Antenatal Breastfeeding Workshop - Webinar.pptx

Breastfeeding

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3. प्रेगनेंसी में ब्रेस्टफीडिंग के बारे में मां कौन सी जानकारी जरूर ले Antenatal Breastfeeding Workshops for Pregnant and Lactating mother.

4. vkt dk gekjk ppkZ dk fo”k ; gS ekWa dk nw /k f’k’kq ds fy , loksZRre vkgkj gSA Lruiku ls f’k’kq ] ekWa , oa ifjokj dk D;k Qk;nk gksrk gSA ekWa dk nw /k dSls curk gSA Lruiku ds le; ekW vkSj f’k’kq dh iksth’ku vkSj vVWpesaV dSlh gksuh pkfg , ekWa tUe ds ckn 1 ? kaVs ds vanj f’k’kq dks Lruiku djuk pkfg,A f’k’kq dks Lruiku fdruh ckj djuk pkfg,A f’k’kq ds fy , ekWa dk nw /k i;kZIr ek=k esa fey jgk gS ;k ughA Lru ls nw /k dc vkSj dSls fudkyuk gSA Lruiku lacaf /k leL;k gS rks D;k djuk pkfg,A शिशु की अस्पताल से छुट्टी के समय ब्रेस्टफीडिंग जरूर चेक करें ब्रेस्टफीडिंग से शिशु मां एवं परिवार को क्या-क्या फायदे होते हैं

5. D;ks ekWa vius f’k’kq dks Lruiku ugh djk ikrh gS xHkkZoLFkk es Lruiku dh tkudkjh cjkcj u feyuk Lruiku ls f’k’kq] ekWa ,oa ifjokj dk D;k Qk;nk gksrk gSA tUe ds rqjar ckn Lruiku u djkuk f’k’kq dks mij dk nq/k] ‘kgn] xzkbZi okWVj] Xyqdkst dk ik.kh] ckWVy ls fQMhax ;k fuIiy dk mi;ksx djuk f’k’kq dks lgh rjhds ls fQMhax ugh djuk gsYFk odZj ,oa gkWfLiVy LVkQ dks Lruiku ds ckjs es tkudkjh u gksuk ,oa mij ds nq/k ij tksj nsuk ifjokjokyks ls lg;ksx u gksuk Lru ls nw/k dSls fudkyuk blds ckjs es tkudkjh u gksuk

6. BREAST FEEDING IS THE BEST FEEDING Baby Growth & Development Maternal Health and well-being Family Progression and Economy. Foundation of Robust Human resources driving Nation development.

7. Advantages of Breast Feeding Create best human resources

8. शिशु को मां का दूध न मिलने पर उसके क्या नुकसान होते हैं ? माँ अगर शिशु को स्तनपान नहीं कराती तो इससे माँ के स्वास्थ्य पर क्या प्रभाव पढ़ते हैं

9. Women who do not breastfeed are more likely : To develop anemia To retain fat deposited during pregnancy, which may result in later obesity. To become pregnant soon after the baby’s birth. To develop breast cancer and some forms of ovarian cancer To have hip fractures in older age Frequent pregnancies due to lack of child spacing effect of breastfeeding. Fewer opportunities to be close to their baby

10. ब्रेस्टफीडिंग नहीं कराने से परिवार पर क्या प्रभाव पड़ता है ? Impact over Families- When a baby is not breastfed Loss of income through a parent’s absence from work to care for an ill child. Higher family expenses to purchase formula feed as well as extra time & extra person needed to give these feeds. Worry about infant formula shortages or about an ill baby. Children who are not breastfed have increased illness, therefore increased use of health care services, and increased health are costs, both as infants Formula feed baby more prone for malnutrition, and Obesity in later age.

11. Breast anatomy and milk production During pregnancy breasts increase in size due to an increase in lobules and alveoli Women's breasts are prepared to produce milk as early as the 16 th -20 th week of gestation Milk is ejected about 0.03 seconds after maximum nipple elongation Milk storage does not occur in the larger milk ducts, but in the smaller ductules A cross-section view of the alveolus Hormones in Lactation

12. दुध निर्मीती करणारे पेशि / दुध निर्मीती करणारे हार्मोन्स सुक्ष्म स्नायुपेशींच्या आकुंचनाने दुध ॲम्पुला मधे ढकलले जाते स्तनांची रचना स्तन की रचना एवं दूध का बनाना

13. दुध निर्मीतीची प्रक्रिया दुध निर्मीती वाढवणारे घटक दुध निर्मीतीस बाधा आणणारे घटक सुजलेले व दुखत असलेले स्तन

14. शिशु मां का दूध अच्छे से पी ले उसके लिए कौन-कौन से रिफ्लेक्स जरूरी है ? Developmental readiness and baby feeding Rooting reflex : - helps baby to find nipple developed 28 weeks. Sucking - milk move in to throat. Swallowing reflux ;- milk in throat stimulate swallowing 1;1, 2:1, 3:1 Sucking – swallowing- breathing refluxes Premature baby :- sucking – swallowing reflex appear > 34 weeks. Breast feeding failure :-Interference in normal reflex is main cause of breast feeding failure like bottle, spoon, pacifier, teats condition the infant to different oral action that are inappropriate for breast feeding.

15. स्तनाग्र (निपल) शोधणे दुध ओढणे दुध गिळणे

16. Colostrum - First 2 day Mature Breast milk 3 rd to 4 th day – breast begin to feel fool Foremilk and Hindmilk – 7 to 10 days. How Milk ‘’Comes in’’ कौन सा मिल्क कब एवं कैसे आता है ?

17. Successful Breastfeeding… Initiate Breastfeeding Within One Hour of Birth Colostrum – must Skin to skin Contact

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19. 03-Aug-20 31 Upper Gum Nipple Tongue Lower Gum Areola Upper lip Infants Gums & Tongue Express Milk How a Baby attach and suckles at the Breast : To stimulate the milk and remove milk from the breast and to ensure adequate supply and a good flow of milk, a baby needs to be well attached so that he or she can suckle effectively

20. स्तनाग्रा व ऍरिओलावर बाळाच्या तोंडांची पकड योग्य व अयोग्य Good and Bad latching on breast

21. शिशु की स्तन पर अच्छी पकड़ के लक्षण Signs of Correct Attachment Mouth wide open Lower lip is turned outside Chin touching the breast Black part of the breast not visible below the lower lip Large black portion of breast and nipple including milk collecting ducts are inside baby’s mouth Tongue under the teat

22. Incorrect Sucking Position Mouth is not wide open Chin is away from the breast Baby is sucking only nipple Most black portion of the breast is outside the baby’s mouth Tongue away from the teat

23. Successful Breastfeeding… Feeding on Demand Helps promote milk secretion, prevents engorgrment of Breast, more natural Night Feeds Water administration Exclusive BF infants do not require water because of low solute load & Osmolality No restrictions on length of breastfeeds No restrictions on frequency of breastfeeds

24. tUe ds ckn Lruiku ds igys f’k’kq dks mij dk nw /k ugh nsuk pkfg , A mij dk nw /k nsus ls f’k’kq eka dk nw /k fius ds fy , uk [ kq’k jgrk gS ] mlls eka dks nw /k vkuk de gks tkrk gS A f’k’kq dks xzkbZiokWVj ] tUe?kqVh ] VkWfud ] Xyqdkst dk ikuh ;k lk /kk ik.kh ugh nsuk pkfg , A f’k’kq dks ckWVy ] fuIiy ] nw /k ikoMj ;k csch QqM dk mi;ksx ugh djuk pkfg , blls vkids f’k’kq ds Lruiku es ck/kk iSnk djrk gS A मां का दूध के अलावा शिशु को कुछ ना दे Do Not Give Prelactal Feeds

25. vxj f’k’kq ekW dk nw /k 5 ls 10 fe - rd [ khap jgk gS ] nw /k fius ds ckn 2 ls 3 ? kaVs lks jgk gS ] 24 ? kaVs es 6 ls 8 ckj is’kkc dj jgk gS ] , oa f’k’kq dk otu 15 ls 20 xzke izrh fnu c< jgk gks rks le> uk pkfg , f’k’kq dks ekW dk nw /k i;kZIr gS A f’k’kq vxj ekW dk nw /k ihus ds ckn Hkh yxkrkj jks jgk gS ] gj vk / ks ? kaVs es nw /k ds fy , mB jgk gS , oa otu ugh c< jgk gS rks ;g le> uk pkfg , dh f’k’kq dks f’k’kq jksx rK dks fn [ kkuk pkfg , A f’k’kq dks eka dk nw /k i;kZIr ek=k es ugh fey jgk gS A rks mls xk ; dk nw /k ugh fiyk , A ekW dk nq/k f’k’kq ds fy , ifjiw.kZ gS ;k ugh

26. मां का दूध कब और कैसे निकालना चाहिए इसे कैसे स्टोर करना चाहिए और कैसे पिलाना चाहिए Expression of breast milk When & Why According to WHO & UNICEF : The best food for a baby who can not be Breastfeed is milk expressed from the mothers breast or from another Healthy mother.

27. Manual Expression of Breast Milk Indications for expressing breast milk : Prevention and management of engorged breasts Working mother Sick / premature baby Method of Manual Expression of Breast Milk 1. Relax the mother : Back Massage Upper limb Exercise (Only if breasts are engorged) Warm shower / fomentation Hold baby close / think lovingly about the baby/ keep baby’s photo in front (in case of NICU transfers)

28. Wash Hands with soap and water Mother should assume a comfortable position and keep the vessel for collection nearby. The vessel should be made germ free beforehand, by boiling it for 10 min. Massage the breast Support breast form below and massage breast all round the areola between chest wall & four fingers. Fingers kept parallel to chest wall (to achieve this give more pressure on fingers near areola) Do not forget to massage breast tissue in axilla (Axillaries tail) Expression Hold breast one inch behind areola (like small “ C “

29. Give & maintain backward thrust with thumb & fingers Roll thumb & Fingers forward Repeat these steps all round the areola. To empty each breast both hands are required. There should be no pain and no pressure on nipple

30. Manual Breast pumps Short term use Hand powered Small and portable Inexpensive Types: Cylinder pumps Trigger pumps Bicycle horn pumps

31. Electric pumps Long term use Efficient but expensive Double pumping Pressure adjustable Types: Electric piston pump Hospital-grade electric piston pump

32. Breast pumps Maintain or increase milk supply Less time consuming and painless method Relieve engorged breasts and plugged milk ducts Pull out flat or inverted nipples

33. Alternate methods of feeding

34. मां और शिशु में ब्रेस्टफीडिंग से संबंधित क्या-क्या समस्या रहती है और इसके निराकरण के लिए क्या करना चाहिए ? Problems in Breastfeeding Maternal issues or Baby issues Don’t Ignore , it’s a Emergency Problem

35. मा में ब्रेस्टफीडिंग से संबंधित समस्या : Breastfeeding Problem Maternal issues Mother nipple problem : Flat nipple, Inverted nipple or large nipple Nipple Trauma- Sore or Cracked nipple Breast engorgement, excessive milk production Inadequate milk production Breast abscess and mastitis

36. शिशु में ब्रेस्टफीडिंग से संबंधित समस्या Breastfeeding problem : issues in baby Maturity of baby > 34 weeks Any oral problem Tongue – tie , cleft pallet, natal teeth Check for all baby reflexes for feeding. Did not cry after birth ,Breathing difficulty, Hypoglycemia and Jaundice baby’s nose block, Colicky pain Top milk / bottle feeding

37. 03-Aug-20 58 सीरिंज पद्धतीने दुध काढणे स्वच्छ हाताने स्तनातुन दुध पिळुन काढणे

38. Inverted nipple Begins after birth Syringe suction method Manually stretch and roll the nipple between the thumb and finger several times a day Teach the mother to grasp the breast tissue so that areola forms a teat, and allows the baby to feed

39. Sore nipple Incorrect attachment Frequent use of soap and water Fungal infection Treatment Continue breastfeeding Correct the position & attachment Apply hind milk to the nipple Expose the nipple to air

40. सुजलेले व वेदनादायक स्तन

41. Breast engorgement Incorrect latching of the baby Delayed and infrequent breastfeeds Treatment Lightly massage Gently express milk prior to feed, use of breast pumps Cold compress between feeds Put the baby frequently to the breast Use pain killers like paracetamol or brufen

42. ENGORGED BREASTS सुजलेले व वेदनादायक स्तनांची काळजी स्तनांना सूज आल्यास ते भरल्यासारखे वाटते व ताठरपणा येतो. १) स्तनांना शेक देणे, २) बाळास अंगावर पाजणे, ३) बाकीचे दूध हाताने अथवा पंपाद्वारे काढावे. ४) सिरींज पद्धतीचा वापर करून, बाळास दूध पाजणे. ५) वेदनाशामक औषधे डौक्टरांच्या सल्यानूसार घ्याव्या. 03-Aug-20 65

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44. मां का दूध कम होने के क्या-क्या कारण होते हैं ? Reduced milk supply Interruption of natural process / by stress / by bad advice ,poor family support excessive top feeding, bottle feeding , Nipple confusion Mother and baby sepration Ineffective sucking / position / proper attachment Scheduled feeding Mother and Baby separations Infrequent Night feed poor promotion of breast feeding in hospital baby discharge from hospital without guidance and establishment of successful breast feeding

45. मां का दूध बढ़ाने के लिए क्या करना चाहिए ? How to Increase Milk production Attachment / Position Compressions Switch Nursing Avoid bottle feeding & top milk Expression of Milk if baby is not sucking frequent night feed Support the mother Nutrition advice Kangaroo mother care

46. डिलीवरी के बाद शिशु की अस्पताल से छुट्टी होते समय ब्रेस्टफीडिंग जरूर चेक करें शिशु दूध अच्छे से पी रहा है कि नहीं उसकी स्तन पर पकड़ बराबर है कि नहीं मां का दूध शिशु को पर्याप्त मात्रा में मिल रहा है कि नहीं अगर किसी कारणवश शिशु मां का दूध नहीं पी पा रहा है तो दूध कैसे निकाल कर पिलाना है उसे कैसे स्टोर करना है मां का दूध कम आ रहा है तो उसे बढ़ाने के लिए क्या करना है इसके लिए मार्गदर्शन जरूर ले अगर स्तनपान से संबंधित समस्या है मां या बेबी में तो उसे नजरअंदाज ना करें उसके लिए अच्छे से मार्गदर्शन ले इस बात का ध्यान रखें अन्यथा दूध सूख जाता है डिस्चार्ज के समय किन बातों का ध्यान रखें?

47. THANKS