Breastfeeding tips for new moms by Dr Lavanya, Pediatrician, A4 hospital and Fertility Centre, Chennai. #breasfeeding #newbornbabycare #babycare #newmom #pediatrics #mommilk #newmom #fertilitycentre #pregnancytips #breastfeedingtips #a4fertilitycentre #a4hospital #chennai

1. Breastfeeding Tips
for New Moms
Dr. Lavanya, DNB Paediatrics,
MRCPCH Paediatrician, A4 Hospital.

2. Anatomy and physiology of breast

4. ●Nipple and areola enlarge
and darken during
pregnancy
●Small bump on areola
called Montgomery gland
●Prepares the nipple for
breastfeed

7. How is breast milk produced
●The let down reflex
●When the baby sucks: nerve ending in nipple and
areola are stimulated which signal the pituitary
gland in the brain to release 2 hormones prolactin
and oxytocin
●Prolactin causes alveoli to take nutrients from
blood and produce milk
●Oxytocin causes cells around the alveoli to contract
and eject milk around the milk ducts.

8. How is breast milk produced cont
● Let down of milk is experienced in numerous ways:
1) infant actively begins to suck and swallow
2) milk may drip from opposite breast
3) mother may feed tingling or fullness in breast or
uterine cramping
● May feel thirsty

9. How is
breast milk
produced

10. Types and composition of breastmilk
●Colostrum or early milk: produced in late stage
of pregnancy till 4 days after delivery rich in
antibodies
●Transitional milk: produced from 4-10 days
after delivery less in protein compared to
colostrum
●Mature milk: produced after 10 days of delivery
till termination of breastfeeding

11. Milk which is outpoured in one
feeding can be classified
●Fore milk: early milk at the beginning of
feeding which has more lactose proteins
water which satisfies baby thirst
●Hind milk: comes towards end of feed rich
in fat. Satisfies baby hunger

12. Difference human
versus cow milk

13. Benefits of
breastfeeding

14. Rules of breastfeeding
●Exclusive breastfeeding till 6 mon of age and continue
breastfeed till 2 yr age.
●Complementary foods rich in iron and nutrients should be
started at 6 mon age.
●Mother and baby should sleep in proximity to each other to
enhance breast feeding.
●Breast feeding should be initiated as soon as possible after
birth.
●Ensure 8-12 feedings every 24 hours till 2-3 months then 6
feedings till 6 months and five feedings till 1 yr of age.

15. Rules of breastfeeding contd
●At every feeding infant is placed only on one breast
next feeding next breast thus alternating them
●Duration of feeding is approximate 20-30 minutes
●The more the baby suckles more mild produced
●Breast milk flow partly depends on mother thoughts
and feelings and sensation. It is important to make
mother feel good about breastfeeding
●Give no other supplements to breastfeeding
newborn infants

16. How to make
baby to latch

17. How to make
baby latch

18. ●Mouth wide open
●Chin touching breast
●Cheeks look full
●Lips are flanged out
●Mouth covers areola
Indicators of good latching

19. Breastfeeding positions -
Cradle hold
●Infant head is supported by
elbow
●Back and buttock is
supported by forearm and
lifted to breast
●Entire baby body should face
mother
●Baby’s abdomen should touch
mother abdomen

20. Breastfeeding position -
Football Hold Position
●Infant is placed under a arm
●Baby body is supported by
forearm
●Baby head is supported with the
hand
●Good position after operative
procedures

21. Breastfeeding position -
Side Lying Position
●Mother lies to her side
propping up head and
shoulder
●Infant is lying down facing
mother
●Good position after
cesarean section

22. Breast feeding position -
Cross Cradle Hold
●Baby trunk and head are
supported with the
opposite forearm and
palm
●The other hand is placed
beneath the breast in a u
shape to guide the baby
mouth to the breast

23. Some issues during Breastfeeding -
Sore Nipple
Treatment:
●Ensure latching is good
●Apply breast milk to
nipple and areola after
feeding

24. Some issues during breastfeeding -
Breast Engorgement
●Use warm compresses
●Massage breast while
breastfeeding
●Feed more frequently at
least once in 3 hours
●Analgesic for pain

25. Some issues
during
breastfeeding -
flat nipple

26. Some issues during breastfeeding -
Flat nipple management

27. Some issues during breastfeeding -
Clogged milk ducts
Treatment:
●Apply warm compresses in
affected area
●Frequent breastfeeding
/expression of milk

28. Some issues during breastfeeding
- Oral thrush
●Oral thrush is a fungal
infection.
●It can occur secondary to sore
or cracked nipple.
●Treatment-topical antifungals.
●Keep the nipples dry.

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