WELCOME TO SEMINAR

Dr. Sharmin AfrozeDr. Amlendra Kumar Yadav

A 26 years primi mother came to you with the complaints of her baby isn’t getting enough breast milk, remains hungry and used to cry always. She came with a container of artificial milk for your suggestion whether it can be given to her baby.

What will you do in such a situation as a physician?

BREAST FEEDING

BREAST FEEDING

Breast feeding is the best infant feeding practice. Starting breast feeding within an hour of birth alone can reduce neonatal mortality by 13%

In Bangladesh 46% babies are given breast milk within first hour of birth

Bangladesh Health Statistics 2011

EXCLUSIVE BREAST FEEDING

No drinks or foods other than breast milk are given to a baby since birth up to 6 completed months (180 days)

No pacifier, dummies or artificial teats are given to a baby

PATHOPHYSIOLOGY OF BREAST FEEDING

Lactogenisis 1 – Production starts: The initial synthesis of milk components begins in 2nd trimester of pregnancy

Lactogenesis II – Full Production - the onset of copious milk production 2-3 days postpartum.

Trigger: delivery of the placenta - a rapid drop of serum progesterone (removes the brakes on Prolactin)

FACTORS AFFECTING BREAST MILK PRODUCTION

COMPOSITION OF HUMAN MILK

WHY HUMAN MILK IS DIFFERENT FROM OTHER

MILK

TYPES OF HUMAN BREAST MILK

ColostrumTransitional milkMature milkForemilkHind milk

BENEFITS OF BREAST FEEDING

31% Neonatal mortality can be reduced by Early Initiation of Breastfeeding .

13% Infant mortality rate can be reduced by Exclusive Breastfeeding.

6% Child mortality rate can be reduced by complimentary feeding.

Bottle feeding relative risk of death 14 times more than the breastfeeding child.

BENEFITS OF BREAST FEEDING

Breast milk Reduces allergies such as asthma & eczema.

Breast milk contains Antibodies gives protection against infectious diseases.

Helps in cognitive development.

Nutritionally optimal .

Reduces Diarrheal diseases .

HOW TO ENSURE BREAST FEEDING IN

PROPER WAYPOSITION:1.Baby’s body is well

supported2. The head, neck and body

of the baby are kept in the same plane

3. Entire body of baby faces the mother

4. Baby is held very close to mother

ATTACHMENT:1.Baby’s mouth is wide open2. Lower lip is turned

outwards3. Baby’s chin touches

mother’s breast4.Most of the areola seen

above than below

WHAT YOU CAN SEE?

1 2

GOOD AND POOR ATTACHMENT

1 2

RESULTS OF POOR ATTACHMENT

• Painful nipples• Damaged nipples• Engorgement• Baby unsatisfied and cries a lot• Baby feeds frequently and for a long time• Decreased milk production• Baby fails to gain weight