8. Lactogenesis
Prolactin level is high during pregnancy
but there is no milk secretion
Inhibited by estrogen and progesterone
After parturition there is a sharp fall in E and P
Remove inhibition for Lactogenesis
Still Prolactin is high Lactogenesis
occur
9. Galactokinesis
Milk ejection or milk let down
Depends upon sucking reflex
Oxytocin release
Contract myoepithelial cell
That surrounds alveoli
Called milk ejection
11. Suckling Reflex
When baby suck the nipple
Sensory receptor in the skin nipple get stimulated
Impulses are transmitted to the Hypothalamus
Release of Oxytocin and Prolactin from the Pituatary
Oxytocin is carried to the breast through blood
Causes contraction of myoepithelial cell
Neuroendocrine reflex
12. Maintenance of lactation by prolactin
After parturation E,P and prolactin decreased
But periodic surge of prolactin with each episodes of
suckling
This surge maintain lactation
Galactopoieses
13. High level of prolactin
Inhibit GnRH secretion
Low label of LH and FSH
Ovaries are inactive
Inhibition of ovulation
Lactational Amenorrhoea
Lactational Amenorrhorea
15. TECHNIQUE
Comfortable position-Mother & baby.
Correct position:
-Baby`s body is well supported
-The head, neck & body is kept in the same
plane
-Entire body of the baby faces her mother
-baby`s abdomen touches mother`s abdomen
17. Cont……
Good attachments-
-Infant’s mouth is wide open
-Chin touches the breast.
-Lower lip turned out
-Larger area of the areola is
visible above than below
The milk transfer to the infant
begins with good latch-on and by
a peristaltic action from the tip of
the tongue to the base.
20. Burping
All babies swallow varied
amount of air during
suckling.
To break up the wind, the
baby should be held
upright against the chest
and the back is gently
patted till the baby belches
out the air
21. Types of breast milk
Colostrum
Transitional milk
Mature milk
Foremilk
Hindmilk
Preterm milk
22.
23.
24. Problems of breast feeding
Sore nipple
Breast engorgement
Breast abcess
Inverted nipple
lactational failure
25. FREQUENCY OF FEEDING
Time schedule:during the first 24 hours- interval of2-
3 hours.
Gradually, the regularity established at 3-4 hours
pattern by the end of first week.
Demand feeding- the baby is put to the breast as soon
as the baby becomes hungry.
26.
27. STEP 1: Why Breastfeeding Policy
Have a written breastfeeding policy that is
routinely communicated to all health care staffs.
28. STEP 2
Train all health care staffs in
skills necessary to implement
this policy.
29. STEP 3
Inform all pregnant mothers about
the benefits and management of
breastfeeding.
30. STEP 4
Help mothers to initiate breastfeeding within half an
hour of birth.
31. STEP 5
Show mothers how to breastfeed, and how to
maintain lactation even if they should be
separated from their infants.
Nurse
Lactation Consultant
32. STEP 6
Give newborn infants NO food or drink other than
breast milk, unless medically indicated.
33. STEP 7
Practice Rooming- IN.
Allow mother and infants to remain together 24
hours a day.
34. STEP 8
Encourage breastfeeding on demand.
Frequently day and night, no restrictions on the length
or frequency of feeds.
35. STEP 9
Give NO artificial teats or pacifiers (also
called or soothers) to breastfeeding
infants.
36. STEP 10
Foster the establishment of Breastfeeding
Support Groups and refer mothers to them on
discharge from the hospital or clinic.
