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DR.VEERENDRAKUMAR  C.M.   MD.,DNB. Associate Professor VIMS,BELLARY
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  PERFECT GIFT TO  MANKIND ,[object Object],[object Object],[object Object],[object Object]
Why emphasize on breast feeding? ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BREAST FEEDING promotion    ,[object Object],[object Object]
[object Object],[object Object]
Early Discontinuation ,[object Object],[object Object]
โ€œ Not enough milkโ€ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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anatomy
[object Object],[object Object],[object Object],[object Object]
BREAST  ENGORGEMENT ENGORGED LYMPHATIC & VENOUS CHANNELS AROUND  THE ALVEOLI INCREASED  ALVEOLAR  PRESSURE FLATTENS EPITHELIUM &BLOCKS THE DUCTS BREAST HARD & PAINFUL
BABY STRUGGLES & TRAUMATIZES THE NIPPLES NO FURTHER BREAST FEEDING MASTITIS  BREAST  ABSCESS
ANTENATAL   BREAST   EXAMINATION   TEACH MOTHER HOW TO MANUALLY EXPRESS THE MILK BEFORE & AFTER FEED EXPRESS THE MILK & RENDER THE BREAST SOFT  CORRECT POSITIONING
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Manual expression
Manual expression
[object Object],[object Object],[object Object]
SORE NIPPLE ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Retracted & inverted nipple
RETRACTED NIPPLE ,[object Object],[object Object],[object Object]
MASTITIS & ABSCESS
MASTITIS & ABSCESS ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
INSUFFICIENT MILK & LACTATION  FAILURE ,[object Object],[object Object],[object Object]
Enhancing factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hindering factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
LACTATION FAILURE PRIMARY  HYPOPROLACTINEMIA SHEEHANโ€™S  SYNDROME RETENTION OF PLACENTA HYPOPLASTIC BREASTS WRONG MANAGEMENT
HOW TO OVERCOME? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Latching
ROLE OF GALACTOGOGUE ,[object Object],[object Object],[object Object],[object Object],[object Object]
CONTRA INDICATIONS ,[object Object],[object Object],[object Object]
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breast feeding problems