Session 1 Introduction

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Session 1Introduction
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Session 1Introduction

• Welcome
• Introduction to the course
• Setting ground rules
• Domestics expense claims
• CRB forms
• Introduction by group members and volunteers
• Hopes and Fears
• Discuss own Breast feeding experiences.
• Handout provided by NHS Direct on Breast feeding
  getting started.

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Session 2Benefits of the Breast feeding Method
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Session 2Learning Aims

• Identify the benefits of breast milk for the
  baby.
• Understanding the benefits of breast feeding for
  the mother.
• Social gains of breast feeding.
• How breast feeding works.
• Objectives
• At the end of this session, you will be able to
• Define the health benefits delivered to breast
  fed babies.
• Define the health and social/economic benefits
  for the mother.
• Understand the composition of breast milk.
• Can identify the difference between fore milk and
  hind milk.

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Benefits Of The Breast Feeding Method.

• 9.30 Introduction and information on the purpose
  of the session.
• 10-10.30 In groups create a mind map of the
  benefits of breast feeding for the mum and for
  the baby. Followed by answers and hand out from
  NCT Reasons to be Proud.
• 10.30-10.45 Refreshment break
• 10.45-11.15 How breast feeding works. Hand out on
  composition of breast milk. Followed by
  discussion properties of fore milk and hind milk.
  Hand out Breastfeeding the first seven days the
  national childbirth trust.
• 11.15-11.30 Close and provision of information
  required for next session.
• Suggested Reading
• Reasons to Be Proud the National Childbirth Trust
  Hand out.
• Breastfeeding the first seven days National
  Childbirth Trust.
• Patient Information Leaflet Breastfeeding the
  whole view NHS Direct.
• Breastfeeding Something Special National
  Childbirth Trust handout.

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Supply and DemandHow Breast Feeding
WorksSession 3
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Learning Aims

• Understand the hormones responsible for
  controlling the production of breast milk.
• Identify how supply and demand works.
• Strategies to enable good positioning and
  effective latching on at the breast

• Objectives At the end of this session, you will
  be able to
• Name the hormones responsible for producing
  breast milk.
• Describe positive signs and sensations of the
  oxytocin reflex.
• The process of the let down reflex.
• Identify a good latch on and most comfortable
  position for mum and baby.

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Session 3Supply and Demand How Breast feeding
works.

• 9.30-10.00 Hand out on supply and demand process.
  Exercise on arranging sequence of captions on
  lactation diagram. Followed by answers.
• 10-10.30 Discuss factors which help and hinder
  the oxytocin reflex.
• 10.30-10.45 Refreshment break.
• 10.45-11.00 Positioning and latching on. 10
  minute video Breastfeeding tips with the national
  childbirth trust. Followed by groups arranging
  pictures in the order of sequence to demonstrate
  current latching on to the breast. Hand out
  provided by NCT Breast Feeding not Nipple
  feeding.
• 11.00-11.30 In groups discuss factors which
  contribute to a good/correct latch on, following
  check list (work sheet provided by unicef breast
  feeding counsellor training manual). Followed by
  role play, in twos practice position doll on mum
  and obtaining a good latch on.
• Closure.
• Suggested Reading
• Breast Feeding not Nipple Feeding NCT.
• Breastfeeding Starting Out Right World Health
  Organisation.

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Physical and Psychological Support Required In
BreastFeeding Mothers.Session 4
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Physical and Psychological Support.Learning aims.

• Understand psychological factors which may hinder
  a mother from breast feeding.
• Identify ineffective attachment and the
  consequences there of.
• Recognise a good attachment.
• Identify positive images of breast feeding.

• Objectives At the end of this session, you will
  be able to
• Describe the difference between effective and
  ineffective attachment of a baby at the breast
  and the consequences there of.
• Describe the difference between effective and
  ineffective suckling.
• Able to recognise physical consequences of
  ineffective suckling and attachment.

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Physical and Psychological Support Session 4

• 9.30-10.00 Using mind maps identify the
  consequences of ineffective suckling and poor
  attachment.
• 10-10.30 Using a case study discuss how you would
  deal with the breastfeeding mothers problems.
• 10.30-10.45 Refreshment break.
• 10.45-11.15 Discuss in groups strategies to
  relieve swollen breasts, and sore nipples.
  Consider in groups when it would be appropriate
  to refer to a health care practitioner.Hand out
  from NCT B1A Breastfeeding Getting Started handy
  hints. NCT B9 Feeding often is normal in the
  early days.
• 11.15-11.30 Close and setting of homework. Topic
  of home work to create a colleague of positive
  images of breast feeding.
• Suggest Reading
• B2 handout NCT Breast feeding Getting Started.
• B9 handout NCT Feeding Often is normal in the
  early days.
• Patient Information Leaflet Breastfeeding the
  whole view NHS Direct.

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What Influences Mothers ChoiceSession 5
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What Influences Mothers ChoiceSession 5

• Objectives by the end of this session you will be
  able too
• Describe the dangers of commercial promotion.
• Understand why health education plays a great
  role in influencing.
• Identify the role/value of peer opinion on the
  mothers decision.
• Understand how internal pressures can influence
  decisions, the partners and immediate families
  role.
• Identify daily dietary requirements of the
  breastfeeding mother.

• Learning Aims
• To understand the role that marketing and
  advertising play on influencing mothers choice.
• Promotions and how companies giving free samples
  can influence mothers choice.
• Cultural/social economic factors, which limit
  choice.
• The promotion of formulae coupons to support
  financially disadvantaged mothers versus the
  introduction of health eating grants to support
  breastfeeding women.
• Dietary requirements of the breastfeeding mother.

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What Influences Mothers ChoiceSession 5

• 9.30-10.00 Discuss what images are portrayed in
  the press regarding breast feeding, if any.
  Followed by comparison on the normalising effect
  of formulae advertisements.
• 10-10.30 Consider the impact of peer pressure on
  the mothers decision. Hand out B2 NCT It takes
  two to breast feed. Followed by discussion on
  barriers which prevent the up take of breast
  feeding, dispelling myth.
• 10.30-10.45 Refreshment break.
• 10.45-11.15 List the advantages of breast
  feeding, following which discuss how this could
  be implemented in an advertisement to promote
  breastfeeding.
• 11.15-11.30 Discuss maternal mothers dietary
  requirements and how this may effect her. In
  groups create a menu suited to a breastfeeding
  mother.
• Suggested Reading
• Handout B2 It takes two to breast feed National
  childbirth trust.
• Patient Information Leaflet Breastfeeding the
  whole view NHS Direct.

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Expressing breast MilkSession 6
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Expressing Breast MilkSession 6

• Aims
• Identify situations in which the expression of
  breast milk may be useful or necessary.
• Ways to express milk.
• How to teach hand milk expression.
• Storage of breast milk for use at home.
• Returning to work and what happens then.

• Objects by the end of this session you will be
  able to
• Explain why it is useful for a mother to know how
  to express milk.
• List the common situations in which a mother may
  wish to express breast milk.
• Demonstrate how to use a hand or electric pumps.
• Teach a mother the principles of hand expression
  and ineffective techniques.
• Consider risk assessment issues for mothers
  returning to work.
• Identify safe methods of storing expressed breast
  milk.

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Expressing Breast MilkSession 6

• 9.30-10.00 list occasions when expressing breast
  milk may be beneficial.
• 10.00-10.30 Demonstrate hand expression of milk.
  Using the hand expression checklist discuss how
  to assess mothers technique, work sheet
  unicef/WHO 3c.
• 10.30-10.45 Refreshment break.
• 10.45-11.15 Using worksheet 6 unicef Expressing
  and storing breast milk consider why a mother
  might express breast milk, methods and storage
  there of.
• 11.15-11.30 Demonstrate different types of breast
  pumps, hand and electric.
• Suggested Reading
• BreastfeedingReturning to work national
  childbirth trust.
• Work sheet 6 Unicef and WHO breast feeding
  management.
• Hand Expression checklist, unicef and WHO
  breastfeeding management module 3c.

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Training Material Alisa Stevenson RN Dip BSC
(hon) NVQ A1 assessor award.
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Session 7Safe guarding Children
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Session7Safe Guarding Children

• Aims and objectives
• Led by Home start

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Session 8How to be a Volunteer
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Session 8How to be a Volunteer

• Aims and Objective
• Led by home start
• How to be a volunteer and Responsibilities.
• Policies
• Confidentiality
• Sources of help
• When to refer on to a health care practitioner.

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Session 9Evaluation
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Session9Evaluation of the Breast feeding Course

• Completion of breast feeding evaluation.
• Discuss what was good about the course and what
  was negative.
• Discuss how future courses could be improved.
• Address factors which were missing.

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Session 10Implementation
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Session 10Implementation

• Discuss how the information learnt can be passed
  on to the community.
• Evaluation gaps in the market which do not assist
  mothers wishing to breast feed.
• Discuss roles, and where advise could be given.
• Discuss promotion and visibility.