Neonatal

1. Breastfeeding The Newborn.
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2. Objectives:
* Understand how breastfeeding works.
* Understand the benefits of breastfeeding for the mother and baby.
* Compare early and delayed initiation of breastfeeding.
* Recognise signs of good attachment and positioning during
breastfeeding.
* Understand exclusive breastfeeding.
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3. Factors that promote or Hinder breastfeeding.
• Worry.
• Stress.
• Pain.
•Full breast.
• Doubt.
These hinder
breastfeeding.
These promote
breastfeeding.
• Thinks lovingly of baby
• Sounds of baby.
• Sight of baby.
• Touches baby.
• Confidence.
3/5
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4. Benefits of Breastfeeding For Baby and Mother.
Baby
* Provides nutrition in the first 6
months.
* Contains vitamins and
minerals.
* Contains antibodies- improves
baby’s immune system.
* Provides warmth.
Mother
* Assist in the involution of the uterus.
* Speeds up separation of the placenta.
* Improves bonding between baby and
mother.
* Is cost effective.
* Protects against pregnancy.
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5. Early Initiation of Breastfeeding.
Consequences of delayed initiation
of breastfeeding:
* Breast engorgement; painful
breasts.
* Poor attachment; hunger and
irritability-mistaken for illness-
Gripe water syndrome.
* Triggering pre-lacteal feeds
and eventually, an array of
incorrect newborn feeding
practices.
Benefits of early
breastfeeding:
* Helps keep the baby warm.
* Ensures the baby gets
colostrum.
* Assists in prevention of Post
Partum Haemorrhage (PPH)
and involution of the
uterus.
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6. Exclusive Breastfeeding.
Exclusive breastfeeding:
* Practice of feeding only on breast milk with no
additional food, water or fluids with the exception
of medicine and vitamins, if prescribed.
* Exclusively for 6 months.
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7. Signs of Good Positioning.
* The mother is relaxed and comfortable.
* The baby’s head and body are in a straight line.
* The baby’s facing the mother’s breast with nose opposite the
nipple.
* Baby’s body close to the mother’s body.
* Mother supporting baby’s whole body not just neck and shoulders.
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8. Signs of Good Attachment.
* The mouth is widely open.
* The lower lip is turned outwards.
* The chin is touching the breast.
* More areola is visible above the
baby’s mouth than below it.
Good attachment.
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9. Consequences of Poor Attachment.
* Painful nipples.
* Damaged nipples.
* Engorgement.
* Baby unsatisfied and cries a lot.
* Baby feeds frequently and for a
long time.
* Decreased milk production.
* Baby fails to gain weight.
3/10
Poor attachment.
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