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Title Slide Welcome to the Spoken Tutorial on-

Physical Methods to Increase the Amount of Breast Milk.

Image: Group image of types of physical methods In this tutorial, we will learn-

How to increase the amount of breastmilk using different physical methods

Image: Mother and baby in skin to skin contact Let us first begin with Kangaroo mother care.
Image: Mother holding baby in skin to skin contact In this method-
  • The baby should be in skin to skin contact with the mother as long as possible.
Image: Mother and baby in skin to skin contact Note that, the procedure for-
  • Kangaroo mother care has been explained in another tutorial of the same series.
Image: Let down reflex

Image: Oxytocin hormone

Next, we will learn how to improve the Let down reflex or Oxytocin reflex.

Before that, we should know what is Oxytocin?

Image: Mother thinking about baby

Image: Breast with milk droplets

Oxytocin is a hormone which encourages the Let down reflex
  • because of which, the milk is pushed out just by thinking about the baby
Image: Mother looking at the baby

Image: Mother smelling the baby's clothes

Image: Mother listening to music

Therefore, to push the milk out-
  • First, mother should relax and then look at her calm baby
  • She can also smell her baby’s unwashed clothes and
  • Listen to soothing music as well

Image: Single image of hot water fomentation, upper back massaging and breast massage.

Image: Massage of upper back and neck with arrows for indicating same nerve

Image: Massage of the breast

Alternately, other methods that will help to push the milk out are-
  • Hot water fomentation
  • Massage of the upper back and
  • Massage of the breast
Image : Mother taking shower

Image: Mother Showing warm cloth application on breast

Image: Showing circulation of milk with arrow marks.

GIF: Baby suckling on mothers breast

Let us see how to do hot water fomentation,
  • Mother should take a warm water bath
  • Or keep a warm cloth on her breast
  • Both these methods will help circulation of milk in the breast and push the milk out.
Image: Single image of back massaging and breast massaging

Image: Mother massaging breast in sitting position

Next, let us learn about massaging
Image: Helper massaging back of the mother.
  • Massaging of the upper back and neck will help the milk to flow freely
  • Since the same nerve goes to the upper back and the breast.
Image: Mother massaging the breast

Image: Milk flowing freely

Image: Breast with milk droplets

Image: Empty the breast completely

  • Massaging the breast before feeding opens the milk ducts
  • Hence, the milk will flow freely and the breast will be emptied completely
  • Leading to higher milk production
Image: Baby latched on to mother’s breast Another method of increasing the amount of breast milk is-
  • To encourage the baby to latch on correctly.

Let us see how to do so-

Image: Brushing of nipple on upper lip

Image: Baby opening mouth widely

Image: Correct latching

Image: Correct latching giving sufficient milk

  • Rub the nipple on the upper lip of the baby
  • This will help the baby to open the mouth widely
  • And will help with the correct latch and give sufficient milk to the baby
Image: Mother breastfeeding in sitting position Make sure during breastfeeding-
Image:Mother holding baby to support full body

Image: Baby’s tummy touching mothers tummy

Image: Position of head, neck and body in straight line with nipple

Image: Baby’s nose in line with nipple

  • Mother supports the full body of the baby
  • Baby’s tummy should touch the mother’s tummy
  • Baby’s head, neck and body are always in a straight line
  • Baby’s nose is in the line with the mother’s nipple
Image: Chin pressed into breast by bending baby’s head outward.

Image: Lips curled outward

  • The chin should be brought forward and pushed into mother’s breast
  • The lower lip is curled outward.
Image: Baby sucking lower areola

Ensure that-

  • the baby takes in more part of lower areola while latching.
  • so that, the upper areola is more visible than the lower areola.
Image: Mother’s breast showing areola with arrow Please note-

Areola is the dark area around the nipple.

Image: Gentle pressing of the breast

Image: Gentle holding of the breast

Image: Breast squeezing

Next, let us look at another physical method which is gentle pressing of the breast-
  • To do so, gently hold and squeeze the breast during breastfeeding.
Image: Releasing more milk

GIF: Baby suckling on breast

  • Gentle pressure on the milk glands helps to release more milk
  • This will help to give out more milk with each suck of the baby.
Image: Gentle pressing of breast Gentle pressing of the breast has been explained in another tutorial of same series.
Image: Breast feeding at night in sitting position

An interesting fact is that, night time feeding is important.

Let us understand why ?

Image: Prolactin hormone

The amount of hormone Prolactin in breast milk is higher during the night.

GIF: Baby suckling on breast

Image: Growth and development of baby

When the baby feeds more at night-

  • it improves the amount of milk during breastfeeding
  • thereby, helping in growth of the baby
Image: Milk droplets from breast

Image: Mother breastfeeding 12 times.

Image: Breastfeeding at night 3 times.

Another important factor to increase the amount of breast milk is-

the breastfeeding frequency.

  • Baby should be fed minimum 10-12 times in 24 hours
  • And it is also important to feed the baby at least 2-3 times at night
Image: Group image of early hunger signals.
  • Do not keep the baby hungry

Watch out for early hunger signals such as,

Image: Baby turning her body from one side to other side

Image: Baby turning mouth towards finger touched on her cheek, with arrows.

Image: Baby opening mouth

  • Baby moves her arms and legs.
  • Baby turns towards anything that is touched to her cheek.
  • And she opens her mouth.
Image: Baby crying Remember,

Crying of the baby is a late signal of hunger.

  • therefore, feed the baby on early hunger signs.
Image: Breast and glass with hind milk

Image: Breast with milk at the back of breast

Image: Fat droplets

Image: Hind milk in a glass to show consistency

Image: Complete emptying of one breast and then second breast by breastfeeding.

Also removal of hind milk is important
  • Hind milk is the milk present in the back part of the breast.
  • It is made up of fats.
  • It is thick in consistency.
  • Therefore, Mother should ensure complete emptying of one breast and then offer the other breast.
Image: Mother manually expressing milk Now, let us discuss about-

Expressing the milk from the breast after feeding the baby.

Image: Mother removing milk
  • Expressing is manual removal of milk with mother’s own hands,
Image: Breast milk expression with fingers and thumb

Image: Pressing the breast inward

To do so,
  • Mother keeps her fingers and thumb at the margin of the areola and the skin of the breast
  • Then gently presses the areola inward towards the chest, compressing and then releasing.
GIF: Baby suckling
  • It is done even if the baby has suckled completely
Image: Group image of expressing milk in between two feeds with 1 hour gap

Image: Mother expressing breast milk with one hand

  • Mother should remove the milk even in between two feeds
  • Removing milk frequently will improve the amount of breastmilk
Image: Artificial nipple and formula milk with cross mark

Always remember the following:

Avoid use of artificial nipples and formula milk-

  • as they reduce Mother’s milk
Image: Cow, goat and bottled milk with a cross mark

Avoid feeding cow or goat milk or formula milk
Image: Baby and nipple shield with cross mark Avoid nipple shields as it creates nipple confusion for the baby.
Image: Grouped image of early hunger signals

Image: Mother breastfeeding in sitting position

  • The baby should be breastfed whenever she shows early hunger signs.
Image: Health worker talking to mother

The health worker should

  • Build mother’s confidence by guiding her about correct latching technique.
Image: Baby kept on weighing scale
  • Monitor the weight of the baby daily
  • To ensure that the baby starts gaining 25 to 30 grams of weight per day.

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Image: IIT Bombay logo.

Image: NMEICT Logo

This brings us to the end of this tutorial on-
  • Physical Methods to Increase the Amount of Breastmilk.

Thanks for joining.

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Contributors and Content Editors

Bellatony911, Gmungrey