CLINICAL PROCEDURE

ON
“BREAST FEEDING TECHNIQUES”

SUBMITTED TO: SUBMITTED BY:

Mrs. Debjani Nayak Ms. Itismita Biswal
Assistant professor M.sc. nursing 1st year
Obstetrics & Gynaecological department Obstetrics & Gynaecological department
Sum nursing college, BBSR Sum nursing college, BBSR

SUBMITTED ON:
SUBJECT : OBSTETRICS & GYNECOLOGICAL NURSING

TOPIC : BREAST FEEDING TECHNIQUES

PLACE : SUM hospital ward 4

TIME : 30 min

METHOD OF TEACHING : Lecture cum discussion

LANGUAGE: English

AV AIDS : Flash card

NAME OF THE STUDENT TEACHER :Ms. Itismita Biswal

NAME OF THE EVALUATOR : Asst. prof. Mrs.DebjaniNayak

PEVIOUS KNOWLEDGE OF PATIENT : The patient had some knowledge about the breast feeding techniques.

GENERAL OBJECTIVES : At the completion of the discussion the participant will able to

 Describe the techniques of breast feeding

SL.NO TIME SPECIFIC OBJECTIVES CONTENT TEACHING LEARNING EVALUATION
ACTIVITY
1. 1min To establish good SELF INTRODUCTION
rapport. I m Itismita Biswal student of M.Sc. nursing first year in
SUM nursing college. Today I will discuss with you about
breast feeding.
2. 2min To introduce the topic. INTRODUCTION: The student teacher will
Majority of women can feed their babies successfully, but able to introduces the
some mother need help in the techniques of topic.
breastfeeding specially primi mothers, mothers having
problems in breast feeding in previous pregnancy, non-
motivated mothers about breast feeding & mothers
having any breast disease etc.
3. 10min Describe the techniques TECHNIQUES OF BREAST FEEDING: The student teacher will What are the
of breastfeeding.  Mothers should be comfortable & relaxed able to describe techniques of
physically & mentally before giving breast techniques of breastfeeding?
feeding. breastfeeding by lecture
 She should wash her hands & can have a glass of cum discussion method.
water or milk.
 Mother should have no due work in her hands.
 Baby could be cleaned & dried breast before
feeding, otherwise baby may feel discomfort or
may noncoperate during feeding.
 Correct positioning of mother & baby is an
important aspect of successful breastfeeding.
 Mother can be in sitting or side lying position,
even mother can be flat with infant on the top of
the mother especially following lower uterine
section delivery.
 Baby should be supported by the mothers
forearm in slight head elevated position & with
head, neck & back in a straight line.
 After proper positioning, when baby’s chin
 touches the breast, cheek touches the nipple,
baby will open the mouth “in rooting reflex”.
Then the baby will be quickly move on the breast
with the lower lip below the nipple; so that the
nipple & most of the areola go into the baby’s
mouth.
 The suckling of breast stimulates the milk
secretion or prolactin reflex, which promotes the
milk production & secretion.
 By the milk ejection or oxytocin reflex milk flows
out from the glands in to the lactiferous sinuses
& ducts & then to hebaby’s mouth.
 When baby suckles again & again in regular slow
deep sucks with good suckling reflex, the
adequate milk flows out & then baby’s cheeks
become full with milk.
 The mother may here the swallowing sound &
doesn’t feel pain in the nipple. All these indicates
favourable signs of good attachment or latching
& breastfeeding.
 Initially breastfeeding can be given at 1-2hrs
interval & then on self demand by the baby.
 Duration of feeding should be continued till the
baby is satisfied. One breast should be emptied
completely before starting with another breast.
Next feeding should be started with another
breast.
 Burping to be done gently, it is not usually
necessary if there is good latching during feeding
which prevents air entry into the baby’s mouth.
 Baby should be placed on right side after feeding.
 Breastfeeding should be continued exclusively up
to 6months of age after that complementary
 feeding should be started.
 Mother should maintain hygienic measures, take
bath daily & wash her breast during bath & wear
clean comfort dress during this period to prevent
contamination of breast milk.
4. 10 min. Describe the different BREASTFEEDING POSITIONS: The student teacher will What are the
positions of able to describe Positions different positions of
Cradle hold (tummy-to-tummy)
breastfeeding. of breast feeding by breastfeeding?
Cross cradle hold (tummy-to-tummy)
Lecture cum discussion by
Football hold
using flash card
Side-lying position

5. 4 min. SUMMARY The student teacher will

At the end of the health talk the group will be able to able to summarize the
understand the techniques of breastfeeding & its techniques of of breast
positions etc. feeding
6. 3 min. CONCLUSION
Breastfeeding is a natural process that should be started
soon after delivery. For effective breastfeeding good
techniques must be known by the mother that will
helpful for both the mother & baby.
BIBLIOGRAPHY:

1. Miles c Benamin. Text book of Obstetric&gynaecology.Newdelhi: 2nd ed;2013.p.249-54.

2. DuttaDC.Text book of obstetric&gynaecology.Newdelhi: 7thed; 2007.p.519-22.
3. DuttaParul. Text book of pediatricnursing.New delhi:3rded; 2014.p.53-54.