Prepared by : Breast Feeding Nashat Alagha , Meryam maqadma, Dalal alaham Safaa Alarbeed , Hala Okal Noor ALsoudi

contents Definition breastfeeding Benefits breastfeeding Mother Infant Family Sign of successful brastfeedin Complication Feeding difficulties due to the baby Management of breast feeding Contraindication

Definition Breastfeeding : Is the feeding of an infant or young child with breast milk directly from female human breasts not from ababy bottle or other container

Neonatal feeding reflexes:- 1) Rooting reflex: touching the check or circumaural area leads to turning the head to the side of the stimulus leading to opening the mouth seeking for the nipple. 2) Suckling reflex: tactile stimuli of the nipple or aereolar tissue filling the mouth leading to milking action by tongue against hard palate.

Benefits Breastfeeding to Infant COLOSTRUM Yellowish milk secreted in the first few days after labor Low fat for easy digestion Contains mothers antibodies which boost infants’ immune system Acts as a laxative to ease passage of meconium Preterm Infants, Decreased infection rates And Increased IQ rates

Benefits Breastfeeding to Infant Lower risk of Diarrhea Constipation Infections Ear, respiratory, meningitis, urinary tract Allergic diseases Chronic digestive diseases Provides immunologic protection while the infant’s immune system is maturing Antimicrobial agents Anti-inflammatory agents

Benefits Breastfeeding to mother Less postpartum bleeding Protects mother’s health helps reduces risk of uterine bleeding and helps the uterus to return to its previous size reduces risk of breast and ovarian cancer Helps delay a new pregnancy Helps a mother return to pre-pregnancy weight Promotes mother and child bonding

Benefits Breastfeeding to family Better health, nutrition, and well-being Economic benefits breastfeeding costs less than artificial feeding breastfeeding results in lower medical care costs

Sign of successful brastfeedin General Mother relaxed and comfortable Brasts look healthy ,no redness ,no swelling Baby calm and relaxed Baby reaches or roots for breast if hunger

Sign of successful brastfeeding baby position Baby head and body in line neck and head not twisted to feed Baby held close to mother body Baby whole body supported ,not supported by head and neck only

Sign of successful brastfeeding Baby Attachment More areola seen above (than below)the baby top lip Baby mouth open wide lower lip turned outwards Baby chin touches breast

Good attachment poor attachment

Side lying position

This is the most common position used by mother Cross cradle hold This is the most common position used by mother

twins

Breast problem deep Breast pain Dermatitis Mastitis Anatomical variations ex: short nipples , long nipples , flat nipples Blocked ducts Breast abscess Breast engorgement Sore and damaged nipples

Feeding difficulties due to the baby Colic in the baby Cleft lip Cleft palate Tongue tie (ankyloglossia) Blocked nose Down syndrome Prematurity Illness or surgery

Management of breast feeding:- emotional support. Patient should wear asupportive bra Montgomery glands secrete oil to keep nipples supple : Soap should not be used on breasts Baby should be , warm ; not wet. Both hands and nipple should be clean Mother relaxed (sitting or lying on her side). Support of the breast during feeding.

Management of breast feeding:- Teach breast self examination (BSE) Teach advantages of breast feeding Teach signs of mastitis Unilateral breast pain Warmth and redness Fever good maternal health and nutrition. avoidance of drugs that interfere with breast feeding i.e. ergometrine ; sedatives ; analgesics.

Contraindication of breastfeeding Carcinoma Breast surgery HIV infection Patient take illegal drug Maternal hepatitis B Infant with inborn error of metabolism :phenylketonuria Mother on certain medication :anticancer therapy

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