Implementing breastfeeding promotion actions to create a friendly environment to support the baby's "first bowl of rice"

"World Day of Prematurity" has just passed, and the theme for 2021 is "Breastfeeding for Health"

So, what is the current status of breastfeeding in my country? What are the factors that affect breastfeeding? What are the main dilemmas faced by mothers in achieving breastfeeding?

Gold water and silver water are not as good as mother's milk

Early nutrition determines the quality of life of the newborn baby

The reporter reviewed a set of comparative data on breast milk and formula milk by the International Breast Milk Association.

However, the breastfeeding rate in China is not optimistic

Who moved the baby's "first bowl of rice"

Less than 30% of babies in our country are exclusively breastfed for 6 months

Ding Bing, deputy director of the Management Committee of the Baby-friendly Hospital Development Fund of the Chinese Red Cross Foundation and China liaison of the International Breastfeeding Action Alliance (WABA), told reporters: "There are several reasons that affect breastfeeding: Insufficient knowledge and skills to support breastfeeding; insufficient knowledge and skills of mother and infant family and elders' prenatal knowledge of breastfeeding knowledge and skills and the risks of artificial feeding; anxiety of mothers and lack of continuous lactation-related guidance; Insufficient support from husbands; another important reason is the high female labor force participation rate in our country, and some mothers have to give up breastfeeding or wean early because of work reasons

In addition, the scale of China's infant formula milk powder market has gradually expanded in recent years.

In August this year, at the Breastfeeding Week theme seminar, many experts at the meeting pointed out that the marketing of breast-milk substitutes is not standardized, which affects the choice of breastfeeding for pregnant and lying-in women

The "Investigation Report on Influencing Factors of Breastfeeding in China" pointed out that the promotion and promotion of breast-milk substitutes by breast-milk substitute manufacturers and sellers to mothers and their families has led to a 30.

Nan Yahua told reporters: "The rate of exclusive breastfeeding within 6 months is low, and the introduction of complementary foods before the age of 6 months is common in both urban and rural areas.

The dilemma faced by mothers who are "bringing milk" in the workplace

"Carrying milk" is a helpless move for working mothers, and it tests the mother's endurance

The unit does not have a nursing room or a refrigerator.

Breastfeeding women must pump every 3 to 4 hours to ensure adequate milk supply, otherwise it is easy to increase milk and even cause mastitis

Although the construction of urban mother and baby rooms has been increasing in recent years, compared with the number of infants and young children who are breastfeeding and their use needs, the mother and baby rooms in public places in China are still "hard to find", and the hygiene conditions are not up to standard, etc.

"For nine-to-five 'breastfeeding' mothers, they need to endure more hardships

The "warm chain" landed, and my mother had a strong backing

In this context, the Chinese government and relevant departments have done a lot of work, and the Baby-Friendly Hospital Development Fund has been promoting the implementation of the "warm chain" project in China

According to Ding Bing, "Warm Chain" is a global action to protect, promote and support breastfeeding, advocating mother and baby at the core, following the timeline of the first 1,000 days of life, emphasizing all pregnancy care, childbirth and postpartum care Health workers in positions such as health care, child health care, etc.
are all part of the "warm chain", and by strengthening collaboration between various links, deliver consistent information and support measures to pregnant and lying-in families, so that all mothers and babies can be Get a consistent, satisfying and effective breastfeeding experience
.
Among the people who support breastfeeding, medical staff provide guidance during pregnancy, hospitalization during childbirth, postpartum visits, supplementary food additions, and the skills to help mothers "carry milk" until the child's two-year-old breastfeeding.
backing role
.

"From 2019 to 2020, with the support of the Bill & Melinda Gates Foundation, the Baby-Friendly Hospital Development Fund and the China Development Research Foundation jointly launched the 'Breastfeeding Promotion Program' in Nanning, Guangxi.
This was a success We
have trained and selected 36 breastfeeding consultants from 16 medical institutions in Nanning, each consultant signed 40 expectant mothers, established breastfeeding consultation service files for them, and provided them with free breastfeeding from pre-pregnancy to 6 months postpartum 'One-on-one' counseling service
.
This pilot was very successful.
During the epidemic, mothers' anxiety and worry increased.
The counselors not only provided feeding guidance, but also provided psychological counseling.
The project lasted for one year and helped more than 1,300 families successfully achieve We have gained valuable experience in breastfeeding
.
We hope to promote the experience of the 'Breastfeeding Promotion Program' in more cities, and promote the service model of 'Breastfeeding Consultants' through online and offline training of medical staff
.
" Ding Bing tell reporters
.

Baby-friendly business requires multiple responsibilities

At the National People's Congress in 2020, Chen Aizhu, deputy to the National People's Congress, deputy chairman of the Pingyang grass-roots committee of the Democratic National Construction Association, and director of the village committee of Liannan Village, Aojiang Town, Wenzhou, Zhejiang Province proposed to formulate and issue the "Administrative Measures for the Sales of Breast-milk Substitutes" as soon as possible, and improve the relevant scientific standard system.
's suggestion
.

Chen Aizhu pointed out that the current supervision of breast-milk substitutes has problems such as lack of legal support for business supervision, imperfect supervision standards, inadequate implementation of supervision responsibilities, and decentralized powers of supervision departments
.
In order to protect the physical and mental health of infants and promote breastfeeding, China promulgated the "Administrative Measures for the Sales of Breast-milk Substitutes" in 1995, but after the measures were abolished in 2017, there was a legal gap in the field of breast-milk substitute sales
.

As early as November 2016, ten national ministries and commissions jointly issued the "Guiding Opinions on Accelerating the Construction of Maternal and Infant Facilities"
.
Statistics show that Beijing is the city with the most mother and baby rooms in the country, but 90% of them are in public areas with high traffic such as shopping malls, airports, and subway stations.

.

At the legislative level, the establishment of mother and baby rooms in public places is also involved in many places, and only a few places have regulations on the provision of mother and baby rooms by employers
.

From March 1, 2020, Guangzhou has implemented the country's first breastfeeding promotion regulations
.
The regulations stipulate that employers with more female employees should build nursing rooms and provide breast milk storage facilities according to the needs of female employees
.
In June 2021, Guangdong Province issued and implemented the first construction standard for mother and baby rooms, "Technical Specifications for Safety of Mother and Infant Room", which provided a useful model for the construction of mother and baby rooms in major cities
.

Just a few days ago, the National Health Commission and other 15 departments jointly issued the "Breastfeeding Promotion Action Plan (2021-2025)"
.
The plan proposes that by 2025, the awareness rate of the core knowledge of breastfeeding in mother and infant families will reach more than 70%, and the allocation rate of mother and child facilities in public places will reach more than 80%
.
At the same time, it is required to protect the rights and interests of breastfeeding female workers
.

Breastfeeding urgently needs adequate environmental support
.
We call on families and society to find out more about the problem and change the predicament women face when breastfeeding
.
(Editor Li Chuang)