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Training of Roma Health Mediators in Reproductive Health

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• The baby suckles as <strong>of</strong>ten and for as long as he wants.<br />

• The environment supports breastfeed<strong>in</strong>g.<br />

IV.<br />

COMMON PROBLEMS DURING BREASTFEEDING (15 m<strong>in</strong>utes)<br />

Briefly present the most frequent problems (common breast conditions which sometimes<br />

cause difficulties) <strong>in</strong> breastfeed<strong>in</strong>g:<br />

• Sore or cracked nipples<br />

• Breast engorgement<br />

• Blocked ducts (tubes)<br />

• Pa<strong>in</strong>ful breasts<br />

• Breast <strong>in</strong>fections (mastitis and abscess)<br />

Emphasize that diagnosis and management <strong>of</strong> these breast conditions are important<br />

both to relieve the mother, and to enable breastfeed<strong>in</strong>g to cont<strong>in</strong>ue.<br />

Distribute the participant document Common Problems dur<strong>in</strong>g Breastfeed<strong>in</strong>g, and ask<br />

volunteers to read it. Distribute participant document Care <strong>of</strong> the Breasts dur<strong>in</strong>g<br />

Breastfeed<strong>in</strong>g and ask volunteers to read it.<br />

Allow participants to ask questions and try to answer them, us<strong>in</strong>g the tra<strong>in</strong>er document<br />

Answers to Frequently Asked Breastfeed<strong>in</strong>g Questions, as a basis.<br />

V. MEDIATOR’S ROLE IN PROMOTING BREASTFEEDING (20<br />

m<strong>in</strong>utes)<br />

Divide participants <strong>in</strong>to small groups. Give them slips <strong>of</strong> paper with a myth written on<br />

each slip (see tra<strong>in</strong>er document Myths about Breastfeed<strong>in</strong>g). Ask them to discuss each<br />

myth and fact. One person from each group will present the group’s response to their<br />

myth. Correct and/or complete their responses as necessary<br />

Generate a discussion about the mediators’ roles <strong>in</strong> promot<strong>in</strong>g exclusive breastfeed<strong>in</strong>g<br />

and support<strong>in</strong>g mothers with breastfeed<strong>in</strong>g. Ensure that the mediator’s role <strong>in</strong>cludes the<br />

follow<strong>in</strong>g:<br />

• Antenatal preparation for breastfeed<strong>in</strong>g<br />

With mothers <strong>in</strong> groups:<br />

o Expla<strong>in</strong> benefits <strong>of</strong> breastfeed<strong>in</strong>g<br />

o Give simple relevant <strong>in</strong>formation on how to breastfeed<br />

o Expla<strong>in</strong> what happens after delivery<br />

o Discuss mothers' questions<br />

With each mother <strong>in</strong>dividually<br />

o Ask if she has any questions or worries<br />

o Build her confidence, and expla<strong>in</strong> that you will help her<br />

• Education <strong>of</strong> young mothers<br />

149<br />

RFHI/JSI <strong>Roma</strong>nia <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>of</strong> RHMs <strong>in</strong> <strong>Reproductive</strong> <strong>Health</strong> Session 9: Breastfeed<strong>in</strong>g

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