Session 8

Counsel the Mother

About Feeding

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 Learning Objectives
By the end of this session, the students will be
able to:
(1) review anatomy and physiology;
(2) state the importance of breastfeeding;
(3) enumerate the advantages and
disadvantages of breastfeeding;
(4) describe the proper way to breastfeed; and
(5) discuss the problems in breastfeeding
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 Breast anatomy

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 Early Breastfeeding

 breastfeeding should be initiated immediately

after delivery

 to produce enough milk:

- eat protein-rich and vitamin-rich foods
- drink whenever you’re thirsty, and
- rest as much as you can

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 Early Breastfeeding

 Importance and benefits of early breastfeeding:

– colostrum ( the first milk ) is easily digested by babies

– early frequent breastfeeding helps ensure good milk
supply
– early breastfeeding enhances bonding between
mother and child

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 How to breastfeed your baby
 mother and baby should feel comfortable;

 bring baby close to your body, level with your

breast. He should be lying chest to chest, chin to
breast. Tuck his lower arm around you; and

 encourage baby to open his mouth by tickling his

bottom lip with your nipple.

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 Correct Positioning

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 Video of Correct Positioning

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 Incorrect Positioning

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 Video of Incorrect Positioning

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 How to breastfeed your baby

 when his mouth is wide open, guide baby’s

mouth to your breast. Your baby must take in
your nipple and some of the darker part of
your breast (the areola) into his mouth;

 asyou breastfeed your baby, his mouth

should be wide and open and his bottom lip
curled back.
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 How to breastfeed your baby

 talk and try to have eye contact with your

baby while feeding. Communication is as
vital as milk itself.

 Ifyou need to remove baby’s mouth from

your breast, gently press down his chin to
break the suction.

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 “Mothers are always
encouraged to try
different feeding
positions. Ensure that
the different areas of
the breast are
adequately drained
and that the mother
does not experience
discomfort and
physical strain while
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feeding. ”
 Different breastfeeding positions
 mother lying down on her side, with her
arm cradling the baby’s head;

 baby tucked under mother’s arm with the

baby’s feet facing towards her back;

 mother sitting with her baby on her lap, use

cushions for back support.

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 Different breastfeeding positions

 mother reclining and supported by cushions

while baby lies across her stomach with his
head above her breast. This position is
particularly useful because it slows down the
flow of milk so that the baby does not choke.

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Hold
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 Helpful breastfeeding hints

 apply warmth to the breast before feeding to

encourage the milk to flow (i.e. hot shower,
warm compress )
 offer the most engorged breast first
 during the feeds, mothers can gently
massage any lump in the breast to
encourage milk to flow

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 Helpful breastfeeding hints
 changing feeding positions during the feed may
help to ensure all areas of the breast are
drained
 hand express milk if breast feels very hard and
uncomfortable
 apply cold compresses to breast between
feeds
 wearing a well-fitting nursing bra with good
support may help
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 Counsel the mother about feeding
and fluids

 recommendations for ages up to 6 months

 recommendations 6 months to 12 months
 recommendations for 12 months to 2 years
 recommendations for 2 years and older
 special recommendations for children with
persistent diarrhea

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 Recommendations for 12 months
to 2 years

 continue to breastfeed as often as the child

wants and give nutritious complementary
foods 5 times a day;

 familyfoods should be chopped so that they

are easy for the child to eat

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 Recommendations for 2 years and
older

 thechild should be taking a variety of family

foods in 3 meals per day;

 thechild should also be given 2 extra

feedings per day

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 Special Recommendations for
Children with Persistent Diarrhea

 reduce temporarily the amount of other milk;

 take more breast milk or other foods to make

up for this reduction; and

 continue other foods appropriate for the

child’s age

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 Assess the child’s feeding

 sickchildren who are having anemia or very

low weight,

 children less than 2 years old

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 Identify feeding problems

 difficulty
in breastfeeding
 use of feeding bottle
 lack of active feeding
 not feeding well during illness
 not giving protein source of food in lugaw or
rice
 improper handling and use of breast milk
substitute

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 Advise the mother to increase
fluid during illness

 thechild will feel better and stay stronger if

s(he) drinks extra fluid to prevent dehydration

 frequentbreastfeeding will give the infant

nourishment and help prevent dehydration.

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