INFANT FEEDING PRACTICES PRESENTERS: DR POONAM VERNEKAR DR ARUN KUMAR REDDY
1. A pregnant mother comes to you for the last trimester followup . She is very anxious and wants to know about feeding of the baby after delivery. W hat advice you would give the mother and how will you convince mother about breast feeding?
M otivate exclusively breastfeed for 6 months. E xamine breast and nipples for type of nipples and cracked nipples if present, teach her inverted syringe technique C ouncel her about the need for consuming extra calories i.e 300kcal 15g protein for antenatal mother and 400-500 kcal and 25g of protein for lactating mother.
I nitiate breastfeeding asap after delivery. half hr after nvd and 4 hrs of c/s I mportance of colostrum(protein & immunoglobulins ). D ifferent techniques of breastfeeding and correct method of breastfeeding.
EXPLAIN ABOUT THE BENEFITS OF BREASTMILK Your milk is the ideal milk and all the substitute is inferior to it and harmful for the baby. Maternal benifits Decreases risk of bleeding after delivery Convineince Delayed risk of conception Reduced risk of cancer Calming effect
Benefits for infant Complete nutrition till 6 months Protection against infections Fewer allergic disorders Decreased risk of metabolic syndrome in adolescent age grp Enhanced IQ
TECHNIQUES OF FEEDING
2 Mrs. Seema had delivered a full term normal baby at 9.00 a.m. At 5.00p.m. she complains that she has not secretions at all though she is feeding the baby frequently. On examination baby is active with good reflexes and has passed 3 times urine. What advice will you give? how can you help her?
All most all mothers can produce enough breastmillk for one or even two babies, provided the baby suckles effectively and breast feeds as often as needed. Even when a mother percieves or milk to be insufficient the baby usually gets all the milk it needs . Even in societies where the diet is poor , most women produce breast milk in amounts that is adequate for infant to growth.
Is the baby getting enough breast milk Passing urine about six times a day 1 to 6 liquid stools per day Sleeping well between the feeds Drops of milk from non breastfeeding breast (let down reflex)
BREAST FEEDING FACTORS Delayed start Infrequent feeds No night feeds short feeds Poor attachment Bottle pacifiers –Sore nipples,cracked nipples. Complimentary feeds
Mother Psychological factors Lack of confidence Worry and stress Tiredness
Explain to the mother why her baby is not getting enough breast milk and reassure her that her breast can produce as much milk as the baby needs . Restores the mothers confidence. Examine for abnormalities of the breast and nipple. Help the mother to improve her baby’s attatchment at the breast. The baby should be allowed to suckle more frequently. The baby should be allowed to suckle at both the breasts.