Exclusive Breastfeeding in mother of newborn.pptx
- 1. EXCLUSIVE BREASTFEEDING What is Exclusive Breastfeeding? Feeding the baby only breast milk, no other liquids or solids, except for oral rehydration solution or drops/syrups of vitamins, minerals or medicines. Recommended Duration:- WHO and UNICEF Recommendations:- Exclusive breastfeeding for first 6 months followed by continued breastfeeding with complementary foods up to 2 years or beyond.
- 2. PROBLEMS IN BREASTFEEDING Not enough milk Nipple confusion Sore or cracked nipples Engorged breasts Retracted nipples Breast abscess Expressed breastmilk
- 3. NOT ENOUGH MILK Most common reason for mother to start animal or top feed is misconception that she is not producing enough milk. Mother’s milk easy to digest Baby’s stomach empties quickly and baby is hungry again Mother percieves insufficient milk output Top feed with animal/formula milk Vicious cycle in which brings down milk production and more top feeds are given. Animal milk has high casein content causing delayed gastric feeding which is not good for baby. Improper positioning and attachment may also lead to decrease in milk production.
- 4. Indicators that a mother is producing sufficient milk are:- Baby passing urine at least 5-6 times in a day. The baby sleeps soundly after accepting feeds for 1-2 hours. The mother has the sensation of fullness in the breasts when it is time for baby to feed. When the baby starts feeding at one breast, the milk may start dripping from the other breast. The baby shows good weight gain on exclusive breastfeeds.
- 5. NIPPLE CONFUSION While breastfeeding, the baby has to apply negative pressure to express milk from the breast. It is an active process. But while bootle feeding the milk flows out through the hole of the nipple without much effort. This creates nipple confusion in baby’s mind and it stops putting effort while breastfeeding leading to decline in milk production.
- 6. SORE OR CRACKED NIPPLES When the baby is not well attached or well positioned the baby may not hold the breast correctly and keep suckling only on the nipple. This leads to cracked or sore nipples which is a painful condition for the mother. Treatment:- This is best avoided by ensuring proper attachment and positioning of the baby. The mother should also avoid frequent use of soap while cleaning the breasts. If too painful then manually expressed breastmilk is given.
- 7. ENGORGED BREASTS Incomplete emptying of the breasts may lead to accumulation of milk and engorgement of breasts. This is a very painful condition in which the breasts become full, tense and shiny and it is painful to touch. Treatment:- Gentle manual expression pf milk Mother should should encouraged to feed from the affected side to ensure emptying of the breast. Frequent feeding and ensuring regular emptying of both the breasts will prevent this condition.
- 8. RETRACTED NIPPLES Proper positioning of the baby and stimulation of the nipple may be all needed for the nipple to stand out. The mother should hold the nipple from sides and pull it out several times in a day. Treatment:-
- 9. BREAST ABSCESS If congested engorged breast, infected cracked nipple, blocked duct or mastitis are not treated in the early stages, then an infected breast segment may form a breast abscess. It is a painful condition. Treatment:- Analgesics Antibiotics Breastfeeding must be continued. If it is not possible due to pain, gently express the milk and feed the baby.
- 10. EXPRESSED BREASTMILK If a mother is not able to feed her baby, she should express her milk in clean, wide-mouth container and this milk should be fed to the baby. Expressed breastmilk can be stored At room temperature for 4 hours In a refrigerator for 24 hours In freezer at -20°C for 3 months