In Partial Fulfillment in the Course Requirement

HEALTH EDUCATION

BREASTFEEDING

The Midwifes Prayer

by Rhonda Bartle
Of all thy gifts, God, give to me
Courage, tact and sympathy
Cheerfulness, a ready hand
A warm, true heart to understand
A little of the agony
And suffering that has to be.
And give me love and give me grace
That in each mother I may trace
A likeness to thy mother dear
That I may help her quell her fear
That in her pain, her spirit true
And heart of love may help her through.
And in each babe that comes to earth
Each tiny soul I help to birth
God, let me treat as if t'were Thee
I nursed and bathed upon my knee
Help me to worship with my heart
And in adoration, take my part.
And help me teach when pain is o'er
The mother, that she looks before,
And take her baby's feet, the way
Of truth and righteousness, and pray
That following thee, the babe may grow
In grace and Holiness below.
And when a baby, white and still
Has drawn his breath, then lost the will
To live, help me to bring her eyes
To see that where her baby lies
So safe upon the Saviour's breast
Is, after all, perhaps the best.
God help me, too, when strained and white
A husband watches through the night
When all that he holds dear is tried
And all his help has been denied
Help me to speak a word of cheer
That he may chase away his fear.
God, keep me pure in mind and heart
That, in all honour, my small part
Of serving Thee may so be done
That at the setting of the sun
And weighing up the ill and good
I may have done just all I could

TABLE OF CONTENTS

A.TEACHING PLAN

BREASTFEEDING
PURPOSE:To provide information regarding the benefits and additional guidelines in breastfeeding
GOAL: The learners would be knowledgeable and demonstrate proper breastfeeding techniques.
Objectives
Upon completion
on
The topic
regarding
breastfeeding,
the client will be
able to:

Content Outline

A.Breastfeeding
B.Colostrum
C.Exclusive breastfeeding

Methods of
Instruction

Lecture
discussion

Time
Allotted
3
minutes

Visual
Presentation

Resources

Materials

Evaluation

Breastfeeding Handbook |
KFL&A Public Health
Revised: February 2015

LCD,
,Laptop
Powerpoint
Presentation

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Powerpoint
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Questioning

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World Health Organization

1.Define what
breastfeeding
is.
2.Enumerate
Laws that
governs
breastfeeding

A.Executive Order No.51

Philippine Code of
Marketing
of Breast milk Substitutes
B. Republic Act No. 7600
The Rooming - In and
Breastfeeding Act of 1992

Lecture
discussion

3
minutes

Visual
Presentation

Best Start: Ontarios

Maternal, Newborn and
Early Child Development
Resource Centre
www.healthnexus.ca |
www.beststart.org

C. Republic Act 10028

3. Enumerate

.
A. Acronym of

Lecture

Best Start: Ontarios

Benefits of
breastfeeding
to the baby.

o 4. Enumerate
Benefits of
breastfeeding to
the mother.

o 5. Enumerate
Benefits of
breastfeeding to
the community.

BREASTFEEDING
B.Child Development

A.Short Term Benefit

B.Long Term Benefit

discussion

minutes

Visual
Presentation

Lecture
discussion

3
minutes

Visual
Presentation

A.Contribution in the
community

Lecture
discussion
Visual
Presentation

3
minutes

Maternal, Newborn and

Early Child Development
Resource Centre
www.healthnexus.ca |
www.beststart.org
Pillitteri, Adele, Maternal
and Child Health Nursing:
Care of the Childbearing
and Childrearing Family,
5thedition, , et al.
Best Start: Ontarios
Maternal, Newborn and
Early Child Development
Resource Centre
www.healthnexus.ca |
www.beststart.org
Pillitteri, Adele, Maternal
and Child Health Nursing:
Care of the Childbearing
and Childrearing Family,
5thedition, , et al.
Best Start: Ontarios
Maternal, Newborn and
Early Child Development
Resource Centre
www.healthnexus.ca |
www.beststart.org

Pillitteri, Adele, Maternal

and Child Health Nursing:
Care of the Childbearing

,Laptop
Powerpoint
Presentation

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6. . Discuss the

guidelines of
breastfeeding.

1.Manual Breast Milk

Expresion
2.Cue-Based Feeding
3.Burping

Lecture
discussion

20
minutes

Visual
Presentation

and Childrearing Family,

5thedition, , et al.
Best Start: Ontarios
Maternal, Newborn and
Early Child Development
Resource Centre
www.healthnexus.ca |
www.beststart.org

LCD,
,Laptop
Powerpoint
Presentation

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4.Proper Positioning Technique

a.CradlePosition
b.Football Position
c.Cross Cradle Position
d.Side Lying Position
7.Problems
1.Sore Nipples
2.Engorgement
3.Plugged Ducts
4.Mastitis

Lecture
discussion
Visual
Presentation

3
minutes

Best Start: Ontarios

Maternal, Newborn and
Early Child Development
Resource Centre
www.healthnexus.ca |
www.beststart.org

Instant oral
feedback.
Questioning

Breastfeeding is the normal way of providing young infants with the nutrients they need for

healthy growth and development.

Colostrum, the yellowish, sticky breast milk produced at the end of pregnancy, is recommended
by WHO as the perfect food which helps prevent bacterial infections that are a danger to
newborn babies & provides the first immunization against many of the diseases that a baby
meets after the delivery.

Exclusive breastfeeding is recommended up to 6 months of age, with continued breastfeeding

along with appropriate complementary foods up to two years of age or beyond.

Laws that protect and support breastfeeding

Executive Order No.51

Philippine Code of
Marketing
of Breast milk
Substitutes

Republic Act 10028

An Act Providing
Incentives to All
Government and Private
Health Institutions with
The aim of the code is to Rooming-In and
contribute
to
the Breastfeeding
provision of safe and Practices and For other
adequate nutrition for Purposes
infants by the protection
and
promotion
of
breastfeeding
and
by
ensuring the proper use
of breast milk substitutes
and
breast
milk
supplements
when
these
are
necessary.

Key Facts
7.6 million children under the age of five die
every year (2010 figures).
More than half of these early child deaths are
due to conditions that could be prevented or
treated with access to simple, affordable
interventions.
Leading causes of death in under-five children
are pneumonia, preterm birth complications,
diarrhea, birth asphyxia and malaria. About
one third of all child deaths are linked to

Republic Act No. 7600

The Rooming - In and
Breastfeeding Act of
1992
The Senate adopts
rooming in as a national
policy to
encourage,protect and
support practice of
breastfeeding. It shall
create an environment
where basic physical,
emotional and
psychological needs of
mothers and infants are
fulfilled
Through the practice of
rooming In and
breastfeeding.

malnutrition.
Source: WHO. Global Health Observatory
(http://www.who.int/gho/child_health/en/index.html)

BREASTFEEDING BENEFITS FOR BABY

Breast milk is the ideal food for newborns and infants. It gives infants all the nutrients they need
for healthy development. It is safe and contains antibodies that help protect infants from common
childhood illnesses - such as diarrhea and pneumonia, the two primary causes of child mortality
worldwide. Breast milk is readily available and affordable, which helps to ensure that infants get
adequate sustenance.

BREASTFEEDING BENEFITS FOR MOTHERS

Short Term

Long Term

BREASTFEEDING BENEFITS IN THE COMMUNITY

Increasing the frequency and duration of breastfeeding benefits all members of

society.
Breastfed infants require fewer visits to the doctors office for illness, antibiotic prescriptions,
hospitalizations, and days of absence from work for employed parents.
Breastfeeding is more convenient for the motherno bottles to prepare; no formula to purchase,
transport, and refrigerate when traveling; and no diaper bags full of bottles, nipples, cans of
formula, water, or warming equipment. Human milk is always available when mother is
available and is always ready to feed at precisely the right temperature.
Breastfeeding is more environmentally friendlyfewer bottles, nipples, and cans of formula, all
of which must be manufactured, distributed, and disposed of at an environmental cost.

Manual Breast Milk Expression

Burping your baby

A breastfed baby does not swallow much air. It is still a good idea to burp
your baby. Some babies
fuss, if they need to burp. Burping may also help to wake your baby up so
she can continue to
feed if she wishes. Watch your baby to see how often she needs to be
burped.
Some babies need to be burped during a feeding and again at the end.
Some babies burp on their own, while feeding or when they are done.
Some babies may not burp every time.
Some babies spit up after feedings. As long as your baby appears content
and gains
weight as the weeks go on, dont worry about spitting up mouthfuls of milk.
To burp your baby:
Hold your baby against your shoulder or have her sitting on your lap.

 Support her head and pat or rub her back. A bubble of air can come up
more easily
if her back is straight.

Proper Positioning Techniques

Different Position
Techniques
1.Cross Cradle
Position
Hold your baby
across your
body as you
breastfeed.
This position
works well:
if you are
learning to
breastfeed
if you have
a small
baby
Football
Position
This position
works well:
if you are
learning to
breastfeed
if you have
a small
baby
if you have
large
breasts
if you have
flat or sore
nipples
if you had
a
caesarean
birth
if your
baby has

Position Picture

Proper Latch

trouble
latching on
to your
breast.
Cradle Position
Nestle your
baby in your
arm in a cradle
hold. This
involves
cradling the
baby with your
arm on the
same side as
the breast
being
presented.
This position
works well:
after you
are
comfortabl
e with
breastfeed
ing
Side-Lying
Position
Lie on your
side in bed
facing your
baby. Use
pillows as
needed to
support your
head, back,
and upper leg.
This position
works well:
if you find
it too
painful to
sit
if you want
to rest

when you
breastfeed
if you have
large
breasts
if you had
a
caesarean
birth .

Problems in breastfeeding
1.Sore Nipples
At first, most mothers feel a tug when their baby sucks. This can be a little
uncomfortable. You
should not experience any nipple pain. The most common cause of sore
nipples is a poor latch.
If your nipples are sore from a poor latch, you may find:
The pain started 1 4 days after birth.
The pain may be worse at the start of feedings, and then improve.
Your nipples may appear pinched or misshaped after feedings.
Your nipples may be damaged or bleeding. (Swallowing blood from your
nipples
will not harm your baby.)

To prevent and improve sore nipples make sure:

Your baby has a wide open mouth and is latched on to the areola.
Your babys tongue is under the nipple and her lips are flared out.
Your babys head is tilted back a little so he can open his mouth wide.
Your hand is positioned back from the nipple area and your fingers are
not touching your babys cheeks or lips.
If you have sore nipples:
Rub expressed breastmilk on your nipples after feeding.
Air-dry your nipples following feedings. You may find it more
comfortable to leave your bra flaps down as much as possible
between feeds and wear a loose cotton T-shirt. You can also
expose your nipples to air while you are sleeping.
Keep your nipples dry and change damp nursing pads often.
Breastfeed on the least sore side first until your nipple feels
better.
If you are sitting up, support your breast during the feeding.

2. Engorgement
Most women find their breasts feel larger and heavier on day 3 or 4 after the
baby was born.
This may last for about 48 hours. If your breasts feel swollen and tender, it is
called engorgement.
If your breasts become engorged, it may be more difficult for your baby to
latch.

Engorgement usually happens during the first week of breastfeeding, when

your milk production starts to change from colostrum to milk. It can be due
to:
Increased blood flow to your breasts.
Swelling of your breast tissue.
More milk in your breasts than your baby is removing.
You can often prevent engorgement if you:
Breastfeed whenever your baby wants to, at least 8 times in 24 hours.
Make sure your baby is latched well and feeding efficiently. You should hear
your baby
swallowing often.
Use both breasts at each feeding. If your baby will not take the second
breast, and it feels
very full, express enough milk from that side to make you feel comfortable.
After a few days
your breasts will feel more comfortable.
If your breasts are engorged:
Breastfeed your baby more often.
If your baby will not latch, express breastmilk to soften the areola then try
again.
Some mothers find it more comfortable to wear a bra. Other mothers prefer
to go without.
If you wear a bra, make sure it is not too tight.
Apply a wrapped ice pack or cold compress to your breasts between
feedings.
If the engorgement does not improve and your baby does not seem to be
feeding well,

express milk from your breasts until they feel softer and get help.
After your engorgement is completely gone (at about 10 14 days) your
breasts will feel
softer and less full. This is because the swelling has gone away. It does not
mean you are
losing your milk.

3. Plugged Ducts
You may have a plugged duct if you notice
a reddened, tender, hard or hot area on
your breast.
Suggestions:
Continue to breastfeed often and use ibuprofen for pain, if necessary.
Apply a warm compress and massage the affected area gently toward the
nipple before you breastfeed.
Breastfeed your baby on the sore side first and often.
Steadily compress the plugged duct area with as much pressure as you can
tolerate during the feed.
Breastfeed in different positions with the babys chin pointing toward the
site of the plugged duct.
Express after the feed if your baby has not fed well.
Make sure your bra is not tight
around your breast.
Get plenty of rest
4. Mastitis
Mastitis is a bacterial infection in the breast and does not affect the quality of
your breastmilk. If you have a hot, reddened, and tender area on your breast
and flu-like symptoms (fever, chills, aching), call your doctor. You may need
medication.
Suggestions:
Continue to breastfeed often and follow suggestions for plugged ducts.
Drink plenty of fluids.

Contraindications
An infant with galactosemia.
Herpes lesions on the mother's nipples.
Mother is on a restricted-nutrient diet that prevents quality milk production.
Mother is receiving medications that are inappropriate for breastfeeding,
such as lithium
or methotrexate.
Maternal exposure to radioactive compounds, as could happen during thyroid
testing.
Breast cancer, HIV (human immunodeficiency virus), and active tuberculosis.

Reminders
Practicing manual expression of milk may be helpful.
Do not use soap on their breasts during pregnancy because soap tends to
dry and crack nipples.
Women who has inverted nipples may need to wear a nipple cup (a plastic
shell) to help the nipples become more protuberant.
Brushing the infant's cheek with a nipple stimulates the newborn's rooting
reflex. The baby will then turn toward the breast.
Do not try to initiate a rooting reflex by pressing the baby's face against the
mother's breast: this will cause the child to turn away from the mother and
toward you.
It is important that infants open their mouths wide enough so they can grasp
the nipple and areola when sucking.

This gives them an effective sucking action and helps to empty the collecting
sinuses completely.
Alternating breasts ensures even stimulation and emptying, increasing milk
supply. Safety pin acts as a reminder for the client about where to begin.
Advise client to drink at least 4 to 6 8-oz glasses of fluid per day. Adequate
fluid intake is essential to maintain an adequate milk supply.

REFERENCES:
Pillitteri, Adele, Maternal and Child Health Nursing: Care of the Childbearing and Childrearing
Family, 5thedition, , et al.

Thomas, Clayton L Tabers ,Cyclopedic Medical Dictionary, 18th edition,, et al

Tortora, Gerard J, Principles of Anatomy and Physiology, 9thedition, et al

http://www.scribd.com/doc/50862528/BREASTFEEDING-HX-TEACHING
http://www.scribd.com/doc/48388485/HEALTH-TEACHING-ON-BREASTFEEDING
http://www.oxfordjournals.org/our_journals/tropej/online/teaching%20module%20on
%20breastfeeding2.pdf
http://www.scribd.com/doc/36166427/Teaching-Plan-for-Breast-Feeding

Best Start: Ontarios Maternal, Newborn and Early Child Development Resource Centre
www.healthnexus.ca | www.beststart.org
Breastfeeding Handbook | KFL&A Public Health Revised: February 2015