Evidence Based

on
Newborns and Journal Studies
Fadila Putri (NIM: P20624519009)
Auffaa Shaffarina (NIM: P20624519006)
 Baby Friendly
1. Definition of Baby Friendly
• The Baby Friendly Hospital Initiative (BFHI), also known as the
Baby Friendly Initiative, is an international initiative established by
WHO and UNICEF to promote, protect and support the initiation and
continuation of breastfeeding.
 Baby Friendly
a. Starting
2. Baby Friendly Implementation breastfeeding early and
exclusively
by Friendly implementation can be
done as follows:

Starting breastfeeding
early and exclusively
That is, breastfeeding starts immediately after the baby is born, a maximum of
the first half hour after delivery. BFHI was updated in 2018 and includes
Ten Steps to Successful Breastfeeding (Ten Steps 2018) and the
International Code of Marketing of Breastmilk Substitutes (WHO Code).
 Starting breastfeeding early and exclusively
• Ten Steps to Successful Breastfeeding updated in 2018.

Critical management procedures  

1a. Comply with relevant Codes and resolutions.
1b. Have a written infant feeding policy that is routinely
communicated to staff and parents.
1c. Establish a sustainable monitoring and data management
system.
2. Ensure that staff have sufficient knowledge, competence and
skills.
 Starting breastfeeding early and exclusively
Main clinical practice  
3. Discuss the importance and management of breastfeeding
with pregnant women and their families.
4. Facilitates direct and uninterrupted skin-to-skin contact and
supports mothers to start breastfeeding after birth.
5. Support mother to initiate and maintain breastfeeding and deal
with common difficulties.
6. Do not give a breastfed newborn baby any food or liquid other
than breast milk, unless there is medical indication.
Starting breastfeeding early and exclusively
7. Allows mother and baby to stay together and practice
joint care 24 hours a day.
8. Encourage mothers to recognize and respond to their
baby's cues to suckle.
9. Advise mothers about the use and risks of feeding bottles
and teats.
10. Coordinate discharge so that parents and their babies
have timely access to ongoing support and care.
 Baby Friendly
b. Cut the umbilical
2. Baby Friendly Implementation cord
by Friendly implementation can be
done as follows:

Cut the umbilical cord

Cutting the umbilical cord is carried out with a delay of 3 minutes.
 Baby Friendly
c. Perform
2. Baby Friendly Implementation umbilical cord
by Friendly implementation can be
care
done as follows:

Perform umbilical cord

care
Umbilical cord care is done by:
1. Let the umbilical cord dry on its own
2. Dry gauze method
3. 70% alcohol gauze method
4. Antiseptic method and dry gauze
 Baby Friendly

2. Baby Friendly Implementation e. Keep the baby warm

by Friendly implementation can be
done as follows:

Ways to prevent heat loss in babies

•
are:
Dry the baby's body thoroughly
• Cover the baby with a clean, warm blanket or cloth
• Cover or cover the baby's head
• Do not cradle the baby naked
• Do not bathe the baby before 6 hours postpartum
• Instruct the mother to hug and breastfeed the baby
 3. How to reach the Baby Friendly
Initiative program
In order to achieve the Baby Friendly Initiative program, all
hospital providers and maternity facilities will:
• Have a written policy on regular breastfeeding that is
communicated to all health care staff.
• Train all health staff staff in the skills necessary to implement
this policy.
• Inform all pregnant women about the benefits and management
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• Show mothers how to breastfeed and how to maintain
breastfeeding if they need to be separated from their baby.
 3. How to reach the Baby Friendly
Initiative program

• Give breast milk to newborns, unless there is medical

indication.
• Practice rooming-in to allow mother and baby to stay together.
• Encourage breastfeeding on demand.
• Not giving a pacifier to a nursing baby.
• Encourage the
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 Early Initiation of Breastfeeding

1. Definition of Early Initiation of Breastfeeding

Early initiation of breastfeeding is the activity of finding the mother's nipple,
which is the process by which a baby begins to self-feed immediately after birth,
usually within the first hour after birth.
The way babies initiate early breastfeeding is called The Breast Crawl or
crawling to find the breast.
 Early Initiation of Breastfeeding

2. Procedures for Early Initiation of Breastfeeding

a. Once born, the baby is placed on the mother's stomach which has been covered with a
dry cloth.
b. Dry the baby's entire body including the head as soon as possible.
c. The umbilical cord is cut and then tied.
d. The varnish (white fatty substance) that sticks to the baby's body should not be
cleaned
e. Without being swaddled, the baby is directly lying on his chest or stomach with the
baby's skin and the mother's skin.
 Early Initiation of Breastfeeding

2. Procedures for Early Initiation of Breastfeeding

f. The baby is left to find the mother's nipple independently
g. Unlike babies born in normal conditions, they can breastfeed their mothers
without assistance.
h. In the process of Early Initiation of Breastfeeding, the mother's mental
readiness is needed.
 Early Initiation of Breastfeeding
3. Benefits of Early Initiation of Breastfeeding
1) Prevents hypothermia because the mother's chest warms the baby properly as the baby
crawls to find the breast.
2) Babies and mothers become calmer, less stressed, breathing and heart rate more stable,
due to the contact between the skin of the mother and baby.
3) Early Immunization. Sapping and licking the surface of the mother's skin before
starting to suck on the nipple is the baby's natural way of accumulating the good
bacteria that he needs to build his immune system
4) Strengthen the relationship between mother and child (Bonding Atthacment) because
the first 1-2 hours, the baby is on alert.
5) Babies who are given the opportunity to breastfeed early are more successful at
exclusive breastfeeding and will be breastfed for longer.
 Early Initiation of Breastfeeding

3. Benefits of Early Initiation of Breastfeeding

6) Mother and father will be very happy to meet their baby for the first time in this condition. In fact,
the father had the opportunity to make his son on his mother's chest. An inner experience for the
three which is very beautiful.
7) Psychomotor development is faster.
8) Supports cognitive development
9) Prevent bleeding in mothers, because early initiation of breastfeeding
10) Reducing the risk of developing breast and ovarian cancer.
 Early Initiation of Breastfeeding

4. Early Initiation Stages of Breastfeeding

a. The first stage is called a quite alert stage.
b. The second stage, the baby begins to make a tasting sound and a sucking motion in its
mouth
c. The third stage, the baby salivates.
d. The fourth stage, the baby has started moving his legs.
e. In the fifth stage, the baby will lick the mother's skin
f. The last stage is when the baby finds the mother's nipple
 Temperature Regulation of Newborns by Skin to Skin
Contact
1. Thermoregulation
2. Hypothermia in Infants
a. Causes of Hypothermia in Infants
The mechanism of hypothermia is due to a decrease in body temperature that occurs
through:
1) Radiation
2) Evaporation
3) Conduction
4) Convection
 Temperature Regulation of Newborns by Skin to
Skin Contact
2. Hypothermia in Infants
b. Symptoms of Hypothermia
1. Babies become less active, lethargic, hypotonic, unable to suck breast milk, moaning
2. Gasping, slow breathing, decreased heart rate
3. Sclerema develops: hard, reddish skin, especially on the back, legs and arms
4. The face of the baby is bright red
5. Hypothermia causes changes in body metabolism that result in heart failure, bleeding in the lungs,
jaundice and death
Temperature Regulation of Newborns by Skin to
Skin Contact
3. How to Maintain Baby's
Temperature
Every baby born has an immature a. Set up a warm
temperature control system. When born,
the baby is in a lower temperature than in delivery room and
the womb and is wet.
Ways to prevent heat loss in babies are:
baby room (minimum
temperature 25 ° C)

b. Dry immediately and replace the wet cloth

with a warm dry cloth
Temperature Regulation of Newborns by Skin
to Skin Contact
3. Temperature Regulation of
Newborns by Skin to Skin Contact
Temperature Regulation of Newborns by
Skin to Skin ContactWhen born, the baby c. Skin-to-Skin Contact
is in a lower temperature than in the womb
and is wet. Ways to prevent heat loss in
babies are:

d. Allowing the baby to find its mother's nipple

as an attempt to breastfeed as soon as possible
Temperature Regulation of Newborns by Skin
to Skin Contact
3. Temperature Regulation of
Newborns by Skin to Skin Contact
Temperature Regulation of Newborns by
Skin to Skin ContactWhen born, the baby e. Do not weigh or bathe
is in a lower temperature than in the womb
and is wet. Ways to prevent heat loss in the baby immediately
babies are:

f. Wear adequate clothing and blankets

Temperature Regulation of Newborns by Skin
to Skin Contact
3. Temperature Regulation of
Newborns by Skin to Skin Contact
Temperature Regulation of Newborns by
Skin to Skin ContactWhen born, the baby
g. Performed admission
is in a lower temperature than in the womb within the first 24 hours
and is wet. Ways to prevent heat loss in
babies are:

h. Kangaroo Mother Care

(KMC)
or Attached Baby Care
Kangaroo Mother Care (KMC) or Attached Baby Care

Benefits of KMC Advantages of KMC

■ The emotional bond ■ Cheap, safe and easy to
between mother and baby. implementWrite supplies to
buy
■ Maintain the baby's body
temperature. ■ Maintain the baby's body
temperature (skin to skin
■ An upright baby position contact)
will help the baby breathe
regularly. ■ Process of training and
support for mothers and
■ Prepare the mother to care families.
for the baby at home.
 Kangaroo Mother Care (KMC)
or
Attached Baby Care
The right KMC way
1. Place the naked baby except for the diaper, hat, and socks against the mother's chest
between the two breasts with an upright position directly against the mother's skin and
facing the mother.
2. The position of the baby in the "frog position"
3. Cover the baby with mother's clothes or a sling plus a warm blanket.
4. Make sure the mother and baby are comfortable, if anyone can use special clothes.
5. If not, the mother can wear clothes that are larger than the mother's body
6. Mother can carry out daily activities while holding her baby.
7. Breastfeed every baby wants.
 Cutting the Umbilical Cord

Based on research with delays in cutting the cord can:

1. Increased level of hematocrit in the blood
2. Increased level of hemoglobin in the blood
3. Decreased rate of anemia in infants
4. Reduced risk of jaudice / jaundice
By delaying cutting the umbilical cord in babies born prematurely or at low birth weight
and if previously there was fetal distress can prevent low Hb levels in the early neonatal
period. Reduced blood flow results in lower levels of hematocrit and haemoglbin in
newborns and can lead to iron anemia in the baby's growth.
 Umbilical Cord Care
How to Care for the Umbilical Cord
1. Let the umbilical cord dry on its own
2. Dry gauze method
3. 70% alcohol gauze method
4. Antiseptic method and dry gauze

Principles of Umbilical Cord Care

5. Do not wrap or apply any ingredients or ingredients to the cord stump.
6. Rubbing alcohol or betadin is still permitted as long as it does not cause the umbilical
cord to become wet or damp
THANK YOU
ANY QUESTION?