M.H.R D.A.

V INSTITUTE OF NURSING JALANDHAR

HEALTH TALK -II
OBSTETRICS & GYNAECOLOGICAL NURSING

TOPIC Exclusive Breast Feeding

Submitted To: Submitted By

Respected Miss.Roseline mam DEEPIKA SHARMA
M.Sc.(N) OBG M.Sc. (N) 1st year

Submitted On 09-04-2014

LESSON PLAN
NAME OF THE EVALUATOR : Ms. Roseline

NAME OF THE STUDENT : Deepika Sharma

NAME OF THE SUBJECT : Obstetrics & Gyanecological Nsg.

TOPIC : Exclusive breast feeding

DATE : 09-04-2014

TIME : 11am

VENUE : Civil Hospital Jalandhar

METHODS OF TEACHING : Lecture cum Discussion

AV AIDS : charts, flash card

GENERAL OBJECTIVES : At the end of teaching group will be able to answer the
questions & knowledge regarding exclusive breast feeding

SPEIFIC OBJECTIVES : At the end of the teaching the group will be able to

ÿ explain the composition of milk.

ÿ describe the benefits of breast feeding
ÿ explain the feeding reflexes in the baby
ÿ enlist the steps of successful breast feeding.

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1. 1 min. To introduce self Good Morning Myself Deepika Sharma
student of M.Sc.(N) 1st year in MHR DAV
Institute of Nursing, Jalandhar.
2. 1 min To announce the Today .I will teach the topic exclusive
topic breast feeding.
3. 3min To identify the Students have little bit knowledge Pre test
previous knowledge regarding diet in lactating mother.
4. ½ min To introduce the INTRODUCTION
topic Breast milk is the perfect food for normal
neonates. It is the best gift mother can
give to her newborn baby. It contain all
the nutrients for normal growth and
development of a baby from the time of
birth to the first six month of life,
proportion and in a form that is easily
digested and absorbed
5. 3min. To define the breast Definition: Lecture cum
feeding & exclusive discussion
Breast feeding:
breast feeding.
Breastfeeding is the feeding ofan infant or
young child with breast milk directly from

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a woman's breasts, not from a baby
bottle or other container.
Exclusive breast feeding:
It is defined as an infant consumption of
milk with no supplementation of any type
like water or juice except vitamin, mineral
and medication. It is recommended for
first six month of life. Newborn babies
consume 30-90 ml of feed.
6. 5min. To explain the Composition of breast milk: Lecture cum Chart
composition of  Carbohydrates: discussion
breast milk. Lactose is in a high concentration (
6-7g/dl) in breast milk. Lactose
helps in the absorption of calcium.
 Proteins:
The protein content of breastmilk
is low (0.9-1.1 g/dl) in the breast
milk as the baby cannot effectively

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metabolize a high protein load.
  Fats:
Breast milk is rich in
polyunsaturated fatty acid,
necessary for mylination of the
nervous system.
 Vitamin and minerals:
The quantity and bioavailability of
vitamins and minerals is sufficient
for the needs of the baby in the
first 4-6 months of life.
 Water and electrolyte:
Breast milk has a water content of
88% and hence a breast fed baby
does not require additional water
in the first few month of life even
in the summer months.

7. 4min. To describe the Benefits of breast milk:

benefits breast  For the baby:
milk.

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  Protection against other illness:
breast fed babies have a lower
risk of infection and other
problem. They have a lower risk
of diabetes and other disease.
 Mental growth: babies who are
breastfed are better bonded their
mother a higher IQ than those
babies who were given other
form of milk.
 Breast fed children are at less
risk for chrohn’s disease and
juvenile diabetes.
 Adult daughter who were
breastfed are at less risk of
breast cancer.
 Make the bond between mother
and baby.
 Provide immunity and protect

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 provide against diarrhea.
 For the mother:
 The uterus of a breast feeding
mother shrinks to its pre-
pregnancy size more quickly.
 Calories are burned while breast
feeding. It takes approximately 20
calories produce an ounce of milk.
 Osteoporosis and cervical cancer
are less common in women who
breastfeed.
 The return of fertility is delayed
with breastfeeding.
 Breast milk is always available,
clean and at the right temperature.
For the society:
Breast feeding is convenient;
breast milk does not need to be
warmed and does not require a

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 clean water supply or a clean
serving container. No bottles or
other necessary equipment must be
cleaned or purchased.
Breast feeding benefits the
environment. It a natural resource
that is renewable with each
pregnancy
8. 6min. To enumerate the Varying composition of breast milk: Lecture cum
varying The composition of breast milk varies at discussion
composition of different stages after birth to suit the
1) only in small quantities, it has
higher protein content and is most
suited for the needs of the baby. It
should NEVER be discarded.
2) Transitional milk: Is the milk
secreted during the following two
weeks. The immunoglobulin and
protein content decreases, while
the fat and sugar content increases

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3). Mature milk :
Mature milk follows transitional
milk. It is thinner and watery but
contains all the nutrients essential
for optimal growth of the baby.
3) Preterm milk :
Preterm milk is the breast milk of
a mother who delivers
prematurely. It contains more
proteins, sodium, iron,
immunoglobulins and calories that
are needed by her preterm
baby.Preterm milk is the breast
milk of a mother who delivers pr

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 5. Fore milk:
Fore milk is the milk secreted at
the start of a feed. It is watery and
is rich in proteins, sugar, vitamins,
minerals and water and satisfies
the baby's thirst.
6. Hind milk comes later towards the
end of a feed and is richer in fat
content andprovides more energy
and satisfies the baby's hunger. For
optimum growth, the baby needs
both fore and hind milk.
10. 10min. To comparison Comparison of human milk and cow Lecture cum
discussion
between human milk
milk and cow milk The comparision table are as follows
In which all distribution of the content are
given as below in the table form

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 Human Cow milk
milk
Protein total 1% 4%(too
Casein much)
lactalbumin 0.5% 3%
0.5% 0.5%
Aminoacids Enough for Not enough
Cystein growing the
Taurine brain
Fat 4% average 4%
Total Enough
cholesterol Not enough

Lipase to Present None

digest the
food
Lactose 7% enough 3-4% not
enough
Salt(m Eq/l)
Sodium Correct 25 too
amount much
Chloride 12 correct 29 too
Amount much
Potassium 14 correct 35 too
amount much
Minerals(m 350correct 1400 too
g/i) cal. amount much

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Phosphate 150 amount 900 too

much
Iron small Small
amount, amount,
well poor
absorbed absorbed
Vitamin Enough Not enough
Water Enough Extra
No extra Needed
needed

11. 3min. To enlist the steps Steps of Successful breastfeeding: Lecture cum
of successful breast 1. Mother should be motivated right from discussion
feeding. the antenatal period. Her breasts
should be examined and she should be
informed about the benefits of breast
feeding.
2. Every health care facility must have a
written breastfeeding policy .One should
arrange mother craft classes in the
hospitals.

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. At birth a full term normal baby must be
put to the breast within half an hour
of birth. Babies born by cesarean section
should be put to the breast within four
hours or earlier after birth.
4. Rooming in: Since feeding is the best
stimulus for milk production, babies
should be roomed-in with mother and fed
on demand till the baby is satisfied.
One breast must be emptied out fully
before the second is offered, so that the
baby receives both foremilk and hind
milk.
5. Frequency: Frequent suckling helps to
stimulate milk production. It also
prevents engorgement of breasts. The
baby should be fed whenever hungry.
Initially, some babies feed at short
intervals of 1 to 2 hours. Later the babies
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Prelacteal feeds: No prelacteal feeds
should be given to any baby. Water,
glucose water, tea, honey etc. satisfies the
baby's thirst and hunger. These
babies will not suck vigorously at the
breast which in turn will adversely
influence the milk production. Prelacteal
feeds also increase the risk of
Infection.
7. Bottle feeds: No bottle feed should ever
be introduced. It causes nipple
Confusion and interferes with suckling at
the breast. It is also a source of
Infection.
8. Feeding from both breasts: When the
baby releases one breast the other
Breast is offered. If the baby is still
hungry he will feed on the other breast.
Alternate breasts should be offered first at
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each feed. Duration of each feed:
The baby should be allowed to feed till
satisfied. When the baby is satisfied she
Releases the nipple.
9. Duration/continuation of breast feeding:
A baby should be exclusively breastfed
for the first 6 months. Supplementary
feeds given to the baby before six months
reduces milk production and also leads to
infection and poor weight gain in the
baby.
10. Cost of lactation: Nursing mother
needs only 600 calories extra for
maintaining her lactation, which amounts
to additional (x 1 ½ times) home-made
food and fluids
12. 2 min. To summarize the SUMMARIZATION:
topic.
So today have discussed about
 Introduction.
 Definition of breast feeding?
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 Composition of breast milk.
 Benefits of breast milk.
 Reflexes of the baby.
 Comparison between human milk
and cow milk
13. 2min. To recapitalize the Recapitalizations:
topic.  What is the composition of breast
milk?
 What is the benefits of breast
milk?
 What are the reflexes of the baby?
 What are techniques of breast
feeding ?
15  Bibliography:
.  .Myles. Text book of midwife,
Edition 8th .published by Elsevier,
New delhi,2009.
 Dutta DC.Text book of obstetrics,
Edition 6th.published
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by New central book agency Kolkata,
2009.
 Jacob Annnama, a comprehensive
text book of midwife, 2nd edition,
Jaypee, New delhi, 2008
 Daftary N Shirish .Manual of
Obstetrics. Edition 2003. Elsevier
publisher.
 www.nlm.nih.gov/medlineplus/enc
y/article/
 www.rn.ca.gov/pdfs/regulations