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Breastfeeding Osteoporosis - Coggle Diagram
Breastfeeding
Lactation
Structure
Nipple
Areola
Hormon
Prolactin
Ovulation
Stimulating milk production
From anterior pituitary gland
Oxytocin
Cause of
Milk let down
Uterine contractions
Stimulating milk ejection
From posterior pituitary gland
Method of breastfeeding
Promotion methods include
Lactation methods
Quick sucking baby
Within half an hour after birth
Frequent babies suck
Rooming in
Bedding in
The baby is sucking the right way
Cradle position
The most common breastfeeding position
The mum’s arm support the baby at the breast
The baby’s head is cradled near her elbow and her arm support the infant along the back and neck.
The mother and baby should be chest to chest
Cross-cradle position
Baby is tummy to tummy with mother
The mum can guide the baby easily to the breast when they’re ready to latch on
Uses the opposite arm to support the infant, with the back of baby’s head and neck being held in the mother’s hand
Her other’s hand is able to support and shape the breast if required
Clutch position
The baby position feet tucked under the mum’s arm
The mum’s arm may also rest on a pillow with this hold.
This position may be advantageous for mums who have undergone a Caesarean section, since it places no or limited weight on the mum’s chest and abdomen area.
It may also work for
Low-birth-weight babies
Babies that have trouble lactching
Side-lying position
The mum lies on her side and faces the baby.
The baby’s mouth is in line with the nipple
May also be
Mums who have undergone a cesarean section
Since it places no or limited weight on the mum’s chest and abdomen area
Breast support
C hold
Suitable for
Side lying position
Clutch position
U hold
Suitable for
Cradle position
Cross cradle position
V hold
Not recommended except case of long inch of mother
Assessment for the baby is getting enough milk
Baby sucking effectively slow suctions
Characteristics baby sucking must be breast-fed
Normal baby weight in the first 3-4 days, the baby’s weight drop and increase the same in the 10days after birth
Urine characteristics
first day 1time/day
Second day 2time/day
Third day 3time/day
After that 6time/ day
Feces characteristics
First 3 days
Green meconium
After that yellow feces
Squeezing and storage milk
Choose method from the convenient mother
The steps
1.Wash mum’s hand, nipple and Areola
2.prepare milk storage equipment
3.relax 2-3 minutes before squeeze.after that stimulating let down reflex
4.squeezing from areola 1 inch which one 3-5 minutes and alternate until 20-30 minutes
Storage milk for mum
Sterile milk container by steaming for 15 minutes
Storage milk
After squeezing now room temperature 6-8hr.
Ice bucket 24 hr.
Ordinary refrigerator 48 hr.
Single door freezer 2weeks
Double door freezer 4-6 months
Refrigerator freezer cold special type mor than 6month
Should write the volume, date and time for squeezing milk
Assessment LATCH score
L(latch)
0 point
Too sleepy or reluctant no sustained latch or suck achieved
1 point
Repeated attempts for sustained latch or suck hold nipple in mouth stimulate to suck
2 point
Grasps breast tongue down lips flanged rhythmical sucking
A(audible)
0 point
None
1 point
A few with stimulation
2 point
Spontaneous and intermittent/frequent
T(type of nipple
1 point
Flat
2 point
Averted
0 point
Inverted
C(comfortable)
0 point
Engorged cracked, bleed, large, blisters severe discomfort
1 point
Filling reddene
Small blisters
2 point
Soft no tender
H(hold)
0 point
Full assist
1 point
Minimal assist
2 point
No assist
Common problem and solutions
Flat , inverted and short niipple
1.Pull the nipple before sucking baby
2.Insert the nipple into the baby’s mouth while it’s not in place
3.teach the correct breastfeeding techniques
4.use your hand to squeeze the breast to stimulate lactation
Cleft palate
1.Explain suction methods
2.Told the mother to try insert the little finger into the baby’s mouth
3.insert the nipple into the baby’s mouth like inserting the little finger
4.first feeding should make mum’s position and encourage
5.when mums have a practicing should make an appointment to follow up
Sore nipples or cracked nipples
1.explain the reason
2.teach to hold baby properly
Teach methods to properly suck and pull nipples properly
4.suck on the side that is less hurt
5.the case of stiff nipples, massage areola
6.if the mother has sore nipples, refrain from breastfeeding for 1-2days and squeeze every 3 hr.
Long nipples
1.Explain to the mother that if the baby is sucking to the areola he will get enough milk
2.while the baby is breastfeeding,mum should support the breast to push the breast into the baby’s mouth
3.the mother should squeeze for increases the amount of milk
Large nipples
1.rolling nipples
2.make clutch position
3.use your finger to open the lower lip when baby’s mouth is op
Amount of milk
1.right method and frequent sucking stimulate
2.breast massage
Encourage breastfeeding mum
Breast screening
1.Breast massage
3.make baby position to comfortable
2.wear a bra that fits
4.teach mum to squeeze milk
5.After baby sucking should cold compress
6.take analgesic
Mastitis
1.encourage mum and recommend frequent sucking
2.milk extractors
3.gently massage the breast above obstruction area
4.after the baby full , squeeze 5he milk to drain
5.warm compress
6.take antibiotics
Breast abscess
1.sucking out pus
2.take antibiotics
