INSTRUCTIONAL DESIGN ON PROPER LATCH ON DURING BREASTFEEDING CLIENT: Women 15-49yrs.

Old ESTIMATED NUMBER OF AUDIENCE: 5-10 DUTY SCHEDULE: Tuesday 6:00am-2:00pm BY: Dimaapi,Janschel Zara A. AREA OF ASSIGNMENT: Maternity Ward DATE OF TEACHING: August 16,2011 OBJECTIVES SUBJECTS CONTENTS TIME ALLOTME NT TEACHING LEARNING ACTIVITIES TEACHER After 15minutes of teaching activities, learners will be able to: 1. Define Latchon. Definition: Latch-on a good latch, if the areola is completely covered and the baby's cheeks are full and rounded. To "latch on" to the breast, a baby needs to open his mouth wide. When a baby latches on to the breast successfully, he will be feeding from the breast and not just the nipple. The term used to describe how your baby attaches himself/herself to your breast. Step 1: The first step to a proper latch on is getting baby to open WIDE! Brush baby's lips with your nipple to encourage him to open wide, as if yawning. Step 2: Once baby's mouth is open wide, quickly pull him onto the breast by pulling the baby toward you with the arm that is holding him. Make sure you move the baby towards you, and not move yourself towards the baby. Step 3: The baby's gums should completely bypass the nipple and cover approximately one inch of the areola behind the nipple. Make sure LEARNER LEARNING RESOURCES EVALUATIO N

3 minutes

Explain the definition of Latch-on.

Listen attentively.

Visual Aid (Manila Paper with Pictures)

Oral Recitation

2. Steps in Latching-on.

7 minutes

Explain and Demonstrate Steps in Latching on.

Listens Attentively and Observe

Visual Aid (Cartolina with Pictures) and Toy(Doll).

Oral Recitation and Return Demonstration

and the mouth is open wide. . If you feel pain.the baby's lips are everted. 3. . Know Breast care information and nipple care. Note how the baby's lips are correctly everted. Step 4: Correct latch-on. or the baby does not seem to be sucking correctly. this keeps germs from growing. as you can develop painful and damaged nipples. Some baby's will tighten or purse their lips. try simply pressing down on baby's chin to evert the inwardly turned lip. you can just allow to air dry.Change your nursing pads often. stop and start over again. almost the entire areola is in the baby's mouth. Step 5: If your baby is latched on and sucking correctly. and the baby may not be able to get enough milk. Also notice how much breast tissue has been taken in. Wet pads are the breading place for 2 minutes Explain Evaluation whether baby has a god latch. then you can apply some of your own breast milk on your areola and nipple. . you should not feel any pain. Listens Attentively Visual Aid (Cartolina) Oral Recitation . Cotton bras are the best while breastfeeding because they air dry quickly. DO NOT let the baby continue to feed incorrectly. If the lower lip is inverted (turned in). especially the lower one.Avoid wearing clothing that doesn’t allow your breasts to breathe.You can care for your breast after breastfeeding by rinsing with clear water to wash away any saliva. Break the suction by putting your finger in the side of the baby's mouth between the gums. after this.

especially at first. You count the length between feedings from the time when your baby begins to nurse — rather than when he or she ends — to when your little one starts nursing again. when your doctor asks how often your baby is feeding. . it is not necessary to wash your nipples before every feeding unless you have used special ointments which are not recommended for baby. you'll both be . which is completely normal. you can say "about every 2 hours" if your first feeding started at 6 a. Also. alcohol or lotions on your nipple area as this could cause them to dry out and crack. then 10 a. keep other products like perfume. and the next feeding was at around 8 a. .m. This means that. you may feel like you're nursing around the clock. and avoid wearing bras with under wiring as this can cause blocked ducts and mastitis.m. Understand the intervals of breast feeding from one breast to another.m. deodorants or powders away from your nipple area. 4.germs that can cause yeast infections and mastitis. In other words.. and so on.Wear loose fitted bras.. Soon enough. .Breast care and hygiene ~ Do not use soaps.For nipple care in breastfeeding.

Herbal Medications and tea is also advisable. c. a. Vegetables like malunggay. b. Know Ways of promoting milk production. Stanton Pediatric Nursing: Caring for Children and their families 2nd Edition by Vizki L.breastfeeding. References: Nelson Text Book of paediatrics 1st Edition/International Edition by Kliegman. Eat fruits. Madleco Wong. Drink plenty of water. predictable schedule.scribd. 3minutes Explain Breast Care and Demonstrate Listens Attentively Visual Aid(Cartolina) Oral Recitation 5. Massage and clean breast and nipples every efter breast feeding. d. squash and etc. Behrman. Potts & Barbara L.askdrsears. Jensen.s Essentials of Pediatric Nursing 7th Edition copyright 2005 Elsevier (Singapore) Pte Ltd.com/topics/breastfeeding/rightstart-techniques/proper-positioning-and-latch-skills .com/doc/39313898/Praymer-Tungkol-Sa-Pagpapasuso-Sa-Sanggol http://www. http://www.com/helpme/helpme_images_latchon.html http://www.on a more routine.

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