breast feeding
TRANSCRIPT
BENEFITS OF BREASTFEEDING
Ecological:
-Saves resources
-Less waste
-No refrigeration
-No manufacturing
-No bottles, cans
-No trucking
-No handling
BENEFITS OF BREASTFEEDING
For Society
-Smarter
-Healthier
-Less cost to healthcare system
-Stronger families
BENEFITS OF BREASTFEEDING
To Families
-Less trips to doctors, hospitals
-Less prescriptions
-Less stress
-Less illness
-More bonding
-Inexpensive
BENEFITS OF BREASTFEEDING Benefits to baby:
-Better dental health
-Increased visual acuity
-Decreased duration and intensity of illnesses
-Less allergies
-Better health & less risk of illnesses
BENEFITS OF BREASTFEEDING Benefits to mother:
-Psychological (Attachment, bonding, security, skin to skin, fulfillment of basic needs, relationship)
-Easier weight loss-Decreased risk of illness (breast cancer, osteoperosis, hemmorhage,
ovarian cancer)-Birth control-Pride, empowerment, fulfillment
Mother’s milk vs. formula milk Formula milk for 3 days old
babies is no different than formula milk for 3 months old infants.
Breast milk is ingeniously different every single day; adapted to the changing needs of the baby.
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Mother’s milk vs. formula milk
Human milk is designed to support the development of large brains, capable of processing and storing lots of information.
Cows milk is designed to support functions, like constant grazing.
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Illness Relative risk Allergies, eczema 2 to 7 times
Urinary tract infections 2.6 to 5.5 times
Inflammatory bowel disease 1.5 to 1.9 times
Diabetes, type 1 2.4 times
Gastroenteritis 3 times
Hodgkin's lymphoma 1.8 to 6.7 times
Otitis media 2.4 times
Haemophilus influenzae meningitis 3.8 times
Necrotizing enterocolitis 6 to 10 times
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Illness Relative risk
Pneumonia/lower respiratory tract infection 1.7 to 5 times
Respiratory syncytial virus infection 3.9 times
Sepsis 2.1 times
Sudden infant death syndrome 2.0 times
Industrialized-world hospitalization 3 times
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Cracked or Sore Nipples
check for correct latch
frequent feedings
rotation during breastfeeding
air drying
warm soaks
Infant’s Position
Encourage rooting reflex
areola into mouth
avoid having infant press nose
removal of infant from the breast
last first, first last
burp
Excess Milk Supply
Much less common problem than low milk supply
Minimal medical literature
Maternal symptoms; continual engorgement, leaking
and increased mastitis risk
Infant: regurgitation and reflux symptoms.
Development of poor sucking technique
Management of Excess
Milk Supply
Attempt to offer just 1 breast at each feeding to decrease
stimulation and produce milk stasis in the other breast
to decrease production
Reference 43
Assessment of Milk
Sufficiency
“Not enough milk” stops breastfeeding
Visual cues for feeding interaction
Baby eagerly seeks breast, latches on, feeds
Baby body tone relaxes
Mother’s body tone relaxes
Auditory confirmation of swallowing
Weight gain around arrival of mother’s milk
0–90 days; median gain 26–31 g
90–180 days; median gain 17–18 g
Reference 15, 27
Ten steps to successful breastfeeding
Step 1. Have a written breastfeeding policy that is routinely communicated to all health care staff.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.1.24
Ten steps to successful breastfeeding
Step 2. Train all health-care staff in skills necessary to implement this policy.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.2.1
Ten steps to successful breastfeeding
Step 3. Inform all pregnant women about the benefits of breastfeeding.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.3.1
Ten steps to successful breastfeeding
Step 4. Help mothers initiate breastfeeding within a half-hour of birth.
A JOINT WHO/UNICEF STATEMENT (1989)
Slide 4.4.1
Ten steps to successful breastfeeding
Step 5. Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants.
A JOINT WHO/UNICEF STATEMENT (1989)
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Ten steps to successful breastfeeding
Step 6. Give newborn infants no food or drink other than breast milk unless medically indicated.
A JOINT WHO/UNICEF STATEMENT (1989)
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Ten steps to successful breastfeeding
Step 7. Practice rooming-in —allow mothers and infants to remain together —
24 hours a day.
A JOINT WHO/UNICEF STATEMENT (1989)
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Ten steps to successful breastfeeding
Step 8. Encourage breastfeeding on demand.
A JOINT WHO/UNICEF STATEMENT (1989)
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Ten steps to successful breastfeeding
Step 9. Give no artificial teats or pacifiers (also called dummies and soothers) to breastfeeding infants.
A JOINT WHO/UNICEF STATEMENT (1989)
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Ten steps to successful breastfeeding
Step 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.
A JOINT WHO/UNICEF STATEMENT (1989)
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