Lactation/Breastfeeding - Dr.

Qureishi Mammary gland

• Pair – modified glands
Session objectives • Superficial surface convex
To be able to describe the • 2nd – 6th rib 10-12 diameter
1 Anatomy of the breast
• 5-7 cms central thickness
2 Physiology of lactation
• Upper outer quadrant – axillary tail
3 Constituents of breast milk
• Arteries- br’s of intercostals and internal thoracic
4 Advantages of breast feeding
and internal mammary
5 Complications of b’feeding and their management
6 Proper b’feeding technique
Embryology
7 B’feeding in special circumstances
8 Drugs contraindicated in b’feeding
9 Contraception during the b’feeding period. Stage Age of embryo Crown-rump length
Mammary (days) of embryo (mm)
Breastfeeding data KDHS 2006 band 35 6
 97 percent of children are ever breastfed. streak 36 8
 52 percent are breastfed within one hour of birth. Line 37 10
 82 percent are breastfed within 1 day of birth. crest 40 13
 Infants who receive only breast milk are considered hillock 42 13
exclusively breastfed.
bud 49 20
 Exclusive breastfeeding is recommended for the
first 6 months of life.
Acquired disorders
• Trauma –burns
Breastfeeding: Children less than 6 months
Breastmilk • hemangioma
and juices
Breastmilk Breastmilk • Chest tube insertion in infancy
9%
and other
and plain • Preadolescent biopsy
water milk
19% • Augmentation/reduction
13%

Mammary gland
Exclusively
• Non pregnant 200 gms
breastfed
13% • Near term 400 - 600 gms
Breastmilk
and other • Lactation 600 – 800 gms
foods
• Glandular tissue – parenchyma
46%
• Connective tissue – stroma (supporting)
Duration of Breastfeeding
• Epithelial components lobes 15 - 25
o The median duration of any breastfeeding is 21
• Lactiferous ducts
months.
o The median duration of exclusive breastfeeding is • Lobe subdived into 20-40 lobules which in turn are

1.6 months. composed of 20-100 alveoli

• Alveolus single layer
• Secretory epithelium

Colostrum
• Pre milk secretion
• Yellowish

• 1st 2-3 days after delivery

• Higher spar (1.040 – 1.06) & na + cc content, lower

c1+o, 1c+fat content than mature milk.
• Normal laxative action
• Natural starter food - helps vary pass meconium
• fore milk: Grey watery – rich in proteins lactose,
vitamins, minerals + water
• hind milk - end of feed: Water than fore milk –
contains more fat - both needed!

ADVANTAGES OF BREASTFEEDING
B-est for baby
R-educes allergy
E-conomical
A-ntibodies
S-tool inoffensive
T-emp always right

F-resh
E-motionally bonding
E-asily digested
D-iarrhea reduced
I-mmediately available
N-utritious
G-astroenteritis reduced

NOTES