Bf

1. PRESENTATION ON
EXCLUSIVE BREAST FEEDING
ABHILASHI COLLAGE OF NURSING
SUBMITTED TO
MAM MEENAL MAM
ASS.PROF.
CHN
SUBMITTED BY
MRS VARSHA
MSC NSG 1ST YEAR
CHILD HEALTH
NURSING

2.  Exclusive breast milk is the natural first
food for baby.
 Provide the energy and nutrients.
 Promote sensory and coginitive
development
 Reduces infant mortality rate
INTRODUCTION

3. ANATOMY OF THE BREAST

4. PHYSIOLOGY OF LACTATION
Milk secretion reflex
Milk ejection reflex

6. MILK SECRETION REFLEX
Baby suck Nerve endings
in nipple
Anterior
pituitary
prolactin

7. MILK EJECTION REFLEX
oxytocin
posterior
pituitary

8. INITIATION OF BREAST FEEDING

9. INITIATION OF BREAST FEEDING
 Start breastfeeding within ½-1 hour after
delivery.
o In case of caesarean section delivery, start breast
within 4 hrs.
o Rooming in and bedding in should be done with
mother and baby to promote breast feeding.

10. PREPARATION FOR BREASTFEEDING

11. STEP 1
 PREPARING THE INFANT AND THE
MOTHER

12. STEP 2
 DEMOSTRATE VARIOUS POSITIONS FOR
BREASTFEEDING A BABY

13. STEP 3
 DEMOSTRATE THE FOUR KEY POINTS IN
POSITION

14. STEP 4
 SHOW THE MOTHER HOW TO SUPPORT HER
BREAST WITH OTHER HAND

15. STEP 5
 SHOWING THE MOTHER HOW
TO HELP THE BABY TO ATTACH

16. STEP 6
 LOOK FOR SIGNS OF GOOD ATTACHMENT

17. STEP 7
 ASSESS IF THE INFANT IS SUCKLING AND
SWALLOWING EFFECTIVELY

18. ASSESSING THE ADEQUACY OF
BREASTFEEDING
Passes urine 6-8 times per 24 hour
Sleeps for 2-3 hrs after feeds
Weight gain adequately

19. FACTORS INHIBITING BREAST
FEEDING
 PSYCHOLOGICAL FACTORS
 EARLY BREAST ENGORGEMENT
 FLAT AND INVERTED NIPPLES
 SORE NIPPLES

20.  Exclusive breast feeding means feeding
baby with breast milk soon after birth
and continuing it until 6 month without
giving baby any other food .
- WHO $ UNICEF
DEFINITION

21.  Breastfeeding as soon as possible after birth
 Colostrum the first milk should be given to
baby
 The baby should be breastfeed exclusively for
first 6 month of life.
 The baby should be breastfed whenever he or
she want.
PRINCIPLES

22. water
protein
carbohydrates
minerals
vitamins
COMPOSITION

23. COMPOSITION
NUTRIENTS HUMAN MILK COW”S MILK
PROTEIN 1.2 g 3.5g
• casein 0.4g 2.8g
• Lactalbumin 0.8g 0.7g
LACTOSE 6.5g 4.5g
FAT 3.5g 3.5g
CALCIUM 34mg 22mg
PHOSPHATE 15mg 90mg
CALORIES 67 67
VIT A 64microgram 53microgram
VIT D 0.03microgram 0.03microgram
VIT E 0.3microgram 0.7microgram
VIT C 5microgram 1microgram
WATER 87.5% 88%

25. BARRIERS AFFECTS BREAST FEEDING
 PSYCHOLOGICAL FACTOR
 EARLY BREAST ENGORGEMENT
 FLAT AND INVERTED NIPPLES
 SORE NIPPLE

26.  POSITION OF MOTHER AND BABY
 LATCHING OR ATTACHMENT OF BABY TO
BREAST
GOOD ATTACHMENT
POOR ATTACHMENT
TECHNIQUE OF BREAST FEEDING

28. ADVANTAGES
FOR BABY
NUTRITION
LOWER RISK
OF
INFECTION PROTECT
FROM
ALLERGY
THERAPEUTIC
EFFECT
PHYSIOLOGICAL
ADAPTATION
ECONOMIC
FACTORS

29. BENEFITS

30. BENEFITS

31. CONTRAINDICATIONS
 Mother on antimetabolite /anticancer/radioactive
drug
 HIV infection
 Breast engorgement
 Breast abscess
 Not enough milk

32.  Rimple sharma:Essentials of Pediatric
Nursing:ed1st 2013 ,107-114,japee.
 Wongs :Essentials of Pediatric Nursing :ed 8th
mosbey.
www.wikipedia.com
REFRENCES