LACTATION
MANAGEMENT
(Mothers’ Class)
PREPARED BY:
MA. FRANCHEZKA ALLYSON L. CASTRO, RN, MSN
BENEFITS OF BREASTFEEDING FOR BABY
1. Provides the best possible nutrition to the baby
2. Reduces the incidence of coughs and colds, ear
infections, bronchitis, pneumonia, meningitis and
diarrhea through its protective factors.
3. It protects the child from colic, asthma, eczema,
and allergies.
4. It is essential for the optimal physical, emotional
and mental development of the child.
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BENEFITS OF BREASTFEEDING FOR BABY
5. Reduced risk of obesity later in life
compared to formula fed infants.
6. Higher IQs
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BENEFITS OF BREASTFEEDING TO MOTHER
1. Promotes mother and child bonding
2. Prevents uterine bleeding after delivery
3. Reduces the risks of breast, uterine and
ovarian cancer in the mother
4. Promotes return to pre-pregnancy weight
5. SAVINGS! It saves time and money
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HUNGER CUES
Hand to mouth movements, rooting
Wiggling, moving arms and legs
Sucking sounds and movements
Soft cooing or sighing sounds
Rapid eye movements during her
light sleep
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HUNGER CUES
Feed your baby before he is too upset.
Crying is a late feeding cue.
It is better to try to comfort a crying
baby before putting him to the breast.
Undress the baby to the diaper and
hold the baby between mom’s breasts.
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CONTRAINDICATIONS
TO BREASTFEEDING
• Active / untreated TB
• Radioactive compound (cancer for
chemo)
• Illegal drug
• HIV infection
• Galactosemia
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PREPARING FOR BREASTFEEDING
Take a daily shower or sponge bath.
Keep breasts free of cream, lotions and powder.
Drink a glass of water, juice or any beverage
(except alcohol) before breastfeeding.
Observe proper hand washing before
handling/breastfeeding your baby.
Wear a mask if you have colds, or cough.
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THE FIRST LATCH
Use one hand to hold baby’s neck and shoulders.
Your other hand should be on your breast
controlling how the nipple enters baby’s mouth.
Fingers on bottom thumb on top making a “C”
shape.
Support your arms with pillows and set up in the
hold that suits your needs.
Bring baby to you- NOT you to baby.
Tickle baby’s lips to encourage him to open wide
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THE FIRST LATCH
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THE FIRST LATCH
Pull baby close so the chin and lower jaw moves
into your breast first
Watch the lower lip and aim it as far from the nipple
as possible so the baby takes a large mouthful of
breast
Top of head and nose should be titled back as if
slightly hanging off the breast. This gives baby
room to breathe and ensures a proper latch.
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DISLATCH BABY AFTER BREASTFEEDING
Used little finger press on the gum
to open the baby mouth to dislatch
from the nipple
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DISLATCH BABY AFTER BREASTFEEDING
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Breastfeeding
Positions
PREPARED BY:
MA. FRANCHEZKA ALLYSON L. CASTRO, RN, MSN
BREASTFEEDING POSITIONS
Cradle Hold
This is the most common
position used by mothers.
Infant’s head is supported
in the elbow, the back
and buttock is supported
by the arm and lifted to
the breast.
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BREASTFEEDING POSITIONS
CRADLE HOLD POSITION
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BREASTFEEDING POSITIONS
Football Hold Position
The infant’s is placed under the
arm, like holding a football
Baby’s body is supported with
the forearm and the head is
supported with the hand.
Many mothers are not
comfortable with this position
Good position after operative
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procedures
BREASTFEEDING POSITIONS
FOOTBALL HOLD POSITION
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BREASTFEEDING POSITIONS
Side Lying Position
The mother lies on her side
propping up her head and
shoulder with pillows.
The infant is also lying down
facing the mother.
Good position after Caesarean
section.
Allows the new mother some rest.
Most mothers are scared of
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crushing the baby.
BREASTFEEDING POSITIONS
SIDE LYING POSITION
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BREASTFEEDING POSITIONS
Cross Cradle Hold Position
Ideal for early breastfeeding.
Mother holds the baby crosswise
in the crook of the arm opposite
the breast the infant is to be fed.
The baby's trunk and head are
supported with the forearm and
palm.
The other hand is placed beneath
the breast in a U-shaped to guide
the baby's mouth to your breast.
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BREASTFEEDING POSITIONS
CROSS CRADLE HOLD POSITION
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BREASTFEEDING POSITIONS
Australian Hold Position
This is also called the saddle
hold
Usually used for older infants
Not commonly used by mothers
Best used in older infants with
runny nose, ear infection.
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BREASTFEEDING POSITIONS
SADDLE HOLD
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SIGNS THAT THE BABY IS GETTING
ENOUGH BREAST MILK
DAY NUMBER OF NUMBER OF
1. He is contented STOOLS URINE
for 1-2 hours OUTPUTS
after a feed 1 1 1
2 2 2
2. He regains birth
3 3 3
weight after 2 4 4 3 to 4
weeks 5 3 to 5 3 to 5
6 3 to 6 3 to 6
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PROBLEMS
Breast Pain
Biting
Too much milk
Mastitis
Breast abscess
Breast engorgement
Sore nipple
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RELIEF AND AVOIDANCE OF
ENGORGEMENT
o Try to feed baby every two hours
o Massage your breasts while baby is feeding
o You may pump after baby feeds but realize
that they more you demand of your body, the
more it will make.
o Increase your fluid intake, dehydration can
irritate swollen breast tissue.
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CRACKED NIPPLES
o Mother’s milk is best- express a small amount
and leave it on your nipple only. Allow to air dry.
o Lanolin cream may be applied sparingly. It does
not need to be removed before baby feeds.
o It is okay to keep breastfeeding if your nipples
are bleeding.
o Make sure your latch is correct. An incorrect
latch can cause cracking and bleeding
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CRACKED NIPPLES
o Mother’s milk is best- express a small amount
and leave it on your nipple only. Allow to air dry.
o Lanolin cream may be applied sparingly. It does
not need to be removed before baby feeds.
o It is okay to keep breastfeeding if your nipples
are bleeding.
o Make sure your latch is correct. An incorrect
latch can cause cracking and bleeding
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Feeding (Breast Feeding)
is the primary duty of
mother.
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