CHN 1 IYCF Famorca PPT Lec Avg Nov2021v

INFANT AND YOUNG CHILD
FEEDING / IYCF
AIDA V. GARCIA, RN MAN
INFANT AND YOUNG CHILD
FEEDING / IYCF
LEGAL BASIS
EO 51
National Code of Marketing of Breastmilk Substitutes,
Breastmilk Supplement & Other Related Products
“ MILK CODE”
EO 51
“ MILK CODE”
RA 7600
RA 7600
RA 7600
Normal Spontaneous Deliveries. — shall be put to the
breast of mo. stat after birth & forthwith roomed-in w/in 30 mins.
a) well infants regardless of age of

gestation; and
b) infants with low birth weights but who

can suck.
Deliveries by Caesarian. — shall be roomed-in & breast-fed

w/in 3
to 4 hrs after birth

Rooming-in
- place nb in same room as the mother
right after delivery up to discharge
- facilitate mother-infant bonding and
initiate breast-feeding
Exemptions
— Infants whose cond. do not permit rooming-in &
BF as determined by physician, & infants whose
mothers are either:
a) seriously ill;
b) taking medications contraindicated to breast-
feeding;
c) violent psychotics; or
d) whose conditions do not permit breast-feeding
and rooming-in as determined by the attending
physician
Exemptions
—Seriously ill mothers — are those who are:
w/
-Severe infections;
-in shock;
-in severe cardiac or respiratory distress;
-or dying;
-or those with other conditions that may be
determined by the attending physician as serious
RA 7600
ACT PROVIDING INCENTIVES TO ALL GOVT &
PRIVATE HEALTH INSTITUTIONS W/ ROOMING-IN &
BREASTFEEDING PRACTICE
RA 7600
MBFHI Certification
Lactation Management
— gen. care of mother-infant nursing couple during
prenatal, stat postpartum & postnatal periods.
- deals w/ educ. & providing knowledge/ info to preg. &

lactating mo. on advantages of bf, physiology of
lactation, establishment & maintenance of lactation,
proper care of breasts & nipples for successful bf
Right of the Mother to Breast-feed
—child equally has the right to her breastmilk
Bootlefeeding
- allowed only after mo. has been informed health
personnel of:
- advantages of bf & proper techniques of infant
formula feeding
- mo. opted in writing to adopt infant formula feeding
the infant.
RA 10028
“EXPANDED BREASTFEEDING
PROMOTION ACT”
RA 10028
“EXPANDED BREASTFEEDING
PROMOTION ACT”
RA 10028
“EXPANDED
BREASTFEEDING
PROMOTION ACT”
RA 8976
“PHILIPPINE FOOD
FORTIFICATION ACT’
RA 8172
ASIN LAW
EO 382
AO No. 2011-0303 “Micronutrient
powder supplementation for
children 6-23 months”
AO 32, S2010
EXPANDED GARANTISADONG
PAMBATA
f AO 2005-0014
National Policy on Infant

and Young Child May 23, 2005
Feeding
IYCF FEEDING
PRACTICES
IYCF
FEEDING PRACTICES
EXCLUSIVE BREASTFEEDING
EXCLUSIVE
Breastfeeding
wet nursing
- feeding from another
mother’s breast
expressed milk
• MANUAL
milk
expression
EXCLUSIVE Breastfeeding
: BEST food except if w/ Galactosemia
: DO NOT GIVE plain water

sugared water
chewy sticky rice
herbals
or starved the baby
: BF day & night (per demand)
: Use breast alternately
Breastmilk
Breastmilk
Breastmilk
Variations of BMilk
• 1. Colostrum – thick/yellowish
– More whey than mature milk - antibodies
– Purgative – meconium
– Growth factors – helps intestine to grow
– Rich in Vit A
Variations of BMilk
2. Mature Milk
Larger in quantity
A. Foremilk- produce early in feeding.

B. Hindmilk-produce later. More fat
Breastmilk
Breastmilk is the best food

- contains essential nutrients
- complete
- nature’s first immunization
- growth factors
Techniques
of BF
1.Position
• Infant close to
mo
• Tummy to
tummy
• Diff. positions
are:
BF POSITION
a. Cradle b. CROSS
hold CRADLE HOLD
BF POSITION
d. FOOTBALL /
c. SIDE-LYING CLUTCH /
hold UNDERARM HOLD
Acceptable or not acceptable?
It is not acceptable.
- upright or koala
hold
Covid pt.
3. Small
breast
.
4. Flat , inverted
nipple • Shape of nipple- not
impt
– Position well
– Syringe method (pull
plunger)
- Shape breast (c-
hold)
4. Flat , inverted nipple
• Syringe method
(pull plunger)
4. Flat , inverted nipple
- Shape breast
(c-hold)
5.PROPER LATCHING
GOOD LATCH
-mouth wide open
Lower lip turned
outward
- Chin touching breast
- More areola visible
above
SIGNS SUCKLING EFFECTIVELY
SUCKLING EFFECTIVELY ?
SUCKLING EFFECTIVELY ?
6. BREAST ENGORGEMENT
• breast
engorgement.
• caused by an
imbalance
between milk
supply and infant
demand.
• BF-both
• MANUAL milk
expression
• Breast pump
Expressed breastmilk
- — human milk extracted from breast by

hand or by breast pump
- fed using dropper, nasogatric tube, cup &

spoon, or bottle
milk
expression -
collected milk
7. Breast – no need to wash before and after
feeding
8. Mo. Food intake
9. Causes uterine pain
PREDOMINANT Breastfeeding
> BREAST milk
> BEST food
⮚ Wet nurses
⮚ w/ liquid” …water-based food , fruit juice
ritual fld, oresol,drops, syrup, vit, mineral
EXTENDED BF
COMPLIMENTARY FEEDING
• TIMELY . . . They are INTRODUCED when

the need for energy & nutrients EXCEEDS
what can be provided by exclusive frequent
BF
• ADEQUATE. . . Provide SUFFICIENT
energy. . .CHON. . . Micronutrient to meet
nutritional needs
• SAFE. . . HYGIENICALLY STORED & prepared.

Fed w/ clean hands using clean utensils
. PROPERLY FED . . . Given consistently w/ a

CHILD’s SIGNALS of HUNGER
. . MEAL FREQUENCY & METHOD . . .
Shd be SUITABLE for CHILD’s age
Bottle feeding
Given from bottle w/ nipple , teats
- Interference of bottle feeding
- Increase diarrhea, morbidity,
mortality
6 to 9 months (IMCI)
-Breastfeed as often
-Give thick porridge or well mashed foods. Include
animal source foods & vit A-rich fruits & veg.
- Start: Give 2 tbsp
- Gradually increase to ½ cups (1 cup = 250 ml)
-Give 2 to 3 meals/day
-Offer 1 to 2 snacks/day bet meals when hungry
9 mon -12 mon (IMCI)
-Breastfeed as often
-Give variety of mashed or finely chopped family
food, include animal source foods & VitA rich
fruits/veg.
-Give ½ cup at each meal
-Give 3 to 4 meals /day
Offer 1 to 2 snacks bet meals when hungry
REPLACEMENT FEEDING /
COMMERCIAL INFANT FEEDING

Reference:
Famorca, Z., Nies, M., & McEwen, M., (2013). Nursing Care of the Community.
ELSEVIER MOSBY.

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INFANT AND YOUNG CHILD

a) well infants regardless of age of

b) infants with low birth weights but who

Deliveries by Caesarian. — shall be roomed-in & breast-fed

to 4 hrs after birth

- deals w/ educ. & providing knowledge/ info to preg. &

National Policy on Infant

: DO NOT GIVE plain water

A. Foremilk- produce early in feeding.

Breastmilk is the best food

- — human milk extracted from breast by

- fed using dropper, nasogatric tube, cup &

• TIMELY . . . They are INTRODUCED when

• SAFE. . . HYGIENICALLY STORED & prepared.

. PROPERLY FED . . . Given consistently w/ a

COMMERCIAL INFANT FEEDING

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