presentation about breastfeeding and lactation management

1. Breast Feeding and Lactation
Management
Dr Gururaja R
MD,DNB(Paed)

2. • Breast feeding protects this planet
• Accurate Information
• Timely counseling
• Not Enough Milk
• Breast Feeding with in one hour
• Maternal support

3. • Exclusive breast feeding
• Early initiation
• Feeding in special situations,HIV,COVID
• Till what time breast feeding?

4. Green Feeding Advocacy Compaign
• Promote,support,protect breast feeding
• Misleading claims about formula feeding
• BY SUPPORTING BREAST FEEDING IN UK
• Savings gained = 55 to 77,000 cars off the road
per year

5. • Big lacunae in training and imparting skills to
health care workers
• Commitment
• Dedication
• Business between breast and baby
• Politics in breast feeding?
• Protect,promote and support breast feeding

6. Statistics
• Exclusively breastfed – 0 to 6 mo---55%
• BF with in one hour – 41%
• Continue BF up to 24 mo---45%
• Preventable child deaths –
• RTI
• Pneumonia
• Diarrhoea

7. Health impact on mothers
• Breast cancer
• Ovarian cancer
• Type 2 DM

8. Breast Anatomy

9. Breast Anatomy

11. Milk production reflexes

12. • Oxytocin – ejection of
milk
• Prolactin – production
of milk

13. Jaadu ki Jappi

14. • Rooting reflex – starts at
28 weeks
• Suckling --- starts at 24
weeks
• swallowing reflex –
starts at 12 weeks

18. Colostrum – First vaccination
welcome drink for baby

19. Difference between Fore milk and
Hind milk

21. Preventive factors in Breast Milk

22. • Breast feeding with in
one hour of birth
• Better bonding
• Better uterine
contraction – prevents
PPH
• Better lactation
maintenance

23. Frequency of breast feeding
• Unrestricted
• 8-12 times/24hrs
• On demand

24. Getting enough milk
• Baby gaining weight
• URINE OUT PUT
• 6 times in 24 hrs -
minimum

25. Breastfeeding at night
• More prolactin is
produced at night
• Helps in keeping up the
milk supply
• Prolactin delays new
pregnancy
• Makes mother relaxed,
she rests well even if she
breastfeeds at night

26. Not enough milk
• Very common
• Universally all mothers
secrete enough milk for two
babies
• THE AVERAGE INDIAN
MOTHER LACTATE FOR A
PERIOD OF TWO YEARS AND
IS ESTIMATED TO PRODUCE
• 246 LITRES OF MILK

32. Correct position
• Baby’s head neck and
body in a straight line
• Face should face the
breast
• Baby’s body close to
mother

34. Problems in Breastfeeding-Inverted
nipples

35. Sore nipple
• Management
• Correct positioning and
latching
• Hind milk application
• No frequent cleaning
with soap and water

36. Breast engorgement

37. •THANK YOU