Early Initiation of Breastfeeding and Breastfeeding, Antenatal

Early Initiation of Breastfeeding and Breastfeeding, Antenatal a. Early Initiation of Breastfeeding Early initiation of breastfeeding is a program that is being recommended by the government for newborn babies, to immediately breastfeed themselves to the mother by placing the baby on the mother's chest, and letting it crawl to find its own nipple. To carry out this program, it must be done immediately after birth, it must not be delayed by weighing or measuring the baby.The principle of breastfeeding is to start as early as possible and exclusively. Immediately after the baby is born, after the umbilical cord is cut, place the baby on his stomach on the mother's chest with the baby's skin attached to the mother's skin, let this skin-to-skin contact persist for at least 1 hour or more, until the baby can breastfeed on his own. If the delivery room is cold, the baby is given a hat and Protocolevidence basedNew information that has been updated by WHO and UNICEF regarding the care of newborns for the first hour states as follows: 1) The baby should have skin-to-skin contact with the mother immediately after birth for at least one hour. 2) The baby must be allowed to initiate breastfeeding and the mother can recognize that the baby is ready to breastfeed, and provide assistance if necessary. 3) Postpone all other procedures that must be carried out on newborns until initiation of breastfeeding has been completed, such procedures as: bathing, weighing, administering vitamin K, eye drops, etc. 4)Five Stages of Behavior (Pre-Feeding Behavior) Before the Baby Successfully Breastfeeds; 1. Once born, the baby is placed on the mother's stomach which has been covered with a dry cloth. 2. Dry the baby's entire body including the head as soon as possible, except for the hands 3. The umbilical cord is cut and then tied. 4. Vernix (white fatty substance) that sticks to the baby's body should not be cleaned because this substance makes the baby's skin uncomfortable. 5. Without being carried, the baby is placed directly on the mother's chest or stomach with the baby's skin and mother's skin in contact. If necessary, the baby is given a hat to reduce heat loss from the head. b. Breastfeeding - Midwife Support in Providing Breast Milk Midwives can provide support by guiding mothers to breastfeed properly until the mother is able to do it herself. It is very important to do this, especially for primiparas, even though mothers have received guidance on correct breastfeeding techniques, sometimes there are still mothers who have not mastered it well, so midwives must pay attention to breastfeeding techniques again by asking mothers to demonstrate how to breastfeed their babies and show them the correct way if there are still errors. . - Give breast milk to the baby as often as possible Breastfeeding the babynot scheduled(on demand), because the baby will determine his own needs. Mothers should breastfeed their babies if the baby is crying for no other reason (peeing, etc.) or the mother feels the need to breastfeed her baby. A healthy baby can empty one breast in around 5-7 minutes and the milk in the baby's stomach will be empty within 2 hours.Scheduled breastfeeding will have negative consequences, because sucking has a big influence on stimulating subsequent breast milk production. By not scheduling breastfeeding according to the baby's needs, it will prevent many problems that might arise. - For working breastfeeding mothers - Breastfeed the baby as often as possible while the mother is on leave from work, at least once every 2 hours - Breastfeed the baby before going to work and as soon as the mother arrives home, especially at night and during holidays at home. - While at work, breast milk must be expressed, then put into a clean and closed container (container) then stored in a refrigerator or ice thermos. This breast milk is taken home, stored again in the refrigerator and given by the caregiver to the baby when the mother goes to work the next day. Feed the breast milk with a small spoon. - Mothers must get enough rest and drink a lot and eat nutritious food so that breast milk flows smoothly.The results of research by Auerbach et al (1984) on 567 working mothers also showed that mothers who breastfed had increased work performance.Research by Cohen et al, in America in 1995 showed that mothers who gave breast milk to their babies were less likely to miss school (25%) than mothers who gave breast milk to their babies.formula to their babies (75%) because babies who are given breast milk get sick less often than babies who are given formula milk. - Give colostrum and breast milk only Breast milk and colostrum are the best foods for babies. Colostrum is a thick, yellowish liquid produced by the alveoli of the mother's breasts in the final period or third trimester of pregnancy. Colostrum is released on the first day after delivery, the amount of colostrum will increase and reach the composition of normal/mature breast milk in around 3-14 days. Compared to mature breast milk, colostrum contains less lactose, fat and water-soluble vitamins (vitamins B and C), but contains less protein, minerals and fat-soluble vitamins (vitamins A, D, E, K), and several minerals ( such as zinc and sodium) which are higher. Colostrum is also a laxative to remove meconium from the baby's intestines and prepare the baby's digestive tract for the food to come.Breast milk is able to provide both active and passive protection, breast milk also contains anti-infective substances, babies will be protected from various kinds of infections, whether caused by bacteria, viruses, fungi or parasites. Breastfeeding is highly recommended, especially during the first 4 months, but if possible up to 6 months, continued until the age of 2 years with solid food.Lotsadvantages of breast milkWhat is important for midwives to convey to breastfeeding mothers is to encourage breastfeeding mothers to be more enthusiastic about giving breast milk to their babies.