LACTATION AND NEONATAL
DR. NAHEED BANO
Assistant Professor, Obs/Gynae Unit I
Holy Family Hospital, Rawalpindi.
WHO recommends exclusive breast feeding till 4
months of age.
COMPARISON BETWEEN HUMAN &
Human breast Milk
Sodium (m mol/L)
COLOSTRUM: Yellowish fluid secreted by the
breast that can be expressed as early as 16 week of
pregnancy and is replaced by milk during the second
ADVANTAGES OF BREAST FEEDING
• Tailor made for human baby
(Temperature & Nutrition)
• Ig A, small amounts of Ig M and Ig G, lactoferrin,
macrophages, complement, lysozymes.
• Better absorption of iron in mother’s milk than
that in cow’s milk.
• Contains all vitamins except vit. K
• Easy availability and cost effective
• ↓ infant mortality and morbidity from respiratory,
gastro-intestinal, urinary tract and middle ear
• ↓ incidence of allergies
• ↓ incidence of epithelial ovarian cancer and premenopausal breast cancer in mother.
• ↓ fertility
* Milk ejection or let down reflex
* Rooting reflex
• Inadequate milk production
• Sore and cracked nipples
* Delayed initiation of feed
* Infrequent feed
* Time limited feed
* Supplementary feed
• Breast abscess
OPV + BCG
Pentavalent I + OPV I
Pentavalent II + OPV II
Pentavalent III + OPV III
Pentavalent: Diptheria, Pertussis, Tetanus (DPT) + Hepatitis B + Haemophilis