7. VARSHA VARGHESE
BENEFITS TO THE BABY:
a) complete food, species specific
b) easily digested & well absorbed
c) protects against infection
d) promotes emotional bonding
e) better brain growth
BENEFITS TO THE MOTHER:
a) helps in involution of the uterus
b) delays pregnancy
c) lowers the risk of ovarian & breast cancer
d) decreases the mother's work load
BENEFITS TO FAMILY & SOCIETY:
a) saves money
b) promotes family planning
c) decreases need for hospitalization
d) contributes to child survival
11. VARSHA VARGHESE
TYPES OF BREAST MILKCOLOSTRUM TRANSITIONAL
MILK
MATURE
MILK
PRETERM
MILK
FORE
MILK
HIND
MILK
The milk secreted
during the first
week after delivery.
It is yellow, thick &
contains more
antibodies & white
blood cells. It is
secreted in small
quantity & has
higher quantity of
protein content.
Milk secreted during
the following two
weeks.
The immunoglobulins &
protein content
decreases while fat &
sugar content
increases.
Follows
transitional
milk.
It is thinner &
watery but
contains all
the nutrients
essential for
optimal
growth of the
baby.
Is the breast
milk of the
mother who
delivers pre-
maturely.
It contains
higher
quantities of
proteins,
sodium, iron &
immunoglobuli
ns that are
needed by her
preterm baby.
The milk
secreted at
the start of a
feed. It is
watery & is
rich in
proteins,
sugar,
vitamins,
minerals &
water &
satisfies the
baby’s thirst.
Comes later
towards the
end of a feed
& is richer in
fat content,
provides
more energy,
& satisfies
the baby’s
hunger.
The baby
should
therefore be
allowed to
empty one
breast fully
before
offering the
other breast.
13. VARSHA VARGHESE
PREPARING THE INFANT
& MOTHER
•ensure that the infant is clinically
stable
•ensure that the infant is alert
•make sure that the mother is
comfortable & relaxed
•make her sit down in a
comfortable position
21. VARSHA VARGHESE
DEMONSTRATE FOUR
KEY POINTS IN
POSITION
•baby's head & body
should be straight
•baby's face should face
mother's breast
•baby's body should be
close to her body
•mother should support
the baby's whole body
22. VARSHA VARGHESE
HELPING THE MOTHER TO BREASTFEED
SHOW THE MOTHER
HOW TO SUPPORT
HER BREAST WITH
HER OTHER HAND
• put her fingers below
her breast
• use her first finger to
support the breast
• put her thumb above
the areola helping to
shape the breast
• not to keep her fingers
near the nipple
SHOWING THE
MOTHER HOW TO
HELP THE BABY
ATTACH
• express a little milk
onto her nipple
• touch the baby's lips
with her nipple
• wait until the baby's
mouth is opening
wide, & the breast,
aiming the nipple
towards the baby's
palate & his lower lip
well below the nipple
LOOK FOR THE SIGN
OF GOOD
ATTACHMENT
• more aerola is visible
above the baby's
mouth than below
• baby's mouth is wide
open
• baby's lower lip is
turned outwards
• baby's chin is
touching the breast
27. VARSHA VARGHESE
ASSESS IF THE INFANT IS
SUCKING & SWALLOWING
EFFECTIVELY
EFFECTIVESUCKING
• Infant takes several
slow deep sucks
followed by
swallowing & then
pauses.
INEFFECTIVESUCKING
• Infant suckles for a
short time but tries
out & is unable to
continue for long
enough.
29. VARSHA VARGHESE
ASSESSING THE ADEQUACY OF
BREASTFEEDING:
ADEQUACY OF
BREASTFEEDING
Passes
urine 6-
8times in
24hrs
Goes to
sleep for
2-3hrs
after the
feeds
Gains
weight at
10-
15gms/k
g/day
Crosses
birth
weight
by
2weeks
