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How breastfeeding works

3/1. How breastfeeding works. After completing this session participants will be able to: name the main parts of the breast and describe their function describe the hormonal control of breast milk production and ejection

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How breastfeeding works

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  1. 3/1 How breastfeeding works • After completing this session participants will be able to: • name the main parts of the breast and describe their function • describe the hormonal control of breast milk production and ejection • describe the difference between good and poor attachment of a baby at the breast • describe the difference between effective and ineffective suckling

  2. Oxytocin makes them contract Muscle cells Prolactin makes them secrete milk Milk-secreting cells Ducts Larger ducts Nipple Areola Montgomery’s glands Alveoli Supporting tissue and fat 3/2 Anatomy of the breast

  3. Sensory impulses from nipples Prolactin in blood Baby suckling • More prolactin secreted at night • Suppresses ovulation 3/3 Prolactin • Secreted during and after feed to produce next feed

  4. Sensory impulses from nipples Oxytocin in blood Baby suckling • Makes uterus contract 3/4 Oxytocin reflex • Works before or during feed to make milk flow

  5. These help reflex These hinder reflex • Thinks lovingly of baby • Sounds of baby • Sight of baby • Touches baby • Confidence • Worry • Stress • Pain • Doubt 3/5 Helping and hindering of oxytocin reflex

  6. 3/6 Inhibitor in breast milk If breast remains full of milk, secretion stops Inhibitor

  7. 3/7 Attachment to the breast

  8. 3/8 Good and poor attachment • What differences do you see? 1 2

  9. 3/9 Attachment (outside appearance) • What differences do you see? 1 2

  10. 3/10 Results of poor attachment • Painful nipples • Damaged nipples • Engorgement • Baby unsatisfied and cries a lot • Baby feeds frequently and for a long time • Decreased milk production • Baby fails to gain weight

  11. Rooting Reflex When something touches lips, baby opens mouth, puts tongue down and forward Sucking Reflex When something touches palate, baby sucks Skill Mother learns to position baby Baby learns to take breast Swallowing Reflex When mouth fills with milk, baby swallows 3/11 Reflexes in the baby

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