Breast feeding

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DR CH HAREEN

Transcript of Breast feeding

DR CH HAREEN

BENEFITS OF BREASTFEEDING

Ecological:

-Saves resources

-Less waste

-No refrigeration

-No manufacturing

-No bottles, cans

-No trucking

-No handling

BENEFITS OF BREASTFEEDING

For Society

-Smarter

-Healthier

-Less cost to healthcare system

-Stronger families

BENEFITS OF BREASTFEEDING

To Families

-Less trips to doctors, hospitals

-Less prescriptions

-Less stress

-Less illness

-More bonding

-Inexpensive

BENEFITS OF BREASTFEEDING Benefits to baby:

-Better dental health

-Increased visual acuity

-Decreased duration and intensity of illnesses

-Less allergies

-Better health & less risk of illnesses

BENEFITS OF BREASTFEEDING Benefits to mother:

-Psychological (Attachment, bonding, security, skin to skin, fulfillment of basic needs, relationship)

-Easier weight loss-Decreased risk of illness (breast cancer, osteoperosis, hemmorhage,

ovarian cancer)-Birth control-Pride, empowerment, fulfillment

Mother’s milk vs. formula milk Formula milk for 3 days old

babies is no different than formula milk for 3 months old infants.

Breast milk is ingeniously different every single day; adapted to the changing needs of the baby.

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Mother’s milk vs. formula milk

Human milk is designed to support the development of large brains, capable of processing and storing lots of information.

Cows milk is designed to support functions, like constant grazing.

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Illness Relative risk Allergies, eczema 2 to 7 times

Urinary tract infections 2.6 to 5.5 times

Inflammatory bowel disease 1.5 to 1.9 times

Diabetes, type 1 2.4 times

Gastroenteritis 3 times

Hodgkin's lymphoma 1.8 to 6.7 times

Otitis media 2.4 times

Haemophilus influenzae meningitis 3.8 times

Necrotizing enterocolitis 6 to 10 times

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Illness Relative risk

Pneumonia/lower respiratory tract infection 1.7 to 5 times

Respiratory syncytial virus infection 3.9 times

Sepsis 2.1 times

Sudden infant death syndrome 2.0 times

Industrialized-world hospitalization 3 times

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Positions for Breastfeeding

Cracked or Sore Nipples

check for correct latch

frequent feedings

rotation during breastfeeding

air drying

warm soaks

Flat or Retracted Nipples

use of milk cups

electric pumps

ice wrapped

Infant’s Position

Encourage rooting reflex

areola into mouth

avoid having infant press nose

removal of infant from the breast

last first, first last

burp

Care of the Breast and Nipples

air dry

pads

support bra

cramp

Excess Milk Supply

Much less common problem than low milk supply

Minimal medical literature

Maternal symptoms; continual engorgement, leaking

and increased mastitis risk

Infant: regurgitation and reflux symptoms.

Development of poor sucking technique

Management of Excess

Milk Supply

Attempt to offer just 1 breast at each feeding to decrease

stimulation and produce milk stasis in the other breast

to decrease production

Reference 43

Assessment of Milk

Sufficiency

“Not enough milk” stops breastfeeding

Visual cues for feeding interaction

Baby eagerly seeks breast, latches on, feeds

Baby body tone relaxes

Mother’s body tone relaxes

Auditory confirmation of swallowing

Weight gain around arrival of mother’s milk

0–90 days; median gain 26–31 g

90–180 days; median gain 17–18 g

Reference 15, 27

Ten steps to successful breastfeeding

Step 1. Have a written breastfeeding policy that is routinely communicated to all health care staff.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 2. Train all health-care staff in skills necessary to implement this policy.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 3. Inform all pregnant women about the benefits of breastfeeding.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 4. Help mothers initiate breastfeeding within a half-hour of birth.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 5. Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 6. Give newborn infants no food or drink other than breast milk unless medically indicated.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 7. Practice rooming-in —allow mothers and infants to remain together —

24 hours a day.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 8. Encourage breastfeeding on demand.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 9. Give no artificial teats or pacifiers (also called dummies and soothers) to breastfeeding infants.

A JOINT WHO/UNICEF STATEMENT (1989)

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Ten steps to successful breastfeeding

Step 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.

A JOINT WHO/UNICEF STATEMENT (1989)

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