1. PRODUCTION AND INTAKE OF BREASTMILK
Session 3
PRODUCTION AND INTAKE OF BREASTMILK

2. Breast Anatomy - Structure
3/1

3. To increase milk productions
Prolactin Reflex
Secretion continues AFTER feed to produce NEXT feed
To increase milk productions
3/2

4. Oxytocin Reflex
For milk ejection
3/3

5. Helping and Hindering the Oxytocin Reflex
For milk ejection
3/4

6. Inhibitor in Breastmilk
3/5

7. Attachment at Breast
3/6

8. Mechanism of ‘Suckling Cycle’
3/7

9. What Differences Do You See?
Picture 1
Picture 2
GOOD ATTACHMENT
POOR ATTACHMENT
3/8

10. What Differences Do You See?
Picture 1
Picture 2
ATTACHMENT, OUTSIDE APPEARENCE
3/9

11. Consequences of Poor Attachment
u Pain and damage to nipples Sore nipples
Fissures
u Breastmilk not removed effectively Engorgement
Baby unsatisfied,
wants to feed more Apparent poor milk supply
Baby frustrated,
refuses to suckle
Breasts make less milk
Baby fails to gain weight
3/10

12. Causes of Poor Attachment
Use of feeding bottle
Inexperienced mother
Functional difficulty
Lack of skilled support
before breastfeeding established
for later supplements
first baby
bottle fed previous baby
low birth weight and sick baby
nipple poorly protractile
large / flat nipple
engorgement
late start
less traditional help and community support
doctors, midwives, nurses not trained to help
3/11

13. Feeding Reflexes in the Baby
Rooting reflex
When something
touches lips,
baby opens mouth
puts tongue down
and forward
Sucking reflex
When something touches palate baby sucks
Skill
Mother learns to position baby
Baby learns to take breast
Swallowing reflex
When mouth fills with milk,
baby swallows
Gag reflex
When something touches anterior part of the tongue, baby pushes it out.
3/12