BREAST FEEDING PREPARED BY DR.SHALI B.S PROFESSOR MAMATA COLLEGE OF NURSING.KHAMMAM
“ All babies deserve the natural protections of breastfeeding. It's the best way to ensure the proper nutrition and bonding for women who are able to breastfeed.”
Brest feeding is the natural feeding and best milk. It provides immunologic factors to certain diseases and protection from the environment. Almost every delay or deficiency in host defense maturation is countered by a factor in breast milk that compensates for it.
Breastfeeding is the ideal way to feed babies. It also helps keep your baby from getting sick as often. Breastfeeding is a special time for you and your baby to get to know one another. It is also convenient, inexpensive and good for your health.
Cont.. Vitamin c (g) 3 2 Caseinogens- lactaibumin ratio 1.2 3.1
COMPOSITION OF BREAST MILK COLOSTRUM TRANSITIONAL MILK MATURE MILK PRETERM MILK FORE MILK HIND MILK
ADVANTAGES OF BREASTFEEDING Perfect nutrition Nutritive value Easily digested Protective value Higher IQ Emotional Bonding Psychological benefits Maternal benefits Family and community benefits Infant: Reduces infections, otitis media, diarrhea, SIDS, and certain cancers Lowers risk of asthma, obesity and diabetes
TO THE MOTHER Helps delay next pregnancy Weight loss Bonding Hormone release Long-term health effects Less risk of breast cancer , ovarian cancer , and endometrial cancer . Breastfeeding diabetic mothers require less insulin. Reduced risk of post-partum bleeding . Breast milk saves money and time.
TO THE FAMILY Reduces absenteeism of mothers from work as they are less prone to disease. Economical MANAGEMENT OF BREAST FEEDING ANTENATAL PREPARATION Massage breasts and rub nipples gently Avoid using soap on nipples Expose nipples to air and briefly to sunlight
THE FIRST FEED In the half hour after birth, the baby's suckling reflex is strongest, and the baby is more alert, so it is the ideal time to start breastfeeding. Breast feeding should be initiated with in first half hour to one hour or as soon as possible. It should be initiated within 2-4 hr after cesarean section
LATCHING ON FEEDING AND POSITIONING Correct positioning and technique for latching on can prevent nipple soreness and allow the baby to obtain enough milk. Resist the temptation to move towards the baby, as this can lead to poor attachment. While most women breastfeed their child in the cradling position, there are many ways to hold the feeding baby.
Mother aligns baby so that baby’s nose is in line with mothers nipple. Mother supports baby’s neck
Mother lets baby’s head tilt back a bit. (Avoiding pushing on the back of baby's head.) Mother waits for the baby to open his mouth wide.
Mother moves baby quickly towards the breast leading with the baby’s chin. Mother aims for baby’s bottom lip to touch the breast well away from the base of the nipple and aims the nipple towards the roof of the baby’s mouth. As baby lunges for the breast, mother gives a gentle but firm push on the back of baby’s shoulders.
Baby is now latched on to the breast.
Pulling the baby away without breaking suction could be painful and lead to sore nipples. After burping the baby, mother should offer the other breast. There are several positions for burping (bubbling) the baby.
SIGNS OF GOOD ATTACHMENT Mouth wide open Lower lip is turned outside If seen, more of areola visible above top lip than below bottom lip Rounded cheeks Chin touching the breast Rapid sucks initially turning to slow deep sucks with swallows Contented baby who stays on breast No pain for the mother Tongue under the teat
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
COMMON POSITIONS FOR BREASTFEEDING The Cradle Position Tummy-to-tummy Baby’s head in crook of your elbow Shoulders, hips, in straight line Level with breast Pillow in lap will help
The Football Position Baby’s legs are under your arm Use pillows Helpful for baby’s who are having trouble latching on
The Side-lying Position Lie on your side Use pillows Tummy-to-tummy Baby’s mouth in line with nipple
COMMON POSITIONS FOR BREASTFEEDING TWIN BABIES
THE IMPORTANCE OF GOOD POSITIONING AND ATTACHMENT Ensures Efficient Milk Transfer Relaxed Mother Prevents Mother Becoming Sore Ensures Sufficient milk Supply
EXCLUSIVE BREASTFEEDING
National and international guidelines recommend that all infants be breastfed exclusively for the first six months of life. Breastfeeding may continue with the addition of appropriate foods, for two years or more.
Exclusively breastfed infants feed anywhere from 6 to 14 times a day. Newborns consume from 30 to 90 ml per feed. After the age of four weeks, babies consume about 120ml per feed. Each baby is different, but as it grows the amount will increase. Is important to recognize the baby's hunger signs.
If necessary, it is possible to estimate feeding from wet and soiled nappies (diapers): 8 wet cloth or 5–6 wet disposable, and 2–5 soiled per 24 hours suggests an acceptable amount of input for newborns older than 5–6 days old. After 2–3 months, stool frequency is a less accurate measure of adequate input as some normal infants may go up to 10 days between stools. Babies can also be weighed before and after feeds.
It is important for the mother to: Exclusive breastfeeding for 6 months Continue breastfeeding for up to 2 years or beyond. Introduce nutritionally adequate and safe complementary foods after the infant reaches 6 months of age, while continuing to breastfeed for 2 years or beyond.
EXPRESSION OF BREAST MILK
BREAST PROBLEMS Engorgement May occur between 2 nd and 6 th day when the milk “comes in” Occurs more frequently in first-time mothers Mastitis Occurs when plugged duct is not treated Flu-like symptoms (tired, aches, fever) Start treatment immediately Contact physician for antibiotics Apply heat
Breastfeed frequently Rest Sore or Cracked nipple properly position infant Use pillows Check for good latch on Do not use ointments or creams Express a few drops of milk onto nipple after feeding (antibacterial properties) Allow nipples to air dry
Breast abscess Inverted nipple Fullness CONTRAINDICATIONS TO BREASTFEEDING Maternal disease Anthrax HIV Maternal medications Street drugs Some anti- neoplastics Infant Severe illness Inborn errors of metabolism
I’m Learning to Breastfeed Take me to my MOM when I am Hungry!