Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Rbm training powerpoint presentation


Published on

Powerpoint Presentation for Real Baby Milk Accredited Breastfeeding Peer Support Training.

  • Works For Teens! Hey, I'm only 18 and I thought I was going to have small boobs forever. After using your book for about 2 weeks, I started seeing results! I then used it for another month and I managed to get my breasts up to a C cup (with padding). I'm so pleased and I'm getting a lot more attention from boys now! Thanks you ✔✔✔
    Are you sure you want to  Yes  No
    Your message goes here
  • Get Result In Week One! Thank you, thank you, thank you! I've been plagued with small breasts for 30 years and even when I thought I couldn't do anything, your guide helped me to grow 1 cup size! I'm so pleased and I started seeing results in the first week. Thanks again Jenny, your work is amazing!! ➽➽
    Are you sure you want to  Yes  No
    Your message goes here
  • Finally, it's been revealed how you can increase your breast size by two cup sizes... All FULLY Naturally. Just see for yourself... =>>
    Are you sure you want to  Yes  No
    Your message goes here
  • Be the first to like this

Rbm training powerpoint presentation

  1. 1. Training PowerPoint PresentationTraining produced by Helen Shanahan and Stephanie Heard (Infant Feeding Co-ordinators for Cornwall)<br />
  2. 2. Session One<br />If a multinational company developed a product that was a nutritionally balanced and delicious food, a wonder drug that both prevented and treated disease, cost nothing to produce and could be delivered in quantities controlled by consumers’ needs, the very announcement of their find would send their shares rocketing to the top of the stock market. Women have been producing such a miraculous substance, breastmilk, since the beginning of human existence, yet they form the half of the world’s population who are the least wealthy and the least powerful.<br /> Gabrielle Palmer ‘The Politics of Breastfeeding’<br /><br />
  3. 3. Session One<br />Infant Feeding Survey 2005 UK<br />Initiation 76%<br />Two weeks 48%<br />Six months 25%<br /><br />
  4. 4. Session One<br />Breastfeeding in Cornwall 2008<br />Initiation 80%<br />Two weeks 53%<br /><br />
  5. 5. Session One<br />Reasons why Mums stop breastfeeding<br /><ul><li>Baby won’t attach/suckle
  6. 6. Pain and soreness
  7. 7. Insufficient milk</li></ul>(Infant Feeding Survey 2005)<br /><br />
  8. 8. Session Two<br />PROLACTIN<br />milk production – milk for next feed<br />works by touch alone<br />receptors need to be primed early<br />induces protectiveness and persistence in Mum<br /><br />
  9. 9. Session Two<br />OXYTOCIN<br />milk ejection – milk for this feed<br />levels higher when baby near<br />reduces Mum’s blood pressure<br />stimulates nurturing behaviour in Mum<br /><br />
  10. 10. Session Two<br />The milk secreting cells are surrounded by specialised prolactin receptor sites. These must be primed to respond to prolactin, and they are at their most sensitive immediately following birth.<br /><br />
  11. 11. Session Two<br />If the sites are well-primed, they will continue to respond to the prolactin levels which rise every time the baby feeds, and especially at night, so the breasts will keep making plenty of milk ready for the next feed.<br /><br />
  12. 12. Session Two<br />Sites that are not primed in the first 6 hours after birth begin to shut down and lose their sensitivity to prolactin. If insufficient sites have been primed, the mother’s milk supply will remain low for the rest of that lactation.<br /><br />
  13. 13. Session Two<br />Feedback Inhibitor of Lactation (FIL)<br />Breastmilkcontains a protein which can reduce or inhibit the secretion of milk. If the breast contains a lot of milk, this inhibitor acts to slow down further milk production. This protects the breast from the harmful effects of being too full<br /><br />
  14. 14. Session Two<br /><ul><li> If breast milk is removed, the level of the inhibitor falls and more milk is made
  15. 15. Frequent suckling or expression speeds up milk secretion by removing the inhibitor, whereas infrequent or restricted suckling allows the inhibitor to build up, slowing down the milk production.</li></ul><br />
  16. 16. SessionTwo<br />What is communication?<br /><ul><li> What you say
  17. 17. How you listen
  18. 18. What you</li></ul><br />
  19. 19. Session Two<br />Practical tips<br />Open body language<br />Open questions<br />Active listening<br />Repeating <br />Reinforcement<br />Time setting<br /><br />
  20. 20. Session Three<br /><ul><li> What is positioning?
  21. 21. Why does it matter?
  22. 22. How do we help?
  23. 23. What is attachment?
  24. 24. Why does it matter?
  25. 25. How do we help?</li></ul><br />
  26. 26. Session Three<br />What is positioning?<br />How Mum positions herself<br />How she holds her baby<br />How she enables the baby to access the breast<br /><br />
  27. 27. Session Three<br />Why does it matter?<br />Learned<br /><br />
  28. 28. Session Three<br /><br />
  29. 29. Session Three<br />Why does it matter?<br />Baby able to attach effectively<br /><br />
  30. 30. Session Three<br />Principles<br />Comfortable<br /><br />
  31. 31. Session Three<br />Principles<br />Sustainable<br /><br />
  32. 32. Session Three<br />Principles<br />Well supported<br /><br />
  33. 33. Session Three<br />Principles<br />Baby able to access breast<br /><br />
  34. 34. Session Three<br />Principles<br /><ul><li> Baby held close to mum
  35. 35. Head, neck, body in alignment
  36. 36. Facing breast
  37. 37. Nose to nipple
  38. 38. Head free to tilt back</li></ul><br />
  39. 39. Session Three<br />How can we help?<br />Ask Mum how SHE thinks feeding is going<br />Ask to see baby feed<br />Observe Mum’s posture<br />Check how baby can access breast<br />Consider whether some adjustment might help<br /><br />
  40. 40. Session Three<br />Attachment –<br />How baby takes breast into his mouth<br />How he works the breast to remove milk<br />How he satisfies his needs at each feed<br /><br />
  41. 41. Session Three<br />Principles<br />Large mouthful of breast<br />Chin indenting breast<br />Lower lip curled back<br />Cheeks full and rounded<br />Nose clear of breast<br />Short quick sucks moving to slow, rhythmical sucks and swallows<br /><br />
  42. 42. Session Three<br />Most common causes of inadequate weight gain<br />Ineffective attachment<br />Infrequent feeding<br />Observe a whole feed!<br />Ask how often baby is feeding<br />Consider dummy/teat/nipple shield?<br /><br />
  43. 43. Session Three <br />Improving effectiveness<br />Feed more often<br />Improve attachment<br />Stimulation <br />Compression<br />Switching<br /><br />
  44. 44. Session Four<br /><ul><li> Lack of milk may be perceived - the baby is feeding very frequently, eg every 2 hrs which is very common in the early weeks, but the mother may have expected the baby to feed 4 hrly and thus she believes she does not have enough milk or that her milk is not good enough.
  45. 45. or she may really not be producing enough milk – the two main reasons for this are
  46. 46. poor positioning and attachment
  47. 47. not feeding frequently enough</li></ul>In either or both of these situations, milk is not being adequately removed from the breasts and so the breasts respond by gradually reducing the amount of milk that is made.<br /><br />
  48. 48. Session Four<br /><ul><li> Improve positioning and attachment
  49. 49. Feed more often, or wake and stimulate the baby for extra feeds if it is sleepy and not asking for feeds
  50. 50. Feed at least once at night – prolactin levels are higher at night and night feeds are especially effective at increasing supply
  51. 51. Spend as much time as possible skin to skin with the baby
  52. 52. Express milk if the baby is not feeding effectively at the breast
  53. 53. Fenugreek capsules 500-750mg 3 times per day can help increase prolactin secretion and thus increase milk supply
  54. 54. Domperidoneor metoclopramide can be prescribed by a doctor to increase supply, by increasing prolactin secretion</li></ul><br />
  55. 55. Session Four<br />Why express by hand?<br />It can be more effective than a pump<br />It can be used to help baby attach to the breast if reluctant or sleepy<br />It is particularly useful for milk in very small quantities, egcolostrum<br />It can be used to establish milk supply<br />It can help prevent or relieve engorgement, and help baby attach more effectively <br />It can be used to help clear a blocked duct<br />It is empowering for mothers<br />It’s free – no equipment needed<br /><br />
  56. 56. Session Four<br />Wash hands and sit comfortably and fairly upright<br />During/after contact with baby<br />Use of photo, cot blanket etc to stimulate flow<br />Warmth and gentle massage<br />Hold breast tissue in wide C shape <br />‘Walk’ fingers and thumb in or out from base of nipple to feel for change of texture<br />Press in towards chest wall, then draw fingers and thumb together<br />If collecting milk, use sterile cup/bowl/bottle, NOT syringe<br />Rotate fingers and thumb round to express from all areas of breast<br />If collecting to replace a feed, express both sides, swap as often as necessary when milk flow slows, aim for about 20mins in total<br /><br />
  57. 57. Session Four<br />Out of fridge/freezer can be kept at room temperature for about 6 hours <br />Freshly expressed milk in a fridge (5c) for 48 hours <br />Can be frozen for 3 months<br />When totally defrosted can be stored in a fridge<br /><br />
  58. 58. Session Four <br />Current guidance – <br />Exclusive breastfeeding for first six months (WHO/DoH/UNICEF)<br />Risks of early weaning – food replaces breastmilk, greater risk of infections and allergies<br /><br />
  59. 59. Session Four<br />Baby led weaning –<br />continuation of feeding on demand<br /><br /><br />
  60. 60. Session Five<br />Common breastfeeding problems –<br />Sore nipples – cracked, blistered, bleeding, grazed<br />Not enough milk<br /><br />
  61. 61. Session Five<br />Common breastfeeding problems –<br />mastitis<br />thrush<br /><br />
  62. 62. Session Five<br />Sore nipples<br />Attachment<br />Attachment<br />Attachment!<br />moist wound healing<br />?rest and express? <br />?nipple shields?<br /><br />
  63. 63. Session Five<br />Not enough milk<br />Explore understanding, consider weight gain, wet and dirty nappies<br />Attachment<br />Frequency of feeds<br />Dummies<br />Supplements<br />Expressing<br />Compression<br />Switching<br /><br />
  64. 64. Session Five<br />Mastitis<br />?Infective?<br />Milk stasis/blocked duct<br />Attachment<br />Frequent feeding<br />Hand expressing<br />Warmth/ cooling<br />Anti inflammatory/<br />paracetemol<br /><br />
  65. 65. Session Five<br />Thrush<br />White patches in baby’s mouth<br />May have had antibiotics<br />Mum and baby to be treated<br />Thrush in breast(s)<br /><br />
  66. 66. Session Five<br />Medication<br />Is it necessary?<br />Is there a safer alternative?<br />Risks/benefits<br />Age of baby<br /><br />
  67. 67. Session Five<br />Alcohol/drugs<br />Social alcohol/ light consumption<br />Illicit drugs<br /><br />
  68. 68. Session Five<br />Responsibilities of a Breastfeeding Peer Supporter<br />When to call for help<br />Where to call for help<br /><br />
  69. 69. Session Six<br />Mum of baby aged two weeks “My baby hasn’t had a dirty nappy for two days. Feeding has not gone well and I’ve had pain and soreness, so I’ve started to use a dummy so she doesn’t feed too often. I’ve been told different things – someone said breastfed babies use all the goodness and there is not much waste, someone else said she needs more fluid and I should give her some cool boiled water and another said she is starving and I should give a bottle of formula. What do you think?<br /><br />
  70. 70. Session Five<br />Mum of baby aged two weeks “I have a sore nipple on one side. My baby seems to feed fine on the other side, but this side is always sore. I know that I shouldn’t let him feed if it’s hurting but it seems so mean to keep taking him off and he gets upset. Why do you think this is happening and what can I do?”<br /><br />
  71. 71. Session Six<br />Mum of baby aged twenty weeks “My baby keeps biting me when I feed her. I’m really worried because she has caused a sore place that sometimes bleeds. Also, I’m wondering why she is doing this – is it because she is hungry and needs more than my milk? My friend said it might be that she is telling me that she doesn’t want or need my milk any more. Can you give me some advice please?<br /><br />
  72. 72. Session Six<br />Mum of baby aged 18 weeks “I’m going to be going back to work in about 6 weeks. I think I will have to stop breastfeeding then. Can you help me with this please<br /><br />