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Breastfeeding has been recognized as a public health priority in tropical climates since ✔Correct
Answer--1930s
Breastfeeding has been recognized as a public health priority in US since ✔Correct Answer--1990s
Dr. Williams started to see and write about outcomes for diarrhea and pneumonia in babies in
tropical climates that did what ✔Correct Answer--breast fed
1990s saw new significant research links in BF and ✔Correct Answer--HTN, heart disease, diabetes
What two things are significant killers of children under 5 ✔Correct Answer--diarrhea and
pneumonia
How many children under 5 die from pneumonia and or diarrhea ✔Correct Answer--29% or 2
million/year
1 in 6 pne.
1 in 10 dia.
statistics 2015 study showed that how many babies died from pneumonia and or diarrhea in the
neonatal period ✔Correct Answer--2.7 million
How much would it cost to scale up to do everything we can to prevent these needless deaths?
✔Correct Answer--Less than $6 billion a year worldwide. (We spend $17 billion a year on pet food in
Europe and the US.)
Things that have made a difference in reducing child death under 5? ✔Correct Answer--Big list like
vaccinations,
zinc and vitamins A support, clean delivery.
2 things WE can address is to reduce child death under 5? ✔Correct Answer--1) BF (13%)
2) Complimentary feeding (6%)
How many million children die from malnutrition a year ✔Correct Answer--3 million
what percent of children with malnutrition will have stunted growth ✔Correct Answer--25%
Stages of First Thousand Days campaign ✔Correct Answer--PREGNANCY
INGANCY
TODDLER
First Thousand Days campaign
PREGNANCY STAGE duration and info: ✔Correct Answer--270 days
,Drink iron and folgate, adequate amount of iodized salt. Iodine deficiency can lead to 10-15 point
decrease in IQ, low birth weight or still birth
First Thousand Days campaign
INFANCY STAGE duration and info: ✔Correct Answer--180 days or 6 months.
Will get COLOSTRUM from breast milk in first few hours of life.
Protection from diseases. Can raise IQ by 5-7pts
First Thousand Days campaign
TODDLER STAGE duration and info: ✔Correct Answer--550 days or 7-24 months old.
Can continue to BF and begin solids. This can help overcome diseases and may increase 4.6 grade
levels more on average.
Biggest intervention that can happen is by scaling up care in ✔Correct Answer--LABOR and
CHILDCARE
Infant mortality is ____ in ____ live births for non-hispanic Black women. ✔Correct Answer--11.1 in
1000
For every 597 women, optimal BF can prevent _____ mother or baby death. ✔Correct Answer--1
Suboptimal breastfeeding accounts for more than ______ maternal and child deaths a year, of which
____% are maternal. ✔Correct Answer--3,340
80%
Women who do not breastfeed are at greater risk for ? ✔Correct Answer--myocardial infarction
and aspects of metabolic syndrome.
Nursing a baby for a year or more decreases by _____ the risk of developing _____________ when
postmenopausal compared to those who had been pregnant but never breastfed. ✔Correct
Answer--10-15%
hypertension, diabetes, hyperlipidemia and cardiovascular disease
Cardiovascular findings are speculated or confirmed by science? ✔Correct Answer--Confirmed
these results including among those who were premenopausal.
Women who do not breastfeed are at greater risk of what 3 kinds of cancer and mortality
✔Correct Answer--breast, endometrial and ovarian cancer.
The World Health Organization (WHO) & UNICEF Have set out three strategies needed for increasing
breastfeeding initiation and duration in every country: ✔Correct Answer--Breastfeeding Promotion,
Breastfeeding Protection
and
Breastfeeding Support
, Breastfeeding Promotion ✔Correct Answer--Focuses on advantages of breastfeeding on a personal,
community, country or global level. Through promotion we can also target PREVENTION
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 as described in "The International Code".
78% of US hospitals no longer give DC packets with formula samples that undermine a mothers
confidence in optimal BF.
In In the US, state and local breastfeeding legislation addresses breastfeeding in public, employment
issues, jury duty, family law, mothers in prison etc.
Under BF protection the AAP has recommended what about formula coupons and gift bags?
✔Correct Answer--They are no longer to be given out at the hospital, clinic or MD offices.
Breastfeeding Support ✔Correct Answer--Focuses on the interaction of "helpers" with family as
well as program development & implementation
US Preventative Service Task Force found BF ______ and _______ are linked to increased rates in
exclusive BF. Didn't define what the support is or who it comes from, because SUPPORT IS SUPPORT.
✔Correct Answer--support and promotion
What hospital and where was the first "baby friendly" hospital ✔Correct Answer--Fabella in the
phillipines
Major differences in Fabella in the 90s versus now ✔Correct Answer--Forms the basis of the Baby
Friendly Hospital Initiative.
This does not include tandem beds, co beds or not allowing formula in the hospital as seen in the
video, among other things.
When the og video was made skin to skin was not central to step 4, however it is now immediate,
continuous and uninterrupted until the 1st feeding is completed. Or 1 hour it mom is not BF
The Ten Steps to Successful Breastfeeding Form the basis of the ✔Correct Answer--Baby-Friendly
Hospital Initiative
Highest Level of Evidence is ✔Correct Answer--Meta-analysis and systematic reviews (such as the
Cochrane Collaboration and the Joanna Briggs Institute for Evidence)
CLC is a nationally recognized designation awarded by ✔Correct Answer--ALPP
ANSI is well recognized within the industry as enforcing what? ✔Correct Answer--the highest
standards in personnel accreditation.
2 reasons that breastfeeding is so difficulty that mothers need help? ✔Correct Answer--Unrealistic
expectations