"That's a common misunderstanding!" "We know that milk will flow again when a mother feels safe." that in emergency situations, stress can make my milk dry up." “And I’ve seen infant formula being distributed during emergencies…. milk may not flow easily, but it is still produced by mothers. it is not the time to sit and breastfeed, it is time to escape! can be affected by threats of danger - but it resumes again in a safe environment. Gmm (Imagine if drops of milk helped a predator track down their prey!) Protection from Norovirus, Salmonella, E. coli, Campylobacter, Rotavirus, Influenza virus "Breastmilk contains immune factors that protect babies from infections, especially in the event of emergencies."' "This creates the misconcepti on that stress stops breastmilk production." "If the frequency of breastfeeding decreases or infant formula is added in this situation, the amount of milk produced might decrease." FIL: Mechanism to suppress and control milk production "We aren't using milk very much right now. Shall we reduce production?" Prolactin: Hormone to produce milk “I have already made some milk, but should we reduce it for now?" Oxytocin: Hormone to eject milk (Sensitive to stress) “Let's take a break for now...' Mom °But we probably tend to breastfeed our babies less in emergencies or disasters…." RISU “Therefore, it is very important to prepare a safe place for mothers during emergencies." Screen, separate room, tent, private room. A safe "Because breastfeeding can calm babies, and moms need to breastfeed during the night, it's good to have family- friendly spaces." "Breastmilk can be made even if mom doesn't eat much. But we want moms to get plenty of food for their own health." Mom “I eat and make milk for my baby!" a safe environment is also important for formula feeding babies." especially important for breastfeeding mothers to have a safe environment that allows them to focus on breastfeeding." "We are talking about protecting the mother’s right to breastfeed, not saying that all mothers must breastfeed.") breastmilk contains 3 million germ killing cells! (Infant formula vs breastmilk) Mom “Then I guess I could try to breastfeed more….” mothers report that they produce more breastmilk than usual when they breastfeed more frequently." "Afterwards, always throw away any leftover milk! Dispose of leftover milk immediately as bacteria will grow! Sit the baby upright on your lap.  Choose a quiet place, not too bright! Hold the small cup of milk to the baby's lips. The cup rests lightly on the baby’s lower lip, and the edges of the cup touch the baby’s upper lip. Tilt the cup so that the milk just reaches the baby's lips. The baby then starts licking the milk. Try practicing at home in case of an emergency. RISU "If you don't have a sterilized baby bottle, you can use a cup.' (A pile of paper cups can easily be stored!) [ Ready-to- feed liquid formula) should be stored at room temperature. which falls from 15℃  to 25 C (Refer to manufacturer's instructions.) Shake well. (Powdered formula】 Mix with hot water above 70℃. (Necessary to kill any bacteria in the powder!!) Cool it t o feeding temperature (body temperature). Note – Hypo- allergenic formula is only available in powdered form. Wash hands. Use a sterilized container. RISU “For those who are feeding infant formula, thorough hygiene management is important!" Mom “That will protect both breastfed and formula-fed babies. RISU "Listen to parents first before giving advice, so that they can continue looking after their children in their own way.' 〔International standards〕 WHO's International Code or Operational Guidance on Infant Feeding in Emergencies ASSESS the individual needs and distribute infant formula only to those who need it. Do NOT distribute infant formula without assessment during disasters. Do NOT give samples of infant formula in non-emergency settings.本資料は、災害時の乳児栄養の国際基準に基づく内容です。詳しくは IFE災害時乳幼児栄養 【結果発行テあんどうりす本색寛子 https://andorisu.jindo.com "Everyone should be sympathetic to mothers with babies. Supporters should think of how to help moms look after their children in the same way they did before the emergency.' RISU “Whether you are formula feeding or breastfeeding, you are working hard looking after your children. Even during emergencies, you deserve people's respect for your own feeding methods!"署作権は発行元にあります。出典を記載し、改変せず、弁営利目的であれば自由にコピー出来ます。 This is based on the IFE's Operational Guidelines on Infant Feeding in Emergencies. https://www.ennonline.net/operationalguidance-v3-2017 Comic by Yasuko Emura Published by Risu Ando & Hiroko Hongo Medical supervisor: Kikuko Oku, MD English translation: Iona Macnab, IBCLC