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WORLD BREASTFEEDING WEEK August 1-7. 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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WORLD BREASTFEEDING WEEK August 1-7
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)
Introduction Status of Feeding Practices
Introduction Preventive Interventions
Introduction Preventive Interventions UNDER-5 DEATHS
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
Advantages Colostrum High Anti-infective elements Purgative - Clears bilirubin High growth factor & Vit. A High phospholipids & Cholesterol High antioxidants
Advantages Advantages of Breastfeeding/breastmilk • Easily digested • Perfect Nutrients • Prevents infections • Higher IQ • Prevents allergies • Economical • Emotional Bonding • Protects Mothers Health
Advantages Advantages of Breastfeeding to Mothers Prevents Anemia Prevents Obesity Protects Against Cancers Contraceptive Effect Better Adjustments
Advantages Relative Risk of Artificial Feeding (Animal/Formula Milk)
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
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
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
Physiology Breastmilk Production The Oxytocin reflex Pain Worry Stress Doubt Thinks lovingly of baby CONFIDENCE Sound of baby Sight of baby
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
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
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
Attachment Results of poor attachment Pain & Damage to nipples Sore Nipples Fissures
Position Good Baby Position Cradle Hold
Position Good Baby Position Cross Cradle Hold
Position Good Baby Position Football Hold
Position Good Baby Position Side Lying
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
Myth 1 Janam Ghuti/Gurti should be given at birth. • Unscientific • Can give infections • induce unnatural sleep NO
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
Myth 3 Baby remains hungry even after sufficient time is given to suckle Not true • Poor Attachment • Other Reasons
Myth 4 Breastfeeding is painful Not true • Incorrect Position • Sore Nipples
Myth 5 Breastfeeding newborns need vitamins and minerals/Iron Supplements. Not true • sufficient vitamins • sufficient minerals • suficient iron
Myth 6 Breastfeeding baby needs extra water in hot weather. Not true • adequate in • breastmilk
Myth 7 After a year, breastmilk loses all it's nutritional value. Not true • perfect • nutrition
Myth 8 You can't take any medication while you're breastfeeding. Not true • very few absolute • contraindications
Myth 9 If the mother has an infection she should stop breastfeeding. Not true • very very few • exceptions
Myth 10 If the baby has diarrhea or vomiting, the mother should stop breastfeeding. Not true • helps in • recovery
Myth 11 Mother should wash her nipples each time before feeding the baby. Not true • removes • protective oils • Leads to infection
Myth 12 A mother will not get pregnant if she is breastfeeding. • No menstruation • 6 months postpartum • Exclusive unrestricted breastfeeding 98% True
Myth 13 Mother must wean if she gets pregnant. Not true No partcular reason except - premature labour
Myth 14 Breastfeeding is not possible after caesarian section birth. Not true • Possible • within 4 hours
Myth 15 Milk production is directly related to the size of the breasts Not true • Depends upon • stimulation
Myth 16 There is no way to know how much breast milk the baby is getting. Not true • adequate weight gain • passing enough urine
Myth 17 Mother should have a good diet or her milk won't nourish the baby properly. Not true • adequate • quality and quantity
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
Myth 19 Modern formulas are almost the same as breastmilk. Not true • No live cells • No antibodies • ? undiscovered elements
Myth 20 Night nursing causes dental problems Not true Other way round
Myth 21 Breastfeeding ruins the shape of the breasts Not true • Hereditary • Weight gain/loss • Muscle tone
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
Guidelines Guidelines for Successful Breastfeeding Initiating breastfeeding within half-hour of birth
Guidelines Guidelines for Successful Breastfeeding Breastfeed on demand
Guidelines Guidelines for Successful Breastfeeding take additional support if the baby is sick or small
Guidelines Guidelines for Successful Breastfeeding exclusively breastfeed the child for 6 months
Guidelines Guidelines for Successful Breastfeeding Breastfeeding in the correct position