Lactation

the process of production, secretion, and expenditure of breast milk.

Benefits of breastfeeding
a. Braids or relationships between mother and baby are tighter and
more intimate
b. An opportunity for mothers to devote love and interact
c. Babies feel safe and comfortable and calm, feel cared for and
protected by the mother
d. Breast milk contains nutrients needed by babies
e. Contains immune substances that can protect babies from disease
f. Fresh and temperature according to the baby's body temperature
g. Mother feels satisfied, proud and happy
h. The research results reduce the risk of Ca mammae
Benefits of ASI for the State
a. Reducing morbidity / mortality
b. Reducing subsidies to hospitals for mother & child care
c. Reducing the cost of caring for sick children
d. Reducing foreign exchange for purchasing formula milk
e. Improving the quality of the nation's generation
Benefits of breast milk for babies
1. Meet all the baby's nutritional needs
2. Speed ​up baby's growth and development
3. Increase the baby's immune system
Managemen Laktasi
Management of activities that support the success of breastfeeding
both at the antenatal, perinatal and postnatal stages
Prenatal Period
1. Education of patients and their families
2. Family support
3. Support and ability of health workers
Hormonal influences
a. Progesterone
To affect the growth and size of the alveoli.
b. Estrogen
To stimulate the ASI duct system to enlarge
c. Prolactin
Plays a role in alveoil enlargement in pregnancy.
d. Oxytocin
To tighten the smooth muscles in the uterus during childbirth postpartum, oxytocin
also tightens the smooth muscles around the alveoli to squeeze the milk into the milk
ducts. Oxytocin plays a role in the process of decreasing let-down / milk ejection reflex
milk.
Signs of a baby getting enough milk
-BAK as much as 6-8 times / day
- Increased BB on average 500 gr / month
- Babies are sucking around 8-12 times / day
- Babies look healthy, skin color, good turgor and babies are quite
active.
Breastfeeding Position
* Mothers feel relaxed and comfortable when breastfeeding
* The baby's body is near and facing the mother's breast
* The baby's head and body are in a straight line
* The baby's chin touches the mother's breast
* The baby's back is supported
Sticking and sucking

* The baby's mouth opens wide

* Baby's lower lip opens out
* Baby cheeks round
* More areola seen above the baby's mouth than below
Babies suck slowly and deeply interspersed with a short break
* Can see or hear babies swallowing
* Mothers do not feel nipple pain when breastfeeding
ASI Excellence
a. Easy to digest
b. Contains nutrients that are useful for baby's growth and
development
c. Contains immune substances to protect babies from disease or
infection
d. Safe and clean
e. Never stale, having a fixed temperature can be given anytime and
anywhere
f. Avoid babies from diarrhea
Low milk production is a result of:
a. Less frequent breastfeeding or redness of the breast
b. If the baby cannot suck breast milk effectively, the result is: poor
oral and jaw structure; wrong attachment technique.
c. Maternal endocrine abnormalities (rare)
d. Hypoplastic breast tissue
e. Baby's metabolic or digestive disorders, so they cannot digest
breast milk
f. Lack of maternal nutrition