Breastfeeding
- 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
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- 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 babys thirst. Comes later towards the end of a feed & is richer in fat content, provides more energy, & satisfies the babys hunger. The baby should therefore be allowed to empty one breast fully before offering the other breast.
- 12. VARSHA VARGHESE HELPING THE MOTHER TO BREASTFEED
- 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
- 14. VARSHA VARGHESE DEMONSTRATE VARIOUS POSITIONS FOR BREASTFEEDING under arm position using opposite arm mother in lying position
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- 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
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- 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.
- 28. VARSHA VARGHESE HOW FREQUENTLY A MOTHER HAS TO BREASTFEED HER BABY?
- 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
- 30. VARSHA VARGHESE PROMOTING BREASTFEEDING Put the baby to breast feed as soon after delivery Do not discard colostrum on the first day & in the first week
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