This document discusses concerns about low milk supply in mothers and strategies to address this issue. It covers normal breastfeeding and infant growth patterns, factors that influence milk production, signs of inadequate milk intake in infants, and interventions to improve milk supply and transfer. These include ensuring proper latch and frequent, on-demand feedings to stimulate milk production as well as monitoring mothers and infants to identify and address supply issues. The goal is to provide appropriate support to establish and maintain a sufficient milk supply through education and early intervention.
The document provides information on breastfeeding and lactation. It discusses:
- The benefits of breastfeeding for infant health and development as well as maternal health.
- The anatomy and physiology of lactation, including hormone changes during pregnancy and breastfeeding that stimulate milk production.
- The process of milk production, including the let-down reflex and suckling stimulating milk secretion.
- The composition and properties of colostrum, transitional milk, and mature breastmilk.
- The short-term and long-term health benefits of breastfeeding for infants and children.
The document discusses lactation, its physiology and causes of lactation failure. It describes the prolactin and oxytocin reflexes which are involved in milk production and ejection. Psychological and social factors are common causes of insufficient milk production according to the document. Engorged breasts, sore nipples and mastitis are mentioned as biological local causes. The management of lactation failure involves prevention, early detection and treatment. Relactation techniques including frequent breastfeeding and the use of supplements are described to reestablish milk production.
7 breastfeeding the premature and the sick term babyVarsha Shah
A document about breastfeeding for preterm infants discusses several topics:
1. The mother's feelings after delivery of a preterm infant, which can include shock, doubt in her abilities, and stages of grief. Providing support is important.
2. The advantages of breastfeeding a preterm baby, such as better digestion, protection from infection, and improved development. The baby's own mother's milk is most beneficial.
3. Ways to help the mother bond with her preterm baby, including kangaroo care, involvement in care, and spending time together.
The document provides guidance on feeding very low and low birth weight preterm infants, determining readiness for breastfeeding, and
Breastfeeding provides significant health benefits for both infants and mothers. It reduces infant mortality and risk of diseases. Breastmilk alone meets all nutritional needs for the first six months. Positioning the infant properly for breastfeeding and frequent feedings helps stimulate milk production. Governments should promote breastfeeding information to support maternal and child health.
The document discusses the Baby Friendly Hospital Initiative (BFHI) which was launched in 1991 by WHO and UNICEF to promote breastfeeding. It was introduced in India in 1993. The BFHI aims to protect, promote and support breastfeeding practices through 10 steps that health facilities should implement. These include having a written breastfeeding policy, training staff, helping mothers initiate breastfeeding within 30 minutes of birth, teaching positioning and latching, rooming-in, not providing supplements unless medically necessary, and fostering breastfeeding support groups. The BFHI helps encourage breastfeeding and address mothers' concerns. Its implementation can improve infant health and growth through breastfeeding.
This document discusses concerns about low milk supply in mothers and strategies to address this issue. It covers normal breastfeeding and infant growth patterns, factors that influence milk production, signs of inadequate milk intake in infants, and interventions to improve milk supply and transfer. These include ensuring proper latch and frequent, on-demand feedings to stimulate milk production as well as monitoring mothers and infants to identify and address supply issues. The goal is to provide appropriate support to establish and maintain a sufficient milk supply through education and early intervention.
The document provides information on breastfeeding and lactation. It discusses:
- The benefits of breastfeeding for infant health and development as well as maternal health.
- The anatomy and physiology of lactation, including hormone changes during pregnancy and breastfeeding that stimulate milk production.
- The process of milk production, including the let-down reflex and suckling stimulating milk secretion.
- The composition and properties of colostrum, transitional milk, and mature breastmilk.
- The short-term and long-term health benefits of breastfeeding for infants and children.
The document discusses lactation, its physiology and causes of lactation failure. It describes the prolactin and oxytocin reflexes which are involved in milk production and ejection. Psychological and social factors are common causes of insufficient milk production according to the document. Engorged breasts, sore nipples and mastitis are mentioned as biological local causes. The management of lactation failure involves prevention, early detection and treatment. Relactation techniques including frequent breastfeeding and the use of supplements are described to reestablish milk production.
7 breastfeeding the premature and the sick term babyVarsha Shah
A document about breastfeeding for preterm infants discusses several topics:
1. The mother's feelings after delivery of a preterm infant, which can include shock, doubt in her abilities, and stages of grief. Providing support is important.
2. The advantages of breastfeeding a preterm baby, such as better digestion, protection from infection, and improved development. The baby's own mother's milk is most beneficial.
3. Ways to help the mother bond with her preterm baby, including kangaroo care, involvement in care, and spending time together.
The document provides guidance on feeding very low and low birth weight preterm infants, determining readiness for breastfeeding, and
Breastfeeding provides significant health benefits for both infants and mothers. It reduces infant mortality and risk of diseases. Breastmilk alone meets all nutritional needs for the first six months. Positioning the infant properly for breastfeeding and frequent feedings helps stimulate milk production. Governments should promote breastfeeding information to support maternal and child health.
The document discusses the Baby Friendly Hospital Initiative (BFHI) which was launched in 1991 by WHO and UNICEF to promote breastfeeding. It was introduced in India in 1993. The BFHI aims to protect, promote and support breastfeeding practices through 10 steps that health facilities should implement. These include having a written breastfeeding policy, training staff, helping mothers initiate breastfeeding within 30 minutes of birth, teaching positioning and latching, rooming-in, not providing supplements unless medically necessary, and fostering breastfeeding support groups. The BFHI helps encourage breastfeeding and address mothers' concerns. Its implementation can improve infant health and growth through breastfeeding.
Breastfeeding friendly general practitionerVarsha Shah
The document discusses breastfeeding rates and recommendations in Singapore, highlighting the importance of exclusive breastfeeding for six months and the key role general practitioners can play in supporting breastfeeding mothers by addressing common concerns, providing accurate information, and creating breastfeeding-friendly practices. Barriers to breastfeeding in Singapore include low exclusive breastfeeding rates beyond the first few months and a lack of lactation advice from physicians.
This resource provides information to new parents on infant feeding. It covers the benefits of breastfeeding, responsive feeding techniques, skin-to-skin contact, proper positioning and attachment for breastfeeding, signs that feeding is going well, expressing and storing breastmilk, potential challenges, and where to seek help if needed. The goal is to empower parents to choose and carry out infant feeding in a way that meets the needs of their developing baby.
This presentation is related with the contents regarding breast feeding. It includes complete information about breast feeding including different pictures and beautifully designed.
This document discusses breastfeeding, formula feeding, and feeding children after age 1. It outlines the nutritional, immunological, and psychosocial advantages of breastfeeding for babies and mothers. Some barriers to breastfeeding and proper breastfeeding technique are described. Guidelines are provided for encouraging breastfeeding in hospitals and supplementing with formula or weaning babies onto other foods starting at around 6 months of age. Principles of formula feeding and feeding children during later childhood and according to the Food Guide Pyramid are also covered.
This document discusses breastfeeding, including its benefits, anatomy, physiology, and techniques. Some key points include:
- Exclusive breastfeeding is recommended for the first six months due to complete nutrition, immunity benefits, and bonding effects.
- Breast anatomy includes glandular tissue, ducts, and sinuses that secrete and store milk under stimulation from prolactin and oxytocin hormones.
- Common issues like sore nipples and engorgement can be prevented or treated to ensure successful breastfeeding.
- Frequent feeding on demand is recommended, assessing urine output and weight gain of the baby.
This document discusses the benefits of breastfeeding for babies, mothers, families, and communities. It provides details on 10 steps to successful breastfeeding including initiating breastfeeding within 30 minutes of birth, exclusive breastfeeding for the first 6 months, and rooming-in. Common breastfeeding problems like retracted nipples, cracked nipples, and mastitis are explained along with their treatments. Guidelines are provided for counseling breastfeeding mothers, managing special cases like working mothers and HIV-positive mothers, and the safety of medications during lactation.
This document discusses breastfeeding and the roles of care providers in supporting it. It covers the types and benefits of breast milk, including colostrum, preterm breast milk, and mature milk. It also discusses how oxytocin affects milk production and describes ways care providers can support early and continued breastfeeding.
This document discusses breastfeeding, including its benefits, physiology, technique, composition of breast milk, and potential problems. Some key points:
- Breastfeeding provides optimal nutrition for infants and protects against illness through antibodies in breast milk.
- The physiological process of lactation involves preparation of breasts, milk synthesis and secretion, milk ejection, and maintenance of lactation.
- Breast milk contains the right balance of nutrients for infants and differs from cow's milk in important ways.
- Proper breastfeeding technique involves positioning the baby correctly at the breast and supporting the baby to latch on.
- Benefits of breastfeeding include improved immunity, maternal weight loss, and reduced risk of various diseases in both mother
The document discusses breastfeeding and its importance. Some key points include:
- Globally, only 38% of babies are exclusively breastfed for the first 6 months according to WHO. In India, around 40-46% of mothers breastfeed within an hour of birth and exclusively for 6 months.
- Exclusive breastfeeding for the first 6 months provides optimal nutrition and protection from infections for infants. Breast milk contains the right nutrients in the right proportion for a baby's growth and development.
- Proper attachment and positioning of the baby at the breast is important for effective suckling and breastfeeding. Factors like frequent feeding, rooming-in help establish and maintain breastfeeding.
- Expressing and
Breastfeeding provides optimal nutrition and health benefits for infants. It involves the feeding of an infant or young child with breast milk directly from the female breast. The physiological basis of lactation involves four phases: preparation of breasts, synthesis and secretion from breast alveoli, ejection of milk, and maintenance of lactation. Breastfeeding has many advantages for both mother and infant, including improved immunity, nutrition, bonding, and reduced risk of various diseases. Contraindications to breastfeeding include certain medical conditions in the mother or infant. Common problems with breastfeeding include painful or engorged breasts which can often be addressed through proper positioning and feeding techniques.
The document discusses physiology of lactation and breastfeeding recommendations. It recommends exclusive breastfeeding for six months, and continued breastfeeding for at least one year. The benefits of breastfeeding for both mother and baby are described. Proper positioning and attachment for breastfeeding are explained. Common issues like sore nipples, engorgement and mastitis are addressed. Research suggests skin-to-skin contact immediately after birth stimulates breastfeeding behavior in newborns.
The document discusses lactation physiology and breastfeeding recommendations. It recommends exclusive breastfeeding for six months, and continued breastfeeding for at least one year. The benefits of breastfeeding for both mother and baby are outlined. Proper breastfeeding techniques and managing common issues like sore nipples and engorgement are also covered.
This document discusses breastfeeding promotion and support for infants with special needs. It covers several key points:
1) Human breastmilk provides important immune factors, growth factors, and nutrients that are especially beneficial for preterm/low birth weight infants and infants with medical conditions.
2) Infants with conditions like prematurity, cardiac or breathing issues may need to be fed in special ways like through tubes, cups, or supplemental nursing systems depending on their ability to feed orally. Frequent, short feedings are often recommended.
3) With support like providing expressed breastmilk, skin-to-skin contact, and assistance with positioning and latching, mothers can successfully breastfeed infants with conditions like cleft
This document discusses breastfeeding and lactation. It covers topics like the benefits of breastfeeding for baby and mother, breast anatomy, milk production, proper latching techniques, common challenges and how to address them, expressing and storing breastmilk, recommended feeding schedules and more. Visuals and examples are provided to demonstrate proper positioning and latch. The overall message is that breastfeeding is natural but doesn't always come naturally, so knowledge, practice and patience are important.
Breastfeeding provides optimal nutrition for infants. It has benefits for both mother and baby, including promoting postpartum weight loss and emotional health for mothers. For babies, breastfeeding reduces risks of infectious diseases, gastrointestinal issues, SIDS and other illnesses. Physiologically, lactation involves four phases - preparation, milk synthesis, milk ejection, and maintenance. Key hormones like prolactin are involved. Breast milk differs significantly from cow's milk in its protein, fat, vitamin, mineral and immune factor composition in ways that benefit infant health and development. Proper breastfeeding technique ensures babies effectively latch on and feed.
Breastfeeding provides optimal nutrition for infants and conveys numerous health benefits for both mother and baby. It involves the feeding of an infant or young child with breast milk directly from the female breast. The physiological process of lactation is divided into four phases: preparation of breasts, milk synthesis and secretion, milk ejection, and maintenance of lactation. Breastfeeding should be initiated within an hour of birth and experts recommend exclusive breastfeeding for the first six months. Common problems that may occur include painful or engorged breasts, plugged ducts, and mastitis.
This document provides guidance on supporting breastfeeding for infants in the neonatal unit. It emphasizes the importance of breastmilk for preterm infants and outlines strategies to establish and maintain milk supply such as early hand expression and skin-to-skin contact. Transitioning infants to breastfeeding is discussed, including signs of readiness and proper positioning and attachment. Challenges in the neonatal unit and after discharge are addressed, with a focus on emotional support and ensuring parents feel confident continuing breastfeeding at home.
Breastfeeding and Homeopathy with Miranda CastroMiranda Castro
-----------------------------------------------------------------
How to use homeopathy to ease some of the common
complaints of breastfeeding - easily, naturally, effectively.
-----------------------------------------------------------------
Download a pdf of the powerpoint slides here:
http://mirandacastro.com/documents/Castro_Breastfeeding_2014.pdf
-----------------------------------------------------------------
Breastfeeding friendly general practitionerVarsha Shah
The document discusses breastfeeding rates and recommendations in Singapore, highlighting the importance of exclusive breastfeeding for six months and the key role general practitioners can play in supporting breastfeeding mothers by addressing common concerns, providing accurate information, and creating breastfeeding-friendly practices. Barriers to breastfeeding in Singapore include low exclusive breastfeeding rates beyond the first few months and a lack of lactation advice from physicians.
This resource provides information to new parents on infant feeding. It covers the benefits of breastfeeding, responsive feeding techniques, skin-to-skin contact, proper positioning and attachment for breastfeeding, signs that feeding is going well, expressing and storing breastmilk, potential challenges, and where to seek help if needed. The goal is to empower parents to choose and carry out infant feeding in a way that meets the needs of their developing baby.
This presentation is related with the contents regarding breast feeding. It includes complete information about breast feeding including different pictures and beautifully designed.
This document discusses breastfeeding, formula feeding, and feeding children after age 1. It outlines the nutritional, immunological, and psychosocial advantages of breastfeeding for babies and mothers. Some barriers to breastfeeding and proper breastfeeding technique are described. Guidelines are provided for encouraging breastfeeding in hospitals and supplementing with formula or weaning babies onto other foods starting at around 6 months of age. Principles of formula feeding and feeding children during later childhood and according to the Food Guide Pyramid are also covered.
This document discusses breastfeeding, including its benefits, anatomy, physiology, and techniques. Some key points include:
- Exclusive breastfeeding is recommended for the first six months due to complete nutrition, immunity benefits, and bonding effects.
- Breast anatomy includes glandular tissue, ducts, and sinuses that secrete and store milk under stimulation from prolactin and oxytocin hormones.
- Common issues like sore nipples and engorgement can be prevented or treated to ensure successful breastfeeding.
- Frequent feeding on demand is recommended, assessing urine output and weight gain of the baby.
This document discusses the benefits of breastfeeding for babies, mothers, families, and communities. It provides details on 10 steps to successful breastfeeding including initiating breastfeeding within 30 minutes of birth, exclusive breastfeeding for the first 6 months, and rooming-in. Common breastfeeding problems like retracted nipples, cracked nipples, and mastitis are explained along with their treatments. Guidelines are provided for counseling breastfeeding mothers, managing special cases like working mothers and HIV-positive mothers, and the safety of medications during lactation.
This document discusses breastfeeding and the roles of care providers in supporting it. It covers the types and benefits of breast milk, including colostrum, preterm breast milk, and mature milk. It also discusses how oxytocin affects milk production and describes ways care providers can support early and continued breastfeeding.
This document discusses breastfeeding, including its benefits, physiology, technique, composition of breast milk, and potential problems. Some key points:
- Breastfeeding provides optimal nutrition for infants and protects against illness through antibodies in breast milk.
- The physiological process of lactation involves preparation of breasts, milk synthesis and secretion, milk ejection, and maintenance of lactation.
- Breast milk contains the right balance of nutrients for infants and differs from cow's milk in important ways.
- Proper breastfeeding technique involves positioning the baby correctly at the breast and supporting the baby to latch on.
- Benefits of breastfeeding include improved immunity, maternal weight loss, and reduced risk of various diseases in both mother
The document discusses breastfeeding and its importance. Some key points include:
- Globally, only 38% of babies are exclusively breastfed for the first 6 months according to WHO. In India, around 40-46% of mothers breastfeed within an hour of birth and exclusively for 6 months.
- Exclusive breastfeeding for the first 6 months provides optimal nutrition and protection from infections for infants. Breast milk contains the right nutrients in the right proportion for a baby's growth and development.
- Proper attachment and positioning of the baby at the breast is important for effective suckling and breastfeeding. Factors like frequent feeding, rooming-in help establish and maintain breastfeeding.
- Expressing and
Breastfeeding provides optimal nutrition and health benefits for infants. It involves the feeding of an infant or young child with breast milk directly from the female breast. The physiological basis of lactation involves four phases: preparation of breasts, synthesis and secretion from breast alveoli, ejection of milk, and maintenance of lactation. Breastfeeding has many advantages for both mother and infant, including improved immunity, nutrition, bonding, and reduced risk of various diseases. Contraindications to breastfeeding include certain medical conditions in the mother or infant. Common problems with breastfeeding include painful or engorged breasts which can often be addressed through proper positioning and feeding techniques.
The document discusses physiology of lactation and breastfeeding recommendations. It recommends exclusive breastfeeding for six months, and continued breastfeeding for at least one year. The benefits of breastfeeding for both mother and baby are described. Proper positioning and attachment for breastfeeding are explained. Common issues like sore nipples, engorgement and mastitis are addressed. Research suggests skin-to-skin contact immediately after birth stimulates breastfeeding behavior in newborns.
The document discusses lactation physiology and breastfeeding recommendations. It recommends exclusive breastfeeding for six months, and continued breastfeeding for at least one year. The benefits of breastfeeding for both mother and baby are outlined. Proper breastfeeding techniques and managing common issues like sore nipples and engorgement are also covered.
This document discusses breastfeeding promotion and support for infants with special needs. It covers several key points:
1) Human breastmilk provides important immune factors, growth factors, and nutrients that are especially beneficial for preterm/low birth weight infants and infants with medical conditions.
2) Infants with conditions like prematurity, cardiac or breathing issues may need to be fed in special ways like through tubes, cups, or supplemental nursing systems depending on their ability to feed orally. Frequent, short feedings are often recommended.
3) With support like providing expressed breastmilk, skin-to-skin contact, and assistance with positioning and latching, mothers can successfully breastfeed infants with conditions like cleft
This document discusses breastfeeding and lactation. It covers topics like the benefits of breastfeeding for baby and mother, breast anatomy, milk production, proper latching techniques, common challenges and how to address them, expressing and storing breastmilk, recommended feeding schedules and more. Visuals and examples are provided to demonstrate proper positioning and latch. The overall message is that breastfeeding is natural but doesn't always come naturally, so knowledge, practice and patience are important.
Breastfeeding provides optimal nutrition for infants. It has benefits for both mother and baby, including promoting postpartum weight loss and emotional health for mothers. For babies, breastfeeding reduces risks of infectious diseases, gastrointestinal issues, SIDS and other illnesses. Physiologically, lactation involves four phases - preparation, milk synthesis, milk ejection, and maintenance. Key hormones like prolactin are involved. Breast milk differs significantly from cow's milk in its protein, fat, vitamin, mineral and immune factor composition in ways that benefit infant health and development. Proper breastfeeding technique ensures babies effectively latch on and feed.
Breastfeeding provides optimal nutrition for infants and conveys numerous health benefits for both mother and baby. It involves the feeding of an infant or young child with breast milk directly from the female breast. The physiological process of lactation is divided into four phases: preparation of breasts, milk synthesis and secretion, milk ejection, and maintenance of lactation. Breastfeeding should be initiated within an hour of birth and experts recommend exclusive breastfeeding for the first six months. Common problems that may occur include painful or engorged breasts, plugged ducts, and mastitis.
This document provides guidance on supporting breastfeeding for infants in the neonatal unit. It emphasizes the importance of breastmilk for preterm infants and outlines strategies to establish and maintain milk supply such as early hand expression and skin-to-skin contact. Transitioning infants to breastfeeding is discussed, including signs of readiness and proper positioning and attachment. Challenges in the neonatal unit and after discharge are addressed, with a focus on emotional support and ensuring parents feel confident continuing breastfeeding at home.
Breastfeeding and Homeopathy with Miranda CastroMiranda Castro
-----------------------------------------------------------------
How to use homeopathy to ease some of the common
complaints of breastfeeding - easily, naturally, effectively.
-----------------------------------------------------------------
Download a pdf of the powerpoint slides here:
http://mirandacastro.com/documents/Castro_Breastfeeding_2014.pdf
-----------------------------------------------------------------
Similar to Lactation Training Management Session-9-Milk-Supply.ppt (20)
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MYASTHENIA GRAVIS POWER POINT PRESENTATIONblessyjannu21
Myasthenia gravis is a neurological disease. It affects the grave muscles in our body. Myasthenia gravis affects how the nerves communicate with the muscles. Drooping eyelids and/or double vision are often the first noticeable sign. It is involving the muscles controlling the eyes movement, facial expression, chewing and swallowing. It also effects the muscles neck and lip movement and respiration.
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This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
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TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
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2. Discuss concerns about “not enough
milk” with mothers
Describe normal growth patterns of
infants
Describe how to improve milk intake /
transfer and milk production
Discuss a case study of “not enough
milk”
3. The most common reason for
mothers to stop
breastfeeding, or to add other
foods as well as breastmilk, is
they believe that they do not
have enough milk.
4. - Baby cries often,
- Baby does not sleep for long periods,
- Baby is not settled at the breast and is hard to feed,
- Baby sucks his or her fingers or fists,
- Baby is particularly large or small,
- Baby wants to be at the breast frequently or for a long time,
- Mother (or other person) thinks her milk looks ‘thin’,
- Little or no milk comes out when the mother tries to express,
- Breasts do not become overfull or are softer than before,
- Mother does not notice milk leaking or other signs of oxytocin
reflex,
- Baby takes a supplementary feed if given.
These signs may mean a baby is not getting enough milk but
they are not reliable indications.
5. Output
- after day 2, six or more wet diapers
in 24 hours with pale, diluted urine.
- 3-8 x bowel movements in 24hrs
Alert, good muscle tone, healthy skin.
A consistent weight gain, with an
average of 150 gram per week, is a
sign of sufficient
cont
6. • Knowing these signs will build the
mother’s confidence – point out
the things that she is doing well
and suggest ways that she can
get support in mothering.
7. A. The common reasons for low milk production are
related to factors that limit the amount of milk the
baby removes from the breast.
These factors include:
- Infrequent feeds
- Scheduled feeds
- Short feeds
- Poor suckling
- Poor attachment
8. B. Low milk production may be also related to
psychological factors:
- The mother may lack confidence; feel tired,
overwhelmed, worried.
- Physiological factors may lead to too little or
ineffective breastfeeding practices.
A mother who is in a stressful situation may feed less
frequently or for a short time, be more likely to give
supplementary feeds or a pacifier, and may spend
less time caring for the baby.
9. The mother may have a good supply of milk but the
baby may not be able to remove the milk from the
breast. Low milk transfer may result if:
- The baby is poorly attached to the breast and not
suckling effectively.
- Breastfeeds are short and hurried or infrequent.
- The baby is removed from one breast too soon, and
does not receive enough hindmilk.
- The baby is ill or premature and not able to suck
strongly .
10. Milk transfer and milk production
are linked. If the milk is not being
removed from the breast, the milk
production will decrease. If you
help the baby to remove milk more
efficiently then sufficient milk
production will usually follow.
11. Milk transfer and milk production are
linked.
If the milk is not being removed from
the breast, the milk production will
decrease.
If you help the baby to remove milk
more efficiently then, sufficient
milk production will usually follow.
12. -An average weight gain means that
some weeks it may be lower and
some weeks it may be higher.
-The range may be 100-200 grams
(3.5 – 7 ounces) per week.
13. If exclusively breastfed:
start to gain weight soon
lose weight in the first few days after birth. But total
loss should not exceed 7-10% of birth weight. Should
regain birth weight by two weeks.
Babies usually gain
100-200 grams (3.5 – 7 ounces) / week during the
first six months,
85-140 grams (3-5 ounces) / week in the second
half of the first year.
Double their birth weight by five to six months;
Triple it by one year. Babies also grow in length and
head circumference.
14. - Discuss the importance of breastfeeding and basics
of breastfeeding management during pregnancy
(Step 3),
- Facilitate skin to skin contact after birth (Step 4),
- Offer the breast to the baby soon after birth(Step 4),
- Help the baby to attach to the breast so the baby can
suckle well (Step 5),
cont
15. - Exclusively breastfeed (Step 6),
- Keep baby near so feeding signs are noticed (Step
7),
- Feed frequently, (Step 8),
- Avoid use of artificial teats and pacifiers. (Step 9),
- Provide on-going support to the mother and ensure
that mother knows how to find this support (Step 10),
Practising the Ten Steps to Successful
Breastfeeding
helps to assure an abundant
16. • Use your communication skills:
- Listen to the mother and ask relevant questions,
- Look at the baby
- Observe a breastfeed
- Respond to the mother , avoid criticism or
judgments.
- Give relevant information
- Offer suggestions
- Build the mother’s confidence.
- Help her to find support for breastfeeding and
mothering.
17. • Address the cause of the low milk intake and try to remedy it.
Discuss how the mother could feed the baby more
frequently,
Point out feeding cues when the baby has finished one
breast
Encourage skin contact and holding the baby close,
Suggest that pacifiers and artificial teats be avoided,
Suggest offering the breast for comfort
Suggest avoiding use of supplement
• If the milk supply is very low, another source of milk is
needed for a few days while the supply improves.
18. -To increase milk production, breast
needs stimulation and milk needs
to be removed frequently.
Gentle massage
Express between feeds
Get family support
Use of food, drinks, local herbs
19. Follow up – check milk production/
transfer.
Monitoring – signs of improvement,
Build mother’s confidence.
If baby’s weight is low and
supplements are needed, reduce
supplements as the situation
improves.
20. -Three participants to role-play the Case Study
below in front of the class. This roleplay should
reflect what the midwife will do now and how she
will follow up. Follow
up the role-play with a discussion among all the
participants.
-Characters:
-The patient, Anna
-Her mother-in-law (husband’s mother)
-The midwife at the outpatient department
- Show Slide 9/2 with the key points of the Case
Study
21. 9/2
UNICEF/HQ91-0168/
Betty
Press,
Kenya
-“Sleeping all the time”
-“Refusing” the breast
-3 stools in week
-12% under birth weight
-Bottle with honey and
water twice yesterday
2 weeks old
Healthy at birth
Discharged Day 2
Case study
Breastfeeding
Counselling:
a
training
course,
WHO/CHD/93.4,
UNICEF/NUT/93.2
22. What are the good elements in this
situation that you can build upon?
What are three main things this
family needs to know now?
What follow-up will you offer? What
follow-up will you offer?
23. Concerns about “not enough milk”.
Normal growth patterns of infants.
Improving milk intake and milk
production.