Session 3Session 3PRODUCTION AND

INTAKE OF BREASTMILK

PRODUCTION AND INTAKE OF

BREASTMILK

Breast Anatomy - StructureBreast Anatomy - Structure

3/1

Prolactin ReflexProlactin Reflex

Secretion continues AFTER feed to produce NEXT feed

To increase milk productions3/2

Oxytocin ReflexOxytocin Reflex

For milk ejection3/3

Helping and Hindering the Oxytocin ReflexHelping and Hindering the Oxytocin Reflex

For milk ejection3/4

Inhibitor in BreastmilkInhibitor in Breastmilk

3/5

Attachment at BreastAttachment at Breast

3/6

Mechanism of ‘Suckling Cycle’Mechanism of ‘Suckling Cycle’

3/7

What Differences Do You See?What Differences Do You See?

GOOD ATTACHMENT POOR ATTACHMENT

Picture 1 Picture 2

3/8

What Differences Do You See?What Differences Do You See?

ATTACHMENT, OUTSIDE APPEARENCE

Picture 1 Picture 2

3/9

Consequences of Poor AttachmentConsequences of Poor Attachment

Pain and damage to nipples Sore nipples Fissures

Breastmilk not removed effectively Engorgement

Baby unsatisfied,wants to feed more

Apparent poor milk supplyBaby frustrated, refuses to suckle

Breasts make less milk Baby fails to gain

weight

3/10

Causes of Poor AttachmentCauses of Poor Attachment

Use of feeding bottle

Inexperienced mother

Functional difficulty

Lack of skilled support

before breastfeeding established

for later supplements

first baby

bottle fed previous baby

low birth weight and sick baby

nipple poorly protractile

large / flat nipple

engorgement

late start

less traditional help and community

support

doctors, midwives, nurses not trained

to help

3/11

Feeding Reflexes in the BabyFeeding Reflexes in the BabyRooting reflex

When somethingtouches lips,baby opens mouthputs tongue downand forward

Sucking reflex

When something touches palate baby sucks

Swallowing reflex

When mouth fills with milk,baby swallows

SkillMother learns to position babyBaby learns to take breast

Gag reflex

When something touches anterior part of the tongue, baby pushes it out.

3/12