Breast Milk Feeding BREASTFEEDING Presentation on CD

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Numerous illustrations and matrices.

Contains the following key public domain (not copyrighted) U.S. Government publication(s) on one CD-ROM in both Microsoft PowerPoint and Adobe Acrobat PDF file formats:

TITLE:

Breastfeeding - Getting Started, 32 pages (slides) 

SLIDE TOPICS, SUBTOPICS and CONTENTS:

Breastfeeding - Getting Started
[insert presenter info]
Advantages for the Baby
Less illnesses, diseases & disorders
Antibodies in breast milk
Always the right temperature
Nurturing benefits from skin to skin contact
Aids in development of baby’s brain and nervous system
Advantages for Mother
Decreased postpartum bleeding
Earlier return to pre-pregnancy weight
Delayed resumption of ovulation
Reduced risk of ovarian cancer
Reduced premenopausal breast cancer
Anatomy & Physiology During Pregnancy
Breast, areola, & nipple increase in size
Veins may be more noticeable
Milk glands & ducts increase
Colostrum is produced in the second trimester
Montgomery glands become numerous and prominent
How Does a Breast Produce Milk?
Milk is made in grapelike structures deep in the breast
When milk “let’s down” it travels out of the “grapes” down the stems “ducts” and collects in the pools (sinuses) under the dark area (areola) behind the nipple
Baby’s gums press areola to release milk
Lactogenesis
Before Delivery: Preparing for Breastfeeding
Massage breasts and rub nipples gently
Avoid using soap on nipples
Expose nipples to air and briefly to sunlight
Let nipples rub against clothing
Flat or Inverted Nipples
Begin treatment late in pregnancy
Stop if causes uterine contractions
Breast shells
Wear 1 hour a day and gradually increase to several hours
Dry area under nipple often
Breastfeeding: Getting Started



Is Your Baby Hungry? Infant Feeding Cues
Bringing hands to mouth or cheek and trying to suck on them
Rooting
Lip smacking, mouthing, tongue protrusion
Crying is a late feeding cue
Breastfeeding Your Infant
Wash your hands
Position yourself comfortably and correctly
Use pillows or towels for support
Uncover the breast you wish to offer first

The Side-lying Position
Lie on your side
Use pillows
Tummy-to-tummy
Baby’s mouth in line with nipple

The Football Position
Baby’s legs are under your arm
Use pillows
Helpful for baby’s who are having trouble latching on
The Cradle Position
Tummy-to-tummy
Baby’s head in crook of  your elbow
Shoulders, hips, in straight line
Level with breast
Pillow in lap will help
Milk Ejection Reflex “Let Down”
Tingling sensation in breast
Relaxed feeling occurs
“Let down” can occur between feedings
Offering Your Breast to Baby
Fingers underneath, thumb on top of breast
Fingers well behind areola
Rooting Reflex and Latch-On
Position baby correctly at breast with mouth directly in front of nipple
Use nipple to tickle baby’s lips until mouth opens wide
Support baby’s head
Baby’s mouth is open wide enough to take in nipple and most of areola
Open wide…
Quickly center your nipple in his mouth and pull him toward you
Baby’s lower jaw far back from the nipple
Baby’s chin on breast
Nose may be on breast
Coming off  the breast
Watch baby for cues that he is finished
May spontaneously come off  the breast
May fall asleep
Allow baby to determine when he is done
Foremilk and hindmilk
If you need to stop the feeding early, break suction by inserting finger into corner of baby’s mouth
Challenges
Is baby getting enough to eat?
Baby feeds frequently
10-15 on each breast per feeding
Adequate wet diapers
Adequate stools
Baby is gaining weight
Nursing Mothers: Stay Well Nourished
Follow same healthy diet you ate while pregnant
Breast feeding burns 300-400 additional calories per day
 If  you are not well nourished, your supply of breast milk may decrease

Breast Care
Sore or cracked nipples
Engorgement
Plugged Ducts
Mastitis

Preventing Sore or Cracked Nipples
Properly position infant
Use pillows
Check for good latch on
Do not use ointments or creams
Express a few drops of milk onto nipple after feeding (antibacterial properties)
Allow nipples to air dry
Engorgement
May occur between 2nd and 6th day when your milk “comes in”
Occurs more frequently in first-time mothers
Hang in there!  This will go away after a day or so.
Plugged Ducts
Tender spot, redness, or sore lump in breast
Milk is unable to flow through duct leads to inflammation
Change feeding positions from time to time
Mastitis
Occurs when plugged duct is not treated
Flu-like symptoms (tired, aches, fever)
Start treatment immediately
Contact physician for antibiotics
Apply heat
Breastfeed frequently
Rest
REMEMBER
Getting breastfeeding correct from the start is crucial to long-term breastfeeding success!
Reasons to Suspend or Avoid Breastfeeding
Treatment with a medication that transfers into the breast milk
Level of risk to environmental exposures at duty station or in the field
Solvents
Chemicals
Fuels
Weaning
Wean gradually
Substitute a bottle or serve drinks in a sippy cup
Ensure adequate nutrition for baby
Be firm in your decision
QUESTIONS
Acknowledgements
Ms. BethAnn Cameron, MS, CHES
Health Educator
Directorate of Health Promotion and Wellness
US Army Center for Health Promotion and Preventive Medicine

Ms. Cindy Plank
Health Educator
General Leonard Wood Army Community Hospital
Fort Leonard Wood, Missouri

Wellness Center
Martin Army Community Hospital
Fort Benning, Georgia