Breast feeding

the real experience of motherhood

BREAST FEEDING

Structure of the breast

CHANGES IN BREAST

Physiology of milk production

• Two hormones control milk production and ejection

•Prolactin

•Oxytocin

Let down reflex

Why breast feeding

• Benefits for the baby– Nutritionally the best for every baby– Mother infant bonding– Breast milk is the least allergic– Uncontaminated– Freshly made on demand– Immunity from newborn infections– Promotes jaw and teeth development

• Benefits for the mother– Reduces chances of post partum

hemorrhages– Enables retraction of uterus to pre pregnant

status– Regain shape faster

Preparation of breast for lactation

• Identify type of nipple

•Preparation

Accessories

The first feed- Colostrum

• Milk that appears for the 1st 72 hrs

• Higher in protein, Vita A & immunoglobulin

• Lower in fat & CHO

• Provides 15kcal/oz

Establishment of lactation

• Earlier the better

• Works on the principle of demand & supply

Technique of feeding

• Postures• Latching• Detaching• Burping

Feeding positions

Latching

Burping

Facts to know

• Foremilk/Hind milk • Weight gain of baby• Breast milk adequacy• Duration of each feed

Calcium prevents osteoporosis

Calcium sources

Milk products

Foods enhancing milk production

Breast feeding for working moms

Expression and storage

Manual breast milk expression

Pump assisted expression

Simple remedies for common discomforts

• Sore nipples• Inverted/flat nipples• Breast engorgement• Leaking breast

Questions