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associated complications
Why Breastfeed?
Literature is replete with scientific evidence on the benefit of
the most natural process of a motherbreast feeding her baby
Exclusive breast feeding in the first six months of life can cut
down under-five child mortality by
13-15%
There could not be more compelling reasons for
breastfeeding the baby.
Advantages
Baby
Mother
Family
How Soon?
At The Earliest
In the healthy neonate suckling reflex is at its
peak- 30 to 40 mins after birth
Early feeds stimulate production of prolactin and
increases the mean duration of breast feeding
CARDLE
HOLD
SIDE LYING
POSITIONS
OF
BABY
FOOTBALL
(CLUTCH HOLD)
CROSS
CRADLE HOLD
Care Of Mother
Calorie intake- 300 to 500 extra calories
( 2200 to 3000 kcal per day)
Balance diet and no weight reduction
Fluid intake : 22% from well balanced diet;
increase fluid intake is essential but excessive
consumption can result in reduction of
production of milk( Dusdiekor in 1994)
Iron and Calcium Supplementation
GALACTOGOGUES
There is no ideal galactogogue
Chlorpromazine and metoclopromide- 10 mg 3 times
daily for 7 days
Garlic, ginger, coconut, jaggery, ghee, panjeeri,
saunth, khas-khas, bajra, pepper etc
Self confidence, freedom from anxiety, soothing
environment with vigorously sucking by an active
baby are the most effective pre-requisites for
successful establishment of lactation.
SUPPRESSION
Estrogen
Bromocriptin
Cabgolin
Thiazide
Pyridoxine
OCP
Testosterone
Lactation Complaints
Insufficient Milk Syndrome
Retracted nipples
Sore nipples
Breast engorgement
Mastitis
Breast abscess
Choice of contraception
Problem of working women
RETRACTED NIPPLE
Antenatal examination and counseling for cleaning
of nipples and their aversion is important
20 cc syringe may also be used for correcting
retraction
Nipple shield
Use of breast pump
SORE NIPPLE
Commonest
Cause improper latching
Symptoms: pain
Signs: nipple is red, cracked, bruised, blistered
and tender
Treatment: linolin/ emolient cream; air drying and
applying own milk, nipple shield for time being,
EBM
ENGORGEMENT
Swollen breast due to increased
milk production
Maybe early or late
Early engorgement resolves with baby sucking
Painful, swollen, warm, hard or rigid breasts needs
treatment
Treatment: gentle massages, warm compresses,
milk expression, breast support, oxytocics, NSAID
Milk Expression
Manual or hand expression
Via pump: hand held pumps, mechanical, cylindrical,
battery operated and semi operated pumps
Mechanical, cylindrical pump is safe and easy to use
and can be sterilized, cost effective
Suction generated by battery operated pump can be
regulated to suit the user
EBM stays in good condition in room temp for 8 hrs;
refrigerator 24 hrs or in the freezer at -20 degree
cent for 3 months.
ELECTRICAL BREAST
PUMP
WEANING
Aim is to introduce- iron, calcium, vitamins and
calories to baby in adequate quantity through
liquid and semisolid diet from 4 to 6 months of age
It should be done gradually