Kumpulan 4

Ben 10

Fascilitator : Pn Nurhasimawati

Mother’s Name : Kim Thuy Baby’s Name : B/o Kim Thuy Age Mother’s : 27 Years Baby’s DOB : 20 May 2011 Baby’s Age : Day 7 Of life Race : Vietnamese

General

Mother: Mother looked healthy Relaxed and comfortable Bonding observed between mother and baby Mother was caring to the baby Mother stays with sister during confinement

(family supportive)

Baby

Admitted for jaundice TSB on admission was 275 umol/L Today baby looked healthy Baby was calm and relaxed His weight was 3.2kg Baby BO/PU >4x per day BO greenish soft stool

No bottle or pacifier noted in the cubicle Mother possessed a manual pump No formula milk noted

Breast

Breasts looked full but no pain or discomfort Breast was wrongly supported (scissors

technique) when assessed Nipple not retracted Advised to mother’s use bra to support

breasts

Baby’s Position

Baby supported by head and neck Baby held close to mother’s body Baby approaches breast, nose opposite nipple However, head and body not in line. The

Mother’s technique was corrected

Baby’s Attachment

More areola seen above baby’s top lip but baby refused to suck because he was full

Mother attempted to stimulate the baby to feed by shaking the baby. Mother was advised against it.

Baby’s chin touched breast

Suckling

Feeding hourly lasting 20-30 minutes each session

Sucking well Baby has just been fed Attempted to establish breast feeding but

baby refused. Baby sleeping comfortably Baby was not irritable

Advice Counseled Mother to exclusively breast feed

baby for at least 6 months (advise against water supplementation unless medically indicated)

Mother to start weaning at 6 months Encourage breast feeding until 2 years of age

Educated the pathogenesis of physiological jaundice

Educated the ways to cope with jaundice (continue breast feeding to ensure adequate growth and hydration)