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A key measure in large scale disaster relief

Document type:	Article
Topic:	Breastfeeding
Author:	Jelliffe DB, Jelliffe EFP. Disasters
Date published:	January 1977

Jelliffe DB, Jelliffe EFP. Disasters, 1977, 1(3):199-203.

Abstract only available in this library:

Abstract: This article focuses on the role of breastfeeding as a component of disaster relief programmes. Breast-milk supplies optimal nutrition and has a protective effect against many infections. In addition, the warmth necessary for babies is provided by the mother's body heat. Therefore, two practical approaches need to be incorporated into field instructions. Firstly, artificial feeding should be restricted to situations where breastfeeding is not possible. Secondly, lactation should be reinforced in the mothers concerned; this means stimulating the prolactin reflex and the "letdown" or "milk ejection" reflex. The latter is a psychosomatic reflex that is impaired by anxiety and enhanced by confidence. Moreover, it is important to maintain or improve maternal nutrition because in very severe food shortages milk production becomes affected and ultimately ceases. Examples of re-establishment or reinforcement of lactation in Bangladesh are presented.

Finally, the authors provide a regime for lactating women. Stimulation of lactation can be best achieved by "breastfeeding stations" in refugee camps. Maternal care and feeding should include the provision of extra nutrients, particularly increased calories, to be consumed by the mother on the spot. These guidelines are supplemented by a table of recommended daily allowances of nutrients for pregnant and lactating mothers. The authors conclude that, considering all the advantages, the maintenance of breastfeeding is a key measure and needs to be incorporated into planning processes.

This resource appears in: Research

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