basics of breast feeding issues

1. DR CH HAREEN

2. BENEFITS OF BREASTFEEDING
 Ecological:
-Saves resources
-Less waste
-No refrigeration
-No manufacturing
-No bottles, cans
-No trucking
-No handling

3. BENEFITS OF BREASTFEEDING
 For Society
-Smarter
-Healthier
-Less cost to healthcare system
-Stronger families

4. BENEFITS OF BREASTFEEDING
 To Families
-Less trips to doctors,
hospitals
-Less prescriptions
-Less stress
-Less illness
-More bonding
-Inexpensive

5. BENEFITS OF BREASTFEEDING
 Benefits to baby:
-Better dental health
-Increased visual acuity
-Decreased duration and
intensity of illnesses
-Less allergies
-Better health & less risk of
illnesses

6. BENEFITS OF BREASTFEEDING
 Benefits to mother:
-Psychological (Attachment, bonding, security, skin to skin, fulfillment
of basic needs, relationship)
-Easier weight loss
-Decreased risk of illness (breast cancer, osteoperosis, hemmorhage,
ovarian cancer)
-Birth control
-Pride, empowerment, fulfillment

7. Mother’s milk vs. formula milk
 Formula milk for 3 days old
babies is no different than
formula milk for 3 months
old infants.
 Breast milk is ingeniously
different every single day;
adapted to the changing
needs of the baby.
store.enfamil.com/ media/pr_prosobee_lipil.jpg
breastfeeding.8k.com/ Resources/breastfeeding.jpeg

8. Mother’s milk vs. formula milk
 Human milk is designed to
support the development of
large brains, capable of
processing and storing lots of
information.
 Cows milk is designed to
support functions, like
constant grazing.
www.babymall.com.au/ images/readingroomcartoon.gif
myxo.css.msu.edu/danimal/ quiz/cow_picture.png

9. Illness Relative risk
 Allergies, eczema 2 to 7 times
 Urinary tract infections 2.6 to
5.5 times
 Inflammatory bowel disease
1.5 to 1.9 times
 Diabetes, type 1 2.4 times
 Gastroenteritis 3 times
 Hodgkin's lymphoma 1.8 to
6.7 times
 Otitis media 2.4 times
 Haemophilus influenzae
meningitis 3.8 times
 Necrotizing enterocolitis 6 to
10 times
www.geocities.com/.../ Canopy/4116/stalk.gif

10. Illness Relative risk
 Pneumonia/lower
respiratory tract
infection 1.7 to 5 times
 Respiratory syncytial
virus infection 3.9 times
 Sepsis 2.1 times
 Sudden infant death
syndrome 2.0 times
 Industrialized-world
hospitalization 3 times
www.mamashealth.com/ images/lungs1.gif

11. Positions for Breastfeeding

17. Cracked or Sore Nipples
 check for correct latch
 frequent feedings
 rotation during breastfeeding
 air drying
 warm soaks

18. Flat or Retracted Nipples
 use of milk cups
 electric pumps
 ice wrapped

19. Infant’s Position
 Encourage rooting reflex
 areola into mouth
 avoid having infant press nose
 removal of infant from the breast
 last first, first last
 burp

20. Care of the Breast and Nipples
 air dry
 pads
 support bra
 cramp

21. Excess Milk Supply
 Much less common problem than low milk supply
 Minimal medical literature
 Maternal symptoms; continual engorgement, leaking
and increased mastitis risk
 Infant: regurgitation and reflux symptoms.
Development of poor sucking technique

22. Management of Excess
Milk Supply
Attempt to offer just 1 breast at each feeding to decrease
stimulation and produce milk stasis in the other breast
to decrease production
Reference 43

23. Assessment of Milk
Sufficiency
 “Not enough milk” stops breastfeeding
 Visual cues for feeding interaction
 Baby eagerly seeks breast, latches on, feeds
 Baby body tone relaxes
 Mother’s body tone relaxes
 Auditory confirmation of swallowing
 Weight gain around arrival of mother’s milk
 0–90 days; median gain 26–31 g
 90–180 days; median gain 17–18 g
Reference 15, 27

24. Ten steps to successful
breastfeeding
Step 1. Have a written
breastfeeding policy that is
routinely communicated
to all health care staff.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.1.24

25. Ten steps to successful
breastfeeding
Step 2. Train all health-care staff
in skills necessary to
implement this policy.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.2.1

26. Ten steps to successful
breastfeeding
Step 3. Inform all pregnant
women about the benefits
of breastfeeding.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.3.1

27. Ten steps to successful
breastfeeding
Step 4. Help mothers initiate
breastfeeding within a
half-hour of birth.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.4.1

28. Ten steps to successful
breastfeeding
Step 5. Show mothers how to
breastfeed and how to
maintain lactation, even if
they should be separated
from their infants.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.5.1

29. Ten steps to successful
breastfeeding
Step 6. Give newborn infants no
food or drink other than
breast milk unless
medically indicated.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.6.1

30. Ten steps to successful
breastfeeding
Step 7. Practice rooming-in —
allow mothers and infants
to remain together —
24 hours a day.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.7.1

31. Ten steps to successful
breastfeeding
Step 8. Encourage breastfeeding
on demand.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.8.1

32. Ten steps to successful
breastfeeding
Step 9. Give no artificial teats or
pacifiers (also called
dummies and soothers)
to breastfeeding infants.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.9.1

33. Ten steps to successful
breastfeeding
Step 10. Foster the establishment
of breastfeeding support
groups and refer mothers
to them on discharge
from the hospital or
clinic.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.10.1