I ACT, brea tmilk I the
orld' mot sophisticated food, y
UNICEF. It' so nutritionally com
plete that an infant normally needs
no other food or drink for the first
four to six months of Ufe. It
hygienic and inexpe ive. It im
munizes infants gainst pregnancy.
And it reduces the ris of bre t and
ovarian cancer.
Apart from being Inferior In
quality, powdered milk mixes badly
with poverty. Without enough
money to buy adequate quantities of
powder, and without enough educa
tion to read the instructions on the
tin, many families overdilute com
merical milk powders. And without
clean water or terilizing equipment,
fridges or fuel, the milk powder is
often mixed with contaminated
water nd fed to b bies from un-
. sterile bottles.
As a result, bottle-fed b bies in
poor communities have been found
to be approximately 15 times more
likely to die from diarrhoeal disc e
and 4 times more likely to die from
pneumonia than babies who are ex
clusively breastfed.
Over lit the World Health
Orilination estimates that more than
a million children's Uves could be
saved every year if all mothers gave
their babies nothing but breutmilk
for the first four to six months of life.
The poorer the circumstaDCCI the
greater the risks of bottle-feeding.
But breaatfeedlng Is b t for all
babies, says UNlGEF. One tudy
hal shown that babies in New York
HEALTH
. TH W code, which e out
Ten Ste to Succe ful Bre tfeed
lng, is now being communicated by
WHO and U ICEF to virtu lly
every ho pital in the world. All
ho pital that consi tently follow the
code will be awarded 'baby
friendly' tatus. The 10 steps are:
o have a written bre tfeeding
policy
o train all health taff to imple
ment the policy
. 0 inform all pregnant women
about the benefits of bre tfeedlng
o help mothers start bre tfeed
ing within half an hour of birth
o how mothers the best way to
breast feed
o give newborn infants no other
food or drink (unle medically indi
cated)
o allow mothers and infan to
remain together 24 hours a day
o encourage breastfeeding on
demand
o give no dummie or oothers
o help start breastfeeding sup
port group and' refer mothers to
tbem
Men can help
UNICEF has now called on all
manufacturers to end free and low
cost upplie of infant formula to
maternity units and hospltalJ by
December 1992. The International
Associl lion of Infant Food
Manufacturers bas agreed to the re-
The 10 steps
1 Have a written breostf eding policy - routinely
communicated to all health taff.
2 Train all health staff in ills to implement
this policy.
3 Inform all pr gnant women about the benefits
and management of br astfeeding.
4 Help mothers initiate breastfeeding within
half an hour of birth.
S Show mothers how to breastfeed, and how to
maintain lactation even if they should be
separated from their infant .
6 Give newborn infants no food or drink other
than breastmilk, unless medically indicated.
7 Practi e rooming-in (allow mothers and
infants to remain together)24 hours a day.
S Encourage breastfeedtnq on demand.
9 Give no artificial teats or pacifiers (also called
dummies or oothers) to breastfeeding infants.
10 Fo ter the establishment of breastfeeding
support groups and refer mothers to them on
discharge from the hospital or clinic.
ive y ars from now,
thou ands of ho pital
throughout the world could
have a plaque by the front
entrance de ignating them a
'baby friendly'. The idea i the
late t shot in the campaign
against the trend toward the
bottle feeding of babies.
More than a million children I
lives could b aved every year
if all mother gave their
babies nothing but brea tmilk
for the first four to ix months
of life.
What happen in hospitals
sets a powerful example. So
UNICEF and WHO have
drawn up a code of practice
for all maternity units. All
hospitals following. the 'Ten
Steps to Successful
Breastfeeding' will be
deslqnoted as 'baby-friendly'.
•
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for It INDIGASTION, btoating. T .asy 10 ••
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rem.rk.bl. n.tur.l-orlgln g ••
rttitYtr and digtllI ... Id,l. no
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rtlitwi'a brt lip g bubbItI but
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Thera why many doctor recomtnd
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quest In principle and promi ed itS
cooperation.
Many women In the developing
world do not give birth in hospitals,
the report acknowledges. And even
those who do enter maternity uilits
usually stay for only one or two days.
So the worldwide..campaign to make
hospitals more baby-friendly, say
UNICEF, is only one step among the
many needed in the journey baclc
towards breastfeeding.
"Mothers need the support of
hospital ," says the report, "but if
they are to continue breastfeedin.
tbey will also need the support 0(:
their employers, their fantilles, tbelr:
communities, and their husbandl.· ,
YOUR FIRST GYNECOLOGIC EXAM
An important part of growina up is
takina respo 'bility for your own
health. Although your _ent .and
tho cl to you will alway be con
cerned about your well-being, no one
can take total char e of your health
except you.
A key part of your health care is
having regular iYIlecolo' examina
tions by a doctor. An obstetrician
gynecologi t (ob-gyn) i a doctor who
h pcciaI trainina in omen' health.
Th doctors attend to the many
health need of women, including'
Pl'eanancy, birth control, problem
with the reproductive organ, and
br t disorder. For many women,
the ob-gyn i their primary care phy i
dan, th 'doctor with whom they have
reaular contact.
You hould have your fir t
lYOecolOlic exam when you become
sexually active �T when you reach age
18, u you have any abnormal
symptom earlier. After your fir t
exam, y ur doctor will prob bly ant
to you once year.
At y U{ fi t . it, your doctor will
a complete medical history, in
cludin information bout your
men trual and sexual p t, ny
medical problems you or your family
have, and whether you moke, drink,
or usc drugs.
Your doctor also will do a phy ical
examination. He or e will check
your eight, nutritional t, and
blood pr ure. An examination of
your abdomen and your br t also
will be performed.
To detect any problems with the
repfoductive organs, your dOCtor w01
4l an internal pelvic exam. Yau will be
ked to lie flat on the euminina table
with your bent and your Ii In
metal stirrups. This position allows tbe
doctor to do a manual exam of the
organ by u' one band on' the M
face of the abdomen 'and le\'enI·
finlen of the other hand inserted into
the vqina.
Your doctor will probably do •
Pap test-a pedal test to check for
abnormal ceUs on the cervix that could
lead to cancer. To do • Pap tat, the
doctor inserts a metal instrumeat,
called a peeulum, into the vqina to
widen the vaainal openina. He or
then a pedal swab or • brush to
take a sample of cells from the c:cnix.
The cell will be examined in a lab for
any bnormalities.1f anythina unusual
appears, you. will be informed.
Your annual I)'Il exam' an ex
Cdlent time to It questions or
concerns about your health. Your
doctor or a nurse can provide val
advice about ubjects udl birth
control, br self-exams, nutritioD,
exerci ,and havin a baby. u. this
opportunity to fmd out how you caD
lead the healthiest life possible.
from Prance
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Pharmacy & Your Health
Medical Arts
Pharmacy
13700 W09dward
869-1800
DAVID N.
ZIMMERMAN
PO, FACA
Pr •• ,d.nt
Questions To Ask about Generic Medicines
In a recent is ue of PhaTmQCY Today, the mo t commonly ed que -
lions about generic medicine were discu sed. An wers to the que tion
were provided by the American Pharrn ceutical A ociation.
1. W t d the ter ' n ric" m o? Generic refe to the common
or official name of a medicine. An example i ibuprofen. Brand name for
,ibuprofen include Motrin, Advil, and Nuprin.
2. Wbyare produ used anyw y? Primarily bee u generic
. are le expen ive than their brand-name counterpart .
3. Are e a d effective brand-n m products?
In general, ye . The majority of generic mu t meet the same high
tandards required of brand-name produc .
4. " av u I dru prod ? There i no
reason for the elderly to avoid generic ju t bee u of their a e.