Download - Breastfeeding getting started

BreastfeedingBreastfeedingGetting StartedGetting Started

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Advantages for the BabyAdvantages for the Baby

Less illnesses, diseases & disordersLess illnesses, diseases & disorders

Antibodies in breast milkAntibodies in breast milk

Always the right temperatureAlways the right temperature

Nurturing benefits from skin to skin Nurturing benefits from skin to skin contactcontact

Aids in development of baby’s brain and Aids in development of baby’s brain and nervous systemnervous system

Advantages for MotherAdvantages for Mother

Decreased postpartum bleedingDecreased postpartum bleeding

Earlier return to pre-pregnancy weightEarlier return to pre-pregnancy weight

Delayed resumption of ovulationDelayed resumption of ovulation

Reduced risk of ovarian cancerReduced risk of ovarian cancer

Reduced premenopausal breast cancerReduced premenopausal breast cancer

Anatomy & PhysiologyAnatomy & PhysiologyDuring PregnancyDuring Pregnancy

Breast, areola, & nipple increase in sizeBreast, areola, & nipple increase in size

Veins may be more noticeableVeins may be more noticeable

Milk glands & ducts increaseMilk glands & ducts increase

Colostrum is produced in the second Colostrum is produced in the second trimestertrimester

Montgomery glands become numerous Montgomery glands become numerous and prominentand prominent

How Does a Breast How Does a Breast Produce Milk?Produce Milk?

Milk is made in grapelike Milk is made in grapelike structures deep in the breaststructures deep in the breast

When milk “let’s down” it travels When milk “let’s down” it travels out of the “grapes” down the out of the “grapes” down the stems “ducts” and collects in stems “ducts” and collects in the pools (sinuses) under the the pools (sinuses) under the dark area (areola) behind the dark area (areola) behind the nipplenipple

Baby’s gums press areola to Baby’s gums press areola to release milkrelease milk

Before Delivery: Before Delivery: Preparing for Breastfeeding Preparing for Breastfeeding

Massage breasts and rub nipples gentlyMassage breasts and rub nipples gently

Avoid using soap on nipplesAvoid using soap on nipples

Expose nipples to air and briefly to Expose nipples to air and briefly to sunlightsunlight

Let nipples rub against clothingLet nipples rub against clothing

Flat or Inverted NipplesFlat or Inverted Nipples

Begin treatment late Begin treatment late in pregnancyin pregnancy

Stop if causes Stop if causes uterine contractionsuterine contractions

Breast shellsBreast shells

Wear 1 hour a day Wear 1 hour a day and gradually and gradually increase to several increase to several hourshours

Dry area under nipple Dry area under nipple oftenoften

Breastfeeding:Breastfeeding:Getting StartedGetting Started

Is Your Baby Hungry?Is Your Baby Hungry?Infant Feeding Cues Infant Feeding Cues

Bringing hands to mouth or cheek and Bringing hands to mouth or cheek and trying to suck on themtrying to suck on them

RootingRooting

Lip smacking, mouthing, tongue Lip smacking, mouthing, tongue protrusionprotrusion

Crying is a late feeding cueCrying is a late feeding cue

Breastfeeding Your Infant Breastfeeding Your Infant

Wash your handsWash your hands

Position yourself comfortably and Position yourself comfortably and correctlycorrectly

Use pillows or towels for supportUse pillows or towels for support

Uncover the breast you wish to offer firstUncover the breast you wish to offer first

The Side-lying PositionThe Side-lying Position

Lie on your sideLie on your side

Use pillowsUse pillows

Tummy-to-tummyTummy-to-tummy

Baby’s mouth in line Baby’s mouth in line with nipplewith nipple

Illustration by Joyce Kopatch, USACHPPM

The Football PositionThe Football Position

Baby’s legs are under your armBaby’s legs are under your arm


Helpful for baby’s who are having trouble Helpful for baby’s who are having trouble latching onlatching on


The Cradle PositionThe Cradle Position

Tummy-to-tummyTummy-to-tummy

Baby’s head in crook Baby’s head in crook of your elbowof your elbow

Shoulders, hips, in Shoulders, hips, in straight linestraight line

Level with breastLevel with breast

Pillow in lap will helpPillow in lap will help


Milk Ejection ReflexMilk Ejection Reflex“Let Down”“Let Down”

Tingling sensation in breastTingling sensation in breast

Relaxed feeling occursRelaxed feeling occurs

““Let down” can occur between feedingsLet down” can occur between feedings

Offering Your Breast to BabyOffering Your Breast to Baby

Fingers underneath, Fingers underneath, thumb on top of thumb on top of breastbreast

Fingers well behind Fingers well behind areolaareola


Rooting Reflex and Latch-OnRooting Reflex and Latch-On

Position baby correctly at breast with Position baby correctly at breast with mouth directly in front of nipplemouth directly in front of nipple

Use nipple to tickle baby’s lips until Use nipple to tickle baby’s lips until mouth opens widemouth opens wide

Support baby’s headSupport baby’s head

Baby’s mouth is open wide enough to Baby’s mouth is open wide enough to take in nipple and most of areolatake in nipple and most of areola

Open wide…Open wide…

Quickly center your Quickly center your nipple in his mouth and nipple in his mouth and pull him toward you pull him toward you

Baby’s lower jaw far Baby’s lower jaw far back from the nipple back from the nipple

Baby’s chin on breastBaby’s chin on breast

Nose may be on breastNose may be on breast

Coming off the breastComing off the breast

Watch baby for cues that he is finishedWatch baby for cues that he is finished

May spontaneously come off the breast May spontaneously come off the breast

May fall asleepMay fall asleep

Allow baby to determine when he is doneAllow baby to determine when he is done

Foremilk and hindmilkForemilk and hindmilk

If you need to stop the feeding early, break If you need to stop the feeding early, break suction by inserting finger into corner of suction by inserting finger into corner of baby’s mouthbaby’s mouth

ChallengesChallenges

Is baby getting enough to eat?Is baby getting enough to eat?

Baby feeds frequentlyBaby feeds frequently

10-15 on each breast per feeding10-15 on each breast per feeding

Adequate wet diapersAdequate wet diapers

Adequate stoolsAdequate stools

Baby is gaining weightBaby is gaining weight

Nursing Mothers:Nursing Mothers:Stay Well NourishedStay Well Nourished

Follow same healthy diet you ate while Follow same healthy diet you ate while pregnantpregnant

Breast feeding burns 300-400 additional Breast feeding burns 300-400 additional calories per daycalories per day

If you are not well nourished, your If you are not well nourished, your supply of breast milk may decrease supply of breast milk may decrease

Breast CareBreast Care

Sore or cracked nipplesSore or cracked nipples

EngorgementEngorgement

Plugged DuctsPlugged Ducts

MastitisMastitis

Preventing Sore or Cracked Preventing Sore or Cracked NipplesNipples

Properly position infantProperly position infant


Check for good latch onCheck for good latch on

Do not use ointments or creamsDo not use ointments or creams

Express a few drops of milk onto nipple Express a few drops of milk onto nipple after feeding (antibacterial properties)after feeding (antibacterial properties)

Allow nipples to air dryAllow nipples to air dry

EngorgementEngorgement

May occur between 2nd and 6th day May occur between 2nd and 6th day when your milk “comes in” when your milk “comes in”

Occurs more frequently in first-time Occurs more frequently in first-time mothersmothers

Hang in there! This will go away after a Hang in there! This will go away after a day or so.day or so.

Plugged DuctsPlugged Ducts

Tender spot, redness, or sore lump in Tender spot, redness, or sore lump in breastbreast

Milk is unable to flow through duct leads Milk is unable to flow through duct leads to inflammationto inflammation

Change feeding positions from time to Change feeding positions from time to timetime

MastitisMastitis

Occurs when plugged duct is not treatedOccurs when plugged duct is not treated

Flu-like symptoms (tired, aches, fever)Flu-like symptoms (tired, aches, fever)

Start treatment immediatelyStart treatment immediately

Contact physician for antibioticsContact physician for antibiotics

Apply heatApply heat

Breastfeed frequentlyBreastfeed frequently

RestRest

REMEMBERREMEMBER

Getting breastfeeding correct Getting breastfeeding correct from the start is crucial to long-from the start is crucial to long-

term breastfeeding success!term breastfeeding success!

Reasons to Suspend or Avoid Reasons to Suspend or Avoid BreastfeedingBreastfeeding

Treatment with a medication that transfers Treatment with a medication that transfers into the breast milkinto the breast milk

Level of risk to environmental exposures Level of risk to environmental exposures at duty station or in the fieldat duty station or in the field

SolventsSolvents

ChemicalsChemicals

FuelsFuels

WeaningWeaning

Wean graduallyWean gradually

Substitute a bottle or serve drinks in a Substitute a bottle or serve drinks in a sippy cupsippy cup

Ensure adequate nutrition for babyEnsure adequate nutrition for baby

Be firm in your decisionBe firm in your decision

QUESTIONSQUESTIONS

AcknowledgementsAcknowledgements

Ms. BethAnn Cameron, MS, CHES Ms. BethAnn Cameron, MS, CHES

Health EducatorHealth Educator

Directorate of Health Promotion and WellnessDirectorate of Health Promotion and Wellness

US Army Center for Health Promotion and Preventive MedicineUS Army Center for Health Promotion and Preventive Medicine

Ms. Cindy PlankMs. Cindy Plank

Health EducatorHealth Educator

General Leonard Wood Army Community HospitalGeneral Leonard Wood Army Community Hospital

Fort Leonard Wood, MissouriFort Leonard Wood, Missouri

Wellness CenterWellness Center

Martin Army Community HospitalMartin Army Community Hospital

Fort Benning, GeorgiaFort Benning, Georgia