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MATERNALFRIENDLYCARE

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Maternal Friendly Care

New criteria for BFHI hospitals

Towards ensuring evidence based practices

used;

for supporting mothers

and towards ensuring initiation

and continuation of breast feeding practice

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MATERNALFRIENDLYCHILDBIRTHINITIATIVE

MFCI

Ten Steps of Mother Friendly

Childbirth Initiative

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Ten Steps of Mother Friendly

Childbirth Initiative

1. Offers all birthing mothers

unrestricted access to a birth

companion of her choice unrestricted access to

continuous emotional and

physical support from a skilledwomen (doula)

Professional midwifery care

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Ten Steps of Mother Friendly

Childbirth Initiative

3. Provides culturallycompetent care

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Ten Steps of Mother Friendly

Childbirth Initiative

4. Provides the birthing women freedomto move

about in labourand to assume her position of

choice during birth (unless medically

contraindicated)

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5. Has clearly defines policies and procedures

for antenatal care, delivery and postnatal

care

Ten Steps of Mother Friendly

Childbirth Initiative

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6. Does not routinely employ practices andprocedures that are unsupported by scientificevidence based

Shaving

Enemas

Unnecessary infusions / branulas

Early rupture of membranes

Unnecessary fetal monitoring

Induction rate of less than 10% / episiotomy rate of20% or less / LSCS rate of less than 10% in communityhospitals and less than 15% in referral hospitals / VBACrates in excess of 60%

Ten Steps of Mother Friendly

Childbirth Initiative

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7. Educate staff on non-drug methods of pain

reliefmusic, self hypnosis, TENS (trans

cutaneous nerve stimulation), warm baths, back

massage etc

Ten Steps of Mother Friendly

Childbirth Initiative

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What can you tell a patient about pain relief?

10Session 5 : Birth Practices and BreastfeedingMinistry of Health Malaysia

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Pain relief

Offer non-medication methods ofpain relief before offering painmedications.

Labour support

Walking and moving around

Massage, warm water

Verbal and physical reassurance Quiet environment/no bright lights

Labouring and birth positions ofmothers choice

11Session 5 : Birth Practices and BreastfeedingMinistry of Health Malaysia

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8. Encourage all mothers and families including

those with sick and premature babies or those

with congenital abnormalities to touch, hold,

breastfeed and care for their babies wherepossible.

Ten Steps of Mother Friendly

Childbirth Initiative

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What are important practices immediately

after birth that can help a mother and baby?

13Session 5 : Birth Practices and BreastfeedingMinistry of Health Malaysia

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Skinto-skin Contact

Ensure uninterrupted, unhurried skin-to-skin contact between every mother

unwrap healthy baby.

Start immediately, even before cordclamping, or as soon as possible in the

first few minutes after birth.

Arrange that this skin-to-skin contactcontinue for at least one hour after

birth.

14Session 5 : Birth Practices and BreastfeedingMinistry of Health Malaysia

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UNICEF/WHO Breastfeeding Promotion and Support in a Baby-Friendly Hospital20 hour Course 2006

First Skin to Skin Contact5/3

DrNils

Bergman,Cape

Town,

SouthAfrica

15First Skin to Skin Contact

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9. Discourages non-religious circumcision of the

newborn.

Ten Steps of Mother Friendly

Childbirth Initiative

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10. Strives to achieve the WHO-UNICEF

Ten Steps of the Baby Friendly Hospital

Initiative to promote successfulbreastfeeding.

Ten Steps of Mother Friendly

Childbirth Initiative

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TEN STEPS TO SUCCESSFUL BREASTFEEDING

1. Have a written breastfeeding policythat is routinely communicated to all

health care staff.

2. Trainall health care staff in skills necessary to implement this policy.3. Inform all pregnant women about the benefits and management of

breastfeeding.

4. Help mothers initiate breastfeeding within a half-hour of birth.

5. Show mothers how to breastfeed, and how to maintain lactation even if they

should be separated from their infants.6. Give newborn infants no food or drink other than breastmilk unless medically

indicated.

7. Practise rooming in - allow mothers and infants to remain together - 24 hours a

day.

8. Encourage breastfeeding on demand.9. Give no artificial teats or pacifiers (also called dummies or soothers) to

breastfeeding infants.

10. Foster the establishment of breastfeeding support groups and refer mothers

to them on discharge from the hospital or clinic.

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BFHIASSESSMENT& MOTHERFRIENDLY

SERVICES

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