isulong ang breastfeeding !!! + pics

7/31/2019 Isulong Ang Breastfeeding !!! + Pics

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Nida Pauline Rosete- SySantos, M.D.University Physician

Chief, Health Services


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Anatomy of the Nursing Breast


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Cross Section of a Baby Nursing


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Breastfeeding- is the feeding of an infant or young childwith breast milk directly from human breasts

rooting reflex

Babies have a sucking reflex that enables them to suck andswallow milk

Correct positioning and technique for latching on can

prevent nipple soreness and allow the baby to obtain

enough milk.


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Human breast milkis the healthiest form of milk forbabies.

Rooming-in is the practice of confining the newborn inthe same room as the mother, right after delivery untilthe time of discharge.


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Production of Breast Milk* hormones: prolactin and oxytocin

Colostrum a thin yellowish fluid rich in protein and antibodies

that provide passive immunity to the baby.- high in IgA which coats the GIT

Antibodies - pass to the baby during breastfeeding

Anti- infective factors:a. lipaseb. lactoferrinc. immunoglobulin A


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Foremilkthe milk released at the beginning of

a feed

- low in fat and high in carbohydrates

Hindmilk- released as the feed progresses


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Breast milk is made from nutrients in the mothersbloodstream and bodily stores.

Breast milk has just the right amount of fat, sugar,water, and protein that is needed for a babys growthand development.

The composition of breast milk changes depending onhow long the baby nurses at each session, as well as onthe age of the child


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Composition of human breast milk

Fat

total (g/100ml) 4.2

Fatty acids- length 8C (%) trace

Polyunsaturated fatty acids (%) 14

Protein (g/100mg)

Total 1.1

Casein 0.4 0.3

a-lactalbumin 0.3

Lactoferrin 0.2

IgA 0.1

IgG 0.001

Lysozyme 0.05

Serum albumin 0.05

B-lactoglobulin -


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Composition of human breast milk

Carbohydrate (g/100ml)

Lactose 7

Oligosaccharides 0.5

Minerals (g/100ml)

Calcium 0.03

Phosphorus 0.014

Sodium 0.015Potassium 0.055

Chlorine 0.043


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Comparison to other milks

Ingredient Breast Milk Milk Formula

Protein highCarbohydrate high

Minerals high

Cholesterol high


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Breastfeeding uses an average of 500 calories a day.

The amount of milk produced depends on how often themother is nursing.

Galactagogues- increasers of milk supply


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Exclusive breastfeeding an infants consumption ofhuman milk with no supplementation of any type.

Feed anywhere from 6 to 14 times a day; 30 to 90 ml perfeed

120 ml

The birth weight of the baby may affect its feeding habits,and mothers may be influenced by what they perceive itsrequirements to be.

failure to thrive


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Tandem nursing- occurs when a woman has a baby

while breastfeeding an older child.

Wet nursing- occurs when a woman is engaged to

breastfeed anothers baby


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The quality of a mothers breast milk may becompromised by:

smokingalcoholic beveragescaffeinated drinksmarijuanamethamphetamine

heroin


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Breastfeeding promotes health and helps to preventdisease.

Artificial feeding is associated with more deaths fromdiarrhea in infants and infectious diseases in bothdeveloping and developed countries.


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Advantages of Breastfeeding:

1. It helps protect the baby against common illnesses.

2. There is no need to prepare breast milk.3. It is always available at no cost.

4. It helps babies grow up with closer bond to their

mother.

5. It is easy to digest.

6. It is clean and has the right temperature.


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Benefits for Infants:

1. Protects against Infection

2. Protects against Illnesses 3. Protection from Allergies

4. Protection from SIDS

5. Enhances Development and Intelligence

6. Less childhood Obesity

7. Less NEC in premature infants


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Long Term Benefits for Infants

A. Dental Health

B. Toddler HealthC. Diabetes Mellitus

D. Childhood Cancer


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Benefits for Mothers

>>>>> Bonding :maternal bond

familial bonds

paternal bond


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Benefits for Society

1. Optimum Child Spacing

2. Improved Vaccine Effectiveness3. Financial Savings to Government and Families

4. More Ecological


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The WHO recommends exclusive breastfeeding for thefirst six months of life, after which infants shouldreceive nutritionally adequate and safe complementaryfoods while breastfeeding continues for up to two years

of age or beyond.


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Exclusive expressing

Exclusive pumping

Eping- a mother feeds her baby exclusively on her

breastmilk while not physically breastfeeding

*** nursing strike/ nipple confusion

-EBM before 4-6 weeks of age should

be given by other means


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Storage of expressed breast milk

Place of storage C F Maximum storagetime

In a room 25 77 6-8 hours

Insulated thermalbag with ice packs

Up to 24 hours

In a refrigerator 4 39 Up to 5 days

Freezer inside arefrigerator

15 5 2 weeks

Combines ref. andreezer with separatedoors

18 0 3-6 months

Chest or uprightmanual defrostfreezer

20 -4 6-12 months


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It is possible to estimate feeding from wet and soilednappies per 24 hours (for NB older than 5-6 days old):

- 8 wet cloth/5-6 wet disposable

- 2-5 soiled


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Diet during Breastfeeding

Avoid: fish high in mercuryLimit : alcohol

caffeine

diet coke- 46 mg per 12 oz can

pepsi - 40 mg


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General Guide to the growth of breastfed babies

during the first month : 112 200 grams a week

first six months : to 1 kg per month

1 inch a month

six months to one year : ka per month

inch a month


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Health Infant Growth

average breastfed baby:

- BW 2x in 5-6 months

BW 2 1/2x in 1 year


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Weaning- the process of introducing the infant toother food and reducing the supply of breast milk.

- psychological factors

>>>mothers inability to let go of her baby

- Bromocriptine


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Breastfeeding difficulties

Physiological constraints:- HIV Infection

- acute poisoning by environmental contaminants

- breast surgery

- Sheehans syndrome


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Social-cultural constraints to breastfeeding

- work pressures

- very short maternity leaves

Barriers to breastfeeding:1. Birth Procedures

2. Nursery Policies

3. Ignorance personal, partner, practitioner

4. Work Force5. Poor Latch

6. HIV Infection


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Alternative Uses for Breast Milk

- as a home remedy for minor ailments:

conjunctivitis, insect bites & stings,contact dermatitis, infected wounds, burns,

abrasions

- boost the immune system


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thank you!!!

isulong ang breastfeeding !!! + pics

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