous session if the child has missed one monthly weighing session.

14 September, 2019

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