WORK SHOPONLACTATION MANAGEMENTPediatric Department

OBJECTIVETo educate students to promote and support breast feeding

To motivate optimum breast feeding practices

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BREAST FEEDING RELATED STATISTICS

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

Composition of breast milk vs cow,s milk

Each 100 ml of breast milk contains the following: 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 60:40 20:80

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

Human MilkCows Milk

Advantages of Breastfeeding

Benefits to BabiesMeets nutrient needs perfectly Complete foodLow ProteinLess stress to kidneys Easy to digestLess allergenicHigher ratio of whey: casein

(better absorption)High lactoseEnergy source for brain development

Fat Composition Easily digestedHind milk has more fatHigh Water Content

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

Promotes bonding with motherAlways available, 24 hours a day at the right temperature Protects against diseases HygienicImmune factor Secretory IgA coats mucus membrane Macrophages destroy bacteriaLactoferin binds iron Lysozyme anti-infective enzyme Bifidus factor lactobacillus bifidus Anti-viral factors

Prevents allergies sIgA 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 placentaPrevents postpartum haemorrhage Promotes uterine involution Lactational amenorrheaReduced iron loss (no menstrual bleeding)Prevents conception for 4 to 6 months

Helps mother return to her pre-pregnancy weight and figure Reduces risk of breast cancer Gives pride, satisfaction and confidence

Benefits To The Family

Less expensiveLess illness: less expenditure and less emotional stress

Benefits To The Country

Saves foreign exchange by not importing infant formulaHealthy 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 FeedingPrevents Problems like engorgement and mastitis.Keeps baby satisfied.Promotes growth by providing adequate nutrients and preventing infections.

Advantages of Night-feedingSustains milk supplyIs 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 ageFeeding 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 waterInterfere with optimum breast feeding

Reduced suckling Nipple confusionWater can be a source of infection

Suckling Position SIGNS OF GOOD POSITIONMouth open wide with lips flared outNipple 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 POSITIONLips 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 lapBabys body twisted Babys shallow sucks per swallow Baby fussy, restless, or slipping off the breast Mother anxious, looks uncomfortable or in pain

Thank You