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BREAST FEEDING
OBJECTIVES
• At the end of class students will be able to:
• Define Breast feeding.
• Describe physiology of Lactation.
• Explain types of Breast milk.
• Explain technique of Breast feeding.
• Describe the advantages of Breast feeding.
• Define Artificial Feeding.
• Enumerate method of Artificial Feeding.
BREAST FEEDING
• Breast milk is
wholesome food for the
baby.
• Most effective way to
provide caring
environment &
complete nutrition.
INTRODUCTION
PHYSIOLOGY OF LACTATION
TYPES OF BREAST MILK
• Colostrum :
First 3 days after
delivery.
Thick , yellow.
Rich in Vitamin A,D,E,K.
• Transitional Milk:
Next 2 weeks.
Immuloglobins &
protein content
decreases.
Sugar Increases.
TYPES OF BREAST MILK
• Mature Milk:
It follows transitional
milk.
Thinner & watery.
But has all nutrient for
optimum growth of
baby.
• Fore Milk:
It is milk secreted at the
start of feed.
Rich in protein, sugar,
vitamin, & water.
TYPES OF BREAST MILK
• Hind Milk:
It come later, toward
the end of feed & is rich
in fat & energy &
satisfies the baby
hunger.
INITIATION OF BREAST FEEDING
• Initiation of breastfeeding within FIRST HALF
an hour of birth or as soon as possible after normal
delivery.
• In cesarean , within 4 hrs.
TECHNIQUE OF BREAST FEEDING
Positioning of mother & baby
• Explain mother to hold
baby , keeping in mind
the 4 key points.
– Head & body of baby
should be straight.
– Baby nose should be
opposite to nipple.
– Baby should be close to
her body.
– Whole body of the baby
must be supported.
Latching of baby to the breast
• After proper
positioning, baby cheek
is touched with the
nipple.
Latching of baby to the breast
• Sign of GOOD latch
Latching of baby to the breast
• Sign of Poor latch
– Only nipple is in baby
mouth.
– Baby tongue is back
inside his mouth &
cannot reach the ducts
to press them.
– Sucking with poor
attachment may be
uncomfortable or
painful for the mother.
ADVANTAGES OF BREAST FEEDING
Advantages of Breast feeding to Baby
• Protects against allergies and eczema
• Causes less stomach upset, diarrhea, and
constipation than formula
• Could help prevent obesity.
• Make strong bond with mother.
• Breastmilk is constantly changing in its
composition to meet the changing needs of
the baby. It has the exact combination of
protein, fats, vitamins, minerals, enzymes, and
sugars needed for the human infant at various
stages of his growth.
Advantages of Breast feeding to Baby
• Nursing immediately following delivery causes the
uterus to contract lessening the risk of postpartum
hemorrhage.
• Women who nurse their babies for at least 6 months
lessen their chances of pre-menopausal breast cancer.
• Breastmilk is always available, clean, and the right
temperature.
Advantages of Breast feeding to
Mother
• A woman's ability to produce all of the nutrients that
her child needs can provide her with a sense of
confidence. Hormones released during breastfeeding
help to strengthen the maternal bond.
Advantages of Breast feeding to
Mother
ARTIFICIAL FEEDING
ARTIFICIAL FEEDING
• Feeding child milk other than breast milk is
known as ARTIFICIAL FEEDING.
• It include cow’s milk, buffalo’s milk or
commercial milk.
Indication of Artificial feeding
• Death or absence of
mother.
• Prolonged maternal illness.
• Failure of breast milk
production.
• Mother who have TB & HIV
positive mother.
• Working mothers.
• Baby is adopted & mother
who has adopted baby is
not lactating.
Artificial formulas/ Feed
• Cow milk is cheap
alternative.
• Contain three time more
protein than breast milk.
• But protein in cow milk is
not fully digestible.
• First 6-8 weeks it is given
in 3 or 4:1. After 3-4
month undiluted given.
Artificial formulas/ Feed
• Buffalo’s milk
can also be used in
place of cow milk. It
should be skimmed &
then given in same
proportion as cow’s
milk for first 6-8 weeks.
Artificial formulas/ Feed
• Dried milk formulas
are available as either
cow’s milk based or
soya protein based.
METHOD OF ARTIFICIAL FEEDING
• Katori spoon feeding
when neonate cannot
suck on breast because
of prematurity or any
other congenital
malformation
METHOD OF ARTIFICIAL FEEDING
CUP FEEDING
• Another method of
feeding the baby.
• Give extra 5 ml.
METHOD OF ARTIFICIAL FEEDING
Gavage fedding
• 5fr. Feeding catheter is
required.
• Right lateral postion
after feeding.
• No need to give burp.
Summary
• Breast milk is nature's perfect baby food. It contains immunity-
boosting antibodies and healthy enzymes that scientists have yet to
replicate.
• Breastfeeding offers tremendous health benefits to both mother
and child. It is specially designed to cater for all child’s nutritional
needs in the first six months of life. For maximum benefits,
breastfeeding should be initiated soon after the birth of child and
should be maintained exclusively for six months, until weaning is
initiated.
References
• Essentials of Pediatrics Nursing – By Rimple
Sharma
• Textbook of Pediatric Nursing, - By Dorothy . R
Marlow
THANK U

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Breast feeding

  • 2. OBJECTIVES • At the end of class students will be able to: • Define Breast feeding. • Describe physiology of Lactation. • Explain types of Breast milk. • Explain technique of Breast feeding. • Describe the advantages of Breast feeding. • Define Artificial Feeding. • Enumerate method of Artificial Feeding.
  • 3. BREAST FEEDING • Breast milk is wholesome food for the baby. • Most effective way to provide caring environment & complete nutrition. INTRODUCTION
  • 5. TYPES OF BREAST MILK • Colostrum : First 3 days after delivery. Thick , yellow. Rich in Vitamin A,D,E,K. • Transitional Milk: Next 2 weeks. Immuloglobins & protein content decreases. Sugar Increases.
  • 6. TYPES OF BREAST MILK • Mature Milk: It follows transitional milk. Thinner & watery. But has all nutrient for optimum growth of baby. • Fore Milk: It is milk secreted at the start of feed. Rich in protein, sugar, vitamin, & water.
  • 7. TYPES OF BREAST MILK • Hind Milk: It come later, toward the end of feed & is rich in fat & energy & satisfies the baby hunger.
  • 8. INITIATION OF BREAST FEEDING • Initiation of breastfeeding within FIRST HALF an hour of birth or as soon as possible after normal delivery. • In cesarean , within 4 hrs.
  • 10. Positioning of mother & baby • Explain mother to hold baby , keeping in mind the 4 key points. – Head & body of baby should be straight. – Baby nose should be opposite to nipple. – Baby should be close to her body. – Whole body of the baby must be supported.
  • 11. Latching of baby to the breast • After proper positioning, baby cheek is touched with the nipple.
  • 12. Latching of baby to the breast • Sign of GOOD latch
  • 13. Latching of baby to the breast • Sign of Poor latch – Only nipple is in baby mouth. – Baby tongue is back inside his mouth & cannot reach the ducts to press them. – Sucking with poor attachment may be uncomfortable or painful for the mother.
  • 15. Advantages of Breast feeding to Baby • Protects against allergies and eczema • Causes less stomach upset, diarrhea, and constipation than formula • Could help prevent obesity. • Make strong bond with mother.
  • 16. • Breastmilk is constantly changing in its composition to meet the changing needs of the baby. It has the exact combination of protein, fats, vitamins, minerals, enzymes, and sugars needed for the human infant at various stages of his growth. Advantages of Breast feeding to Baby
  • 17. • Nursing immediately following delivery causes the uterus to contract lessening the risk of postpartum hemorrhage. • Women who nurse their babies for at least 6 months lessen their chances of pre-menopausal breast cancer. • Breastmilk is always available, clean, and the right temperature. Advantages of Breast feeding to Mother
  • 18. • A woman's ability to produce all of the nutrients that her child needs can provide her with a sense of confidence. Hormones released during breastfeeding help to strengthen the maternal bond. Advantages of Breast feeding to Mother
  • 19.
  • 20.
  • 22. ARTIFICIAL FEEDING • Feeding child milk other than breast milk is known as ARTIFICIAL FEEDING. • It include cow’s milk, buffalo’s milk or commercial milk.
  • 23. Indication of Artificial feeding • Death or absence of mother. • Prolonged maternal illness. • Failure of breast milk production. • Mother who have TB & HIV positive mother. • Working mothers. • Baby is adopted & mother who has adopted baby is not lactating.
  • 24. Artificial formulas/ Feed • Cow milk is cheap alternative. • Contain three time more protein than breast milk. • But protein in cow milk is not fully digestible. • First 6-8 weeks it is given in 3 or 4:1. After 3-4 month undiluted given.
  • 25. Artificial formulas/ Feed • Buffalo’s milk can also be used in place of cow milk. It should be skimmed & then given in same proportion as cow’s milk for first 6-8 weeks.
  • 26. Artificial formulas/ Feed • Dried milk formulas are available as either cow’s milk based or soya protein based.
  • 27. METHOD OF ARTIFICIAL FEEDING • Katori spoon feeding when neonate cannot suck on breast because of prematurity or any other congenital malformation
  • 28. METHOD OF ARTIFICIAL FEEDING CUP FEEDING • Another method of feeding the baby. • Give extra 5 ml.
  • 29. METHOD OF ARTIFICIAL FEEDING Gavage fedding • 5fr. Feeding catheter is required. • Right lateral postion after feeding. • No need to give burp.
  • 30. Summary • Breast milk is nature's perfect baby food. It contains immunity- boosting antibodies and healthy enzymes that scientists have yet to replicate. • Breastfeeding offers tremendous health benefits to both mother and child. It is specially designed to cater for all child’s nutritional needs in the first six months of life. For maximum benefits, breastfeeding should be initiated soon after the birth of child and should be maintained exclusively for six months, until weaning is initiated.
  • 31. References • Essentials of Pediatrics Nursing – By Rimple Sharma • Textbook of Pediatric Nursing, - By Dorothy . R Marlow
  • 32.