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info from [lalecheleaguehongkong] - World Breastfeeding Week
World Breastfeeding Week is celebrated every year from 1st August to 7th
August.
The theme of the World Breastfeeding Week 2007 is Breastfeeding: The 1st
Hour
Early initiation and exclusive breastfeeding for six months can save more
than one million babies!
Information about this can be found at
http://worldbreastfeedingweek.org/downloads.htm
Available in English, Chinese and Spanish.
In response to this theme, Baby Friendly Hospital Initiative Hong Kong
Association (BFHI-HKA) are having a campaign to collect some precious
moments of you and your babies. They are hoping to exhibit some great shots
of mothers 1st time with their babies in their advocacy activity in World
Breastfeeding Week (More details will be available later).
If you would like more information please contact Mona Lee on 2591-0782 or
visit http://www.babyfriendly.org.hk/index.php?sh=1
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“它是在生產時就開始的！我們出生後的第一個動作就是…吸吮母親的…乳汁。這是一個充滿愛與熱情的行動；沒有這個動作，我們不能存活下來。這是非常明確的，這就是生命，這就是真實的生活。”
Dalai Lama and Howard C. Cutler, 喜悅的藝術：生活手冊/The Art of Happiness A Handbook for Living.1998
Edmond K et al (2006) Delayed Breastfeeding Initiation Increases Risk of Neonatal Mortality. Pediatrics, 117:380-386
Edmond KM, Bard EC, Kirkwood BA. Meeting the child survival millennium development goal. How many lives can we save by increasing coverage of early initiation of breastfeeding? Poster presentation at the Child Survival Countdown Conference, London UK. December 2005.
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活動點子：
出生後一小時內開始哺乳有可能對全世界兒童的健康有重大的貢獻。對達成千禧目標1和目標4有顯著的貢獻。鼓勵適時的開始母乳哺育這樣的政策改變一定要從地方及全球同時做改善。
醫院和產科機構
l 評估生產的地方—什麼會阻礙正常哺乳的開始？發展行動計劃來討論任何被發現
的阻礙鼓勵所有機構紀錄是否在一小時內開始哺乳
l 針對儘早開始哺乳，實行每月的”檢視及討論”，思考整體及實際臨床上可以做些
什麼來改善比率
l 執行最近更新的愛嬰醫院相關措施
l 檢討生產措施對於開始母乳哺育的影響，以改善干擾性的措施
醫療工作人員
l 教導在醫療機構以及社區中協助生產的人員如何促進產後第一小時母乳哺育的開
始
l 檢討醫療人員與傳統陪產支持者的養成課程中有關待產、生產和哺乳的相
關內容，確保有包括此重要措施的相關資訊
l 至少每天支持一個母親!
家庭和社區成員
l 在懷孕及產後早期提供家庭有關哺乳重要性的教育，讓祖母和其他具影響力的家
庭成員參與討論
l 找出社區中的領導及傳訊者 可以將這些資訊傳給所有男女老少，以支持母親開始哺乳並且純母乳哺育
l 列出流行刊物將訊息傳送給每個人，提供每月一次有關母乳哺育的報導
政策制定者
l 鼓勵產科醫院、健康部門以及其他像聯合國單位有影響力的組織和醫策會將開始哺乳的時間作為母嬰照護良好醫療措施中的一個指標
參考資料
1. American College of Obstetrics and Gynecology. (2007). Breastfeeding: Maternal and infant aspects. Special report from ACOG. ACOG Clin Rev, 12(supp), 1s-16s.
2. Bergstrom, A., Okong, P., & Ransjo-Arvidson, A. (2007). Immediate maternal thermal response to skin-to-skin care of newborn. Acta Paediatr, 96(5), 655-658.
3. Dimkin, P., & O'Hara, M. (2002). Nonpharmacologic relief of pain during labor: Systematic reviews of five methods. American Journal of Obstetrics and Gynecology, 186(5, Supp), S131-S159.
4. Fransson, A., Karlsson, H., & Nilsson, K. (2005). Temperature variation in newborn babies: Importance of physical contact with the mother. Arch Dis Child Fetal Neonatal Ed, 90, F500-F504.
5. Hanson, L. (2004). Immunobiology of Human Milk: How Breastfeeding Protects Infants. Amarillo, TX: Pharmasoft Publishing.
6. Kramer, M., Chalmers, B., Hodnett, E., & PROBIT Study Group. (2001). Promotion of breastfeeding intervention trial (PROBIT): A randomized trial in the republic of Belarus. JAMA, 285, 413-420.
7. Kroeger, M., & Smith, L. (2004). Impact of birthing practices on breastfeeding: Protecting the mother and baby continuum. Boston: Jones and Bartlett.
8. Lauer JA, Betran AP, Barros AJ, de Onis M. (2006). Deaths and years of life lost due to suboptimal breast-feeding among children in the developing world: a global ecological risk assessment. Public Health Nutr, 9(6):673-85.
9. Matthiesen, A., Ranjo, A., Nissen, E., & Uvnas-Moberg, K. (2001). Post-partum maternal oxytocin release by newborns: Effects of infant hand massage and sucking. Birth, 28, 13-19.
10. Sobhy, S. M., NA. (2004). The effect of earl initiation of breastfeeding on the amount of vaginal blood loss during the fourth stage of labor. Egypt Public Health Association, 79(1-2), 1-12.
11. The Academy of Breastfeeding Medicine Protocol Committee. (2003). Protocol #5: Peripartum breastfeeding management for the healthy mother and infant at term. Retrieved May 1, 2007, from www.bfmed.org
12. Vaidya, K., Sharma, A., & Dhungel, S. (2005). Effect of early mother-baby close contact over the duration of exclusive breastfeeding. Nepal Medical College Journal, 7(2), 138-140.
13. Widstrom, A., Ransjo-Arvidson, A.-B., Christensson, K., & et al. (1987). Gastric suction in healthy newborn infants: Effects on circulation and developing feeding behaviour. Acta Paediatr, 76, 566-572.
策略
Breastfeeding protocols: www.bfmed.org
BFHI & revisions: www.unicef.org/nutrition/index_24850.html
Global Strategy for Infant and Young Child Feeding: www.who.int/child-adolescent-health/publications/pubnutrition.htm
Low-birth weight babies: www.who.int/reproductive-health/publications/kmc/text.pdf and www.who.int/child-adolescent-health/New_Publications/NUTRITION/ISBN_92_4_159509_4.pdf
Labour and Birthing 待產和生產
Midwifery: www.internationalmidwives.org
Doula: www.dona.org
Maternity Services: www.motherfriendly.org
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致謝
撰寫: Arun Gupta. 編輯: Sallie Page-Goertz 和 Radha Holla Bhar. 感謝審稿者: Alice Barbiere, Elaine Petitat-Cote, Felicity Savage, Fernando Vallone, Lida Lhotska, Linda Parry, Luann Martin, Michael Latham, Miriam Labbok, Nicette Jukelevics, Palmela Dunne, Pamela Morrison, Pauline Kisanga, Rebecca Magalhães, UNICEF, WHO Departments of Child and Adolescent Health and Development (CAH) and Nutrition for Health and Development (NHD) 及 Liew Mun Tip.製作: Liew Mun Tip 和Adrian Cheah. 本計劃是由荷蘭外交部(DGIS).提供經費支持的.中文翻譯:王淑芳,林軍廷,陳昭惠.中文版本的印製由台灣國民健康局經費支持。
國際母乳哺育行動聯盟﹙WABA﹚是由支持、保護及鼓勵母乳哺育的個人、聯盟及團體組成的全球聯盟，以因挪千替宣言、哺育未來十大方針﹙Ten Links for Nurturing the Future﹚及世界衛生組織／聯合國兒童基金會的全球嬰幼兒餵食策略為行動準則。它的主要夥伴包括國際嬰兒食物行動聯盟﹙IBFAN﹚、國際母乳會﹙LLLI﹚、國際泌乳顧問協會﹙ILCA﹚、Well-start International、及母乳哺育醫師學會﹙ABM﹚。WABA和聯合國兒童基金會有顧問的關係，是一個非政府團體，為聯合國經濟及社會議會﹙ECOSOC﹚的特別顧問。
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