LECTURE 9

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LECTURE ?9

• BREAST FEEDING
• Dr.Nagayeva S

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• Balanced diet of children of the first year of a
  life ("feeding", on the terminology accepted in
  our country) is one of the major conditions,
  providing both their adequate growth and
  development, and steadiness against the influence
  of infections and other negative external
  factors. Character of feeding on the first year
  of baby's life substantially defines a state of
  health, not only at early age, but also during
  the subsequent periods of his life.

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• There is no doubts, that the mother's milk is the
  optimum kind of nutrition for the baby of the
  first year of life. Its structure is adequate to
  the feature of the metabolism of the baby ,at
  early stages of development.
• Thus mother's milk is not only a source of all
  nutrients, which are necessary for child, but
  contains a plenty of biologically active
  connections and protective factors (enzymes,
  hormones, antibodies, lactoferrin, etc.) also,
  influencing on growth and formation of the immune
  status of children.

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ADVANTAGES OF MOTHER'S MILK

• Breast milk contains all necessary for the baby
  nutrients , at that it is in the optimum ratio
  and a kind , adapted for features of digestive
  system of the newborn, it is develops by mother's
  organism by the individual order.

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ADVANTAGES OF BREAST FEEDING

• The structure of mother's milk change in process
  of the baby's growth , in accordance with his
  needs. Colostrum is produced at first time after
  childbirth , then mammary gland produce
  transitional milk and from second-third week
  mother's milk becomes mature.

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• Female milk is specific. It contains the
  substances promoting development of baby's brain
  , while cow's or goat's milk are direct to
  increase the weight of a body, mainly. The
  colostrum is very important. It is produced by
  the mammary gland at the first hours after
  childbirth, it is rich of vitamins , enzymes,
  mineral substances and creates necessary
  conditions for microbic biocenose of the
  intestines (useful biobacteria). Just the
  colostrum in its pure state will help to avoid a
  disbacteriosis from your baby .
• Besides the colostrum is ideally for a sterile
  stomach of the newborn. Milk , on its own
  structure ,is very close to tissue of the
  newborn, therefore it's assimilate easily.

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THE STRUCTURE OF MOTHER'S MILK

• Mother's milk contains on average albumen -
  1,15g in 100ml, but the quantity of food protein
  is even less - 0,8g, the other part is
  "functional" proteins antibodies, hormones,
  enzymes. None of the proteins of mother's milk is
  identical to any of cow's protein.
• The proteins of the human's serum consist from
  human alpha-lactoglobulin, the basic protein of
  the cow's serum is - beta-lactogobulin (casein).
• Proteins of the mother's milk are forming more
  gentle and fine-dyspersated clot in a stomach
  under the influence of a hydrochloric acid, than
  casein. That promotes easier splitting by
  digestive enzymes and thereof the higher degree
  of digestion and assimilation.

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• There are a lot of fatty acids in mother's milk,
  which are necessary for construction and
  adequate functioning of biomembranes, formations
  of a brain and an eye's retina. Unlike the cow
  milk, there is elevated quantity of cysteine and
  taurine (amino acids) and less quantity of
  methionine in the breast milk.
• Taurine is necessary for bile's salt connection
  and it's serves as neurotransmitter and
  neuromodulator of the development of the central
  nervous system. Children are not capable to
  synthesize taurine, but this is irreplaceable
  substance, and its absence or inadequate quantity
  cause irreparable damage to development of a
  brain and immune system, to the eye's retina, to
  the adrenal glands.

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• Whatever balanced the widely advertised
  artificial feeding is, it cannot meet individual
  needs of each baby.
• Thus, at the artificial feeding superfluous
  receipt of proteins, the inadequate qualitative
  structure, smaller quantity of free amino acids,
  essentially raise loading on immature digestive
  system of the baby.

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WHEN TO FEED?

• You should feed your baby just after childbirth.
  It is desirable, that mom constantly was in
  contact with her baby also. You should feed him
  by the first request. It may be tired for you to
  feed every hour, but you can't make a schedule
  for the work of a little stomach.
• Hunger is new sensations for the baby, he hasn't
  felt it before. The digestive system of the
  babys only starts to develop. When intervals
  between feedings are greater, the baby sucks
  very greedy, swallows the air, overeats .It's
  difficultly to digest a plenty food at one
  sitting. And the baby get a problems with a
  tummy, he becomes restless. Feed your child
  gradually, but more often.
• Mother's milk assimilates well, infants can't to
  overeat it. It's quite another matter the
  artificial feeding, there are more problem with
  it , than you can imagine.

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THE BREAST OR THE SMALL BOTTLE?

• The breast feeding is the simple, convenient and
  efficient procedure. The meal for the child is
  always at hand, with the necessary quality, with
  the necessary temperature and a consistence
  always.
• But the small bottle? it is necessary to
  sterilize it. It delivers more efforts at the
  night.
• The breast feeding requires a minimum efforts to
  unhook a bra, to put mamilla into the hungry
  mouth, after some time to take it out and to
  plunge into a dream again . You needn't to
  express out the breast milk.

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• Women complains about morbidity of the mammilas,
  at times even about the chaps. Besides it leads
  to decrease of lactation and galactostasia.
  Therefore, even, if you get a problems with
  feeding before you have ended it , please consult
  with experts. There can be a special reasons. Do
  not lose such invaluable gift of the nature -
  mother's milk.

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• he shape of the breast will never be the same ,as
  it were before. Even if you did not feed your
  kid by the breast, it can't get back all the
  elasticity of the maiden breast any more,
  pregnancy will bring the corrective any way. The
  breast becomes softer. And strias appears at the
  time of pregnancy. To prevent the flabby breast ,
  just dont torture it by means of expression of
  breast milk. Milk will come exactly so much, how
  many it is required to the baby.
• Simply feed him ,when he is hungry and your
  breast, will return to the previous sizes soon.

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CARE OF THE BREAST

• This main rules must to every nursing mother.
• You should keep your breast clean. You should
  wash it with the warm boiled water and the
  childrens soap wipe it with rough towel.
• If your breast is tight, that milk is ooze out
  hardly, then the stroking from periphery to the
  centre will make easier milk release.
• You should squeeze out the drop of milk and
  spread it on over the mammila after every breast
  feeding. It has an expressed antibacterial and
  wound healing properties. You will not find the
  better remedy for healing of the chaps.

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CARE OF THE BREAST

• For preservation of the breast's shape , is
  better to wear a soft bra , special for feeding
  mothers. Except for that ,it prevents from
  galactostasia in the raised breast. All actions
  listed above are preventive measures of a
  mastitis.