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

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

3. 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

4. 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.

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. Good attachment poor attachment

13. Side lying position

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

15. twins

16. 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

17. 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

18. 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.

19. 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.

20. 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

21. thank you