Breast Feeding

breast feeding

1. WELCOME TO SEMINAR Dr. Sharmin Afroze Dr. Amlendra Kumar Yadav

2. A 26 years primi mother came to you with the complaints of her baby isn’t getting enough breast milk, remains hungry and used to cry always. She came with a container of artificial milk for your suggestion whether it can be given to her baby. What will you do in such a situation as a physician?

3. BREAST FEEDING

4. BREAST FEEDING Breast feeding is the best infant feeding practice. Starting breast feeding within an hour of birth alone can reduce neonatal mortality by 13% In Bangladesh 46% babies are given breast milk within first hour of birth Bangladesh Health Statistics 2011

5. EXCLUSIVE BREAST FEEDING No drinks or foods other than breast milk are given to a baby since birth up to 6 completed months (180 days) No pacifier, dummies or artificial teats are given to a baby

6. PATHOPHYSIOLOGY OF BREAST FEEDING Lactogenisis 1 – Production starts: The initial synthesis of milk components begins in 2nd trimester of pregnancy Lactogenesis II – Full Production - the onset of copious milk production 2-3 days postpartum. Trigger: delivery of the placenta - a rapid drop of serum progesterone (removes the brakes on Prolactin )

7. FACTORS AFFECTING BREAST MILK PRODUCTION

8. COMPOSITION OF HUMAN MILK

9. WHY HUMAN MILK IS DIFFERENT FROM OTHER MILK

10. TYPES OF HUMAN BREAST MILK Colostrum Transitional milk Mature milk Foremilk Hind milk

11. BENEFITS OF BREAST FEEDING 31% Neonatal mortality can be reduced by Early Initiation of Breastfeeding . 13% Infant mortality rate can be reduced by Exclusive Breastfeeding. 6% Child mortality rate can be reduced by complimentary feeding. Bottle feeding relative risk of death 14 times more than the breastfeeding child.

12. BENEFITS OF BREAST FEEDING Breast milk Reduces allergies such as asthma & eczema. Breast milk contains Antibodies gives protection against infectious diseases. Helps in cognitive development. Nutritionally optimal . Reduces Diarrheal diseases .

13. HOW TO ENSURE BREAST FEEDING IN PROPER WAY POSITION: 1.Baby’s body is well supported 2. The head, neck and body of the baby are kept in the same plane 3. Entire body of baby faces the mother 4. Baby is held very close to mother

14. ATTACHMENT: 1.Baby’s mouth is wide open 2. Lower lip is turned outwards 3. Baby’s chin touches mother’s breast 4.Most of the areola seen above than below

15. WHAT YOU CAN SEE? 1 2

16. GOOD AND POOR ATTACHMENT 1 2

17. RESULTS OF POOR ATTACHMENT Painful nipples Damaged nipples Engorgement Baby unsatisfied and cries a lot Baby feeds frequently and for a long time Decreased milk production Baby fails to gain weight