2. “A newborn has only three
demands. They are warmth
in the arms of its mother,
food from her breasts and
security in the knowledge
of her presence.
Breastfeeding satisfies all
three” .
(Grantly Dick Read)
3. WHY EMPHASIZE ON BREAST FEEDING???
When Indian women breast feed without
exception
4. CONT...
25% do not initiate
within 24 hrs
50% discard colostrums
75% give prelacteal
feeding Many women
believe they do not
have sufficient milk &
indulge in top milk
feeding
5. BREASTFEEDING PROBLEMS
DUE TO MOTHER
Reluctance or dislike to breast feeding
Infant’s attachment to breast
Anxiety and stress
Following operative delivery
Milk secretion is inadequate
Breast ailments
6. DUE TO INFANT
Low birth weight
baby
Temporary illness
Over-distension of
the stomach with
swallowed air
Congenital
malformation
10. MANAGEMENT
Manual expression of
any remaining milk
after each feed.
Administer analgesics
for pain
The baby should be
put to the breast
regularly at frequent
interval.
11. PLUGGED DUCT
A Plugged duct is
where an occlusion or
plug has occurred in
the milk passageways.
This plug prevents milk
from passing through
or the milk passage
may be slower than
usual.
12. MANAGEMENT
Learn how to
position your baby
so that the baby can
latch on properly
Try using warm
compresses
Take a mild pain
reliever, such as
ibuprofen.
13. CRACKED NIPPLE
Loss of surface epithelium with the formation
of raw area on the nipple
Fissure either at the tip or the base of the
nipple.
14. MANAGEMENT
Correct attachment
Application of fresh human milk
Application of lotion (miconazole)
Rest to the affected nipple.
Use of nipple shields.
15. SORE NIPPLES
Sore nipples are any persistent pain in the
nipples that lasts throughout the entire
breastfeeding or hurts between feedings.
16. PREVENTION
use a proper breastfeeding technique
keep the nipples dry by exposing them to
air or sunlight
avoid products that remove the natural
protection of nipples, such as soaps,
alcohol.
breastfeed on demand
avoid the use of nipple shields.
17. MANAGENENT
Offer the least affected breast first;
Express enough milk before
breastfeeding to stimulate the let-down
reflex, thus preventing the infant from
sucking too vigorously on the breast;
Alternate between different positions,
reducing the pressure on sore areas or on
damaged tissues;
Use "breast shells"
Use oral systemic analgesics, if
18. MASTITIS
One of the more
serious complications
of breast feeding
includes a breast
infection, otherwise
known as mastitis.
Mastitis can be
caused by an
19. MANAGEMENT
Breast support
Plenty of oral fluid
Breast feeding is
continued with good
attachment.
The infected side is
emptied manually with
each feed
Antibiotic therapy to be
continued for 7 days.
20. BREAST ABSCESS
Breast abscess is caused by
untreated mastitis or results
from late or inefficient
treatment. It affects 5 to 10% of
women with mastitis.
21. MANAGEMENT
Treatment is done with analgesic &
antibiotic.
Abscess may need incision &
drainage.
Breast feeding must be continued in
the uninvolved side.
The infected breast is mechanically
pumped every two hours.
Once cellulitis has resolved breast
feeding from the involved side may
be resumed.
22. INADEQUATE MILK PRODUCTION
infrequent suckling.
Anxiety state in puerperium.
Ill development of nipple
Painful breast lesion.
Prolactine inhibition.
23. MANAGEMENT
Counseling mother regarding advantage of
breast feeding.
Treatment of abnormalities.
Encourage adequate fluid intake.
Treatment of painful local lesion.
24. THE BABY WHO DOES NOT SUCKLES
Avoid artificial food or water.
Expressed milk to be given.
Nipple should be placed slightly
upward towards the roof of the
baby mouth.
Keep the baby nose free during
breast feeding.
