Training of Roma Health Mediators in Reproductive Health

o Ask about previous breastfeeding experience
o Discuss (as appropriate):
• When to start breastfeeding and to continue as long as possible (ideally until
the baby is two years-old)
• Basic principles of breastfeeding
• Correct position during breastfeeding
• Care of the breasts during breastfeeding
• Common discomforts and how to deal with them
• Nutritional needs of the mother, her health and fertility
o Check/observe breastfeeding position and technique, and offer suggestions if
necessary
o Provide emotional support as necessary
• Express empathy and understanding of a mother’s feelings when talking to
her.
• Express confidence in the mother to make her feel good and build her
confidence
o Involve the whole family in newborn care and in supporting the mother
Conclusions:
Mediators should ensure that the following messages are communicated to the
community (to mothers and women of reproductive age, and to families expecting a
child)
• Begin breastfeeding immediately after delivery. During the first three days, it is
especially important to feed the baby with colostrum, the thick yellowish fluid which
is rich in antibodies, proteins, and vitamins.
• Feed frequently, both day and night, whenever the baby is hungry.
• Feed from both breasts.
• Feed at least every four hours, more frequently in the early weeks.
• Breastfeed exclusively for the first four-six months.
• When semi-solid foods are introduced, breastfeed first and then give supplemental
food.
• Do not use pacifiers/nipples/bottles.
• Express breast milk if separated from the baby.
• Continue to breastfeed even when the mother or baby is sick.
• Maintain a nutritionally sound diet for the mother and satisfy her own hunger/thirst
(and identify what local foods constitute a good diet).
• Is not necessary to give baby water/teas. If the baby appears thirsty, it is best for
mother to drink water, so that she will produce more milk.
• Continue to breastfeed for as long as possible (up to two years).
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RFHI/JSI Romania Training of RHMs in Reproductive Health Session 9: Breastfeeding