BREASTFEEDING

*Feeding an infant with breast milk

+EO51 - Milk code of the Phil+
+Nipples are enlarged during pregnancy+
+Small bump in the areola called the montgomery glands+

MILK EJECTION FLOW CHART

Sucking by infant_Stimulates nipples and areola_Nerve impulses reach
hypothalamus_Increase release

HOW BREASTMILK IS PRODUCED

-THE LET DOWN REFLEX
HOW BABY RESPONDS TO BABY'S SUCKING- Infant sucking stimulates the nerve ending of
the nipple and areola, which signal the pituitary gland in the brain to release two
hormones, the prolaclin and oxytocin

HOW BREAST RESPOND TO BABY'S SUCKING-

LET DOWN IS EXPERIENCED IN NUMEROUS WAYS INCLUDING

- Infant begins to suck and swallow
- Milk may drip from the opposite breast
- Mother may feel a tingling or full sensation (after the 1st week of nursing) in
breast or uttering cramping
- May feel thirsty

10 STEPS TO SUCCESSFUL BREASTFEEDING

1. Have a written breastfeeding policy that is routinely communicated to all
healthcare staff
2. Train all healthcare staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefit and management of breastfeeding
4. Help mothers initiate breastfeeding within half an hour of birth
5. Show mothers how to breastfeed, and how to maintian location even if the should
be separated with their infants
6. Give newborn infant with no food or drink other than breastmilk, unlessmedically
indicated
7. Practice rooming in that is allow mothers to ramain together fpr 24 hours
8. Encourage breastfeeding on demand
9. Give no artificial teats or pacifiers to breastfeeding infants
10. Foster the establishment of breastfeeding support groups and refer to mothers
to them on discharge from the hospital or clinic

BREAST MILK CONTENTS

* Protein
* Lactoferrin
* Secretary IgA
* Lysozyme
* Bifidus factor supports the growth of lactobacillus that protect the baby from
harmful bacteria by creating an acidic environment where it can not survive
* Fats - necessary for brain development
* Vit A,B,D,E and K
* Carbohydrates

BENEFITS OF BREASTFEEDING TO MOTHER

1. Promotes mother and child bonding
2. Prevents uterine bleeding in the mother after delivery
3. A natural form of family planning
4. Reduces the risk of breast and ovarian cancer
5. Saves time and prcious expenses need not to be used for buyinh milk powder and
health care
6. Best nutrition to young child
7. Essential for the optimal physical, emotional and mental development of the
child and are also smarter

HOW LONG TO BREASTFEED

NEWBORNS - Can nurse them 5-10 min per breast, every 2-3 hours. In the beginning
there is only COLOSTRUM, and there's not very much of it.

1 MONTH OR MORE - 20-40 mn per breast every 3-4 hrs

6 MONTHS - 20-40 mn per breast, 3-5 times per day

Up to 6 months - 2 yrs

CONTRAINDICATION TO BREASTFEEDING
*Active/untreated tb
*Mom takes radioactive compound like chemo
*Illegal drugs
*HIV infection

THE PROPER WAY TO BREASTFEED

*Stimulate the baby's mouth to open by touching the nipple
*

PROPER LATCH ON
*Baby open the mouth wider
*The chin touching the breast
*The cheeck looked flatuent
*The lip are flanged out
*The breast look full and round
*Can hear the sound suck and swallow
*The nipple looks long and round after breastfeeding

SIGNS THAT THE BABBY IS GETTING ENOUGH BREAST MILK

*Contented for 1-2 hrs ad=fter a feed
*They passes clear dilute urine 5-6 times a day
*They passes bright yellow watery stool 6-8 times a day
*Weekly weight gain

BREASTMILK SUPPLY CAN BE INCREASED BY

*Frequent day and night
*allowing unlimited breastfeeding to satisfy baby sucking needs
*Mother to eat and drink sufficient to satisfy baby's sucking

BREASTMILK STORAGE/THAWING
*Unless being used immidietly refrigirate it within an hour
*Thaw the milk in container of lukewarm water or running water
*Once milk is thawed it should be used within 24 hours
*Once milk is warmed and not used for a long time throw it out

COMPLICATIONS
*breast pain
*Biting
*Too much milk
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*Sore,cracked nipples causes include;
-Improper patching
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BENEFITS OF BREASTFEEDING
Best for babies
Reduces the incidence of allergies
Economical
Antibodies
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