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WELCOME TO
SEMINAR
Dr. Sharmin Afroze
Dr. Amlendra Kumar Yadav
 A 26 years primi mother came to you with the complaints of
her baby isn’t getting enough breast milk, remains hungry and
used to cry always. She came with a container of artificial milk
for your suggestion whether it can be given to her baby.
What will you do in such a
situation as a physician?
BREAST FEEDING
BREAST FEEDING
 Breast feeding is the best infant feeding practice.
Starting breast feeding within an hour of birth alone
can reduce neonatal mortality by 13%
In Bangladesh 46% babies are given breast
milk within first hour of birth
Bangladesh Health Statistics 2011
EXCLUSIVE BREAST FEEDING
 No drinks or foods other than breast milk are given to a baby
since birth up to 6 completed months (180 days)
 No pacifier, dummies or artificial teats are given to a baby
PATHOPHYSIOLOGY OF BREAST FEEDING
 Lactogenisis 1 –
Production starts: The
initial synthesis of milk
components begins in 2nd
trimester of pregnancy
 Lactogenesis II – Full
Production - the onset of
copious milk production 2-3
days postpartum.
Trigger: delivery of the placenta
- a rapid drop of serum
progesterone (removes the
brakes on Prolactin)
FACTORS AFFECTING BREAST MILK
PRODUCTION
COMPOSITION OF HUMAN MILK
WHY HUMAN MILK IS DIFFERENT FROM
OTHER MILK
TYPES OF HUMAN BREAST MILK
 Colostrum
 Transitional milk
 Mature milk
 Foremilk
 Hind milk
BENEFITS OF BREAST FEEDING
 31% Neonatal mortality can be reduced by Early Initiation of
Breastfeeding .
 13% Infant mortality rate can be reduced by Exclusive
Breastfeeding.
 6% Child mortality rate can be reduced by complimentary
feeding.
 Bottle feeding relative risk of death 14 times more than the
breastfeeding child.
BENEFITS OF BREAST FEEDING
 Breast milk Reduces allergies such as
asthma & eczema.
 Breast milk contains Antibodies gives protection against
infectious diseases.
 Helps in cognitive development.
 Nutritionally optimal .
 Reduces Diarrheal diseases .
HOW TO ENSURE BREAST FEEDING IN
PROPER WAY
 POSITION:
1.Baby’s body is well
supported
2. The head, neck and body
of the baby are kept in the
same plane
3. Entire body of baby faces
the mother
4. Baby is held very close to
mother
 ATTACHMENT:
1.Baby’s mouth is wide open
2. Lower lip is turned
outwards
3. Baby’s chin touches
mother’s breast
4.Most of the areola seen
above than below
WHAT YOU CAN SEE?
1 2
GOOD AND POOR ATTACHMENT
1 2
RESULTS OF POOR ATTACHMENT
• Painful nipples
• Damaged nipples
• Engorgement
• Baby unsatisfied and cries a lot
• Baby feeds frequently and for a long time
• Decreased milk production
• Baby fails to gain weight

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Breast Feeding

  • 1. WELCOME TO SEMINAR Dr. Sharmin Afroze Dr. Amlendra Kumar Yadav
  • 2.  A 26 years primi mother came to you with the complaints of her baby isn’t getting enough breast milk, remains hungry and used to cry always. She came with a container of artificial milk for your suggestion whether it can be given to her baby. What will you do in such a situation as a physician?
  • 4. BREAST FEEDING  Breast feeding is the best infant feeding practice. Starting breast feeding within an hour of birth alone can reduce neonatal mortality by 13% In Bangladesh 46% babies are given breast milk within first hour of birth Bangladesh Health Statistics 2011
  • 5. EXCLUSIVE BREAST FEEDING  No drinks or foods other than breast milk are given to a baby since birth up to 6 completed months (180 days)  No pacifier, dummies or artificial teats are given to a baby
  • 6. PATHOPHYSIOLOGY OF BREAST FEEDING  Lactogenisis 1 – Production starts: The initial synthesis of milk components begins in 2nd trimester of pregnancy  Lactogenesis II – Full Production - the onset of copious milk production 2-3 days postpartum. Trigger: delivery of the placenta - a rapid drop of serum progesterone (removes the brakes on Prolactin)
  • 7.
  • 8.
  • 9. FACTORS AFFECTING BREAST MILK PRODUCTION
  • 11. WHY HUMAN MILK IS DIFFERENT FROM OTHER MILK
  • 12. TYPES OF HUMAN BREAST MILK  Colostrum  Transitional milk  Mature milk  Foremilk  Hind milk
  • 13. BENEFITS OF BREAST FEEDING  31% Neonatal mortality can be reduced by Early Initiation of Breastfeeding .  13% Infant mortality rate can be reduced by Exclusive Breastfeeding.  6% Child mortality rate can be reduced by complimentary feeding.  Bottle feeding relative risk of death 14 times more than the breastfeeding child.
  • 14. BENEFITS OF BREAST FEEDING  Breast milk Reduces allergies such as asthma & eczema.  Breast milk contains Antibodies gives protection against infectious diseases.  Helps in cognitive development.  Nutritionally optimal .  Reduces Diarrheal diseases .
  • 15.
  • 16. HOW TO ENSURE BREAST FEEDING IN PROPER WAY  POSITION: 1.Baby’s body is well supported 2. The head, neck and body of the baby are kept in the same plane 3. Entire body of baby faces the mother 4. Baby is held very close to mother
  • 17.  ATTACHMENT: 1.Baby’s mouth is wide open 2. Lower lip is turned outwards 3. Baby’s chin touches mother’s breast 4.Most of the areola seen above than below
  • 18. WHAT YOU CAN SEE? 1 2
  • 19. GOOD AND POOR ATTACHMENT 1 2
  • 20. RESULTS OF POOR ATTACHMENT • Painful nipples • Damaged nipples • Engorgement • Baby unsatisfied and cries a lot • Baby feeds frequently and for a long time • Decreased milk production • Baby fails to gain weight