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TRANSCRIPT
BREASTFEEDING:101
the Basics
PRESENTED BY: Teresa Messerman IBCLC and
Mary Strand IBCLC
Breastmilk: The Standard by
Which Everything Else is
MeasuredBreastmilk has
Vitamins and minerals for proper nutrition
Growth factors that help with infant growth and development
Antibodies that help babies resist illness and disease
The ability to change constantly
Breastmilk: The Standard by
Which Everything Else is
Measured
Formula VS Breastmilk
Breastmilk
Custom Made for Baby
Babies Grow with Breastmilk
Breastfeeding reduces baby’s risk of:
Obesity
Ear infections
Respiratory infections
Gastrointestinal infections
Skin conditions
Type 1 and Type 2 diabetes
Leukemia
Sudden infant Death Syndrome
Breastfeeding Is Also Good
for Mothers
Lowers risk of:
Premenopausal breast
cancer
Ovarian cancer
Type 2 diabetes
Improves bonding
Lowers healthcare costs
Convenient
How Milk is Made
Role of the Breast
Milk production occurs
in the alveoli
Milk is squeezed
through the milk ducts
Milk finally released
through the openings
in the nipple
How Milk is Made
Role of the Brain-Prolactin
How Milk is Made
Role of the Brain-Oxytocin
Milk Let-Down Reflex
When milk is released, it is called the let-down
reflex or “let-down”
This can happen when baby begins to nurse.
This can also happen a few times during a
feeding.
Signs of milk release
How the Breast Makes Milk
Breasts are similar to a production “Factory”
Removing milk at least 8-12 times every 24 hours will
keep up production.
Replacing feedings at the breast with formula or other
foods, the amount of milk will go down because
demand is low.
Mom’s Breasts are Ready to
Feed!
No preparation needed.
Breasts are preparing for breastfeeding.
• Colostrum appears around 16 weeks
• Growth of glandular tissue may cause
tenderness.
Breast size does not impact the quantity
of milk.
Successful Breastfeeding
Begins with “Golden Hour”
Exclusive Breastfeeding
Tickle the baby’s lips to
encourage her to open
wide.
Pull your baby close so the
chin and lower jaw moves
into your breast first.
Having baby take a large
mouthful of breast.
It’s All About The Latch
Get your little baby
to open WIDE!
Correct Latch
Checking Your Latch
Notice your
baby’s “fish-lips”,
and mouth is open
wide.
See how much
breast tissue is
taken in, almost
the entire areola!`
Improper Latch
Hurts and pinches
Sound noisy, like
slurping, clicking
Can cause cracking
or blistering
Over time, can
cause an infection
Bad Latch
Reattach!
An Improper Latch
With Successful Feeding
You Will Notice
Baby breastfeeds 8-12x
every 24 hours.
Swallowing sounds
Breasts soften during
feeding
Plenty of wet and dirty
diapers
“Baby’s Chest to Mommy’s
Breast”
Different Breastfeeding
Holds
Cradle Hold
Cross Cradle Hold
Football Hold
Lying Down Hold
Cradle Hold
In the traditional cradle hold
Cross Cradle Hold
Football Hold
Lying Down Hold
Hunger Cues
Rooting
Hand to mouth
movements
Smacking lips
Sucking on
hands
Baby’s First Milk
Colostrum –
days 1-3
Transition milk–
days 2-5
Mature milk –
by 2nd week
Size and Volume of
Newborn’s Stomach
Feeding Patterns of
Breastfed Babies
Feeding frequency based on:
• Baby’s age/size
• Mother’s milk storage capacity in her
breasts
• Unique needs of her baby
Cluster feeding is normal
Maintain milk production by feeding 8-12
times every 24 hours
Appetite/Growth Spurts
Growth/appetite spurts are normal
Can occur anytime, typically:
• 2 week
• 6 week
• 3 months
• 6 months
Babies who breastfeed grow according to normal standards for infant growth and development
Taking Care of Yourself
Eat a balanced diet and stay hydrated
A nursing mother needs some extra calories.
Go easy on activities and accept help.
Take your prenatal vitamins
Sleep when your baby sleeps
Trouble Shooting
In the early weeks, your nipples may be tender, but not super painful.
Seek help as soon as possible to prevent complications such as
• cracked, blister, bleeding nipples
• soreness, lumps, pain
• depression
• concerns about baby
• feeling flu-like
Breastfeeding in Public Some mothers feel uncomfortable breastfeeding
in public.
The Federal government and many states have
laws that protect nursing women.
Tips for Breastfeeding in
Public
Wear clothes that allow easy access to your
breast.
Use a special breastfeeding blanket around your
shoulders.
Breastfeed your baby in a sling.
Practice breastfeeding at home so that you can
make sure you are revealing only what you feel
comfortable with.
It helps to breastfeed baby before he becomes fussy so that you have time to get into a
comfortable position to feed.
Going Back to Work
or School
Going Back to Work
or School
Planning ahead for your return can help ease the transition.
During your maternity leave
Back at work or school
Get a quality breast pump
Find a private place to express milk
When to express milk
Pumping Your Breastmilk
If you are unable to breastfeed your baby directly, it is
important to remove milk during the times your baby
normally would feed.
If you need help to get your milk to start flowing you can:
• Think about your baby, bring a picture or a
blanket or item of clothing that has your baby’s
sent on it.
• Apply warm, moist compress to your breast.
• Gently massage your breast.
• Visualize the milk flowing down.
• Sit quietly and think of a relaxing setting.
Ways to Express Milk
Hand Expression
Manual Pump
Electric Breast Pump
• Personal
• Hospital Grade
Hand Expression
Learn hand expression first.
• Use your hand to message and
compress your breast to
remove milk.
• This requires practice, skill and
coordination.
• Gets easier with practice and
can be as fast as pumping.
• Good if you are seldom away
from your baby or you need an
option that is always with you.
Manual Pump
Use your hand and wrist to
operate a hand-held
device to pump milk.
Requires practice, skill and
coordination.
Useful for occasional
pumping if you are away
from your baby only once
in a while.
Electric Breast Pump
Personal Use Runs on battery or plugs into an electric outlet.
Can be easier for some moms.
Can pump one breast at a time or both breasts at the same time.
Double pumping may collect more milk in less time.
Need a place to clean and store the equipment
between uses.
Electric Breast Pump
Hospital Grade
This type of pump works well for
creating a milk supply when a
new baby can’t feed at the
breast.
You can rent a hospital grade
pump from a lactation
consultant at a local hospital or
from a breastfeeding
organization.
Storing Breastmilk
Breastmilk can be
stored in
• Glass or hard
plastic bottles with
tight fitting lids
• Milk storage bags
After each pumping
• Label
• Store expressed
milk
USDA Storage Guidelines
Questions?
Contact Information
Teresa Messerman, IBCLC
Ravalli County WIC
Mary Strand, IBCLC
Missoula County WIC
Resources
Your guide to Breastfeeding from the
Office on Woman’s Health
Loving Support to Grow and Glow in WIC
Loving Support Through Peer Counseling
Curriculum 2005