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23.12.2015
The Child Choking Poster by Bruce Algra (years 1-8), updated for 2013, shows and explains how to help a child who is choking in a step by step easy to follow process. Step 1: Have a written breastfeeding policy that is routinely communicated to all health care staff. The first step is to have a written breastfeeding policy in English and the local languages. The policy is communicated to the hospital administration as well as to all the health workers in the maternity setting.
The Ten Steps call for health facilities to have written policies that are displayed for all to read, indicating that staff is committed to implementing them.
Visit maternity hospitals, health centres and primary care facilities and see if policies covering the Ten Steps are displayed. Arrange meetings with community leaders to discuss how to promote baby friendly policies in local maternity facilities.
Call upon Governments to issue a policy directive to integrate the Ten Steps into the standard operating procedures and quality assurance for maternity facilities. Advocate for baby-friendly certification to be part of certification for hospital and health centre quality.
Training at all levels should address the Ten Steps, breastfeeding counselling, and the International Code.
Advocate for health worker training to include the 10 Steps in pre-service curricula and in-service training. Advocate for training of peer counsellors and primary care workers to support breastfeeding.
The third step is to have sessions with pregnant women to motivate them for breastfeeding and to remove all their doubts. By the time a baby is born, the new mother must be comfortable about breastfeeding, understand its benefits and what she has to do. Advocate for breastfeeding information and discussion opportunities to be available for all women, individually and in groups as part of all antenatal care. Talk to women about their care, and learn if they have been informed about the dvantages of breastfeeding and the risks of not breastfeeding; about how they will be helped at the time of delivery, how to hold the baby and how to ensure that the baby gets plenty of milk. Arrange Promotional activities to raise community awareness of the importance of breastfeeding and the support that new mothers need. It is now well established that mothers who are supported to initiate breastfeeding soon after the baby is born are more likely to have a successful breastfeeding experience. This step now means, for all healthy newborns, skin-to-skin contact from immediately after delivery for at least one hour or until the baby has attached and fed at the breast if this takes longer.
Advocate for training of all birth attendants to give skilled support to mothers for skin-to-skin contact immediately after delivery, allowing the baby to attach to the breast when he or she is ready.
Work to increase community awareness of the importance of early initiation of breastfeeding. Inform health professional organisations about new research on implementation of this and other Ten Steps, and ask them to support the new practice. Step 5: Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants. A situation can arise when the baby has to be separated from her mother for a specific medical reason. Get to know the staff of maternity hospitals and primary care services in your area, show appreciation for their help for mothers, and make sure that they have the latest information.
Encourage them to show every mother how to position and attach her baby at the breast to prevent difficulties such as sore nipples and insufficiency of milk; and to teach all mothers to express their breast milk by hand, for comfort, to maintain their milk supply, and to ensure that babies can be fed with breast milk if they are separated. Ensure that all mothers learn the techniques for breastfeeding and hand expression and how to overcome common difficulties.
Advocate for skilled breastfeeding help to be available to all mothers as a routine part of Maternal and Child Health care, and for all health workers who care for mothers and babies to be trained to give effective help. Step 6: Give newborn infants no food or drink other than breast milk unless medically indicated. The sixth step stresses that a newborn baby must not be given any food or drinks other than breast milk unless it is medically indicated.


Make sure that mothers receive help to breastfeed effectively, so that they do not feel a need to give a baby other drinks. Make sure that health workers understand that supplements are seldom needed, even in the first few days when the volume of breast milk is small; and that the first milk, colostrum is what a baby needs. Raise awareness of what are the very few medical indications for supplements and what are not medical indications, so that babies do not receive supplements unnecessarily. Work with the community to raise awareness about the importance of colostrum, and why a baby needs nothing else in the first few days; and of continuing to breastfeed exclusively six months. Advocate for renewal of government efforts to implement, monitor and legislate all provisions of the International Code of Marketing of Breast-milk Substitutes and subsequent relevant WHA resolutions. Step 7: Practice rooming-in - allow mothers and infants to remain together - 24 hours a day.
Visit maternity facilities and discuss the importance of mothers keeping their newborns with them 24 hours a day following from the initial skin-to-skin contact. Support traditions and environments that allow a mother and child to be together throughout early infancy. Advocate for adequate paid maternity leave to enable mothers to be with their young infants and to breastfeed.
According to the eighth step the mother is encourage to breastfeed whenever the baby wants to. Babies should feed according to their needs, not on a schedule decided by the hospital or mother. Signs of hunger are the baby opening the mouth, rooting, sucking hands, and moving arms and legs.
Advocate with government for breastfeeding on demand in all maternity facilities; and for development partners to include feeding cue recognition and responsive feeding in nutrition programmes. Step 9: Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants. Ask maternity staff not to allow use of teats and pacifiers in maternities, unless medically indicated for comfort if the mother is not available. Talk to families and community groups about the risks of using teats and pacifiers while breastfeeding is being established.
Advocate with health authorities to ensure that hospital and health centre policies do not allow teats and pacifiers to be used routinely and that communication materials include appropriate messages.
Step 10: Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.
Peer counsellors are women from the community, who receive training in breastfeeding support. Talk to health service managers about the need for skilled breastfeeding support in postnatal services and in the community, and for them to work together. Peer counsellors may be trained and supervised by health facility staff, and refer mothers to them. Make sure that maternity staff informed about sources of breastfeeding support in the community, and that they have contact details. Build alliances with community organisations to help develop breastfeeding support services.
Advocate for governments to include peer counselling in strategies and plans, alongside counselling in the health system.
Remember to talk to children about the dangers of very hot water and to turn your water heater down.
Small children are impressed by what we do, and all children learn as much from what we do than what we say.
Point out other hand washing role models, such as doctors, nurses, and dentists, as well as people who work in restaurants or serve meals. Hand washing is one of the most important hygiene principles in the prevention of infection.
The top of the poster shows the 3 critical steps to take when the child is choking and conscious. It addresses all the ten steps and states that the hospital does not accept free or subsidized supplies of infant formula and feeding bottles.


So the second step is to train all doctors and nurses in skills necessary to implement this policy.
The fifth step is to show the mother how to maintain lactation by expression of breast milk or to visit her baby in the intensive case as often as possible. If infants are separated from their mothers, or are unable to suckle, their mothers need to express their milk.
As the pregnant women are counseled in advance and the hospital staff is trained, we rarely have to give anything other than colostrums a€“ the first breast milk to the babies. Rooming-in allows mothers and their babies to stay together day and night to bond and to establish breastfeeding. The baby can be in the same bed as the mother, or in a cot beside her bed where she can see and reach him or her without getting up. Ask global organisations to support the ILO maternity leave and other breastfeeding support provisions. Understanding her infant's feeding cues improves breastfeeding and the mother-child relationship.
They should feed a baby when it is hungry and not wait for it to cry; but not over feed a child and risk obesity. Using teats or pacifiers may interfere with suckling and the adjustment of the breast milk supply to the baby's requirements. She may have doubts if she was producing enough milk or she may have problems like engorgement or sore nipples. Women who have successfully breastfed can form groups to support each other, or they can lobby the health authorities or a local organisation to train peer counsellors.
Tell a story about when you wash your hands, about something mucky you touched and how you washed afterwards.
Washing hands when the children wash up sends a stronger message than just telling them that they should do it.
Make hand washing a regular part of toileting, meal time, preparing food, nappy changing, and so on. Mrs A Visits the hospital provides education and entertainment for children to encourage hand washing as well as advice for parents to help reduce the chance of spreading infection to your child while in hospital.
Puff is a quiet hand drier, so he doesna€™t make very loud noises that can sometimes be scary for little people. This poster shows and explains how to perform CPR in a step by step manner – easy to follow six step process. The bottom of the poster shows what to do if the child becomes unconscious (or is unconscious already).
It ensures that the majority of the staff members are trained in breastfeeding counselling. Infant formula and advertisements in maternities can mislead people on this important point. Hence, the tenth step recommends to either put the mother in touch with a breastfeeding support group or to help her have free access to someone in the hospital for advice as and when required. For more information or to purchase a copy visit the page at Royal Berkshire NHS Foundation Trust by clicking on the picture of the book. There are fun resources for parents to do with their children and encourage hand washing on Puffa€™s website. Colorful illustrations and specific information show the necessary positions and explanations to perform CPR effectively and safely. A life saving wall reference for school nurses, classrooms, business, and safety related facilities. This is an important life saving reference for restaurants, schools, child care facilities, business, or any place children are present.
I almost forgot to go wash my hands first." Sometimes sharing about mistakes you've made (in a funny and forgiving way) and talking about why you will do it differently is more effective than pretending you do the right thing all the time.



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