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BREAST FEEDING TECHNIQUES AND
POSITIONS
1
Introduction
Human breast milk is the healthiest form of milk for babies.
There are few exceptions, such as when the mother is
taking certain drugs or is infected with human T-
lymphotropic virus, HIV, or has active untreated
tuberculosis.
Breastfeeding promotes health and helps to prevent
disease. Artificial feeding is associated with more deaths
from diarrhea in infants in both developing and developed
countries.
Successful lactation is determined by early
initiation of breastfeeding and continuation of
lactation and again that is determined by
positioning.
Positioning is key to get Latch on.
3
FACTORS INFLUENCING BREAST FEEDING
4
Position
Factors
Attitude
of the
Mother
 Bringing hands to
mouth
 Rooting
 Suckling
 Licking
 Nuzzling
 Lip smacking
5
PREPARATION
 Wash hands
 Position comfortably and correctly use
pillows or towels for support.
 Uncover the breast.
6
SIDE-LYING POSITION
 Lie on one side
 Use pillows
 Tummy to tummy
 Baby’s mouth in line
with nipple.
7
WHEN SIDE-LYING POSITION
 Cesarean birth
 Uncomfortable sitting
 No assistance for
latch on in sitting
8
THE FOOTBALL POSITION
 Infant legs are under
mother’s arm, with hand
at the base of the head
and neck.
 Use pillows
 Help infant in latching
on
9
WHEN FOOTBALL HOLD
 Cesarean birth
 To see the latch on position
 Large breast
 Small baby
 Infant is sleepy
10
THE CRADLE POSITION
 Hold the infant in upright
position on mother’s lap
 Infant head in crook of
mother’s elbow on the same
side close to the breast, the
neck is slightly extended.
 Infant ear, shoulder and hips in
straight line
 Tummy to Tummy
 Chest to chest of mother and
infant
11
THE CROSS CRADLE POSITION
Same of cradle position
but just the opposite hand
was used to support the
infant and the same side
hand was used to hold the
breast.
12
WHEN CROSS CRADLE
 To learn Latching
 To maintain comfortness of the mother
13
VARIOUS OTHER POSITIONS TO FEED TWINS
14
15
16
17
LATCH ON
 Mother holds the baby in upright position on
her lap.
 Mouth is wide open and the chin touches the
breast.
 Mother guide the nipple and areola into the
baby’s mouth for effective milk transfer
 Peristaltic action from the tip of the tongue to
the base.
18
STEP 1
19
STEP 2
5/13/2021
20
STEP 3
5/13/2021
21
STEP 3
5/13/2021
22
STEP 4
5/13/2021
23
24
25
HOW TO FIND POOR ATTACHMENT
1. Mother feels pain
2. Clicking sound heard
by mother
3. Eager to suck
26
PROCESS OF NURSING
 Sucks
 Swallow
 Pause
27
 Cuddle and fiddle with the baby by
stroking and tickling behind his or her ears
or on the soles so that infant does not
lapse into sleep without adequate feeds.
5/13/2021
28
DE LATCHING
 Watch baby for cues that
he /she is finished
 May spontaneously come
off the breast
 May fall sleep
 If mother wants to stop
the feeding early, break
suction by inserting finger
into corner of infant’s
mouth.
29
BURPING
 Propped up with baby’s tummy against
shoulder of the mother.
 Sitting up, leaning forward on one hand of
the mother with the other hand burps at
back of infant.
30
BURPING AND DE LATCHING
5/13/2021
31
IMPORTANCE OF GOOD POSITION AND
ATTACHMENT
32
SIGN OF SUCCESSFUL BREAST FEEDING
 One or two wet diapers during the first few
days.
 Six to eight wet cloth diapers (5 - 6 wet
disposable diapers) per
day (24 hours).
 At least two to five bowel movements every
24 hours.
 6 - 10 feedings per24-hours.
 Baby’s swallowing sounds are audible.
 Gain at least 120 – 210 g per week after the
fourth day of life.
 Appear healthy, have good colour, firm
skin, and will be growing in length and
head circumference.
 Sound sleep followed by feed.
33
• Breast milk has the exact combination of protein, fats,
vitamins, minerals, enzymes, and sugars needed for
the human infant at various stages of his growth.
• Contain optimum percentage of carbohydrates,
protein and fat.
• Due to the digestibility of breast milk, breastfed babies
are rarely constipated.
• Breastfed babies tend to have less incidence of ear
infections, respiratory illness, allergies, diarrhea, and
vomiting.
• The stools of breastfed babies are mild-smelling.
Advantages of Breast Feeding
5/13/2021
35
• He has easily digestible protein component (Whey to
casein ratio of 60:40
• Contain an easily digested carbohydrate (Lactose) in
a higher concentration
• Rich in sources of linoleic acid an essential fatty acid.
• The calcium phosphorus ratio is 2:1
• Protects against infection and allergies
• It contains 90% of humoral secretary iga that
provides mucosal protection.
• Is hygenic safe readily available at right temperature
needs no preparation and comes free of cost.
• Sucking process helps in the development of the
facial muscles of the baby.
• Exposed to a variety of tastes through their mother's milk.
• Breastfed children are at less risk for chrohn's disease and
juvenile diabetes.
• They also seem to have better overall dental health than
formula-fed children.
• IQ levels are an average of 8 points higher in children who
were breastfed.
• Adult daughters who were breastfed are at less risk for
breast cancer.
• Adults who were breastfed have a lower risk for high
cholesterol and asthma.
• The bond between mother and child seems to be enhanced
with breastfeeding.
1.Causes the uterus to contract lessening the risk of
postpartum hemorrhage.
2. The uterus of a breastfeeding mother shrinks to its pre-
pregnancy size more quickly.
3. Calories are burned while breastfeeding. It takes
approximately 20 calories to produce an ounce of milk.
4. Women who nurse their babies for at least 6 months lessen
their chances of pre-menopausal breast cancer.
5. Osteoporosis and cervical cancer are less common in
women who breastfed.
6. The return of fertility is delayed with breastfeeding.
7. Breastfeeding is more economical than formula feeding.
8. Breast milk is always available, clean, and the right
temperature.
9. Many mothers feel a special satisfaction in knowing that
they alone are meeting the nutritional needs of their babies.
For Mothers
Disadvantages of Breastfeeding
1. There can be discomfort involved with breastfeeding.
When you first start breastfeeding,
2. You may experience sore nipples, your breasts may
feel swollen or engorged.
3. You may leak milk at times that are inconvenient or
embarrassing. When the baby cries, you almost
immediately start producing milk. If you aren’t
prepared for this properly, it can be inconvenient or
embarrassing.
4. Feeding your baby in public may be more difficult.
5. Everything you consume is being passed on to your
baby. Any food you eat, medication you use, or
anything that you are applying to your skin can and
most likely will be passed onto your baby through
breastfeeding.
6. Prolonged breast feeding without complementary
feeding can result in poor weight gain and deficiency
disorders like rickets, vitamin K deficiency, iron
deficiency etc.
7. Smoking and alcohol intake of mothers during breast
5/13/2021
40
Contraindications of Breast Feeding
• Mothers suffering from HIV infection
• Mothers with open pulmonary tuberculosis
Types of Milk
Colostrum, Foremilk and Hindmilk
There are essentially 3 types of breastmilk. These are
colostrum, foremilk and hindmilk.
Colostrum is the yellowish breastmilk that is produced in
the first few days after baby's birth and before normal
lactation begins. Colostrum is especially rich in nutrients and
antibodies, and is the perfect food for a newborn baby.
Foremilk is the milk which is first drawn during a feeding.
It is generally thin and lower in fat content, satisfying the
baby's thirst and liquid needs.
Hindmilk is the milk which follows foremilk during a
feeding. It is richer in fat content and is high in calories.
The high fat and calorie content of this milk is important
for your baby's health and continuing growth.
43
44

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breast-feeding-techniques-and-positions-pediatric-nursing-ppt-210513160909.pdf

  • 1. BREAST FEEDING TECHNIQUES AND POSITIONS 1
  • 2. Introduction Human breast milk is the healthiest form of milk for babies. There are few exceptions, such as when the mother is taking certain drugs or is infected with human T- lymphotropic virus, HIV, or has active untreated tuberculosis. Breastfeeding promotes health and helps to prevent disease. Artificial feeding is associated with more deaths from diarrhea in infants in both developing and developed countries.
  • 3. Successful lactation is determined by early initiation of breastfeeding and continuation of lactation and again that is determined by positioning. Positioning is key to get Latch on. 3
  • 4. FACTORS INFLUENCING BREAST FEEDING 4 Position Factors Attitude of the Mother
  • 5.  Bringing hands to mouth  Rooting  Suckling  Licking  Nuzzling  Lip smacking 5
  • 6. PREPARATION  Wash hands  Position comfortably and correctly use pillows or towels for support.  Uncover the breast. 6
  • 7. SIDE-LYING POSITION  Lie on one side  Use pillows  Tummy to tummy  Baby’s mouth in line with nipple. 7
  • 8. WHEN SIDE-LYING POSITION  Cesarean birth  Uncomfortable sitting  No assistance for latch on in sitting 8
  • 9. THE FOOTBALL POSITION  Infant legs are under mother’s arm, with hand at the base of the head and neck.  Use pillows  Help infant in latching on 9
  • 10. WHEN FOOTBALL HOLD  Cesarean birth  To see the latch on position  Large breast  Small baby  Infant is sleepy 10
  • 11. THE CRADLE POSITION  Hold the infant in upright position on mother’s lap  Infant head in crook of mother’s elbow on the same side close to the breast, the neck is slightly extended.  Infant ear, shoulder and hips in straight line  Tummy to Tummy  Chest to chest of mother and infant 11
  • 12. THE CROSS CRADLE POSITION Same of cradle position but just the opposite hand was used to support the infant and the same side hand was used to hold the breast. 12
  • 13. WHEN CROSS CRADLE  To learn Latching  To maintain comfortness of the mother 13
  • 14. VARIOUS OTHER POSITIONS TO FEED TWINS 14
  • 15. 15
  • 16. 16
  • 17. 17
  • 18. LATCH ON  Mother holds the baby in upright position on her lap.  Mouth is wide open and the chin touches the breast.  Mother guide the nipple and areola into the baby’s mouth for effective milk transfer  Peristaltic action from the tip of the tongue to the base. 18
  • 24. 24
  • 25. 25
  • 26. HOW TO FIND POOR ATTACHMENT 1. Mother feels pain 2. Clicking sound heard by mother 3. Eager to suck 26
  • 27. PROCESS OF NURSING  Sucks  Swallow  Pause 27
  • 28.  Cuddle and fiddle with the baby by stroking and tickling behind his or her ears or on the soles so that infant does not lapse into sleep without adequate feeds. 5/13/2021 28
  • 29. DE LATCHING  Watch baby for cues that he /she is finished  May spontaneously come off the breast  May fall sleep  If mother wants to stop the feeding early, break suction by inserting finger into corner of infant’s mouth. 29
  • 30. BURPING  Propped up with baby’s tummy against shoulder of the mother.  Sitting up, leaning forward on one hand of the mother with the other hand burps at back of infant. 30
  • 31. BURPING AND DE LATCHING 5/13/2021 31
  • 32. IMPORTANCE OF GOOD POSITION AND ATTACHMENT 32
  • 33. SIGN OF SUCCESSFUL BREAST FEEDING  One or two wet diapers during the first few days.  Six to eight wet cloth diapers (5 - 6 wet disposable diapers) per day (24 hours).  At least two to five bowel movements every 24 hours.  6 - 10 feedings per24-hours.  Baby’s swallowing sounds are audible.  Gain at least 120 – 210 g per week after the fourth day of life.  Appear healthy, have good colour, firm skin, and will be growing in length and head circumference.  Sound sleep followed by feed. 33
  • 34. • Breast milk has the exact combination of protein, fats, vitamins, minerals, enzymes, and sugars needed for the human infant at various stages of his growth. • Contain optimum percentage of carbohydrates, protein and fat. • Due to the digestibility of breast milk, breastfed babies are rarely constipated. • Breastfed babies tend to have less incidence of ear infections, respiratory illness, allergies, diarrhea, and vomiting. • The stools of breastfed babies are mild-smelling. Advantages of Breast Feeding
  • 35. 5/13/2021 35 • He has easily digestible protein component (Whey to casein ratio of 60:40 • Contain an easily digested carbohydrate (Lactose) in a higher concentration • Rich in sources of linoleic acid an essential fatty acid. • The calcium phosphorus ratio is 2:1 • Protects against infection and allergies • It contains 90% of humoral secretary iga that provides mucosal protection. • Is hygenic safe readily available at right temperature needs no preparation and comes free of cost. • Sucking process helps in the development of the facial muscles of the baby.
  • 36. • Exposed to a variety of tastes through their mother's milk. • Breastfed children are at less risk for chrohn's disease and juvenile diabetes. • They also seem to have better overall dental health than formula-fed children. • IQ levels are an average of 8 points higher in children who were breastfed. • Adult daughters who were breastfed are at less risk for breast cancer. • Adults who were breastfed have a lower risk for high cholesterol and asthma. • The bond between mother and child seems to be enhanced with breastfeeding.
  • 37. 1.Causes the uterus to contract lessening the risk of postpartum hemorrhage. 2. The uterus of a breastfeeding mother shrinks to its pre- pregnancy size more quickly. 3. Calories are burned while breastfeeding. It takes approximately 20 calories to produce an ounce of milk. 4. Women who nurse their babies for at least 6 months lessen their chances of pre-menopausal breast cancer. 5. Osteoporosis and cervical cancer are less common in women who breastfed. 6. The return of fertility is delayed with breastfeeding. 7. Breastfeeding is more economical than formula feeding. 8. Breast milk is always available, clean, and the right temperature. 9. Many mothers feel a special satisfaction in knowing that they alone are meeting the nutritional needs of their babies. For Mothers
  • 38. Disadvantages of Breastfeeding 1. There can be discomfort involved with breastfeeding. When you first start breastfeeding, 2. You may experience sore nipples, your breasts may feel swollen or engorged. 3. You may leak milk at times that are inconvenient or embarrassing. When the baby cries, you almost immediately start producing milk. If you aren’t prepared for this properly, it can be inconvenient or embarrassing. 4. Feeding your baby in public may be more difficult.
  • 39. 5. Everything you consume is being passed on to your baby. Any food you eat, medication you use, or anything that you are applying to your skin can and most likely will be passed onto your baby through breastfeeding. 6. Prolonged breast feeding without complementary feeding can result in poor weight gain and deficiency disorders like rickets, vitamin K deficiency, iron deficiency etc. 7. Smoking and alcohol intake of mothers during breast
  • 40. 5/13/2021 40 Contraindications of Breast Feeding • Mothers suffering from HIV infection • Mothers with open pulmonary tuberculosis
  • 41. Types of Milk Colostrum, Foremilk and Hindmilk There are essentially 3 types of breastmilk. These are colostrum, foremilk and hindmilk. Colostrum is the yellowish breastmilk that is produced in the first few days after baby's birth and before normal lactation begins. Colostrum is especially rich in nutrients and antibodies, and is the perfect food for a newborn baby.
  • 42. Foremilk is the milk which is first drawn during a feeding. It is generally thin and lower in fat content, satisfying the baby's thirst and liquid needs. Hindmilk is the milk which follows foremilk during a feeding. It is richer in fat content and is high in calories. The high fat and calorie content of this milk is important for your baby's health and continuing growth.
  • 43. 43
  • 44. 44