Lactation The production of milk Posterior pituitary gland Breast size Milk produced in the ductal system of the breast Nipple has many openings Breastfeeding is a learned activity for mom and babe

Benefits of Breastfeeding Decrease mom’s chance of developing breast cancer later Made especially for the babe Low cost, always warm, no bottles to wash Bonding Enhances brain development Speaks earlier Seldom constipated

Requirements for Breastfeeding Commitment/dedication Time Nutrition for mom Additional 500 kcal/day to maintain milk production Approx. 2000 mL fluid/day Continue prenatal vitamins No food restriction unless identified by mom

Effects of Drugs on Lactation All things consumed, pass through breast milk in varying amounts Hormonal contraceptives can decrease amount of breast milk Prescribed medications Substance abuse CAM therapy R/T lactation

Problems Associated With Breastfeeding Primary Engorgement Inverted nipples Sore nipples (LATCH) Excess milk in relation to needs of babe Mastitis

Factors Impairing Lactation Knowledge deficit r/t breastfeeding Pain Stress Anxiety Lack of support by SO & family Lack of resources (contact person)

Factors Promoting Lactation Knowledge base A&P/milk production Babe’s development/behavior Comfort level-physical & psychological Low stress levels Support Nutrition

CAM Therapy for Lactation Breast Engorgement Milk Production Milk Cessation

Nursing Care For Lactating Mom Assess knowledge base Determine motivation/desire Assess for problems of the “nips” Assess LATCH Assess babe’s ability to nurse Primary engorgement Supplemental nurser systems

More Nursing Care Be supportive/encourage mom Be an advocate Remember the size of babe’s stomach Colostrum comes first Milk production within 72 hours after delivery Provide list of resources When to call the HCP