BREASTFEEDING (RETDEM LEC) ● High – fat, high – calorie breastmilk that your
baby gets toward the end of feeding.
BREASTFEEDING
 Breastfeeding is the feeding of an infant or
young child with breast milk directly from
human breasts (i.e lactation) not from a baby
bottle or other container
How body responds to baby’s sucking:
● Infant sucking stimulates the nerve endings
in the nipple and areola, which signal the
pituitary gland in the brain to release two
hormones, prolactin and oxytocin.
● Prolactin causes alveoli to take nutrients
(proteins, sugars) from blood supply and turn
them into breast milk
● Oxytocin causes the cells around the alveoli
to contract and eject milk down the milk
ducts. This passing of the milk down the
ducts is called the “let-down” (milk ejection)
reflex.
Let-down is experienced in numerous ways including:
● Infant begins to actively suck and swallow
● Milk may drip from the opposite breast
● Mother may feel a tingling or full sensation
(after the first week of nursing) in breasts or
uterine cramping
● May feel thirsty
Human Milk Composition
Colostrum
● Thick yellowish fluid present in the breast
during pregnancy for about the first 2-4 days
after birth
● Contains more protein and much less fat,
high in antibodies, mild laxative effect
Mature Human Milk
● Approximately 7-10 days after delivery, milk
is defined as transitional. By 14 days milk is
considered “mature”
● 600-900ml can be produced every 24 hours
Foremilk
● Breastmilk your baby gets at the beginning
of each feeding when your breast is full.
● High in lactose (milk sugar) and low in fat
and calories.
● Thin, watery and it looks white or bluish.
Hindmilk
● Richer, thicker, and creamier than foremilk,
the breastmilk that your baby gets when he
first starts to breastfeed.
● Creamy white in color.
Republic Acts
E.O. 51 or the Milk Code
● Signed into law by former Pres. Cory Aquino
on October 20, 1986
● ADOPTING A NATIONAL CODE OF
MARKETING OF BREASTMILK
SUBSTITUTES, BREASTMILK
SUPPLEMENTS AND RELATED
PRODUCTS, PENALIZING VIOLATIONS
THEREOF, AND FOR OTHER PURPOSES
Prohibited Acts:
 giving of samples and supplies of products,
gifts of any sort
 Point of sale advertising, promotion device
(displays, discount coupons, premiums,
special sales and bonus)
 Giving of gifts which promotes use of
breastmilk substitute or bottle feeding.
Milk Code EO 51 Policies:
A. Exclusive breastfeeding is for infants from 0
to six (6) months.
B. There is no substitute nor replacement for
breastmilk.
C. Appropriate and safe complementary feeding
should start from six months onwards in
addition to breastfeeding.
D. Breastfeeding is still appropriate for young
children up to two (24 months) years of age
or beyond.
E. Infant or milk formula may be hazardous to a
child's health and damage child's formative
development.
F. Advertising, promotions, or sponsorships of
infant formula, breastmilk substitutes and
other related products are prohibited.

G. Other related products such as, but not exclusive
of, teats, feeding bottles, and artificial feeding
paraphernalia are prohibited in health facilities.
H. Government and all concerned stakeholders must
continuously accomplish an information,
dissemination campaign/strategy, and do further
research on the advantages of breastmilk and the
hazards of breastmilk substitutes or replacements.
I. Milk companies, and their representatives, should
not form part of any policy making body or entity in
relation to the advancement of breastfeeding.
 The use of breastmilk, which is widely recognized
as the best source of nutrition for babies, promotes
the development of emotional bonding bet. The
mother and child, bestows upon the newborn infant
protection against infection, provides for the mother
natural contraception after delivery and protects the
mother from closed spaced pregnancy.
REPUBLIC ACT No. 7600
Rooming-in and breastfeeding Act of 1992
● Rooming in as a national policy to
encourage, protect and support
breastfeeding
● Covers all private and government health
institution
For NSD
● Immediate latch on after birth
● ROOMING IN within 30 minutes
● Cesarean section deliveries
● Roomed in and breastfeed within 3-4 hours
after birth
Deliveries Outside Health Institutions
● Newborns delivered outside health
institutions whose mothers have been
admitted to the obstetrics department/unit
and who both meet the general conditions
stated in this Act, shall be roomed-in and
breast-fed immediately.
REPUBLIC ACT NO. 10028
 AN ACT EXPANDING THE PROMOTION
OF BREASTFEEDING, AMENDING FOR
THE PURPOSE REPUBLIC ACT NO. 7600,
OTHERWISE KNOWN AS "AN ACT
PROVIDING INCENTIVES TO ALL
GOVERNMENT AND PRIVATE HEALTH
INSTITUTIONS WITH ROOMING-IN AND
BREASTFEEDING PRACTICES AND FOR
OTHER PURPOSES.
Expanded Breastfeeding Promotion Act of 2009
● Provision of lactation stations and
implementation of a workplace policy that
protects, promotes and supports
breastfeeding program
● Requires that workplaces comply with the
milk code.
● It adopts rooming-in as a national policy to
encourage, protect and support the 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.
● Requires that employers make sure that staff
employees are made aware of RA10028 -
give information on how women can
combine work and breastfeeding
● Lactation periods: 2-3 breastmilk
expressions lasting 15-30 minutes each
within a workday
● It protects working women by providing safe
and healthful working conditions, taking into
account their maternal functions, and such
facilities and opportunities that will enhance
their welfare and enable them to realize their
full potential in the service of the nation.
 BENEFITS OF BREASTFEEDING Encourage breastfeeding on demand.
Step 9.
Benefits of breastfeeding for the mother: Give no artificial teats or pacifiers (also called
dummies and soothers) to breastfeeding infants.
● Protects mother’s health
Step 10.
- Helps reduces risk of uterine bleeding and
helps the uterus to return to its previous size Foster the establishment of breastfeeding support
groups and refer mothers to them on discharge from
- Reduces risk of breast and ovarian cancer the hospital or clinic.
● Helps delay a new pregnancy BREASTFEEDING POSITIONS
● Helps mother return to pre-pregnancy weight CRADLE
POSITION
10 Steps to Successful Breastfeeding
● This is
the most
Step 1.
Have a written breastfeeding policy that is routinely
communicated to all health care staff.
Step 2.
Train all health-care staff in skills necessary to
implement this policy. common position used by mothers

Step 3. ● Infant’s head is supported in the elbow, the

back and buttock are supported by the arm
Inform all pregnant women about the benefits of and lifted to the breast.
breastfeeding.
CROSS CRADLE HOLD POSITION

● Mother holds the baby crosswise in the

crook of the arm opposite the breast the
infant is to be fed.

● The baby’s trunk and the head are supported

with the forearm and palm

● The other hand is placed beneath the breast

in a U-shaped to guide the baby’s mouth to
your breast

Step 4.
Help mothers initiate breastfeeding within a half-hour
of birth.
Step 5.
Show mothers how to breastfeed and how to maintain
lactation, even if they should be separated from their
infants.
Step 6.
Give newborn infants no food or drink other than
breast milk unless medically indicated.
Step 7.
Practice rooming-in — allow mothers and infants to
remain together 24 hours a day.
Step 8.
 ● The mother lies on her side propping up her
head and shoulder with pillows

● The infant is also lying down facing the

mother

● Good position after cesarean section

● Allows the new mother some rest

FOOTBALL HOLD POSITION

LAID BACK POSITION

● The infant is placed under the arm like a

● Laid
back

breastfeeding also known as biological

football

● Baby’s body is supported with the forearm

and the head is supported with the hand

● Good procedure after operative procedures

SIDE LYING POSITION

nurturing, can help you and your baby start

breastfeeding in an enjoyable and relaxed
way using reclined feeding positions

● It also encourages many of your baby’s

natural reflexes, such as head bobbing,
cycling of their arms and legs and looking for
the breast.
AUSTRALIAN HOLD POSITION

● This is also called the saddle hold

 ● Usually used for older infants MILK EXPRESSIONS

● Not commonly used by mothers

● Best used in older infants with runny nose,

ear and infection

INVERTED SIDE LYING HOLD

PROPER MILK STORAGE

 Insulated thermal box with ice packs

How to get into position for the inverted side-lying  In a room
hold:  Sa loob ng refrigerator
 Sa loob ng freezer ng refrigerator
 Lie on your side, just as you would for the
 Sa loob ng Chest Freezer
side-lying hold.
 Position your baby so they’re lying in the
opposite direction from you (so their head is
towards your toes and their toes are towards THAWING OF BREASTMILK
your head).  Just leave the frozen expressed milk in the
Good Attachment refrigerator overnight or hold the milk
container under running water. Once
Signs of Proper Attachment thawed, place it in a bowl of warm water.
This process may take time, so it helps to
1. Mouth is wide
plan. (Remember: first in, first out.) Never
2. Lower lip turned outward microwave breast milk!

3. Infant’s chin is touching the breast

4. More of areola is visible on the upper side
5. Sucking is slow, deep with some pauses