Breastfeeding Your Baby A Breastfeeding Class Designed - PowerPoint Presentation

aaron . @aaron

373 views
Uploaded On 2018-09-26

Breastfeeding Your Baby A Breastfeeding Class Designed - PPT Presentation

For Parents From the International Childbirth Education Association Breastfeeding A System of Newborn Care Food Protection warmth for newborn emotional and physical security and ID: 680323

Link:

Copy

Embed:

<iframe width="560" height="315" src="https://www.docslides.com/embed/680323" frameborder="0" allowfullscreen></iframe>

Download Presentation from below link

Download Presentation The PPT/PDF document "Breastfeeding Your Baby A Breastfeeding ..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.

Presentation Transcript

Slide1

Breastfeeding Your Baby

A Breastfeeding Class Designed

For Parents

From the International Childbirth Education AssociationSlide2

Breastfeeding: A System of Newborn Care Food + Protection-

* warmth for newborn *emotional and physical security and

safety for both

*immunity from bacteria, viruses and fungal infections *protection for mother and baby *economic food security

More Than Food

Less work time missedMore sleep

Decreased incidence of breast cancer, ovarian cancer, osteoporosis and diabetesIncreased mothering skills and confidence

Less environmental waste

Benefits to mom

Increased IQ scores

Decreased risk of:

childhood leukemia,

celiac disease, incidence and

severity of allergies and

asthma, ear infections,

respiratory infections,

meningitis, & childhood

obesity and diabetes

Less SIDS in infants

Benefits to Baby

Breast Anatomy

Alveoli- milk making cells. Ducts- carry milk forward through the nipple.

Mammary vessels bring blood and nutrients to alveoli to make milk.

Q. What do I need to do to “get ready” for breastfeeding?

A. Be pregnant! Your body knows to get ready to feed the baby after birth!

Colostrum begins production about halfway through the pregnancy- the first meals are ready for your baby!

Cadwell, K. and Turner-Maffei, C.

(2016)

Pocket Guide For Lactation Management.

Prenatal

Preparation

Lactation

Hormones

Prolactin

stimulates the alveoli to extract nutrients from the blood vessels and make human milk-promotes calming

Oxytocin

contracts muscles

surrounding the alveoli to

cause “letdown”-promotes

nurturing feelings and behaviors

Skin to Skin Care

“

Healthy infants should be skin to skin with their mothers immediately after birth and remain there with minimal disruptions throughout the recovery period until the first feeding is accomplished.”

American Academy of Pediatrics 2005

Skin-to-Skin

With Your Baby

The Best Start for Baby and Breastfeeding

Mother’s temperature rises to keep baby warm!

Less newborn crying

Improved oxygen levels in the newborn

Less initial weight loss

Better weight gain in the first weeks

Enhanced early breastfeeding

Widström

AM, et al. Newborn

behaviour

to locate the breast when skin-to-skin: a possible method for enabling early self-regulation.

Acta

Paediatr. 2011, 100: 79-85. 10.1111/j.1651-2227.2010

Infant upright, tummy to chest

Infant naked or a diaper

Mother no bra or camisole

Cover both with blanket or gownFor initial – remain together until infant

self-attaches

For encouraging breastfeeding-

remain skin to skin at least

30-60

minutes and showing cues

“

How To” Skin to Skin Holding

Benefits of

Colostrum

Richer in protein to maintain blood sugar levels

Higher in vitamins and minerals

Higher in immunities to prevent infections

Concentrated form designed for the first days

Laxative effect to clear meconium and excess bilirubin

Milk does not “come in”-

first milk-

colostrum

is present at birth!

Colostrum “changes-over”

to mature milk in 2-5 days after birth

Give your baby only your milk unless medically indicated.

Keeps your baby’s intestines healthy

Builds newborn’s immune systemReduces the chances of allergies

Helps assure milk supply

Bartick

M, Reinhold A. The burden of suboptimal breastfeeding in the

United States: a pediatric cost analysis.

Pediatrics 2010;125:e1048–56.

Exclusive Breastfeeding

Thanks Mom for keeping me healthy

by breastfeeding me for at least 6 months!

Newborn Stomach CapacitySlide15

Latch

is the foundation of

effective breastfeeding……

Mouth wide open

Lips flanged back

Full, round cheeks

Nose and chin touching your breast

Sucking bursts and pauses

Listen for swallowing

Feel tugging sensation

No biting or pinching sensations

No clicking/smacking sounds

Latch- mouth wide open

Baby comes “up and over”- far back on the breast

Nipple is in the top of the mouth, back of the mouth- soft structures

Only tugging, pulling sensation- NO biting, pinching sensations

Asymmetric Latch

Start with nose to nipple

Mother’s hand on shoulders

and back- not pushing head!Allow head to tilt back

Mouth opens widely

Chin and bottom lip are

first to the breast

Cadwell

, K. and Turner-

Maffei

, C. 2016.

Pocket Guide For Lactation Management.

Mouth comes “up and over” to attach far back on the breast

Nipple is in the top half of the mouth- available space- tongue is the bottom half of mouth

Attachment is “off center”- further down on the areola, more areola visible above the top lip

Mothers

and babies

belong

together!!!

Breastfeeding Positions

Newborn’s instinctive position: head and body in alignment (straight line between ears, shoulder and hip), chin not on chest (slight backward head tilt), hips flexed

Bring the baby to the breast- not your breast to the baby! Back and shoulders relaxed and supported.

Cradle, cross cradle, side hold or side-lying?

No “right” or “correct” position-

whichever is best for you and your baby!!!

Frequency of Feedings

1st 24 hours: about 8 feedings, each about a teaspoon colostrum. More frequent if skin-to-skin.

24-48 hours: 8-10 feedings.

3-4 days: increasing to 8-12 times/24 hours as milk volume increases.

Cluster feedings!!!!!!

Length of feedings: offer the 1st breast

until finished, then offer the 2nd.

No time limitations!

Feeding Cues

Baby Cue and Stage of Readiness

Wiggling - Early

Rooting - Early

Fussing - Mid

Body moving - Mid

Active crying - Late

Watch the baby-

Not the clock!!!

Supply &

Demand- “Request and Supply”

Communication between each Mother and her baby sets the amount of milk made

Important in the first days and weeks to establish each mother/baby unique needs

Avoid pumping if not separated from

your

baby or your milk is needed

for

supplementation

Avoid unnecessary supplements

for

best milk supply

After the

hospital- Is my baby getting enough?

8-12feedings/24 hours.

Can hear swallowing of colostrum or “milk”.

Urine is pale in color.

Initial weight loss no more than 7%, stops loosing weight by 5 days and back to birth weight by 2 weeks.

IV Therapy effect- IV fluids may increase initial weight, cause increased urine and weight loss not related to feeding.

DiGirolamo

AM,

Grummer

-Strawn LM, Fein SB.(2008) Effect of maternity-care practices on breastfeeding

. Pediatrics

; 12 2:s43–9

“milk drunk”

Adequate

Output

Day 1-2: 1-2 wet and 1-2 stools/24 hours

Day 3: 3 wets and stools with stools changing to brownish-greenDay 4-5: with filling of the breasts, increases to 3-4 wets and at least 4 stools, changing to golden yellow

Day 6:

6-8 wets with 3-4 unformed, yellow, seedy stools

Normal Output Pattern

Day 1-2:

1-2 wet and 1-2 stools/24 hours

Day 3: wets and stools with stools changing to brownish greenDay 4-5: with filling of the breasts, increases to 3-4 wets and stools with stools changing to golden yellow

Day 6:

6-8 wets with 3-4 unformed yellow seedy stools

Too little or no stools-call care provider!

WHAT IF……..

….. and prevention

Low Blood Sugar

Usually defined as: <40 mg/dl

Prevention:

Skin-to-skin for warmth

Early

colostrum

feedings

No limiting of early feedings

Avoidance of “sugar waters”

USBC ( 2010) Achieving Exclusive Breastfeeding in the United States:

Findings and Recommendations.

Jaundice

High levels of bilirubin in infant’s blood: Yellowing of skin and eyes

Prevention:

Nurse within 60-90minutes after birth

Frequent, unlimited feedings of colostrum

(laxative effect)

Schedule appointment

with your baby’s Dr. in 3-5 days

Gartner LM, Morton J, Lawrence RA, et al. (2011)

Breastfeeding and the use of human milk.

Pediatrics

;115:496–506.

Sore Nipples

Causes: Improper latch and not feeding on cue

Prevention:

No scheduled feeds- feed on cue with correct latch

First line of Defense: Correct the Latch!

Asymmetric latch

Observe for tongue tie

Review feeding cues

Engorgement

What is it?

Abundant milk

and increasing fluid in the breasts.

Causes:

Inadequate emptying of the breasts or over-stimulation with.

Prevention:

Feed frequently with baby’s cues, avoid scheduling or skipping feedings.

Filling (rounder, fuller, firmer)-

is normal!!!

Rock-hard, hot, overly-full-

is not normal!!!!

Engorgement Treatments

If infant unable to latch – may express a small amount, but only enough to soften the nipple/areola before feeding.

“Hang” breasts in tepid water, sink or basin,

for gravity emptying. May add massage

to move milk forward. Repeat as often

as needed until softened and infant

can

latch easily.

Shower with water on back-

flowing over breasts.

Discontinue unnecessary pumping.

Plugged ducts

Causes:

* Too tight or extended wearing of bras.

* Sleep position with pressure on the breast. *

Inadequate

emptying of the breasts-

missed feedings, scheduled or timed feedings.

Symptoms:

Localized redness, tenderness, warmth and pain.

Treatment:

* Warm compresses and massage before a feeding.

* Usually resolves with in 24-36 hours.

Mastitis

Symptoms: fever, flu-like symptoms, may have red streaks on the breast.

Causes: cracked nipple, plugged duct, over supply, not regularly emptying of breasts.

Call physician or Midwife.

Continue to breastfeed!!!

Nutrition for Breastfeeding

Old wives tales- no garlic, onions, chocolate, beans, citrus- not true!

General guidelines- well balanced diet- veggies, fruit, whole grains, lean meats.

Adequate fluids and water - drink to thirst- do not force fluids.Avoid fad or severe calorie

restriction diets.

Opportunity for family education.

on nutrition and healthy eating habits

Minimize hormone/chemical additives.

Lawrence, R.A. & Lawrence, R.M. (2011).

Breastfeeding: A Guide for the

Medical Profession

, 7

Edition, Maryland Heights, MO: Elsevier

Breast Pumps

Hospital grade pumps-

if you are separated from your newborn. Add hand expression for more milk!

Manual pumps- economical. Double pump- for return to work or school.

Remember! No need to begin pumping for 2-3 weeks,

unless separated from your baby!!

Human Milk Banking Association of North America (HMBANA) (2011).

Guidelines for the establishment and

operation of a donor human milk bank.

Fort Worth, TX: HMBANA, accessed http://hmbana222.org

Information on Breastfeeding

GREAT BOOKS!

Ina May’s Guide to Breastfeeding

by Ina May Gaskin

The Womanly Art of Breastfeeding

by La

Leche

League

The Breastfeeding Book

by Dr. William and Martha Sears

Website Resources

Cadwell, K. and Turner-Maffei

, C. (2016) Pocket Guide For Lactation Management. Jones and Bartlett Learning. Burlington, MA

Moore ER, et al. (2007) Early skin-to-skin contact for mothers and their healthy newborn infants.

Review article Cochrane Database Syst. Rev. National Alliance for Breastfeeding Academy. (2012). NABA REAL Code Monitoring. Retrieved May 28, 2012,

Ogden CL, Carroll MD, Curtin LR, Lamb MM,

Flegal

KM. (2010) Prevalence of high body mass index in U.S. children and adolescents. JAMA

;303:242–9.

White House Task Force on Childhood Obesity. Solving the problem of childhood obesity within a generation. (2010) Washington, DC: The White House. Available at http://www.letsmove.gov/white-house-task-force-childhood-obesity-report-president. Accessed June 30, 2011.

Gartner LM, Morton J, Lawrence RA, et al. (2012) Breastfeeding and the use of human milk.

Pediatrics

Lawrence, R.A. & Lawrence, R.M. (2011).

Breastfeeding: A Guide for the Medical Profession

, 7

Joint Commission. Specifications manual for Joint Commission National Quality Care Measures: perinatal

care.Available at http://manual.jointcommission.org/releases/TJC2011A/PerinatalCare.html. Accessed May 20, 2011.

CDC. Breastfeeding report card—United States (2011). Atlanta, GA: US Department of Health and Human Services,CDC

. Available at http://www.cdc.gov/breastfeeding/data/reportcard.htm. Accessed August 1, 2011. US Department of Health and Human Services. (2011) The Surgeon General’s call to action to support breastfeeding. Washington, DC: US Department of Health and Human Services, Office of the Surgeon General.

CDC. Breastfeeding among U.S. children born 2000–2008, CDC National Immunization Survey. Atlanta, GA:US Department of Health and Human Services, CDC; 2010. Available at

Http://www.cdc.gov/breastfeeding/data/NIS_data/index.htm. Accessed July 8, 2011

Bartick

M, Reinhold A. (2010) The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis.

Pediatrics

. 125:e1048–56.

US Department of Health and Human Services. Healthy People 2020: Maternal, Infant, and Child

HealthObjectives.Availableathttp

://

www.healthypeople.gov

/2020/topicsobjectives2020/objectiveslist.aspx?topicid=26. Accessed May 20, 2011DiGirolamo AM, Grummer-Strawn LM, Fein SB. (2010) Effect of maternity-care practices on breastfeeding. Pediatrics;122:s43–9.

Academy of Breastfeeding Medicine- .www.usbreastfeeding.org

breastfeeding protocolsUnited States Breastfeeding Committee- USbreastfeeding.org – Core Measure and Basic Competencies Tool kits

Baby Friendly USA- www.babyfriendly usa.org

American Academy of Pediatrics- Policy Statement on Breastfeeding - http://pediatrics.aappublications.org/content/129/3/e827.abstract?sid=fc620c15-8dc1-4ae4-8e98-133e4f67f84dCenters for Disease Control and Prevention

http://www.cdc.gov/breastfeeding/

Wellstart

- Resources for physician education- http://wellstart.org/

White House Task Force on Childhood Obesity

http://www.letsmove.gov/white-house-task-force-childhood-obesity-report-president

American College of Obstetrics and Gynecology

- Breastfeeding

http://www.acog.org/~/media/Committee%20Opinions/Committee%20on%20Health%20Care%20for%20Underserved%20Women/co361.pdf?dmc=1&ts=20130130T1332359887

Department of Health and Human Services

- Healthy People Goals- healthypeople.gov/2020/topicsobjectives2020/ebr.aspx?topicId=26 Resources

For additional informationContact

International Childbirth Education Associationwww.icea.org