lineamientos mundiales sobre lactancia materna

7/23/2019 Lineamientos Mundiales Sobre Lactancia Materna

1/25

JGEQGDEIG MGQ@[DG

Jid`gmi`dqhu Mpdaigj`u


2/25

Gdqèà`dqù

S{im`{hu ghu a`j uiljh ^^? Mijjhdg{ih d`lheih

7959* Eie`jy \ijjigmu? Ehdf`{`deig Jèn` y guùidgqh Jèn` ehda`dugaggzpeg{gag$

Ghu 63@{g dhqh{ih `j imsgeqh d`lgqivh a` ùgu shjqiegu a` m`{ega`h uhk{` jgs{`vgj`deig a` jg JM gj{ààh{ a`j mpdah$ O`jjiff` gepg `j dhmk{` a`

Mgjdpq{ieid Ehm`{eihldieg @d 79


3/25

[ùpm`d a`j Eailh Idq`{dgeihdgj a` Ehm`{eigjizgeida` Upeàd`hu a` jg Jèn` Mgq`{dg

7$ Hko`qivhu? S{hq`l`{ y s{hmhv`{ jg JM sh{ màih a` pdgehm`{eigjizgeid y aiuq{ikpeid gs{hsigagu a` jhuupeàd`hu a` jg JM$

;$ Gjegde`? @j Eailh u` gsjieg g jhu upeàd`hu a` jg JM$

@uqhu idejpy`d gjim`dqhu y k`kiagu ehmh? f{mpjg idfgdqij2 jènù a` u`lpimi`dqh2 hq{hu s{hapeqhu jeq`hu2 qu y

oplhu sg{g k`ku2 e`{`gjù y m`zejgu a` v`{ap{gu? Qgmkid

u` gsjieg g jhu kik`{hdù y q`qidgu$Spùqh wp` u` {èhmi`dag jg JM@ sh{ 6 m* qhahu jhugjim`dqhu ehmsj`m`dqg{ihu ehm`{eigjizgahu h s{ù`dqgahusg{g puh gdqù a` jhu 6 m uhd upeàd`hu a` jg JM$

5$ Spkjieiaga? Dh ùq s`{miqiag didlpdg spkjieiaga gjehdupmiah{ a` jhu s{hapeqhu g{{ikg m`deihdgahu$

1$ Mpùq{gu? Dh uhd s`{miqiagu mpùq{gu sg{g jgu mga{ù*

upu fgmijigu di jhu gl`dqù a` ugjpa$0$ U`{vieihu a` ugjpa? Didlpdg s{hmheid ehm`{eigj a`s{hapeqhu `d jhu u`{vieihu a` ugjpa2 didlpdg `~shuieid a`s{hapeqhu* gfienù* egj`dag{ihu di `dq{`lg a` mgq`{igjs{hmheihdgj$ Dh u` spà`d pug{ `df`{m`{gu a`mgq`{diaga di s`{uhdgj uimijg{ sglgah sh{ jgu ehmsggu$

6$ Gl`dqù a` ugjpa? Dh u` spà`d ag{ {`lgjhu hmpùq{gu g jhu gl`dqù a` ugjpa$ Jg idfh{mgeid uhk{`s{hapeqhu wp` u` jù `dq{`lg a`k` u`{ hko`qivg yei`dqfieg$

$ Idfh{mgeid? Jhu mgq`{igjù a` idfh{mgeid yàpegqivhu a`k`d `~sjieg{ jhu k`d`fieihu a` jg JM y jhu{iùlhu sg{g jg ugjpa guheigahu gj puh a`j kik`{d* guehmh `j ehuqh a`j puh a` f{mpjg idfgdqij$

9$ @qiwp`qgu? Jgu `qiwp`qgu a` jhu s{hapeqhu a`k`daèjg{g{ ejg{gm`dq` jg ups`{ih{iaga a` jg JM* jgdèùiaga a` ehdupjqg{ g pd gl`dq` a` ugjpa gdqù a`pug{ `j s{hapeqh y ehdq`d`{ gviuhu uhk{` jhu {iùlhu sg{gjg ugjpa$ Dh a`k`d ehdq`d`{ iml`dù a` k`ku p hq{gu*di jj`vg{ q`~qh wp` ia`gjie` `j puh a` jg f{mpjg idfgdqij$

73$ Egjiaga? Jhu s{hapeqhu wp` dh uhd gs{hsigahu*ehmh jg jèn` ehda`dugag gzpeg{gag* dh u` a`k`ds{hmhv`{ sg{g jhu k`ku$


4/25

Uiqpgeid geqpgj? GJE

7$ @d 79>;* `j S`{ gahsq jgu {èhm`dageihdù a`j Eailh y

jgu ehdvi{qi `d `j [`ljgm`dqh a` Gjim`dqgeid Idfgdqij*s{hmpjlgah sh{ Aè{`qh Ups{`mh Dh$ 3;3 - >; - UG*

idusi{gah `d `j Eailh$

@d `j ;336 u` gs{p`kg `j Aè{`qh Ups{`mh D 339-;336-UG*wp` {`viug y geqpgjizg `j {`ljgm`dqh a` Gjim`dqgeid Idfgdqija` 79>;$


9/25

EHDQ@DIAHU A@J [@LJGM@DQH A@ GJIM@DQGEIHD IDFGDQIJ?

QIQPJH S[IM@[H? Aiushuieihdù L`d`{gjù

Egsqpjh 7? A` jg [`lpjgeid

Egsqpjh II? A` jhu H{lgdhu a` Vilijgdeig

QIQPJH U@LPDAH? A` jg gjim`dqgeid a`j Dih m`dh{ a` ;1 mùù

Egsqpjh I?JM y gjim`dqgeid ehmsj`m`dqg{ig

Egsqpjh II? A` jg s{hmheid a` jg JMEgsqpjh III? Geeihdù Idq`{uèqh{igjù

QIQPJH Q@[E@[H? A` jhu upeàgd`hu a` jg JM y a` jg GE

Egsqpjh I? A` jg fgk{iegeid y ehm`{eigjizgeid

Egsqpjh II? @dvguù* {hqpjgeid y `qiwp`qgah

Egsqpjh III? A` jg Idfh{mgeidEgsqpjh IV? A` jg spkjieiaga

Egsqpjh V? A`j s`{uhdgj a` ugjpa

Egsqpjh VI? A` jgu {ùq{ieeihdù

QIQPJH EPG[QH? Idf{geeihdù y Ugdeihdù


10/25

S{hapeqhu Fg{mgepqiehu mu v`daiahu `d `j M`{egah [`qgij

D S[HAPEQHU JGKH[GQH[IH FGK[IEGDQ@ VGJH[ - PUA !

7 @DFGL[H\ S[@MIPM M@GA OHNDUHD 75*716*059

; @DUP[@ GKKHQQ 9*33>*1691 AHJHEH[A[GJGD GK@@F@ K[IUQHJ M-U 6*355*>1;

0 S@AIGUP[@ GKKHQQ 1*6

76 UIMIJGE GAV$@Y@ W GKKHQQ ;*5;1**6>1

7> FJPIMPEIJ JPBHJJ ;*;>;*36979 SJIAGD EHMSP@UQH DF [H@MM@[U 7*990*>66

;3 UIMIJGE GAV; @Y@ W GKKHQQ 7*9;1*901

;7 @DFGMIJ 7 NI@[[H M@GA OHNDUHD 7*977*697

;; [HGEEPQGD [HEN@ 7*5

Fp`dq`? [`sh{q` a` S{`eihu - IMU @jgkh{geid S{hsig - AIL@MIA


11/25

Sg{qieisgeid `d pdiagaù y vgjh{ù a` jgu F{mpjgu sg{g Jgeqgdqù Jènù Mgq`{dizgagu `d {`jgeid

gj M`{egah Fg{mgepqieh [`qgij Qhqgj

Fp`dq`? [`sh{q` a` S{èih - IMU @jgkh{geid S{hsig - AIL@MIA

3$51% 3$;6% 3$5;% 3$15%

3$90%3$6;%

7$;5%

5$30%

0$71%

;339

PDIAGA@U VGJH[ - PUA !


12/25

@j [`ljgm`dqh ùqgkjè` jh uilpi`dq`?

Dh u` ng{ spkjieiaga a` jhu upeàd`hu a` jèn`

mgq`{dg* kik`{hdù y q`qidgu `d l`d`{gj$

[`ljgm`dqh$ G{q$ 11$ A@ JG SPKJIEIAGA$ Dh ù mgq`{ig a`

spkjieiaga h epgjwpi`{ hq{g fh{mg a` s{hmheid aùqidgag gj

skjieh `d l`d`{gj y mga{ù `d ùsèigj* jhu s{hapeqhu

{èhdheiahu ehmh upeàd`hu a` jg jèn` mgq`{dg y(hgwp`jjhu wp` fhm`dq`d `j puh a`j kik`{d h q`qidg$


13/25

Dh u` `dq{`lg{d mpùq{gu a` ùqhu s{hapeqhu g jgumga{ù h g upu fgmijigu$

[`ljgm`dqh$ G{q$ 10$ S[HNIKIEIHD$ Wpàg s{hnikiah jg `dq{`lg a`mpùq{gu a` jhu eiqgahu s{hapeqhu g epgjwpi`{ s`{uhdg* g `fèqhu a`s{hmheid$ @uqg aiushuieid u a` gsjiegeid d qhahu jhuùqgkjèimi`dqhu a` ugjpa* fg{mgeigu y epgjwpi`{ spdqh aàiuq{ikpeid h v`dqg a`j sgu$

G{q$ 07$ [@UQ[IEEIHD A@ JGU @MS[@UGU A@ EHM@[EIGJI_GEIHDSG[G @J FHM@DQH A@ JHU UPE@AGD@HU A@ JG J@EN@ MGQ@[DG$Jgu `ms{ùgu a` aiuq{ikpeid y ehm`{eigjizgeid a` jhu upeàd`hua` jg jèn` mgq`{dg y gjim`dqhu idfgdqijù idapuq{igjizgahu huimijg{ù dh fhm`dqg{d ai{èqg h idai{èqgm`dq` j ehdupmh a`ùqhus{hapeqhu g jgu lùqgdqù* mga{ù y sga{ù a` digu y dihu

nguqg jhu vìdqiepgq{h .;1) mùù a` àga$


14/25

Dh u` s{hmheihdg{d ùqhu s{hapeqhu `d jhuùqgkjèimi`dqhu a` ugjpa$

[`ljgm`dqh$ A@ JG SPKJIEIAGA

G{q$ 11* A@ JG SPKJIEIAGA$ Dh ù mgq`{ig a` spkjieiaga hepgjwpi`{ hq{g fh{mg a` s{hmheid aùqidgag gj skjieh `dl`d`{gj y mga{ù `d ùsèigj* jhu s{hapeqhu {èhdheiahuehmh upeàd`hu a` jg jèn` mgq`{dg y(h gwp`jjhu wp`fhm`dq`d j puh a`j kik`{d h q`qidg$


15/25

A@J S@[UHDGJ A@ UGJPA$

G{q$ 1>$ A`j S`{uhdgj a` ugjpa$ @j s`{uhdgj a` ugjpa a` jhu

ùqgkjèimi`dqhu a` ugjpa skjiehu y s{ivgahu

{ùshdugkjù a` jg gq`deid mgq`{dh idfgdqij y jgu

s`{uhdgu wp` ùqd sg{qiepjg{m`dq` { jgeihdgagu ehd jg

dpq{ieid a` jg mga{` y a`j jgeqgdq` a`k`d hku`{vg{ jguuilpi`dqù {`ljgu? $$$$$$

5$ Dh ge`sqg{ ide`dqivhu fidgdei`{hu h mgq`{igjù wp` jhu

fgk{iegdqù h aiuq{ikpiah{ù hf`{q`d ehd fidù a` s{hmhv`{jhu upeàd`hu a` jg jèn` mgq`{dg y jhu s{hapeqhu wp`

s{hmp`v`d `j puh a`j kik`{d$


16/25

Jhu {`s{ù`dqgdqù a` jgu ehmsggu dh

ehdqgeqg{d di gehduòg{d g jgu mga{ù h g upufgmijigu$

[`ljgm`dqh$ G{q$ 07$ [@UQ[IEEIHD A@ JGU @MS[@UGU A@

EHM@[EIGJI_GEIHD SG[G @J FHM@DQH A@ JHU

UPE@AGD@HU A@ JG J@EN@ MGQ@[DG$ Jgu `ms{ùgu aàiuq{ikpeid y ehm`{eigjizgeid a` jhu upeàd`hu a` jgjèn` mgq`{dg y gjim`dqhu idfgdqijù idapuq{igjizgahu huimijg{ù dh fhm`dqg{d ai{èqg h idai{èqgm`dq` `jehdupmh a` ùqhu s{hapeqhu g jgu lùqgdqù* mga{ù y

sga{ù a` digu y dihu nguqg jhu vìdqiepgq{h .;1) mùùa` àga$


17/25

Jgu ehmsggu dh hf{è`{d {`lgjhu h mpùq{gu a`s{hapeqhu g jhu q{gkgogah{ù y s{hfùihdgjù aùgjpa[`ljgm`dqh G{q$ 1>$ A@J S@[UHDGJ A@ UGJPA$ G{q$ 1>$ A`jS`{uhdgj a` ugjpa$ @j s`{uhdgj a` ugjpa a` jhuùqgkjèimi`dqhu a` ugjpa skjiehu y s{ivgahu {ùshdugkjùa` jg gq`deid mgq`{dh idfgdqij y jgu s`{uhdgu wp` ùqdsg{qiepjg{m`dq` {`jgeihdgagu ehd jg dpq{ieid a` jg mga{` ya`j jgeqgdq` a`k`d hku`{vg{ jgu uilpi`dqù {`ljgu? $$$$$$

7$ Dh ge`sqg{ y(h {`gjizg{ q{miqù s`{uhdgjù sg{g jg{è`seid a` mpùq{gu a` f{mpjgu y upeàd`hu a` jg jèn`mgq`{dg ehd fidù a` `vgjpgeid h a` idvùqilgeid;$ Dh ge`sqg{ ide`dqivhu fidgdei`{hu h mgq`{igjù wp` jhu

fgk{iegdqù h aiuq{ikpiah{ù hf`{q`d ehd fidù a` s{hmhv`{jhu upeàd`hu a` jg jèn` mgq`{dg y jhu s{hapeqhu wp`s{hmp`v`d `j puh a`j kik`{d


18/25

Jgu `qiwp`qgu a` jhu s{hapeqhu dh jj`vg{dsgjgk{gu h iml`dù wp` ia`gjie`d jggjim`dqgeid g{qifieigj* ùsèigjm`dq` dh sha{dgsg{è`{ iml`dù a` k`ku `d ùqgu `qiwp`qgu$

[`ljgm`dqh G{q$ 50$ A`j {hqpjgah h `qiwp`qgah a` jhuupeàd`hu a` jg jèn` mgq`{dg?

@j {hqpjh h `qiwp`qg a` jhu upeàd`hu a`k` ùqg{ `diaihmg ùsghj y ehduildg{ jg idfh{mgeid uilpi`dq`?

l$ Pdg idue{iseid viuikj` y j`likj`* ims{ùg `d `j {`ge`{egdg gj dhmk{` a`j s{hapeqh wp` ehduild`$ GVIUHIMSH[QGDQ@?JG J@EN@ MGQ@[DG @U @J M@OH[

GJIM@DQH SG[G @J J@EQGDQ@


19/25

G{q$ 56$ [ùq{ieeihdù$ @j {hqpjh h `qiwp`qg a` jhuupeàd`hu a` jg jèn` mgq`{dg h gjim`dqhu idfgdqijù

idapuq{igjizgahu dh a`k` ehdq`d`{ idfh{mgeid wp`spai`{g ùqimpjg{ `j puh a`j kik`{d2 qgmsheh jh uilpi`dq`?

7$ Iml`dù a` digu y dihu$

;$ Ijpuq{geihdù* fhqhu* q`~qhu h iml`dù a` oplp`qù hfh{mgu npmgdizgagu a` gdimgjù* v`l`qgjù p hko`qhu wp`

ia`gjie`d `j s{hapeqh h egpu`d ehdfpuid uhk{` jgu

s{hsiàgaù a`j miumh$

5$ F{guù ehmh? Jèn` Mgq`{dizgag* Jèn`Npmgdizgag y epgjwpi`{ uimijg{* gu ehmh aèjg{geihdù

uhk{` s{`q`daiagu s{hsiàgaù a`j s{hapeqh sg{g jg ugjpa$


20/25

Jg idfh{mgeid wp` jgu ehmsggu hf{`zegd g jhus{hfùihdgjù a` ugjpa uhk{` upu s{hapeqhu a`kù`{ ei`dqfieg y hko`qivg$

Epgjwpi`{ idfh{mgeid uhk{` ùqhu s{hapeqhua`k` idejpi{ pdg `~sjiegeid uhk{` jgu v`dqgogua` jg jgeqgdeig mgq`{dg y uhk{` jhu ehuqhu y{iùlhu guheigahu ehd jg gjim`dqgeid g{qifieigj$

[`ljgm`dqh$ A@ JG IDFH[MGEIHD$G{q$5>$- A` jg idfh{mgeid uhk{` jg gjim`dqgeid a` jg digy dih$

@j midiuq{h a` Ugjpa* g q{gvu a` upu a`s`da`deigu qedieh-dh{mgqivgu y òèpqivgu* k{idag{ g jg mga{`* jg fgmijig y

jg ehmpdiaga `d l`d`{gj* pdg idfh{mgeid hko`qivg*ehmsj`qg y ehn`{`dq` uhk{` jg gjim`dqgeid gaèpgag a`jg dig y dih `d jhu s{im`{hu ghu a` up viag$


21/25

G{qepjh 59$- A` jhu Jmiqù `d jg idfh{mgeid gj s`{uhdgja` ugjpa

Jg idfh{mgeid wp` jhu fgk{iegdqù y jhu aiuq{ikpiah{ù

fgeijiq`d gj s`{uhdgj a` ugjpa a` jhu ùqgkjèimi`dqhu

skjiehu y s{ivgahu* {ùshdugkjù a` jg gq`deid g jg

mga{` y jg dig h `j dih* uhk{` jhu s{hapeqhu

ehms{`daiahu `d `j s{ù`dq` [`ljgm`dqh* u` jimiqg{ g jhuagqhu ei`dqfiehu ehms{hkgahu sh{ jg Màieidg kgugag `d

`via`deigu y dh sha{d gfi{mg{* di upueiqg{d jg e{``deig

wp` jg gjim`dqgeid ehd kik`{d ù `wpivgj`dq` h ups`{ih{

g jg jgeqgdeig mgq`{dg$


22/25

0$ Epgdah `j mgq`{igj idfh{mgqivh nge` {`f`{`deig g jggjim`dqgeid g{qifieigj a` jhu jgeqgdqù u` a`k` idejpi{ jguilpi`dq` idfh{mgeid?

$ @j ehuqh a` jg gjim`dqgeid g{qifieigj$ Jgu {`s`{epuihdù uheigjù a` up puh$

$ Jhu {iùlhu wp` s{ù`dqg sg{g jg ugjpa a`j k`k$

G{qepjh 17$- Ehdaieihdù a`j mgq`{igj idfh{mgqivh yàpegqivh

@j mgq`{igj idfh{mgqivh y àpegqivh* spkjieiqg{ih* aiaeqieh hepgjwpi`{ hq{h aùqidgah g jg aifpuid y ehm`{eigjizgeid* a`gjim`dqhu sg{g jg lùqgdq`* mga{` wp` ag a` jgeqg{ y aùpeàd`hu a` jg jèn` mgq`{dg y a` gjim`dqhu idfgdqijùehmsj`m`dqg{ihu sg{g jgu digu y jhu dihu nguqg jhuvìdqiepgq{h .;1) mùù a` àga* u` upo`qg{ g jh uilpi`dq`?


23/25

7$ Dh ehdq`da{ iml`dù a` digu y dihu$

;$ Dh idejpi{ ijpuq{geihdù* fhqhu* q`~qhu h iml`dù aòplp`qù h fh{mgu npmgdizgagu a` gdimgjù* v`l`qgjùp hko`qhu wp` ia`gjie`d `j s{hapeqh h egpu`d ehdfpuiduhk{` jgu s{hsiàgaù a`j miumh$

5$ Qgmsheh s{ù`dqg{ iml`dù a` s{hfùihdgjù a` jgu

ei`deigu a` jg ugjpa h epgjwpi`{ hq{h uildh ehdv`deihdgjwp` upli`{g wp` ùqhu s{hapeqhu uhd {èhm`dagahu sh{jg gpqh{iaga a` ugjpa$

1$ A`k` idejpi{ idfh{mgeid uhk{` jg imsh{qgdeig a` jgus{eqiegu a` nili`d` `d jg s{`sg{geid a`j s{hapeqh* guehmh nili`d` a` jg s`{uhdg {ùshdugkj` a` jgs{`sg{geid a`j miumh$


24/25

Jèeihdù gs{`daiagu

7$ Dh ù upfiei`dq` wp` pd sgu ngyg gan`{iah gj Eailh ui ùqh dh u`sjgumg `d pdg j`y dgeihdgj* di u`{ upfiei`dq` pdg j`y ui dh ùqa`kiagm`dq` {`ljgm`dqgag sg{g nge`{ `fèqivg up gsjiegeid$ Aìlpgj mhah* a`k`{ `~iuqi{ vhjpdqga shjqieg a` mhdiqh{`g{jg ygsjieg{ ugdeihdù$

;$ Pdg uq{gq`lig a` vilijgdeig idq`jil`dq` a`k`{g s{`v`{ nge`{ skjiegepgjwpi`{ ugdeid wp` u` gsjiwp`* yg wp` jg shuikijiaga a` a`q`{ih{ha` up imgl`d s{`hepsg mpenh mu g jgu `ms{ùgu wp` `j `v`dqpgjmhdqh a` pdg mpjqg$

5$ @j mhdiqh{`h s`{mgd`dq` ù idaius`dugkj` spù jgu ehmsggu u`mp`v`d `d vg{ihu egmshu g jg v`z y aiuq{g`d2 spà`d ùqg{uhjieiqgdah gs{hkgeid a` pdg `qiwp`qg gj miumh qi`msh wp` ù`s{hapeqh ùq `d jhu m`{egahu ehd hq{h aiu`h$


25/25

Jèeihdù gs{`daiagu

1$ Jg ljhkgjizgeid ehmh f dm`dh l`d`{gj* y jhu QJE `d sg{qiepjg{aifiepjqgd jg gsjiegeid a` màiagu dgeihdgjù gd epgdah didlpdgdh{mg a` s{hqèeid gj jik{` m`{egah a`k`{g ehjheg{u` sh{`deimg a` jg l`dpidg s{hqèeid a` jg ugjpa a` jgu ehmpdiagaù$

0$ @j sgs`j a` jg {à IKFGD ng uiah fpdagm`dqgj sg{g shd`{ d jgups`{fiei` j s{hkj`mg sjgdq`gah sh{ jg idaiue{imidgag y gl{ùivgspkjieiaga a` upeàd`hu a` jg jèn` mgq`{dg y up imsgeqhd`lgqivh uhk{` jg JM* gu ehmh sg{g s{hfpdaizg{ jhu s{heùhu aìmsj`m`dqgeid a`j Eailh$

6$ Jgu uep`jgu a` fh{mgeid `d Ei`deigu a` jg Ugjpa a`k`{gdideh{sh{g{ `d upu ep{{epjgu `j q{gqgmi`dqh a`j Eailh* ehmh sg{qà`j aùg{{hjjh a` jg qieg s{hfùihdgj$

lineamientos mundiales sobre lactancia materna

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