From: Subject: Winter 2005 Newsletter Page 3 Date: Fri, 1 Jun 2007 02:38:13 +0100 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C7A3F5.E659D370" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3028 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C7A3F5.E659D370 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: https://www.infactcanada.ca/Winter_2005_Newsletter_Page_3.htm Winter 2005 Newsletter Page 3

Infant = feeding in=20 emergencies

    In=20 the wake of the Boxing Day Tsunami disaster, the world responded in an=20 unprecedented outpouring of relief. One of the very first items reported = on the=20 list of emergency supplies being shipping to the devastated area was = infant=20 formula. This was despite the fact that in emergency situations, = breastfeeding=20 protection is more critical than at any other time. The donation and use = of=20 infant formulas may actually increase malnutrition, diarrheal disease = and death.=20 Which is why the World Health Organization recommends,

In emergencies, breastfeeding is the optimal and safest = feeding method.=20 The 47th World Health Assembly urges Member States "to exercise = extreme=20 caution when planning, implementing or supporting emergency relief = operations,=20 by protecting, promoting and supporting breastfeeding for infants." = World=20 Health Assembly Resolution 47.5 (1994)

    The situation in southeast Asia is a classic = example=20 of how  infant formula can stand in the way of healthy infant = feeding=20 practices and grant deceptive endorsement to formula feeding as a safe = means to=20 feed infants. As Dr. Anahit Demirchian, Chief of National Programme of = Promotion=20 and Protection of Breastfeeding in  Armenia reported in response to = the=20 1996 Armenia earthquake, "Our maternity hospitals were flooded with = breastmilk=20 substitutes brought in by humanitarian aid agencies. This nearly = destroyed our=20 breastfeeding programmes."   

 

    In situations where infants are orphaned, = where=20 mothers are ill and unable to breastfeed, or choose not to breastfeed, = other=20 feeding options may be needed. In order of preference these = are:

1. Mothers own expressed breastmilk

2. Wet-nursing

3. Locally available milks suitable for older infants and = young=20 children

4. Locally purchased infant formulas may be used if = conditions permit=20 safe preparation use and storage.

For more = information=20 about infant and young child feeding in emergencies see: Interagency = Working=20 Group on Infant Feeding in Emergencies at http://www.ennonline.net/ International Lactation Consultant Association Position in=20 Infant  Feeding in Emergencies at http://www.ilca.org/news

 

Myths = about=20 breastfeeding in emergencies

Myth 1:=20 Malnourished = mothers cannot=20 breastfeed In virtually all cases, a sub-optimally nourished mother can=20 breastfeed her child. The important response is to feed the mother so = that she=20 can feed her child. It is far safer and more effective to provide = nutritional=20 support for the mother than to risk her infant=92s health by feeding = breastmilk=20 substitutes. Mothers in these situations need help and support to enable = them to=20 breastfeed.

Myth 2: = Stress=20 makes a mother=92s milk dry up Although extreme stress or fear may = temporarily=20 reduce a mother=92s milk supply, this response is often of short = duration. On the=20 other hand, breastfeeding produces hormones that have a calming effect = on mother=20 and baby and creates an inseparable bond between the mother and her = child. There=20 is virtually no abandonment of babies in emergency situations when = mother and=20 baby are breastfeeding and kept together.

Myth 3: = Babies=20 with diarrheal disease need water or tea Breastmilk contains about 90 = per cent=20 water. Exclusive breastfeeding provides all the water, nutrition and = immunology=20 a baby needs, without the risk of contamination. Feeding an infant water = can=20 introduce disease-causing bacteria and other contaminants, especially if = safe=20 water is scarce or unavailable. It is only in the case of severe = diarrhea that=20 infants may need rehydration .uids in addition to breastmilk.

Myth 4: = Mothers=20 cannot resume lactation once breastfeeding has stopped Mothers and = babies can=20 restart breastfeeding even after a period of not breastfeeding. = Increased=20 skin-to-skin contact and frequent access to the breast helps to increase = milk=20 supply and enables mothers to resume full breastfeeding. This can be = critical=20 for babies during emergencies.

 

"Myths = about=20 breastfeeding in emergencies" is adapted from the IBFAN booklet, "Infant = Feeding=20 in Emergencies" and is available at http://www.ibfan.org/. =

 |    Top   =20 |    Winter = 2005=20 Newsletters Contents |

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