Breast Feeding

1. BREAST IS BEST
Major :Areej Faeq

2. Breast Feeding Educational Session
 The main anticipated goal is to enhance information and practical
attitude towards breast feeding.
 Evident suggest that educational program provided to women
during pregnancies may increase the duration of breast feeding.
 The plan is to hold an educational session at the one of the Irbid’s
antenatal health centres, and as per the scheduled program.
 The session starts with information awareness supported by a
brochure for 10 minutes, followed by a doll demo for 15 minutes,
than a post-test assessment for 5 minutes.

3. Objectives
 Define the meaning of Exclusive Breast Feeding by WHO
 Identify Benefits of breastfeeding to Infants and Mothers
 Under stand how to achieving Optimal Breastfeeding
 Demonstrate breastfeeding in popper Techniques and Position
 Identify role of the Grandmother in Breast feeding

4. Out line
 Introduction
 Benefits of Breastfeeding to Infants and Mothers
 Achieving Optimal Breastfeeding
 Breastfeeding Techniques and Position
 Role of the Grandmother in Breast feeding

5. Definition of Exclusive Breast feed by WHO
Breastfeeding is an unequalled way of providing ideal food for the
healthy growth and development of infants; it is also an integral part
of the reproductive process with important implications for the
health of mothers. Review of evidence has shown that, on a
population basis, exclusive breastfeeding for 6 months is the
optimal way of feeding infants. Thereafter infants should receive
complementary foods with continued breastfeeding up to 2 years of
age or beyond.

6. Why mother’s milk
The mother’s milk:
 Always available – No preparation time.
 Proper temperature.
 Clean & Fresh.
 Free of contaminating agents.
 Cheap.

7. Benefit of Brest Feeding for mother and
Infant
Maternal health outcomes Infant health outcomes
Prolong locational amenorrhea
Reduce type 2 diabetes risk
Reduce cardiovascular risk
Reduce breast cancer risk
Reduce ovarian cancer risk
GI tract infections
Upper and lower respiratory tract
infections
Otitis media
Acute lymphoblastic leukemia
Sudden infant death syndrome
Cognitive development
Atopic allergies
Asthma
Childhood obesity

8. Good Breastfeeding Techniques
 The baby should be properly positioned to achieve effective
latching.
 The mother should wear comfortable apparel, with the breast well
exposed for the infant to be able to latch.
 The infant’s mouth, chin and umbilicus should be lined up with
the head in a neutral position. breast.
 The infant is brought to the breasth, with the nose touching or
close to the

9.  The gum line should overlap the areola, and the nipple straight
back into the mouth.
 The tongue moves forward beyond the lower gum, cupped and
forming a reservoir.
 Milk is removed for the lactiferous sinuses, the jaw moves down
creating a negative pressure gradient that helped transfer milk to
the pharynx.

12. Breastfeeding Positions
Football Hold Position
The infant’s is placed under the arm,
like holding a football
Baby’s body is supported with the
forearm and the head is supported
with the hand.
Many mothers are not comfortable
with this position
Good position after operative
procedures
Cradle Hold
This is the most common position
used by mothers.
Infant’s head is supported in the
elbow, the back and buttock is
supported by the arm and lifted to
the breast.

13. Side Lying Position
The mother lies on her side propping
up her head and shoulder with
pillows.
The infant is also lying down facing
the mother.
Good position after Caesarean
section.
Allows the new mother some rest.
Most mothers are scared of crushing
the baby.
Australian Hold Position
This is also called the saddle
hold
Usually used for older infants
Not commonly used by
mothers.
Best used in older infants with
runny nose, ear infection.

14. Achieving Optimal Breastfeeding
 Activities, attitudes and procedures during the delivery and post
partum period have an impact on breastfeeding .
 There is well documented evidence that skin to skin contact
between infant and mother helps to maintain the body
temperatures, reduce risk of hypoglycemia, enhance oxytocin
release and beneficial nutrition with intake of colostrum
 Skin to skin contact should occur for about 1-2 hours after
delivery. Procedures after delivery like weighing, administration of
vitamin K, eye prophylaxis and other procedures should be
delayed

15. Achieving Optimal Breastfeeding (Cont’d)
 Breastfeeding should be started and fully established before
discharge from the hospital
 Physicians and health care professionals should observe at least
one feeding and ensure this is done properly and breast milk is
produced
 Lactation specialist should also work with parents that are having
difficulty with breast feeding.
 Early follow up after leaving the hospital is required.

16. Signs of Effective Breastfeeding
 Frequent feedings 8-12 times daily.
 Intermittent episodes of rhythmic sucking with audible swallows should be heard while
the infant is nursing.
 Infant should have about 6-8 wet diapers in a 24 hour period once breast feeding is
established.
 Infant should have minimum of 3-4 bowel movements every 24 hours
 Stools should be about one tablespoon or larger and should be soft and yellow after day
3.
 Average daily weight gain of 15 -30g.
 Infant has regained birth weight by day 10 of life.

17. Working Mothers
 If a woman cannot breastfeed at her workplace she should express her milk 3 times a
day and store for use later.
 A woman employed away from her home can continue to breastfeed a child if she
breastfeeds as soon as possible when she is with her infant.
 If a mother cannot be with her baby during working hours she should breastfeed often
when they are together, frequent breastfeeding will ensure her milk supply.
 The mother should not give breast milk substitutes if she is able to breast feed the baby.
 Families and communities can encourage employers to provide paid maternity leave and
the time and a suitable place for women to breastfeed or express their milk.

18. Storage of Breast Milk
 Human milk can be stored at room temperature for 6-8
hours.
 Expressed milk can be stored in an insulated cooler bag
with icepacks for 24hours.
 Breast milk can be stored in the refrigerator for about 5
days at about 40° F.
 It can also be kept in a freezer compartment of a fridge for
up to two weeks at 0 - 5°F
 It can be stored in a deep freezer for about 3-12 months

20. GRANDMOTHER'S CORNER
New breast-feeding moms do need lots of help! Mom and baby need to spend LOTS and
LOTS of time together so they can learn how to breastfeed but this means that the new
mom needs help with all the other parts of being a mom - this means you can help with:
 making sure mom gets healthy food to eat
 helping with the new babies older brothers and sisters
 washing/folding new baby's unending dirty clothes and blankets
 comforting baby in between feeds so moms can nap
 learning about breast milk/nursing and helping educate the family about how important
it is

21. ‫األم؟‬ ‫صحة‬ ‫في‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫مساهمة‬ ‫مدى‬ ‫ما‬
‫تساعد‬‫النزي‬ ‫من‬ ‫والحد‬ ‫الرحم‬ ‫تقليص‬ ‫على‬ ‫الوالدة‬ ‫بعد‬ ‫الطبيعية‬ ‫الرضاعة‬‫ف‬.
‫تقوي‬‫الرضيع‬ ‫والطفل‬ ‫األم‬ ‫بين‬ ‫العالقة‬ ‫الطبيعية‬ ‫الرضاعة‬(‫نظر‬ ‫وجهة‬ ‫من‬‫األم‬.)
‫تساعد‬‫ا‬ ‫وبالتالي‬ ‫الدهنية‬ ‫األنسجة‬ ‫من‬ ‫االستفادة‬ ‫على‬ ‫الطبيعية‬ ‫الرضاعة‬‫إلى‬ ‫لعودة‬
‫الحمل‬ ‫قبل‬ ‫ما‬ ‫وزن‬.
‫توفر‬‫الثدي‬ ‫بسرطان‬ ‫االصابة‬ ‫خطر‬ ‫من‬ ‫وتقلل‬ ‫الحماية‬ ‫الطبيعية‬ ‫الرضاعة‬‫وسرطان‬
‫المستقبل‬ ‫في‬ ‫المبيض‬

22. ‫الرضيع؟‬ ‫الطفل‬ ‫صحة‬ ‫في‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫مساهمة‬ ‫مدى‬ ‫ما‬
‫حليب‬‫غذاء‬ ‫من‬ ‫أكثر‬ ‫هو‬ ‫األم‬"‫فقط‬"‫يستطيع‬ ‫ال‬ ‫حيث‬ ،‫وقائية‬ ‫مناعة‬ ‫حتى‬ ‫الرضيع‬ ‫للطفل‬ ‫يوفر‬ ‫هو‬ ،‫غذاء‬ ‫أي‬
‫توفيرها‬ ‫اخر‬ ‫رضع‬ ‫أطفال‬.
‫تقوي‬‫وأمه‬ ‫الرضيع‬ ‫الطفل‬ ‫بين‬ ‫العالقة‬ ‫الطبيعية‬ ‫الرضاعة‬(‫الرضيع‬ ‫الطفل‬ ‫نظر‬ ‫وجهة‬ ‫من‬.)
‫تساعد‬‫سليم‬ ‫نمو‬ ‫على‬ ‫الطبيعية‬ ‫الرضاعة‬.
‫تقوي‬‫ا‬ ‫مثل‬ ‫األمراض‬ ‫ضد‬ ‫الحماية‬ ‫في‬ ‫وتساعد‬ ‫الرضيع‬ ‫الطفل‬ ‫لدى‬ ‫المناعة‬ ‫جهاز‬ ‫الطبيعية‬ ‫الرضاعة‬‫إلصابة‬
‫ذلك‬ ‫من‬ ‫وأكثر‬ ‫حساسية‬ ،‫إسهال‬ ،‫األذن‬ ‫بإلتهابات‬.
‫تقلل‬‫خطر‬ ‫الطبيعية‬ ‫الرضاعة‬"‫المفاجىء‬ ‫الرضيع‬ ‫الطفل‬ ‫موت‬ ‫متالزمة‬."
‫تقلل‬‫المرتب‬ ‫األمراض‬ ‫وكذلك‬ ‫الحق‬ ‫وقت‬ ‫في‬ ‫الحياة‬ ‫في‬ ‫بالسمنة‬ ‫اإلصابة‬ ‫خطر‬ ‫الطبيعية‬ ‫الرضاعة‬‫بالسمنة‬ ‫طة‬
‫الدم‬ ‫ضغط‬ ‫وإرتفاع‬ ‫السكري‬ ‫مثل‬.

23. ‫؟‬ ‫اليوم‬ ‫في‬ ‫يرضعها‬ ‫أن‬ ‫الرضيع‬ ‫الطفل‬ ‫على‬ ‫يجب‬ ‫التي‬ ‫المرات‬ ‫عدد‬ ‫ما‬
‫في‬‫الرض‬ ‫الطفل‬ ‫فإن‬ ‫األولى‬ ‫األسابيع‬ ‫خالل‬ ‫وفي‬ ‫الوالدة‬ ‫بعد‬ ‫األولى‬ ‫األيام‬‫يرضع‬ ‫يع‬
‫األحيان‬ ‫من‬ ‫كثير‬ ‫في‬:‫نحو‬–8-12‫متواصلة‬ ‫ولفترة‬ ‫اليوم‬ ‫في‬ ‫مرة‬.
‫الرضيع‬ ‫الطفل‬ ‫نمو‬ ‫مع‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫مرات‬ ‫عدد‬ ‫يقل‬.‫أعما‬ ‫جدول‬ ‫إنشاء‬‫ل‬
‫اليوم‬ ‫مدار‬ ‫على‬ ‫التصرف‬ ‫األم‬ ‫على‬ ‫يسهل‬ ‫الذي‬.
‫الصلبة‬ ‫المواد‬ ‫تناول‬ ‫في‬ ‫والبدء‬ ‫الرضيع‬ ‫الطفل‬ ‫نمو‬ ‫مع‬(‫ست‬ ‫سن‬ ‫نحو‬ ‫في‬‫أشهر‬ ‫ة‬)،
‫الطبيعية‬ ‫الرضاعة‬ ‫وتيرة‬ ‫في‬ ‫تدريجي‬ ‫إنخفاض‬ ‫هناك‬ ‫سيكون‬.

24. ‫؟‬ ‫يرضع‬ ‫ان‬ ‫يريد‬ ‫الرضيع‬ ‫الطفل‬ ‫بأن‬ ‫اعرف‬ ‫أن‬ ‫لي‬ ‫كيف‬
‫عادة‬‫بحث‬ ‫عالمات‬ ‫الرضيع‬ ‫الطفل‬ ‫يظهر‬ ‫ما‬:‫إلى‬ ‫جهة‬ ‫من‬ ‫رأسه‬ ‫يحرك‬ ،‫يقظة‬
‫الفم‬ ‫في‬ ‫مص‬ ‫عالمات‬ ‫ويظهر‬ ‫فمه‬ ‫إلى‬ ‫يديه‬ ‫يدخل‬ ،‫جهة‬.
‫وإقت‬ ،‫البكاء‬ ‫حتى‬ ‫اإلنتظار‬ ‫يفضل‬ ‫ال‬ ‫لذلك‬ ،‫للجوع‬ ‫متأخرة‬ ‫عالمة‬ ‫هو‬ ‫البكاء‬‫راح‬
‫ظهوره‬ ‫قبل‬ ‫الطبيعية‬ ‫الرضاعة‬.

25. ‫بالثدي‬ ‫جيدا‬ ‫يرتبط‬ ‫الرضيع‬ ‫الطفل‬ ‫بأن‬ ‫أعرف‬ ‫أن‬ ‫لي‬ ‫كيف‬
‫؟‬ ‫سليم‬ ‫بشكل‬ ‫ويرضع‬
‫الطفل‬،‫للبطن‬ ‫البطن‬ ،‫األم‬ ‫لجسم‬ ‫مالصق‬ ‫يكون‬ ‫عندما‬ ‫للثدي‬ ‫جيدا‬ ‫مرتبط‬‫ذقنه‬
‫ال‬ ‫منطقة‬ ‫في‬ ‫الموجودة‬ ،‫الحلمة‬ ‫حول‬ ‫الهالة‬ ‫معظم‬ ،‫الثدي‬ ‫في‬ ‫ومنغمسة‬ ‫مالصقة‬‫شفة‬
‫الرضيع‬ ‫الطفل‬ ‫فم‬ ‫في‬ ‫تكون‬ ‫سوف‬ ،‫الرضيع‬ ‫للطفل‬ ‫السفلى‬.‫أ‬ ‫توجد‬ ‫ال‬‫عند‬ ‫وجاع‬
‫البلع‬ ‫أصوات‬ ‫وتسمع‬ ‫الطبيعية‬ ‫الرضاعة‬.

26. ‫الكمية‬ ‫على‬ ‫يحصل‬ ‫الرضيع‬ ‫الطفل‬ ‫بأن‬ ‫أعرف‬ ‫أن‬ ‫لي‬ ‫كيف‬
‫؟‬ ‫الحليب‬ ‫من‬ ‫الكافية‬
‫الرضيع‬ ‫للطفل‬ ‫والبراز‬ ‫البول‬ ‫كمية‬ ‫حسب‬:‫األولى‬ ‫أسابيع‬ ‫الستة‬ ‫في‬‫الوالدة‬ ‫بعد‬
‫يكون‬ ‫أن‬ ‫يمكن‬3-4‫و‬ ،‫أصفر‬ ،‫الرخو‬ ‫البراز‬ ‫من‬ ‫مرات‬-5-6‫البول‬ ‫مع‬ ‫حفاضات‬
‫اليوم‬ ‫في‬.
‫الطفل‬‫الطبيعية‬ ‫الرضاعة‬ ‫نهاية‬ ‫مع‬ ‫هادىء‬ ‫الرضيع‬.
‫الطفل‬‫غضون‬ ‫في‬ ‫الوالدة‬ ‫عند‬ ‫للوزن‬ ‫ويعود‬ ‫الوزن‬ ‫في‬ ‫يزداد‬ ‫الرضيع‬10-14
‫يوم‬.

27. ‫؟‬ ‫وجبة‬ ‫كل‬ ‫في‬ ‫الثديين‬ ‫كال‬ ‫من‬ ‫يرضع‬ ‫أن‬ ‫الرضيع‬ ‫الطفل‬ ‫على‬ ‫يجب‬ ‫هل‬
‫الطريقة‬‫هي‬ ‫الرضيع‬ ‫الطفل‬ ‫إلرضاع‬ ‫الصحيحة‬:‫ف‬ ‫حتى‬ ‫األولى‬ ‫الجهة‬ ‫إقتراح‬‫ك‬
‫الهواء‬ ‫بإخراج‬ ‫له‬ ‫السماح‬ ،‫الثدي‬ ‫من‬ ‫الرضيع‬ ‫للطفل‬ ‫ذاتي‬ ‫بشكل‬ ‫اإلرتباط‬‫عن‬
‫الثان‬ ‫الجهة‬ ‫له‬ ‫اإلقتراح‬ ‫ذلك‬ ‫وبعد‬ ‫األيدي‬ ‫على‬ ‫الرضيع‬ ‫الطفل‬ ‫رفع‬ ‫طريق‬‫أيضا‬ ‫ية‬.
‫م‬ ‫ونقله‬ ‫للطفل‬ ‫حفاضة‬ ‫وضع‬ ‫طريق‬ ‫عن‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫تشجيع‬ ‫يمكن‬‫ثدي‬ ‫ن‬
‫إيقاظه‬ ‫وبالتالي‬ ‫آخر‬ ‫إلى‬ ‫واحد‬.
‫لرغ‬ ‫وفقا‬ ‫واحد‬ ‫جانب‬ ‫من‬ ‫وجبة‬ ‫كل‬ ‫في‬ ‫اإلرضاع‬ ‫يمكنك‬ ،‫الطفل‬ ‫يكبر‬ ‫عندما‬‫بته‬.
‫انتهى‬ ‫حال‬ ‫وفي‬ ‫ثدي‬ ‫كل‬ ‫من‬ ‫دقيقه‬ ‫عشرون‬ ‫مدة‬ ‫الطفل‬ ‫ارضاغ‬ ‫االم‬ ‫على‬ ‫يجب‬
‫حليب‬ ‫الن‬ ‫الثانيه‬ ‫الوجبه‬ ‫في‬ ‫الجه‬ ‫نفس‬ ‫من‬ ‫البدايه‬ ‫الوقت‬ ‫هذا‬ ‫قبل‬ ‫الطفل‬‫يبدا‬ ‫االم‬
‫ال‬ ‫العناصر‬ ‫جميع‬ ‫اخذ‬ ‫لضمان‬ ‫والبروتين‬ ‫المشبعه‬ ‫بالدهون‬ ‫وينتهي‬ ‫بالماء‬‫غذائيه‬

28. ‫و‬ ‫إمتأل‬ ‫عالمات‬ ‫تظهر‬ ‫ولماذا‬ ‫متى‬/‫؟‬ ‫الثديين‬ ‫في‬ ‫إحتقان‬ ‫أو‬
‫اإلمتالء‬-‫طبيعية‬ ‫حالة‬,‫األيام‬ ‫في‬ ‫تقريبا‬ ‫تظهر‬3-4‫الوالدة‬ ‫بعد‬.
‫اإلحتقان‬-‫مرضية‬ ‫حالة‬(‫باثولوجي‬)‫الحلي‬ ‫كمية‬ ‫بين‬ ‫التوازن‬ ‫نقص‬ ‫أعقاب‬ ‫في‬ ‫تظهر‬‫التي‬ ‫ب‬
‫الرضيع‬ ‫الطفل‬ ‫يرضعها‬ ‫التي‬ ‫الكمية‬ ‫وبين‬ ‫الجسم‬ ‫ينتجها‬.
‫إحتقان‬‫الثدي‬ ‫في‬ ‫إلتهاب‬ ‫إلى‬ ‫يؤدي‬ ‫قد‬ ‫عالجه‬ ‫يتم‬ ‫ال‬.‫ي‬ ‫اإلحتقان‬ ،‫ذلك‬ ‫إلى‬ ‫باإلضافة‬‫الطفل‬ ‫زعج‬
‫الرضيع‬‫من‬ ‫ويمنعه‬‫بنجاح‬ ‫يرضع‬ ‫وأن‬ ‫الهالة‬ ‫حول‬ ‫فمه‬ ‫إغالق‬.
‫بي‬ ‫ذكر‬ ‫الذي‬ ‫التوازن‬ ‫نقص‬ ‫من‬ ،‫الوالدة‬ ‫بعد‬ ‫األولى‬ ‫األيام‬ ‫في‬ ‫اإلحتقان‬ ‫يظهر‬ ‫أن‬ ‫يمكن‬‫كمية‬ ‫ن‬
‫للطفل‬ ‫اإلرضاع‬ ‫وكمية‬ ‫الحليب‬ ‫إنتاج‬.‫ف‬ ‫الرضيع‬ ‫الطفل‬ ‫إرضاع‬ ‫المهم‬ ‫من‬ ‫الحالة‬ ‫هذه‬ ‫في‬‫كثير‬ ‫ي‬
‫اإلحتقان‬ ‫من‬ ‫التخفيف‬ ‫حتى‬ ،‫باردة‬ ‫كمادات‬ ‫ووضع‬ ،‫األحيان‬ ‫من‬.
‫إذا‬‫الحليب‬ ‫بضخ‬ ‫يوصى‬ ،‫ممكنة‬ ‫غير‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫كانت‬.
‫مثل‬ ‫بها‬ ‫مرغوب‬ ‫غير‬ ‫أعراض‬ ‫تجنب‬ ‫أجل‬ ‫من‬ ‫مهنية‬ ‫مساعدة‬ ‫على‬ ‫للحصول‬ ‫التوجه‬ ‫المهم‬ ‫من‬
‫اإللتهاب‬.

29. ‫؟‬ ‫مؤلمة‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫تعتبر‬ ‫هل‬
‫مؤلمة‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫تكون‬ ‫أن‬ ‫المفترض‬ ‫من‬ ‫ليس‬.
‫الوالدة‬ ‫بعد‬ ‫األولى‬ ‫األيام‬ ‫خالل‬ ‫الحلمات‬ ‫في‬ ‫حساسية‬ ‫هناك‬ ‫تكون‬ ‫أن‬ ‫يمكن‬.
‫باأللم‬ ‫تشعرين‬ ‫كنت‬ ‫إذا‬:
‫يجب‬‫الر‬ ‫الطفل‬ ‫فصل‬ ،‫بالثدي‬ ‫واإللتصاق‬ ‫الرضيع‬ ‫الطفل‬ ‫وضع‬ ‫فحص‬‫بلطف‬ ‫ضيع‬
‫أخرى‬ ‫مرة‬ ‫وربطه‬ ‫الثدي‬ ‫من‬.
‫البدء‬‫اقل‬ ‫بشكل‬ ‫المؤلم‬ ‫الثدي‬ ‫من‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫في‬.
‫يمكن‬‫األلم‬ ‫لتسهيل‬ ‫الحلمة‬ ‫على‬ ‫األم‬ ‫حليب‬ ‫من‬ ‫القليل‬ ‫دهن‬.
‫إذا‬‫مهنية‬ ‫مساعدة‬ ‫على‬ ‫للحصول‬ ‫التوجه‬ ‫يجب‬ ‫شق‬ ‫أو‬ ‫جرح‬ ‫ظهر‬.

30. ‫هل‬‫غذائية‬ ‫مكمالت‬ ‫إلى‬ ‫حاجة‬ ‫هناك‬(‫معادن‬ ،‫فيتامينات‬)‫فترة‬ ‫في‬ ‫األم‬ ‫لتغذية‬
‫؟‬ ‫الطبيعية‬ ‫الرضاعة‬
‫ال‬‫خاصة‬ ‫غذائية‬ ‫مكمالت‬ ‫إلى‬ ‫حاجة‬ ‫هناك‬ ‫توجد‬.‫م‬ ‫متنوعة‬ ‫مجموعة‬ ‫على‬ ‫تحرص‬ ‫المرضعة‬ ‫األم‬ ‫بأن‬ ‫يوصى‬‫ن‬
‫حكيمة‬ ‫أكل‬ ‫عادات‬ ‫وعلى‬ ‫األغذية‬.
‫شرب‬ ‫في‬ ‫األولى‬ ‫األيام‬ ‫في‬ ‫خاصة‬ ‫حاجة‬ ‫هناك‬‫الماء‬ ‫كثيرمن‬‫إلى‬ ‫يصل‬8-10‫اليوم‬ ‫في‬ ‫أكواب‬.
‫حديد‬ ‫أقراص‬ ‫تناول‬ ‫في‬ ‫اإلستمرار‬ ‫األم‬ ‫على‬ ،‫الوالدة‬ ‫بعد‬ ‫األول‬ ‫الشهر‬ ‫في‬(‫للحمل‬ ‫إستمرارا‬)‫ب‬ ‫القيام‬ ،‫تنفيذ‬
‫المعالج‬ ‫الطبيب‬ ‫قبل‬ ‫من‬ ‫عالج‬ ‫تلقي‬ ‫يجب‬ ‫الدم‬ ‫فقر‬ ‫حالة‬ ‫وفي‬ ‫دم‬ ‫فحص‬.
‫التأكيد‬ ‫المهم‬ ‫من‬:‫إحت‬ ‫بالضبط‬ ‫تناسب‬ ‫التي‬ ‫عالية‬ ‫غذائية‬ ‫قيمة‬ ‫ذو‬ ‫حليب‬ ‫أم‬ ‫كل‬ ‫تنتج‬ ،‫عام‬ ‫بشكل‬‫الطفل‬ ‫ياجات‬
‫الرضيع‬.‫ص‬ ‫وعلى‬ ‫األم‬ ‫بيانات‬ ‫قاعدة‬ ‫على‬ ‫الحفاظ‬ ‫في‬ ‫تكمن‬ ‫معقولة‬ ‫غذائية‬ ‫قائمة‬ ‫على‬ ‫الحفاظ‬ ‫أهمية‬‫حتها‬. .
‫من‬ ،‫معينة‬ ‫غذاء‬ ‫مجموعات‬ ‫عن‬ ‫تمتنع‬ ‫أو‬ ‫األغذية‬ ‫من‬ ‫متنوعة‬ ‫مجموعة‬ ‫يشمل‬ ‫ال‬ ‫غذائي‬ ‫نظام‬ ‫وفق‬ ‫تتغذى‬ ‫أم‬
‫تغذية‬ ‫إختصاصية‬ ‫إستشارة‬ ‫إلى‬ ‫التوجه‬ ‫المفضل‬/‫طبيب‬.
‫الرضي‬ ‫للطفل‬ ‫األم‬ ‫حليب‬ ‫إعطاء‬ ‫المستحسن‬ ‫فمن‬ ،‫فقير‬ ‫أو‬ ‫ناقص‬ ‫لألم‬ ‫الغذائي‬ ‫النظام‬ ‫كان‬ ‫لو‬ ‫حتى‬‫ع‬.

31. ‫؟‬ ‫الطبيعية‬ ‫الرضاعة‬ ‫فترة‬ ‫في‬ ‫األدوية‬ ‫تناول‬ ‫يجوز‬ ‫هل‬
‫معظم‬‫الطبيعية‬ ‫الرضاعة‬ ‫فترة‬ ‫في‬ ‫لإلستعمال‬ ‫امنة‬ ‫األدوية‬.‫إستش‬ ‫المهم‬ ‫من‬‫ارة‬
‫فتر‬ ‫في‬ ‫لإلستهالك‬ ‫وصالحيتها‬ ‫األدوية‬ ‫بإستخدام‬ ‫يتعلق‬ ‫فيما‬ ‫الطبيب‬‫الرضاعة‬ ‫ة‬
‫الطبيعية‬.

32. ‫الطبيعيه‬ ‫الرضاعه‬ ‫خطوات‬
‫ضعي‬‫مال‬ ‫صدره‬ ‫يكون‬ ‫بحيث‬ ‫الرضاعه‬ ‫بداية‬ ‫في‬ ‫صحيحة‬ ‫بوضعيه‬ ‫الطفل‬‫مس‬
ِ‫ة‬‫بموازا‬ ‫انفه‬ ‫يكون‬ ‫و‬ ‫لصدرك‬ِ‫حلمتك‬

33. ‫ارضعي‬‫الثاني‬ ‫للثدي‬ ‫واصلي‬ ‫ثم‬ ‫يتجشأ‬ ‫دعيه‬ ‫ثم‬ ‫االول‬ ‫الثدي‬ ‫من‬ ‫طفلك‬

34. ‫استم‬ ‫اذا‬ ‫لكن‬ ‫و‬ ‫الرضاعه‬ ‫بدء‬ ‫عند‬ ‫الخفيف‬ ‫االلم‬ ‫ببعض‬ ‫األم‬ ‫تحس‬ ‫ان‬ ‫الطبيعي‬ ‫من‬‫االلم‬ ‫ر‬
‫م‬ ‫المحاوله‬ ‫يجب‬ ‫و‬ ‫خاطئة‬ ‫بالثدي‬ ‫الطفله‬ ‫اتصال‬ ‫طريقة‬ ‫ان‬ ‫يعني‬ ‫فهذا‬ ‫شديدا‬ ‫كان‬ ‫و‬‫ره‬
‫م‬ ‫الحلمه‬ ‫اخرجي‬ ‫و‬ ‫طفلتك‬ ‫فم‬ ‫في‬ ‫االصغر‬ ‫اصبعك‬ ‫ادخلي‬ ‫الرضاعه‬ ‫انتهاء‬ ‫عند‬ ‫اخرى‬‫نه‬
‫الرضعه‬ ‫نهاية‬ ‫عند‬ ‫جدا‬ ‫ضروري‬ ‫التجشؤ‬

35. References
 Wambach, K., & Riordan, J. (2014). Breastfeeding and human lactation. Jones & Bartlett
Publishers.
 Parajuli, J., Mishra, P., & Thapa, N. (2017). Knowledge and Practice Regarding
Breastfeeding among Mothers Attending Immunization Clinic in Nepalgunj Medical
College Teaching Hospital. Journal of Nepalgunj Medical College, 13(1), 32-39.
 Essential of maternity New born, and Women's health nursing 3rd Edition
 McLeod, K. S. (2014, October). Assessment of Multi-Specialty Residents' Evaluation of
a Breastfeeding Latch on Video. In 2014 AAP National Conference and Exhibition.
American Academy of Pediatrics.
 Moore, K. L. (2015). The Rates of Mothers Who Continually Breastfeed After
Implemented Breastfeeding Teaching.