For MDCU66 Rotate3 Group2 OB/GYN Breastfeeding Conference on 11/7/2013

2. Breastfeeding
Conference by Group 2

3. The Basics
Brestfeeding

4. The Basics

5. Breast Milk VS
Cow Milk
• Fats
• Carbohydrates
• Proteins
• Minerals and Vitamins
• Variations

6. Vitamin D in Breast
Milk
• Q:
• A:
5-10

7. •
•
• , sudden infant death
syndrome, , ,
•
•

8. •
•
•
•
•
•
•
•

9. Contraindication of
Breastfeeding
• Infant factor
o metabolism disorder
• Maternal factor
o drug abuse
o Infection
o maternal diseases

10. Lactation
clinic 54 - 55

13. Baby Holding
Positions
• Cradle hold
• Cross-cradle hold
• Football hold (Clutch hold)
• Side-lying hold

14. 1. Cradle Hold
• The baby is supported with
the arm on the same side
as the nursing breast.
• Best for :
o Long and flexible nipples
o Term baby from vaginal delivery
• Complaints :
o Difficult to guide baby’s mouth
o Nipple rupture
o Insufficient milk extraction
o Not recommended for tongue-tied
babies
o Babies should have stronger neck
muscles
• (approx. 1 month old)

15. 2. Cross-cradle Hold
• Sit up straight.
• Hold the baby in the
crook of the arm
opposite the breast
you're feeding.
• Support the back of the
baby's head with an
open hand.
• Support the breast from
the underside in a U-
shaped hold.
• Best for :

16. 3. Football Hold ***
• “Mothers can guide her
own breasts !”
• More stable than Cross-
Cradle hold
• support the breast in a C-
shaped hold.
• Best for :
o C-section delivery
o Lack of milk
o Large breasts
o Flat / short nipples
o Babies with trouble latching on
o Twins

17. Extra : Football Holding
for Twins
• Breast-feeding in
twins :
o Separate feeding
o Bilateral football
holding

18. 4. Side-lying Hold
• Once your baby
latches on, use one
arm to support the
mother’s head and
the other to help
support the baby.
• Best for :
o Recovering from C-section
o Sitting is uncomfortable
o Mothers are tired
o Breast-feed while asleep

19. Breast Holds

20. Breast Holds
• C hold
• U hold
• V hold (Scissors hold)

21. Real-life
Scenario

23. 22 G2P1
1

25. ?

26. ?

27. •
-
ductal and acinar
connective
tissue;fat

28. •

29. !

30. 22 G2P1
2

31. •
(NPO)
•
•
•
(postpartum blue)
• anesthesia, analgesics

32. • general anesthesia
(
)
• epidural block
½ -

33. • (lying on the
back)
• (side
laying)
•

34. 22 G2P1
3

35. Insufficient
milk
primary secondary

36. •
•
•
•
•
• estrogen-
containing oral contraceptives

37. • 2-3 2-20 cc/1
•
•

38. •
• 5-6
• 500g/ 6
•
• 6 /

39. •
•
•
•
•
• 6
•
• :
3
•

42. Q
U
E
S
T
I
O
N

43. 4
21
3

45. 4
21
3

46. Nipple Puller

48. Syringe Puller

50. http://www.drteitelbaum.com/breast-augmentation-nipple-inversion-
reduction/inversion

51. Q
U
E
S
T
I
O
N

52. 4
21
3

54. 4
21
3

55. Nipple former

57. Q
U
E
S
T
I
O
N

58. 4
21
3

60. 4
21
3

61. Nipple shield

67. Manual breast
pump
Electric breast
pump

71. Q
U
E
S
T
I
O
N

72. 4
21
3

74. 4
21
3

77. • -

80. •
• 1
•
(green poo)
• foremilk > hindmilk
•
•
•

81. A B
C
D

83. A B
C
D

84. A B

86. A B

87. •
• 1
•
(green poo)
• foremilk > hindmilk
•
•
•

88. Green poo
A B
DC

90. Green poo
A B
DC

91. •
• 1
•
(green poo)
• foremilk > hindmilk
•
•
•

92. Foremilk vs hindmilk
A B

94. Foremilk Hindmilk
A B

96. A
B
C D

98. A
B
C D

100. •
• 1
•
(green poo)
• foremilk > hindmilk
•
•
•

102. 6

103. 6
•
6
• WHO 6
•

104. • 6
)
2)
3)
• 6
•

107. • estrogen
progestin
•
progestin
• 6

108. •
• 6 98%
: Full Breastfeeding
1) : < 4 < 6
2) : < 10%
total feeding

110. •
< 1%
•
-
-

111. •
ergotamine,
•
,
G6PD

115. •
• 500 kcal
•
• 2-4 kg/wk
•
•

116. Quiz

117. 22 55 19
2
1 2
3 4
Nipple Shield
Nipple Puller
Breast PumpOrthodontic

119. 22 55 19
2
1 2
3 4
Nipple Shield
Nipple Puller
Breast PumpOrthodontic

120. 6 55 29
1
1 2
3 4

122. 6 55 29
1
1 2
3 4

123. 12 55 30
1 2
3 4
1 4
6 12

125. 12 55 30
1 2
3 4
1 4
6 12

126. 1 2 3 4
32
2

128. 1 2 3 4
32
2

129. Double football hold

130. 1 2
3 4
HIV CMV
HSV Dengue

132. 1 2
3 4
HIV CMV
HSV Dengue