Breast Feeding

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WORLD BREASTFEEDING WEEK August 1-7
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WORLD BREASTFEEDING WEEK August 1-7, 2005

• Introduction
• Advantages of Breastfeeding
• Physiology of Breast milk Production
• Attachment Feeding Positions
• Myths about Breastfeeding
• Guidelines to successful breastfeeding

Dr. Rajinder Gulati MD (Paed)
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Introduction
Status of Feeding Practices
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Introduction
Preventive Interventions
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Introduction
Preventive Interventions
UNDER-5 DEATHS
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WORLD BREASTFEEDING WEEK August 1-7, 2005

• Introduction
• Advantages of Breastfeeding
• Physiology of Breast milk Production
• Attachment Feeding Positions
• Myths about Breastfeeding
• Guidelines to successful breastfeeding

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Advantages
Colostrum
High Anti-infective elements
Purgative - Clears bilirubin
High growth factor Vit. A
High phospholipids Cholesterol
High antioxidants
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Advantages
Advantages of Breastfeeding/breastmilk

• Easily digested

• Perfect Nutrients

• Higher IQ

• Prevents infections

• Prevents allergies

• Economical

• Emotional Bonding

• Protects Mothers Health

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Advantages
Advantages of Breastfeeding to Mothers
Prevents Anemia
Prevents Obesity
Protects Against Cancers
Contraceptive Effect
Better Adjustments
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Advantages
Relative Risk of Artificial Feeding
(Animal/Formula Milk)
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WORLD BREASTFEEDING WEEK August 1-7, 2005

• Introduction
• Advantages of Breastfeeding
• Physiology of Breast milk Production
• Attachment Feeding Positions
• Myths about Breastfeeding
• Guidelines to successful breastfeeding

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Physiology
Breastmilk Production
The Prolactin reflex
Sensory Impulses from nipple
Prolactin in blood

• More prolactin secreted at night
• Secreted after feed to produce next feed
• Suppresses ovulation

Baby sucking
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Physiology
Breastmilk Production
The Oxytocin reflex
Sensory Impulses from nipple
Oxytocin in blood

• Works before or during feed to make milk flow
• Makes uterus contract

Baby sucking
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Physiology
Breastmilk Production
The Oxytocin reflex
Pain Worry Stress Doubt
Thinks lovingly of baby CONFIDENCE Sound of baby
Sight of baby
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WORLD BREASTFEEDING WEEK August 1-7, 2005

• Introduction
• Advantages of Breastfeeding
• Physiology of Breast milk Production
• Attachment Feeding Positions
• Myths about Breastfeeding
• Guidelines to successful breastfeeding

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Attachment
Signs of Correct Attachment

• Tongue under sinuses nipple against palate

• More areola visible above

• Mouth wide open lower lip turned outwards

• Chin close to the breast

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Attachment
Incorrect Sucking Position

• Baby sucks only at the nipple

• Much of areola outside mouth

• Mouth is not wide open

• Chin is away from the breast

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Attachment
Results of poor attachment
Pain Damage to nipples
Sore Nipples Fissures
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Position
Good Baby Position
Cradle Hold
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Position
Good Baby Position
Cross Cradle Hold
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Position
Good Baby Position
Football Hold
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Position
Good Baby Position
Side Lying
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WORLD BREASTFEEDING WEEK August 1-7, 2005

• Introduction
• Advantages of Breastfeeding
• Physiology of Breast milk Production
• Attachment Feeding Positions
• Myths about Breastfeeding
• Guidelines to successful breastfeeding

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Myth 1
Janam Ghuti/Gurti should be given at birth.

• Unscientific
• Can give infections
• induce unnatural sleep

NO
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Myth 2
Milk is not enough during first 3 or 4 days after
birth.
Not true

• sufficient Amt/Cal
• Rich in vitamins
• Rich in antibodies

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Myth 3
Baby remains hungry even after sufficient time is
given to suckle
Not true

• Poor Attachment
• Other Reasons

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Myth 4
Breastfeeding is painful
Not true

• Incorrect Position
• Sore Nipples

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Myth 5
Breastfeeding newborns need vitamins and
minerals/Iron Supplements.
Not true

• sufficient vitamins
• sufficient minerals
• suficient iron

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Myth 6
Breastfeeding baby needs extra water in hot
weather.
Not true

• adequate in
• breastmilk

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Myth 7
After a year, breastmilk loses all it's
nutritional value.
Not true

• perfect
• nutrition

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Myth 8
You can't take any medication while you're
breastfeeding.
Not true

• very few absolute
• contraindications

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Myth 9
If the mother has an infection she should stop
breastfeeding.
Not true

• very very few
• exceptions

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Myth 10
If the baby has diarrhea or vomiting, the
mother should stop breastfeeding.
Not true

• helps in
• recovery

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Myth 11
Mother should wash her nipples each time before
feeding the baby.
Not true

• removes
• protective oils
• Leads to infection

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Myth 12
A mother will not get pregnant if she is
breastfeeding.

• No menstruation
• 6 months postpartum
• Exclusive unrestricted breastfeeding

98 True
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Myth 13
Mother must wean if she gets pregnant.
Not true
No partcular reason except - premature labour
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Myth 14
Breastfeeding is not possible after caesarian
section birth.
Not true

• Possible
• within 4 hours

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Myth 15
Milk production is directly related to the
size of the breasts
Not true

• Depends upon
• stimulation

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Myth 16
There is no way to know how much breast milk the
baby is getting.
Not true

• adequate weight gain
• passing enough urine

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Myth 17
Mother should have a good diet or her milk won't
nourish the baby properly.
Not true

• adequate
• quality and quantity

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Myth 18
It is easier to bottle feed than to breastfeed.
Not true
More time consumed - going to kitchen, -
burning stove, - sterilizing
bottle, - preparing feed, -
wait return back, - more ailments
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Myth 19
Modern formulas are almost the same as
breastmilk.
Not true

• No live cells
• No antibodies
• ? undiscovered elements

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Myth 20
Night nursing causes dental problems
Not true
Other way round
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Myth 21
Breastfeeding ruins the shape of the
breasts
Not true

• Hereditary
• Weight gain/loss
• Muscle tone

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WORLD BREASTFEEDING WEEK August 1-7, 2005

• Introduction
• Advantages of Breastfeeding
• Physiology of Breast milk Production
• Attachment Feeding Positions
• Myths about Breastfeeding
• Guidelines to successful breastfeeding

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Guidelines
Guidelines for Successful Breastfeeding
Initiating breastfeeding within half-hour of
birth
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Guidelines
Guidelines for Successful Breastfeeding
Breastfeed on demand
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Guidelines
Guidelines for Successful Breastfeeding
take additional support if the baby is sick or
small
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Guidelines
Guidelines for Successful Breastfeeding
exclusively breastfeed the child for 6 months
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Guidelines
Guidelines for Successful Breastfeeding
Breastfeeding in the correct position
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Guidelines
Guidelines for Successful Breastfeeding
rooming-in 24 hours a day
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Guidelines
Guidelines for Successful Breastfeeding
No bottles, artificial teats or pacifiers for
breastfeeding infants.
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Thankyou