This document outlines the key components of breastfeeding, including the objectives, composition of breastmilk, criteria for proper positioning and attachment during feeding, and signs of adequate versus under or over feeding. It discusses the different types of breastmilk produced after delivery, such as colostrum, transitional milk, and mature milk. The advantages of breastfeeding are also summarized. Key criteria for proper positioning include supporting the baby's whole body close to the mother with neck straight. Signs of adequate feeding include 8 feeds per day and normal weight gain.

2. Objectives
After this session, students will be able to:
• Define Breastfeeding.
• Explain types of breastmilk.
• Discuss Advantages of breastmilk.
• Demonstrate Criteria for good position.
• Demonstrate Criteria for good attachment.
• Discuss Criteria for adequate breastfeeding.

3. COMPOSITION OF BREAST MILK:-
• The composition of breast milk varies at different stages in the
postnatal period to fulfil the needs of baby.
1. Colostrum
2. Transitional Milk
3. Mature Milk
4. Preterm Milk
5. Fore Milk
6. Hind Milk

4. Colostrum
• Thick, yellowish milk secreted in the first several days (5-7 days)
after delivery
• Alkaline
• Amount - approximately 100 cc's / 24-hour
• More rich in protein (2.3gm/dl) but less CHO or fat

5. • Transitional milk - is secreted between about four days and ten days
postpartum
• It is intermediate in composition in between colostrum and mature
milk
• The volume increases during this time

6. • Mature milk is produced from approximately ten days after delivery
up until the termination of the breastfeeding

7. • Hind milk - Fats and lipids are high at the end of the feeding (hind
milk)

8. Advantages of BF
1. Normal temperature
2. Economical
3. Convenient
4. Balanced diet
5. Anti-anaemic
6. Anti-allergic
7). Anti-ricketic
8). Anti-infective

9. Criteria of good position:-
1 Baby’s body is close to the mother
2 Baby’s body is turned to the mother
3 Baby’s whole body is supported (not only head or neck).
4 Baby’s neck is straight or bent slightly back

10. 4 Criteria of good attachment:
1) Baby’s chin is touching the breast
2) Baby’s mouth is widely open
3) Lower lip is turned outwards
4) More areola tissue above than below the
mouth
5) No pain while breast feeding

13. Criteria for Adequate Breast feeding
• Baby feeds at least 8 times 24 hrs
• Baby is calm satisfied after feeds
• Baby sleeps well 2-4 hours after feeding
• Normal motion no constipation
• Normal amount of urine :- 6 or more / 24 hours
• Normal weight gain (20-30 gm/ day or 150-210 gm / week

15. II) Criteria of under feeding
• Wt gain ; slow
• Decreased amount of urine
• Crying unsatisfied after feed
• Suckling of fists between the feeds
• Sleeplessness or v. short sleep
• Air swallowing colics, vomiting,
• Constipation or hunger stool ( frequent, small, green color)

17. Criteria of overfeeding
• Frequent regurgitation , vomiting colics
• Large bulky stools undigested curds
• Abdomen distension
• Skin eruption sore buttocks
• Polyuria
• Excessive sweating at head
• Baby over weight

18. Thankyou