POLICY STATEMENT COMMUNICATED TO ALL STAFF:  DRMC Breastfeeding Policy posted on areas readily seen and read by all staff

CAPACITY BUILDING ACTIVITIES AMONG HEALTH CARE PROVIDERS: The WET Clinic gives opportunity to all participants to interact, teach and demonstrate to Mothers the skills and knowledge from 20 Hours Training and 4 Hours Orientation on LMT.

PROVISION OF LACTATION STATIONS: All Lactating mothers may they be DRMC Personnel or Clients can avail of the free use of Lactation Stations situated on the following areas:

-CCHD

-OPD- Adolescent and Youth Wellness Clinic

-Private ward

-NIC

HEALTH TEACHINGS/PATIENTS EDUCATION: Mothers Class on different areas of the hospital -       OPD, CCHD, Adolescent and Youth Wellness Clinic, Pediatric ward, OB Ward, Emergency    Room, NICU, Neoward; Distribution of Breastfeeding Flyers

MONITORING OF IMPLEMENTATION ADHERENT TO THE STANDARDS: Weekly and Quarterly  Internal Assessment by MNCHN/Breastfeeding and Lactation Management Committee; External Assessment  by DOH Breastfeeding and Lactation Management Regional Team.

SUPPORT GROUP:  Endorsement/Referralsto the communities for follow up and support of discharged postpartum mothers ; DRMC Breastfeeding  Hot Line; Mobilization of BHW’s for breastfeeding support and monitoring

BREASTFEEDING AND LACTATION MANAGEMENT

POLICIES:

1. BREASTFEEDING ON THE WORKPLACE

STEP 1 OF SUCCESSFUL BREASTFFEING: DRMC  Breastfeeding Policy that is routine communicated to all health care staff through  printed materials posted on areas readily seen and read by all DRMC Personnel.

STEP 2 OF SUCCESSFUL BREASTFEEDING: Training of all health care staff in skills necessary to implement the DRMC Breastfeeding Policy through conduction of 4-hours Breastfeeding and LMT Orientation to all Non-clinical staff and Clinical Staff not directly involved in Maternal and Child care.

STEP 3 OF SUCCESSFUL BREASTFEEDING: Inform all pregnant women about the benefits and management of breastfeeding through Mothers Class and Lectures on different Clinical areas involved in Mother-Child Care.

RA 10028 “Expanded Breastfeeding Promotion Act of 2009”-The state shall  likewise protect working women by providing safe and healthful working conditions, taking into account their maternal functions. DRMC compliance of this act through provision of  Lactation Stations in different areas so as to provide comfortable, secured place for breastfeeding and lactating mothers in the hospital.

 2. BREASTFEEDING LACTATION STATION

STEP 5 OF SUCCESSFUL BREASTFEEDING: Show mothers how to breastfeed, and how to maintain lactation even if they should be separated.

Establishment of Lactation Stations:  Within DRMC are the four (4) Lactation Stations situated at:

            -CCHD

            -OPD-Adolescent and Youth Wellness Clinic

            -NICU

            -Private Ward

           

            DRMC complied by providing these lactation stations with necessary equipments and facilities such as:

            -lavatory for hand washing

            -refrigeration or appropriate cooling facilities for storing expressed breastmilk

            -electrical outlets

            -small table

            -comfortable seats

 3. BREASTFEEDING MANAGEMENT

STEP 3 OF SUCCESSFUL BREASTFEEDING: Inform all pregnant women about the benefits and management of breastfeeding through the following:

            -Mothers Class with emphasis on:

                        -Significance of breastfeeding

                        -Exclusive breastfeeding and its benefits

                        -Proper Positioning and Attachment during breastfeeding

                        -Introduction and proper timing of Supplementary foods

                        -Demonstration on Proper Hand Milk Expression

                        -Significance of Demand Feeding or baby-led feeding

4. BREASTFEESING RESPONSIBILITIES OF DRMC PERSONNEL RELATIVE TO EO 51

The following are mandated by Executive Order 51 or the Philippine Milk Code:

      -Health care system not to be used for promotion of milk formulas and related products.

      -No to displays of products or posters in the health facility

      -Information on the hazards of breastmilk substitutes and supplements should be

      stressed to all lactating mothers

      -No acceptance of products or gifts of any sort from milk companies

      -No to any Milk Companies supporting/conducting activities in personnel’s community,

      baranggay and city

      -No to use of pacifiers, teats and bottles within DRMC community.

5. BREASTFEEDING CAPACITY BUILDING ACTIVITIES:

-Conduction of 4-hours Breastfeeding and Lactation Management Orientation to all Non-Clinical areas and Clinical areas not directly involved in Mother-Child care

-Conduction of 20-hours Breastfeeding and Lactation Management Training to all Clinical areas directly involved in Mother-Child care

-Conduction of Breastfeeding and Maternal-Child Nutrition Quiz Bowl to all DRMC Staff.

                        -Strengthening of Mothers Class at different clinical areas.

6. HIV AND INFANT FEEDING

-Evidence has been reported that Antiretroviral drugs regimens given to women can reduce the risk of mother-to-child transmission during pregnancy, labor, and delivery as well as during breastfeeding, all of which increases the chance of HIV-free survival of the baby

-Risk of illness and death from NOT exclusively breastfeeding is higher than the risk of HIV transmission form Breastfeeding

-About 5-15% of babies born to infected mother will become HIV+ through Breastfeeding (1 in 20 or 1 in 7).

-Breastfeeding is recommended for women who do not know their status and who are HIV negative

-Policy supporting breastfeeding:

            “As a general principle, in all populations, irrespective of HIV infection rates, breastfeeding should continue to be protected, promoted, and supported.”