Breastfeeding must be stimulated, supported and encouraged during antenatal control. Explanation on importance of breastfeeding for her and her child must be explained, preparing her and family mentally and physically for exclusive breastfeeding. In this article the importance of exclusive maternal breastfeeding is described, questions on delivery affecting breastfeeding are answered, and nutritional needs of the lactating woman are emphasized.

The World Health Organization notes that anemia affects 1 620 million people in the world (1), the most affected are school-age children and pregnant women. Our country is no stranger to this reality. Anemia remains a public health problem, especially in children under 3 years old and in women of childbearing age. According to ENDES 2018, the indicators of anemia in children under 36 months were 43.5% nationwide, and in cities like Puno it reached 66.7%, in Arequipa, Moquegua at 33.9% and in Lima at 35 ,5%; 21.1% of women of childbearing age have anemia (2).

Breastfeeding must be stimulated, supported and encouraged during antenatal control. Explanation on importance of breastfeeding for her and her child must be explained, preparing her and family mentally and physically for exclusive breastfeeding. In this article the importance of exclusive maternal breastfeeding is described, questions on delivery affecting breastfeeding are answered, and nutritional needs of the lactating woman are emphasized.

Objetivo. La inmunización es una de las intervenciones más importantes para prevenir la morbimortalidad en la población mundial. No obstante, aún persisten brechas para alcanzar coberturas ideales de vacunación. Además, las múltiples dosis y vacunas dificultan alcanzar las metas mínimas establecidas. Por ello, se desarrollan vacunas combinadas y fraccionadas para reducir el número de inyecciones, errores programáticos, reactogenicidad y mejorar la adherencia. En tres días distintos, durante 9 horas, se reunieron 6 médicos pediatras expertos en vacunas en el Perú siguiendo el método RAND/UCLA, con el objeto de elaborar un consenso de opinión y actualización de la vacuna combinada hexavalente [DTaP+Haemophilus influenzae tipo b (Hib)+Hepatitis B (HVB)+antipolio inactivada (IPV)] y su eventual uso en el Programa ampliado de inmunizaciones (PAI). Las recomendaciones del conse...

Objetive. Immunization is one of the most important interventions to prevent morbidity and mortality in the world population. However, gaps persist to achieve ideal vaccination coverage. In addition, the multiple vaccines and necessary doses make it difficult to reach the minimum established goals. On this scenario, combined and fractionated vaccines are being developed with the aim of reducing the injections number, programmatic errors, reactogenicity and improving adherence.On three different days, for 9 hours, 6 pediatricians experts in vaccines in Peru met following the RAND/UCLA method in order to develop a consensus opinion and update of the combined hexavalent vaccine [DTaP+Haemophilus influenzae type b (Hib)+Hepatitis B (HVB)+Inactivated Polio Vaccine (IPV)] and its eventual use in the Extended Immunization Program (EPI). The consensus recommendation are: replace the vaccines, Or...