 LACTATION describes the secretion of milk

from the mammary glands, the process of

providing that milk to the young, and the period
of time that a mother lactates to feed her young.
 The process occurs in all female mammals, and
in humans it is commonly referred to as
breastfeeding.
When the baby sucks its mother's breast, a hormone called
oxytocin compels the milk to flow from the alveoli, through the
ducts (milk canals) into the sacs (milk pools) behind the areola and
then into the baby's mouth.
 Nutritionally superior to any alternative
 Bacteriologically safe and always fresh
 Contain anti infection and immune cells
 Breastfed babies are less likely to be overfed
 Promotes good jaw and tooth development
 Costless
 Convenient
 Promotes symbiotic bond to mother and child
 Milk production is affected by the frequency of sucking
 Milk volume is affected by maternal hydration
 Milk composition by the mother’s nutritional
adequacy(fatty acid, selenium, iodine, water soluble
vitamins)
 550-1200mL per day is produced and on the average
around 750mL-850mL per day
 For every 100mL produced it needs 85 kcal
expenditure
 The lactating mother also has some special nutrition
concern
 She should continue to eat a balanced diet with the
higher number servings from the food pyramid
 This is approximate increase of 500kcal per day and
an increase of 15-20 grams of protein per day (also
promotes healing process, regeneration of new cells
caused by surgical incisions)
 A 28 year old lactating mother, who stands 4’9”
and weighs 52 kg just gave birth a month ago. Her
weight before pregnancy was 40kg. She is currently
working as a part time barista. She works 5x a week
and 8 hours a day. She does a sedentary activity at
work.

BMI =25
DBW =40 kg
TER=1300 kcal +500kcal(if breastfeeding)=1800kcal
 (1800kcal) (290) (70) (40)

Food No. of CHO CHON Fats Energy B L D Sn

exchange

Veg., List 2 3 1 - 16 0 1 1 0
I-A
Veg., List 1 3 1 - 16 0 1 0 0
I-B
Fruit, List II 4½ 45 - - 180 1 1 1 1½

Milk, List 1 12 8 10 170 0 1 0 0

III
Sugar, List 6½ 32.5 - - 130 2 2 1 1½
VII
Rice, List 8 184 16 - 800 3 3 2 0
IV
Meat- Low 3½ - 28 3.5 143.5 1½ 1 1 0
fat
Medium 2 - 16 12 172 1 1 0 0
fat
Fat 3 - - 15 135 1 2 0 0
TOTAL 279.5 70 40.5 1762.5
 LUNCH
No. of food Sample Menu Household
exchange measures
Rice 3 Cooked rice 1 ½ cup

Sugar 2 Yema 2 pcs.( 5x 1-

¼cm)
Meat-MF 1 Beef flank soup 1 slice matchbox (
5x3- ½ x 1- ½
cm)
LF 1 w/ Dried beans 1/3 cup

Veg A 1 and malunggay ½ cup

leaves
Veg B 1 Carrots w/ ½ cup
Fat 1 Mayo dip 1 tsp.
1 Oil 1 tsp.
Fruit 1 Strawberry ¼ cup
Milk 1 Milk ½ cup
 Micronutrients RNI
Vitamin A 900 ug RE/day
Vitamin D 5 ug RE/day
Vitamin E 16 mg/day
Vitamin k 51 mg/day
Vitamin C- 1st 6 mos. 105 mg/day
Thiamin 1.5 mg/day
Riboflavin 1.7 mg/day
Niacin 17 mg/day
Vitamin B6 2 mg/day
Folate 500 mg/day
Vitamin B12 2.8 mg/day
Calcium 500 mg/day
Magnesium 250 mg/day
Phosphorus 700 mg/day
Iron 30 mg/day
Iodine 200 ug/day
Manganese 2.6 mg/day
Zinc 11.5 mg/day
Fluoride 2.5 mg/day
Selenium 40 mg/day
CARE ASSESSMENT FOR LACTATING MOTHER
Meal Prepared Nutrients found Rationale Nutrition
Intervention
Beef flank soup -Selenium, zinc, -forwound - Discuss to the
phosphorus, healing and mother the
potassium, improves iron benefits and
w/ Dried beans -Iron, phosphorus, absorption. advantages of
magnesium, folic Antioxidants. these foods and
acid, Resistance against advice her to at
-Iron, manganese, infection. For least follow this
and malunggay calcium enhance milk meal plan, for it is
leaves -Vit. A, C production. beneficial to both
-Vit.E -For formation of of them.
Carrots w/ -Vit. C. both WBC and
mayo dip -Zinc, Calcium, RBC.
Strawberry Selenium, -For heme
milk phosphorus, formation,
magnesium, folic antibody
acid, production
1. What nutritional advice is recommended for a
healthy lactation?