BREASTFEEDING

World Breastfeeding Week is held in the first week of August every year.

The theme for 2024 is Closing the gap: Breastfeeding support for all.

The campaign will celebrate breastfeeding mothers in all their diversity, throughout their breastfeeding journeys, while showcasing the ways families, societies, communities and health workers can have the back of every breastfeeding mother.

This World Breastfeeding Week, let’s appreciate breastfeeding mums and ensure they get the support they need.

Conveying the right information, for the informed decision of mothers and families, is correct and ethical.
Considerable scientific evidence is available on breastfeeding and human milk feeding as a public health strategy given its myriad benefits for both newborns and breast feeders. However, breastfeeding is often perceived by some health care professionals as simply a lifestyle choice. They fear creating guilt in those who choose not to breastfeed by "pushing" for breastfeeding.

Since 1991, the Baby-Friendly Hospital Initiative (BFHI) has sought to motivate healthcare teams caring for newborns to provide the best support for successful breastfeeding, based on the Ten Steps.

Human milk (HM) is recognized for its safety, efficacy, availability and cost/effectiveness. Consequently, it is the best food for newborns, even if they are small, premature or sick.

Breastfeeding improves child survival, health and development.

HM has the potential to reduce morbidities and improve health, especially in those born extremely prematurely, as it contains bioactive substances with bactericidal, immunomodulatory, and gut maturation-inducing properties.

The primary responsibility for monitoring the implementation of the code rests with governments. Enforcement is most effective when this responsibility is shared among the main government agencies involved throughout the various stages of product commercialization.
- National legislation on the Code should indicate which government agencies are in charge of overseeing this and how it should be done.
- Manufacturers and vendors of human milk substitutes should monitor their own marketing practices at all levels.

In gestations with high risk of prematurity or potentially needing admission to the Neonatal Care Unit, prenatal admission is an opportunity for communication with the pregnant women.
Evidence-based counseling about the benefits of human milk feeding is a public health intervention that improves breastfeeding rates. Repeated prenatal informational interviews are more effective than isolated interventions and should be documented in the medical record.

Banked human milk (BHM) is the alternative of choice for feeding preterm infants (PTNB) as it provides the opportunity for them to receive a diet consisting of exclusive human milk when the milk of the baby’s own mother is unavailable, scarce or contraindicated.
In terms of its benefits, BHM is somewhat inferior to the mother's own, but superior to artificial formula.

The definition of the word “substitute” implies something that has properties similar to those of another thing and may replace it with a lesser degree of quality, or an imitation of lesser quality than the original.
A human milk substitute is any food marketed as a partial or total substitute for breast milk, and the elements for its administration, whether or not they are suitable for that purpose.
The International Code of Marketing of Human Milk Substitutes applies to marketing strategies for the following milk substitute products:

The International Code of Substitutes consists of a set of recommendations aimed at regulating the aggressive and improper marketing of human milk substitutes, bottles and teats, which compete with breastfeeding.
In 1981, the 34th World Health Assembly adopted the International Code of Marketing of Human Milk Substitutes as a minimum requirement to protect and promote adequate feeding of infants and young children.

Having a written breastfeeding policy allows to:

- Make the various actors at the facilities agree to comply with practices that favor breastfeeding.
- Make the medical and nursing staff take ownership of the topic.
- Have recommendations applicable to specific environments.
- Monitor, evaluate and obtain data on breastfeeding practices and their effects, e.g., through audits.
- Exchange views within and outside the institution, involving more actors, sharing experiences and facilitating the replication of good practices.