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Powerpoint Presentation for Real Baby Milk Accredited Breastfeeding Peer Support Training.

Powerpoint Presentation for Real Baby Milk Accredited Breastfeeding Peer Support Training.

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  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.
  • We’d just like to give you a brief background to our experience, how our project developed and then we will go through our findings and actions. Louise set up a new Breastfeeding Group in Launceston in 2005, Arwen helped to set up a Peer Support Group in Bodmin in 2005. Louise began meeting with other groups in 2005 and Arwen was independently working on a marketing campaign for all the groups. We were introduced by the Sure Start midwife in 2005 and then embarked on setting up the Real Baby Milk “Community Interest Company” in 2006.

Transcript

  • 1. Training PowerPoint PresentationTraining produced by Helen Shanahan and Stephanie Heard (Infant Feeding Co-ordinators for Cornwall)
  • 2. Session One
    If a multinational company developed a product that was a nutritionally balanced and delicious food, a wonder drug that both prevented and treated disease, cost nothing to produce and could be delivered in quantities controlled by consumers’ needs, the very announcement of their find would send their shares rocketing to the top of the stock market. Women have been producing such a miraculous substance, breastmilk, since the beginning of human existence, yet they form the half of the world’s population who are the least wealthy and the least powerful.
    Gabrielle Palmer ‘The Politics of Breastfeeding’
    www.realbabymilk.org
  • 3. Session One
    Infant Feeding Survey 2005 UK
    Initiation 76%
    Two weeks 48%
    Six months 25%
    www.realbabymilk.org
  • 4. Session One
    Breastfeeding in Cornwall 2008
    Initiation 80%
    Two weeks 53%
    www.realbabymilk.org
  • 5. Session One
    Reasons why Mums stop breastfeeding
    • Baby won’t attach/suckle
    • 6. Pain and soreness
    • 7. Insufficient milk
    (Infant Feeding Survey 2005)
    www.realbabymilk.org
  • 8. Session Two
    PROLACTIN
    milk production – milk for next feed
    works by touch alone
    receptors need to be primed early
    induces protectiveness and persistence in Mum
    www.realbabymilk.org
  • 9. Session Two
    OXYTOCIN
    milk ejection – milk for this feed
    levels higher when baby near
    reduces Mum’s blood pressure
    stimulates nurturing behaviour in Mum
    www.realbabymilk.org
  • 10. Session Two
    The milk secreting cells are surrounded by specialised prolactin receptor sites. These must be primed to respond to prolactin, and they are at their most sensitive immediately following birth.
    www.realbabymilk.org
  • 11. Session Two
    If the sites are well-primed, they will continue to respond to the prolactin levels which rise every time the baby feeds, and especially at night, so the breasts will keep making plenty of milk ready for the next feed.
    www.realbabymilk.org
  • 12. Session Two
    Sites that are not primed in the first 6 hours after birth begin to shut down and lose their sensitivity to prolactin. If insufficient sites have been primed, the mother’s milk supply will remain low for the rest of that lactation.
    www.realbabymilk.org
  • 13. Session Two
    Feedback Inhibitor of Lactation (FIL)
    Breastmilkcontains a protein which can reduce or inhibit the secretion of milk. If the breast contains a lot of milk, this inhibitor acts to slow down further milk production. This protects the breast from the harmful effects of being too full
    www.realbabymilk.org
  • 14. Session Two
    • If breast milk is removed, the level of the inhibitor falls and more milk is made
    • 15. Frequent suckling or expression speeds up milk secretion by removing the inhibitor, whereas infrequent or restricted suckling allows the inhibitor to build up, slowing down the milk production.
    www.realbabymilk.org
  • 16. SessionTwo
    What is communication?
    www.realbabymilk.org
  • 19. Session Two
    Practical tips
    Open body language
    Open questions
    Active listening
    Repeating
    Reinforcement
    Time setting
    www.realbabymilk.org
  • 20. Session Three
    • What is positioning?
    • 21. Why does it matter?
    • 22. How do we help?
    • 23. What is attachment?
    • 24. Why does it matter?
    • 25. How do we help?
    www.realbabymilk.org
  • 26. Session Three
    What is positioning?
    How Mum positions herself
    How she holds her baby
    How she enables the baby to access the breast
    www.realbabymilk.org
  • 27. Session Three
    Why does it matter?
    Learned
    www.realbabymilk.org
  • 28. Session Three
    www.realbabymilk.org
  • 29. Session Three
    Why does it matter?
    Baby able to attach effectively
    www.realbabymilk.org
  • 30. Session Three
    Principles
    Comfortable
    www.realbabymilk.org
  • 31. Session Three
    Principles
    Sustainable
    www.realbabymilk.org
  • 32. Session Three
    Principles
    Well supported
    www.realbabymilk.org
  • 33. Session Three
    Principles
    Baby able to access breast
    www.realbabymilk.org
  • 34. Session Three
    Principles
    • Baby held close to mum
    • 35. Head, neck, body in alignment
    • 36. Facing breast
    • 37. Nose to nipple
    • 38. Head free to tilt back
    www.realbabymilk.org
  • 39. Session Three
    How can we help?
    Ask Mum how SHE thinks feeding is going
    Ask to see baby feed
    Observe Mum’s posture
    Check how baby can access breast
    Consider whether some adjustment might help
    www.realbabymilk.org
  • 40. Session Three
    Attachment –
    How baby takes breast into his mouth
    How he works the breast to remove milk
    How he satisfies his needs at each feed
    www.realbabymilk.org
  • 41. Session Three
    Principles
    Large mouthful of breast
    Chin indenting breast
    Lower lip curled back
    Cheeks full and rounded
    Nose clear of breast
    Short quick sucks moving to slow, rhythmical sucks and swallows
    www.realbabymilk.org
  • 42. Session Three
    Most common causes of inadequate weight gain
    Ineffective attachment
    Infrequent feeding
    Observe a whole feed!
    Ask how often baby is feeding
    Consider dummy/teat/nipple shield?
    www.realbabymilk.org
  • 43. Session Three
    Improving effectiveness
    Feed more often
    Improve attachment
    Stimulation
    Compression
    Switching
    www.realbabymilk.org
  • 44. Session Four
    • Lack of milk may be perceived - the baby is feeding very frequently, eg every 2 hrs which is very common in the early weeks, but the mother may have expected the baby to feed 4 hrly and thus she believes she does not have enough milk or that her milk is not good enough.
    • 45. or she may really not be producing enough milk – the two main reasons for this are
    • 46. poor positioning and attachment
    • 47. not feeding frequently enough
    In either or both of these situations, milk is not being adequately removed from the breasts and so the breasts respond by gradually reducing the amount of milk that is made.
    www.realbabymilk.org
  • 48. Session Four
    • Improve positioning and attachment
    • 49. Feed more often, or wake and stimulate the baby for extra feeds if it is sleepy and not asking for feeds
    • 50. Feed at least once at night – prolactin levels are higher at night and night feeds are especially effective at increasing supply
    • 51. Spend as much time as possible skin to skin with the baby
    • 52. Express milk if the baby is not feeding effectively at the breast
    • 53. Fenugreek capsules 500-750mg 3 times per day can help increase prolactin secretion and thus increase milk supply
    • 54. Domperidoneor metoclopramide can be prescribed by a doctor to increase supply, by increasing prolactin secretion
    www.realbabymilk.org
  • 55. Session Four
    Why express by hand?
    It can be more effective than a pump
    It can be used to help baby attach to the breast if reluctant or sleepy
    It is particularly useful for milk in very small quantities, egcolostrum
    It can be used to establish milk supply
    It can help prevent or relieve engorgement, and help baby attach more effectively
    It can be used to help clear a blocked duct
    It is empowering for mothers
    It’s free – no equipment needed
    www.realbabymilk.org
  • 56. Session Four
    Wash hands and sit comfortably and fairly upright
    During/after contact with baby
    Use of photo, cot blanket etc to stimulate flow
    Warmth and gentle massage
    Hold breast tissue in wide C shape
    ‘Walk’ fingers and thumb in or out from base of nipple to feel for change of texture
    Press in towards chest wall, then draw fingers and thumb together
    If collecting milk, use sterile cup/bowl/bottle, NOT syringe
    Rotate fingers and thumb round to express from all areas of breast
    If collecting to replace a feed, express both sides, swap as often as necessary when milk flow slows, aim for about 20mins in total
    www.realbabymilk.org
  • 57. Session Four
    Out of fridge/freezer can be kept at room temperature for about 6 hours
    Freshly expressed milk in a fridge (5c) for 48 hours
    Can be frozen for 3 months
    When totally defrosted can be stored in a fridge
    www.realbabymilk.org
  • 58. Session Four
    Current guidance –
    Exclusive breastfeeding for first six months (WHO/DoH/UNICEF)
    Risks of early weaning – food replaces breastmilk, greater risk of infections and allergies
    www.realbabymilk.org
  • 59. Session Four
    Baby led weaning –
    continuation of feeding on demand
    www.babyledweaning.com
    www.realbabymilk.org
  • 60. Session Five
    Common breastfeeding problems –
    Sore nipples – cracked, blistered, bleeding, grazed
    Not enough milk
    www.realbabymilk.org
  • 61. Session Five
    Common breastfeeding problems –
    mastitis
    thrush
    www.realbabymilk.org
  • 62. Session Five
    Sore nipples
    Attachment
    Attachment
    Attachment!
    moist wound healing
    ?rest and express?
    ?nipple shields?
    www.realbabymilk.org
  • 63. Session Five
    Not enough milk
    Explore understanding, consider weight gain, wet and dirty nappies
    Attachment
    Frequency of feeds
    Dummies
    Supplements
    Expressing
    Compression
    Switching
    www.realbabymilk.org
  • 64. Session Five
    Mastitis
    ?Infective?
    Milk stasis/blocked duct
    Attachment
    Frequent feeding
    Hand expressing
    Warmth/ cooling
    Anti inflammatory/
    paracetemol
    www.realbabymilk.org
  • 65. Session Five
    Thrush
    White patches in baby’s mouth
    May have had antibiotics
    Mum and baby to be treated
    Thrush in breast(s)
    www.realbabymilk.org
  • 66. Session Five
    Medication
    Is it necessary?
    Is there a safer alternative?
    Risks/benefits
    Age of baby
    www.realbabymilk.org
  • 67. Session Five
    Alcohol/drugs
    Social alcohol/ light consumption
    Illicit drugs
    www.realbabymilk.org
  • 68. Session Five
    Responsibilities of a Breastfeeding Peer Supporter
    When to call for help
    Where to call for help
    www.realbabymilk.org
  • 69. Session Six
    Mum of baby aged two weeks “My baby hasn’t had a dirty nappy for two days. Feeding has not gone well and I’ve had pain and soreness, so I’ve started to use a dummy so she doesn’t feed too often. I’ve been told different things – someone said breastfed babies use all the goodness and there is not much waste, someone else said she needs more fluid and I should give her some cool boiled water and another said she is starving and I should give a bottle of formula. What do you think?
    www.realbabymilk.org
  • 70. Session Five
    Mum of baby aged two weeks “I have a sore nipple on one side. My baby seems to feed fine on the other side, but this side is always sore. I know that I shouldn’t let him feed if it’s hurting but it seems so mean to keep taking him off and he gets upset. Why do you think this is happening and what can I do?”
    www.realbabymilk.org
  • 71. Session Six
    Mum of baby aged twenty weeks “My baby keeps biting me when I feed her. I’m really worried because she has caused a sore place that sometimes bleeds. Also, I’m wondering why she is doing this – is it because she is hungry and needs more than my milk? My friend said it might be that she is telling me that she doesn’t want or need my milk any more. Can you give me some advice please?
    www.realbabymilk.org
  • 72. Session Six
    Mum of baby aged 18 weeks “I’m going to be going back to work in about 6 weeks. I think I will have to stop breastfeeding then. Can you help me with this please
    www.realbabymilk.org