Breast F eeding T echnique Shiva K andel MBBS 3 rd year
Breast feeding technique It includes: 2014/11/08
Position of mother Mother can assume any position that is comfortable to her and baby . She can sit or lie down Her back should be well supported and she should not be leaning on her baby Mother should be comfortable and completely at ease. A moderately low chair with an armrest is preferable, and a low stool for resting her foot and raising her knee on the nursing side is helpful. The infant should be supported comfortably. 2014/11/08
Front hold or cradle position U nderarm position lying down position 2014/11/08
Position of baby B aby should be wrapped properly on cloth Baby’s whole body should be supported not just neck or shoulders ( one hand at nap of neck and one hand at buttock) Baby’s head and body should be in one line without any twist in the neck Baby’s body should turned towards mother and should be kept as close as mother ( abdomens of the baby and the mother touching each other) Baby’s nose should be at the level of nipple 2014/11/08
A ttachment/latching During attachment:- 1.baby’s cheek should be touched by mother’s breast for rooting reflex ( rooting with the mouth for the nipple) 2.baby’s mouth should be widely open 3.lower lip of baby should be everted 3.cheen should touch breast 4 . nipple should be inside the mouth & 5.most of the areola should be covered by mouth 2014/11/08
2014/11/08
Signs of good attachment: 1.Baby’s mouth is wide open 2.Most of the nipple and areola in the mouth, only upper areola visible, not the lower one 3.The baby’s chin touches the breast 4.The baby’s lower lip is everted 2014/11/08
Breaking the attachment Breaking of attachment is necessary If infant does not “unlatch” from the breast after a reasonable period, or when there is sign of the incorrect attachment ( i.e pain during breastfeeding ) It is done by inserting little finger into the corner of baby’s mouth between gums and gently remove from breast 2014/11/08
Burping procedure At the end the infant should be held erect over the mother's shoulder or on her lap, with or without gentle rubbing or patting of the back to assist in expelling swallowed air. This “burping” procedure often is necessary 1 or more times during the feeding as well as 5–10 min after the infant has been returned to the crib .( jhalunga ) It is an essential procedure during the early months of life, but should not be overdone . 2014/11/08
What to do and not to do The infant should empty at least 1 breast at each feeding Both breasts should be used at each feeding during the early weeks to encourage maximal milk production. “test bottle” should not be used to reassure whether an infant is getting enough to eat or not nursing more often may inhibit prolactin secretion and further decrease milk production. So,breast feeding should be done in interval of 2 hr 2014/11/08
Signs of enough breast feeding Signs are:- Baby sleeping for 2-4 hr after breast feeding Passing urine 6-8 times in 24 hr and gaining weight 2014/11/08
Cause of insufficient milk Incorrect technique of breastfeeding Supplementary or bottle feeding No night breastfeeding Engorgement of breast ,any illness, painful condition Maternal stress or insufficient sleep physical disturbances of the infant that interfere with nursing or weight gain 2014/11/08