1. 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

2. 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

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

4. 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

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

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

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

8. CAM Therapy for Lactation
Breast Engorgement
Milk Production
Milk Cessation

9. 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

10. 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