breast feeding: a public health priority Answerhas been recognized as a public health priority in tropical
climates since the 1930's, but not until the 1990's in the US
costs to prevent needless deaths Answerless than $6 billion/year worldwide
suboptimal breastfeeding Answeraccounts for more than 3,340 maternal and child deaths a year, 80%
are maternal
nursing a baby for a year or more Answerdecreases by 10-15% the risk of developing hypertension,
diabetes, hyperlipidemia, and cardiovascular disease
women who do not breastfeed Answerare at greater risk for myocardial infarction and aspects of
metabolic syndrome; are at a greater risk of breast, endometrial, and ovarian cancer
WHO and UNICEF three strategies Answerfor increased breastfeeding initiation and duration in every
country: promotion, protection, and support
breastfeeding promotion Answerfocuses on advantages of breastfeeding on a personal, community,
country, or global level
breastfeeding protection Answerfocuses on government, manufacturer, and social responsibility to
assure breastfeeding's ability to compete with commercial interests; includes addressing improper
marketing practices; the AAP advices not to provide formula, company gift bags, and industry-authored
handouts; in the US, state and local breastfeeding legislation addresses breastfeeding in public,
employment issues, jury duty, family law, mothers in prison, etc.
breastfeeding support Answerfocuses on the interaction of "helpers" with family as well as program
development and implementation
, community expertise Answervariety of community expertise is needed to promote, protect, and support
breastfeeding
International models Answerfor integrating breastfeeding promotion, protection, and support as well as
balancing technical information, programs, and protocols
CLC Answernationally recognized designation awarded by the ALPP to those who are exam eligible and
pass the exam; have competenct verified
CLCs and IBCLCs Answerhealth professionals who provide lactation support
why is breastfeeding so difficult? Answer1. unrealistic expectations
2. lack of timely interventions
unrealistic expectations Answerlack of preparation for what the newborn period would look like
lack of timely interventions Answermother's problems at 3 to 7 days posed as the greatest risk to
stopping
breastfeeding trends Answerlast 150 years or som rates have declined
international code of matketing of breastmilk substitutes (the code) Answeran international health
policy framework to regulate the marketing of breastmilk substitutes in order to protect breastfeeding
- published by the WHO in 1981
- internationally agreed voluntary code of practice
- written in response to the marketing activities of the infant feeding indurstry which were promoting
formula feeding over breastfeeding, which in turn was leading to dramatic increases in maternal and
infant morbidity and mortality
- subsequent clarifying and extending resolutions have been passed by the world health assembly
the code Answerregulates the marketing of breastmilk substitutes which includes infant formulas,
follow-on formulas, and any other food or drink, together with feeding bottles and teats, intended for