WORK SHOP

ON
LACTATION
MANAGEMENT
Pediatric
Department

OBJECTIVE
To

educate students to promote

and support breast feeding

To

motivate optimum breast

feeding practices

BREAST FEEDING RELATED STATISTICS

EXCLUSIVE BREAST
FEEDING
Total breast feeding:
No prelacteal feeds
No additional water, sherbat, tea
No supplementary fresh animal
milk or formula feeds
No semi-solid foods

Composition of breast milk vs cow,s

milk
Each 100 ml of breast milk contains the
following:
Human Milk
Cows Milk
Calories
67
67
Water
87%
87%
Carbohydrate
(Lactose) 7.4%
4.4%
Fat
3.5%
3.5%
Protein
1.5%
3.5%
Lactalbumin : Casein ratio

Human Milk

Cows Milk

Minerals:
Sodium
15 mg
60 mg (4
times)
Phosphorus
15 mg
90 mg (6
times)
Calcium
30 mg
120 mg (4
times)
Iron
0.5 mg
0.1 mg

Advantages of
Breastfeeding

Benefits to Babies

Meets nutrient needs perfectly

Complete
Low

food

Protein

Less

stress to kidneys
Easy to digest
Less allergenic
Higher ratio of whey: casein
(better absorption)
High

lactose

Energy

source for brain development

Fat

Composition

Easily

digested
Hind milk has more fat
High

Water Content
Contains 87% Water
No Need To Give Water During
First 6 Months

Promotes bonding with mother

Always available, 24 hours a day at the
right temperature
Protects against diseases
Hygienic
Immune factor
Secretory IgA coats mucus
membrane
Macrophages destroy bacteria
Lactoferin binds iron
Lysozyme anti-infective enzyme
Bifidus factor lactobacillus bifidus
Anti-viral factors

 Prevents
sIgA

allergies

blocks the entry of foreign

proteins and other allergens
Reduces the chances of
developing allergic conditions like
atopic dermatitis (eczema) and
asthma even in children with a
family history of allergies

Maternal Benefits of Breastfeeding

Stimulates

expulsion of placenta
Prevents postpartum haemorrhage
Promotes uterine involution
Lactational amenorrhea
Reduced

iron loss (no menstrual

bleeding)
Prevents conception for 4 to 6
months

Helps mother return to her prepregnancy weight and figure

Reduces risk of breast cancer
Gives pride, satisfaction and
confidence

Benefits To The Family

Less expensive
Less illness: less expenditure and less
emotional stress

Benefits To The Country

Saves foreign exchange by not

importing infant formula
Healthy babies healthy nation
Less illness means less expenditure
on curative health services
Child survival
Population control

What is Demand feeding?

Baby is fed whenever he cries or

mother feels a need to feed.

Advantages of Demand
Feeding

Prevents Problems like engorgement

and mastitis.
Keeps baby satisfied.
Promotes growth by providing
adequate nutrients and preventing
infections.

Advantages of Night-feeding

Sustains milk supply

Is useful for working mothers who
have less chance to breastfeed
during the day.
Convenient.

Optimum Breastfeeding
Practices

Early initiation (within half an hour of birth)

No prelacteal feeds (give colostrums)
Exclusive breastfeeding until 6 months of age
Feeding on demand (day and night)
Frequent breastfeeding (8-10 times per day)
Feeding at both breasts
Continued breastfeeding for two years with
weaning at six months
Suckling at both breasts at each feed.
Expressing breast milk to maintain milk supply
if breastfeeding is interrupted temporarily.

Disadvantages of feeding
water

Interfere with optimum breast

feeding
Reduced suckling
Nipple confusion
Water can be a source of infection

Suckling Position
SIGNS OF GOOD POSITION

Mouth open wide with

lips flared out
Nipple and areola in
mouth
Tongue visible, cupped
under breast
Cheeks plump
Babys chin close to
breast
Whole baby facing
breast

Babys body held

close to mother and
well-supported
Babys body in
straight line
Deep sucks,
swallowing every 1-2
sucks
Baby relaxed and
satisfied
Mother sitting or
lying comfortably

Suckling Position
SIGNS OF BAD POSITION

Lips pursed, like

bottle-feeding
Only nipple in mouth
Tongue inside mouth
(not visible under
lower lip)
Cheeks sucked in
Space between chin
and breast
Only head turned to
breast

Baby held loosely or

on mothers lap
Babys body twisted
Babys shallow sucks
per swallow
Baby fussy, restless,
or slipping off the
breast
Mother anxious,
looks uncomfortable
or in pain

Thank You