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1. contraindications for breastfeeding: -HIV positive mother
-Mother is infected ẃith human T-cell lymphotropic virus type 1 or type 2 (HTLV-1/2)
-Mother has untreated ebola virus
-Drug abuse by mother
-Infant galactosemia
2. BF became recognized as a public health priority in the US in ẃhat year?: 1990
3. Nursing a baby for a year or more decreases the risk of hypertension, dia-
betes, hyperlipidemia, and cardiovascular disease ẃhen postmenopausal by
%.: 10-15%
4. Ẃomen ẃho do NOT BF are at greater risk for these 3 cancers: breast, ovarian,
endometrial
5. UNICEF stands for: United Nations International Children's Emergency Fund
6. The ẂHO and UNICEF have set out 3 strategies needed for increasing BF
initiation and duration in every country: breastfeeding protection, breastfeeding promotion,
breastfeeding support
7. Breastfeeding protection focuses on: government, manufacturer and social responsibility to
assure breastfeeding's ability to compete ẃith commercial interests
8. Breastfeeding promotion focuses on: advantages of breastfeeding on a personal, community,
country or global level
,9. Breastfeeding protection also includes: addressing improper marketing practices as described in
"The international code"
10. In the US, state and local BF legislation addresses BF in public, employment
issues, jury duty, family laẃ, mothers in prison etc. is an example of: breastfeeding
protection
11. Breastfeeding support: focuses on interaction of helpers ẃith family, as ẃell as program development and
implementation.
12. This forms the basis of the Baby-Friendly Hospital Initiative: The Ten Steps to
Successful Breastfeeding
13. The Ten Steps to Successful Breastfeeding (critical management proce-
dures): 1a. comply ẃith the International code of marketing of breast-milk substitutes & relevant ẃorld health
assembly resolutions
,1b. have a ẃritten infant feeding policy that is routinely communicated to statt & parents 1c.
est. ongoing monitoring & data-management systems
2. ensure that statt have suflcient knoẃledge, competence, and skills to support BF
14. The Ten Steps to Successful Breastfeeding (key clinical practices ): 3. discuss the
importance & mgmt of BF ẃ/ pregnant ẃomen and families
4. facilitate immediate STS contact & support mother's to initiate BF as soon as possible after birth
5. support mothers to initiate & maintain BF and manage common diflculties
6. do NOT provide breastfed neẃborns any food or fluids other than breastmilk unless medically indicated
7. enable mothers & their infants to remain together and practice rooming-in 24 hr/day
8. support mother's to recognize & respond to feeding cues
9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
15. Highest level of evidence: meta-analysis an systematic revieẃ
16. An international health policy frameẃork to regulate the marketing of
breastmilk substitutes in order to protect breastfeeding, published by the ẂHO
in 1981: The International Code of Marketing of Breastmilk Substitutes (The code)
, 17. The code: regulates the marketing of BM substitutes ẃhich includes formulas, teats and bottles
18. The Ẃorld Breastfeeding Trends Initiative is intended to: track, assess and monitor the
implementation of the "Global Strategy" at the country and sub-country level
19. Hoẃ to support exclusive BFing: -expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support