NCMA217 RLE (INFANT FEEDING AND BATHING) Flashcards
PHYSIOLOGY OF LACTATION
- Nipple stimulation from baby’s
breast sucking - Message sent to the brain
- Increased prolactin levels released
by anterior pituitary - milk production
- Increased oxytocin levels released
by posterior pituitary - milk
ejection reflex
PHYSIOLOGY OF LACTATION
Nipple stimulation from
baby’s
breast sucking
PHYSIOLOGY OF LACTATION
Message sent to the
brain
PHYSIOLOGY OF LACTATION
Increased prolactin levels released
by
anterior pituitary
- milk production
PHYSIOLOGY OF LACTATION
Increased prolactin levels released
by anterior pituitary
- milk production
PHYSIOLOGY OF LACTATION
Increased oxytocin levels released
by
posterior pituitary
- milk
ejection reflex
PHYSIOLOGY OF LACTATION
Increased oxytocin levels released
by posterior pituitary
- milk
ejection reflex
PRINCIPLES OF BREASTFEEDING:
- EBF for first 6 months
- Demand feeding
- BM for 2 years
- Correct position and
attachment - Balanced family food for
mother - No pacifier
PRINCIPLES OF BREASTFEEDING:
EBF for
Exclusive breastfeeding
first 6 months
PRINCIPLES OF BREASTFEEDING:
EBF
Exclusive breastfeeding
PRINCIPLES OF BREASTFEEDING:
Demand
feeding
PRINCIPLES OF BREASTFEEDING:
BM for
2 years
ADVANTAGES OF BREASTFEEDING:
- Proper quality & quantity of nutrients
- Rates of growth better in the 1st 3-4 months
- Anti-infective properties
- Prevents allergy
- Contraceptive property
- Psychological advantages
A. Fosters mother-child relationship
B. Tactile contact makes babies more secure, emotionally stable
C. A sense of fulfillment, satisfaction & joy for the mother
- Protection against certain diseases
- Safe, always at the right temperature, convenient and available
ADVANTAGES OF BREASTFEEDING:
Rates of growth better in the
1st 3-4 months
BREASTFEEDING
B – est for babies
R – educes allergy incidence
E – conomical
A – ntibodies
S – terile and pure
T – emperature is ideal
F – resh
E – easy once established
E – motional bonding
D – igested easily
I – mmediatetly available
N – utritionally
G – astroenteritis reduced
Wetness test
voids urine ≥6 times/day
Feeding: 8-
12 times/day (every 2 hours)
WHEN BREAST MILK IS NOT ENOUGH
- Baby is not sucking effectively:
- Action: position and attachment
- Mother is very busy and NB sucks less
- Action: increase frequency
- Baby does not suck long enough
- Action: Suck longer, stroke cheek, check for any discomfort
- Formulas are given:
- Action: Advise the mother about EBF
ARTIFICIAL FEEDING
- Milk Formulas
- Special Milk Formulas
Phenylalanine-free. - Lactose-free Formulas.
Soy formulas/Protein Hydrolysates.
Powdered Protein.
Not recommended for infants:
a. Whole Cow’s Milk
b. Skimmed Milk & Low Fat Milk
Breast milk fed to an infant obtained from
a lactating woman other than the mother
WET NURSING
WET NURSING
Purpose:
For infants, like LBWs, who don’t
seem to do well with any other type of milk
wet nurse
should be in good health, have
good personal hygiene & enough milk for
another infant in addition to her own
TECHNIQUE OF BREASTFEEDING
- Feed on demand
- 8-12 feeds/day
*Some techniques: success: correct
positioning and attachment of the
baby
POSITIONING THE BABY
- Head and body is straight
- Baby held close to body
- Support baby’s whole body
- Baby faces the breast
Good positioning ensures
comfort
BREAST FEEEDING POSITIONS
- LAID BACK POSITION
- CROSS CRADLE POSITION
- UPRIGHT BREASTFEEDING
- SIDE-LYING POSITION
- FOOTBALL/CLUTCH POSITION
- LAID BACK AFTER C-SECTION
- CRADLE POSITION
- DANCER HAND NURSING POSITION
ATTACHMENT OF THE BABY
- Mouth is wide-open
- Lower lip is turned outwards
- Chin is touching breast
- More areola is seen above
than below
*The process of
introducing any non-milk
food into the infant’s
diet, regardless of
whether or not breast-
or bottle-feeding
continues
WEANING
SIGNS OF READINESS FOR SOLIDS
- good head and neck support
- able to swallow food
- naturally taking objects to their mouth
- developing a pincer grasp
- at 6 months, the gut is more mature and ready to accept food
- sitting up with limited support
