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Which child-spacing methods are appropriate for BF? - ✔✔✔ Correct Answer >
"contraceptive counseling during BF extends beyond issues of efficacy, because
the selected method must be appropriate for a woman's BF expectations"
Breast feeding: a public health priority - ✔✔✔ Correct Answer > has been
recognized as a public health priority in tropical climates since the 1930's, but
not until the 1990's in the US
Why is breastfeeding so difficult? - ✔✔✔ Correct Answer > 1. Unrealistic
expectations
2. Lack of timely interventions
Costs to prevent needless deaths - ✔✔✔ Correct Answer > less than $6
billion/year worldwide
Suboptimal breastfeeding - ✔✔✔ Correct Answer > accounts for more than 3,340
maternal and child deaths a year, 80% are maternal
,Nursing a baby for a year or more - ✔✔✔ Correct Answer > decreases by 10-15%
the risk of developing hypertension, diabetes, hyperlipidemia, and
cardiovascular disease
Women who do not breastfeed - ✔✔✔ Correct Answer > are at greater risk for
myocardial infarction and aspects of metabolic syndrome; are at a greater risk of
breast, endometrial, and ovarian cancer
WHO and UNICEF three strategies - ✔✔✔ Correct Answer > for increased
breastfeeding initiation and duration in every country: promotion, protection,
and support
Breastfeeding promotion - ✔✔✔ Correct Answer > focuses on advantages of
breastfeeding on a personal, community, country, or global level
Breastfeeding protection - ✔✔✔ Correct Answer > focuses on government,
manufacturer, and social responsibility to assure breastfeeding's ability to
compete with commercial interests; includes addressing improper marketing
practices; the AAP advices not to provide formula, company gif t bags, and
industry-authored handouts; in the US, state and local breastfeeding legislation
addresses breastfeeding in public, employment issues, jury duty, family law,
mothers in prison, etc.
Breastfeeding support - ✔✔✔ Correct Answer > focuses on the interaction of
"helpers" with family as well as program development and implementation
,Community expertise - ✔✔✔ Correct Answer > variety of community expertise is
needed to promote, protect, and support breastfeeding
International models - ✔✔✔ Correct Answer > for integrating breastfeeding
promotion, protection, and support as well as balancing technical information,
programs, and protocols
CLC - ✔✔✔ Correct Answer > nationally recognized designation awarded by the
ALPP to those who are exam eligible and pass the exam; have competenct
verified
Clcs and ibclcs - ✔✔✔ Correct Answer > health professionals who provide
lactation support
Unrealistic expectations - ✔✔✔ Correct Answer > lack of preparation for what
the newborn period would look like
Lack of timely interventions - ✔✔✔ Correct Answer > mother's problems at 3 to 7
days posed as the greatest risk to stopping
Breastfeeding trends - ✔✔✔ Correct Answer > last 150 years or som rates have
declined
International code of matketing of breastmilk substitutes (the code) - ✔✔✔
Correct Answer > an international health policy framework to regulate the
marketing of breastmilk substitutes in order to protect breastfeeding
, - published by the WHO in 1981
- internationally agreed voluntary code of practice
- written in response to the marketing activities of the infant feeding indurstry
which were promoting formula feeding over breastfeeding, which in turn was
leading to dramatic increases in maternal and infant morbidity and mortality
- subsequent clarifying and extending resolutions have been passed by the
world health assembly
The code - ✔✔✔ Correct Answer > regulates the marketing of breastmilk
substitutes which includes infant formulas, follow-on formulas, and any other
food or drink, together with feeding bottles and teats, intended for babies and
young children; sets standards for the labeling and quality of products and for
how the law should be implemented and monitored within countries
Restricting marketing - ✔✔✔ Correct Answer > does not mean that the products
cannot be made available, neither does it restrict parents choice; it simply aims
to make sure that their choices are made based on full, impartial information,
rather than misleading, inaccurate, or biased marketing claims
The strategy - ✔✔✔ Correct Answer > is intended as a guide for action
- it identifies interventions with a proven positive impact
- it emphasizes providing mothers and families the support they need to carry
out their crucial roles
- it explicitly defines the obligations and responsibilities in this regard of
governments, international organizations, and other concerned parties