Rooming-In and
Breast-feeding Act
Rooming-In Definition
• Mother and baby are together in one room from
birth to discharge
• Goal: Babies stay in mother's room for at least 23
out of 24 hours.
• When separations are clinically inidcated,
encourage visitation and closeness as appropriate.
Republic Act No. 7600 known as
“The Rooming –In and Breastfeeding Act of
1992”
• An act providing incentives to to all
government and private hospitals with
rooming-in and breastfeeding practices and
for other purposes.
DECLARATION OF POLICY
DECLARATION OF POLICY
The state adopts rooming-in as a national
policy to encourage, protect and support the
practice of breastfeeding.
• It shall create an environment where basic
physical, emotional and psychological needs
of mothers and infants are fulfilled through
the practice of rooming-in Breastfeeding.
ROOMING-IN AND BREASTFEEDING
INFANTS
1. Applicability- to all private and government health institutions
2. Normal Spontaneous Deliveries.
* Immediate latch on after birth
* Rooming-in within 30 minutes
A. Well infants/ Well infants
B. Low birth weight infants / Low birth weight
infants but able to suck
3. Deliveries of Caesarean Section.
* Roomed-in and breastfed within 3-4 hours
after birth
4. Deliveries Outside Health Institutions
- Be Roomed-in-
5. Exception
*Mothers and babies with complications
or problems hence do not permit rooming-in
and breastfeeding. These infants shall be fed
expressed breastmilk.
RIGHT OF THE MOTHER TO
BREASTFEED
• *It shall be the right of the mother to
breastfeed hervchild who equally has the
right to her breastmilk.
HUMAN MILK BANK
• Provision of Facilities for Breastmilk
Collection and Storage
• Continuing Education, Re-educationand Training of
Health Personnel on Current Updated Lactation
Management
• Information Dissemination to Pregnant Women
A. In Prenatal Clinic
B. At home or in the Ward
C. Post Natal Clinic
• Administrative Order 2005-0014: National
Policies on Infant and Young Child Feeding
• Supporting Legislation
– Executive Order No. 51: Milk Code
– Executive Order No. 382: National Food
Fortification Day
• Exclusive breastfeeding –infant receives
breast milk and allows the infant to receive
ORS, drops, syrups (vitamins, minerals,
medicines), but nothing else
• Early initiation of breastfeeding – initiating
breastfeeding of the newborn after birth
within 90 minutes of life in accordance to the
essential newborn care protocol
PROMOTING BREASTFEEDING
• To promote the practice of breastfeeding,
providing mothers and families with
adequate, accurate and timely information
and opportunities for developing necessary
skills for good breastfeeding practices is
essential.
• The nurse then makes a health education
plan based on the mother’s needs
– Benefits of Breastfeeding
– Techniques of Breastfeeding
IMPORTANCE: ATTACHMENT
• Compared to “tradtional care”, mothers
rooming-in show
• INCREASED POSITIVE INTERACTIONS:
Looking, Touching,Talking to their babies
• DECREASED AVOIDANCE BEHAVIORS:
Watching TV, Talking on the phone
IMPORTANCE: BONDING
• Hormonally sensitive period
• Skin to skin and breastfeeding trigger
release of oxytocin leading mom to practice
“mothering and bonding behaviors”
To make BF successful
contraception: 3 E’s:
1. Early – start BF as early as possible
-NSD- 30 mins after, start BF
-CS- 3-4 hrs after, start BF
2. Exclusive - BF for first 6 mos.- never
alternate w/ supplementary feeding.
3. Extensive – BF can be extended to 2
yrs
Storage of breastmilk – keep in ref for 24 hours
Preservation- keep in the freezer minimum of 3
mos/ maximum of 6 mos.
To use: remove from the freezer 2 hours before
use
Colostrum – 1st expressed milk
ADVANTAGES OF BREASTFEEDING
• B- “Breastmilk is best for babies “(as mandated by EO 51)
• R- reduced allergy
• E- economical
• A- always available
• S- Safe; soft stool
• T- right temperature
• F- fresh
• E- emotional bonding
• E- easily established
• D- digested easily- with lactalbumin
• I- immunoglobulin against CD : measles and chicken pox ( IgA)
• N- nutritious
• G- GIT disorder is reduced (ex. diarrhea)
