Breast feeding: It's techniques & types of breast milk

Breast feeding is the most effective way to provide baby with a caring environment and complete nutrition. UNICEF and WHO recommends EBF to babies until six months of age.

1. BREAST FEEDING Presentation By : Ms.Chandani Modi Child Health Nursing

2. Introduction BF is the most effective way to provide baby with a caring environment and complete nutrition. It meets the nutritional as well as emotional needs of the baby. UNICEF and WHO recommends EBF to babies until six months of age.

3. Physiology Human milk is produced due to interaction between hormones and reflexes. During pregnancy, the glandular tissue of breast is stimulated to produce milk due to hormones – oxytocin and prolactin . Also two reflexes mediated by these hormones come into play.

4. 1. Milk Secretion Reflex ( Prolactin Reflex) : It produced by anterior pituitary gland is responsible for milk secretion by alveolar cells of breast. When the baby sucks, the nerve endings in the nipple carry message to anterior pituitary which in turn releases prolactin . This cycle from stimulation to secretion is called ‘milk secretion reflex or prolactin reflex’

5. 2. Milk ejection Reflex ( Oxytocin Reflex) : It produced by posterior pituitary is responsible for contraction of breast tissue leading to ejection of milk from the gland into the lactiferous sinuses and ducts. This hormone is produced in response to stimulation of nerve endings in the nipple by sucking as well as by the thought, sight or sound of the baby. Since this reflex is affected by mother’s emotions, a relaxed and confident attitude helps in ‘milk ejection’.

6. Types of Breast Milk Colostrum Transitional milk Mature milk Fore milk Hind milk

7. Initiation of BF BF should be started within first half and hour to one hour or birth or as soon as possible after normal delivery whereas in case of CS delivery, within 4 hours. Rooming-in and bedding-in should be done with mother and baby to prevent separation and promote breast feeding.

8. Technique Position of mother and baby Latching or attachment of baby to the breast - Signs of Good attachment - Signs of poor attachment

9. Advantages A. Advantages for baby: 1. Growth and Development Protein Fat Minerals 2. Lowers risk of infection 3. Protects from Allergy 4. Therapeutic effect

10. 5. Physiological adaptation 6. Economic factors 7. Emotional bonding B. Advantages for mother

11. EBF It means feeding baby with breast milk soon after birth and continuing it until 6 months without giving baby any other food. The baby is given only breast milk and nothing else whenever the baby is hungry.

12. Factors Psychological factors Early breast engorgement Flat and inverted nipples Sore nipple