Difference between revisions of "Health-and-Nutrition/C2/Physical-methods-to-increase-the-amount-of-breastmilk/English"
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− | | | + | | Image: Let down reflex |
− | Image: Let down reflex | + | |
Image: Oxytocin hormone | Image: Oxytocin hormone | ||
− | Image: | + | Image: Breast with milk droplets |
Image: Mother thinking about baby | Image: Mother thinking about baby | ||
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| Next, we will learn how to improve the''' let down reflex''' or''' Oxytocin reflex.''' | | Next, we will learn how to improve the''' let down reflex''' or''' Oxytocin reflex.''' | ||
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Before that we should know what is Oxytocin? | Before that we should know what is Oxytocin? | ||
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* Oxytocin is a hormone which encourages the let down reflex | * Oxytocin is a hormone which encourages the let down reflex | ||
* Because of which, the milk is pushed out just by thinking about the baby | * Because of which, the milk is pushed out just by thinking about the baby | ||
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| Image: Mother looking at the baby | | Image: Mother looking at the baby | ||
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Image: Mother smelling the babys clothes | Image: Mother smelling the babys clothes | ||
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Image: Mother listening to music | Image: Mother listening to music | ||
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* First, mother should relax and then look at her calm baby | * First, mother should relax and then look at her calm baby | ||
− | * She can also smell her baby’s unwashed clothes | + | * She can also smell her baby’s unwashed clothes and |
− | * | + | * Listen to soothing music as well |
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Image: Massage of upper back and neck with arrows for indicating same nerve | Image: Massage of upper back and neck with arrows for indicating same nerve | ||
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Image: Massage of the breast | Image: Massage of the breast | ||
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* Massage of the upper back and | * Massage of the upper back and | ||
* Massage of the breast | * Massage of the breast | ||
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Image: Showing circulation of milk with arrow marks. | Image: Showing circulation of milk with arrow marks. | ||
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GIF: Baby suckling on mothers breast | GIF: Baby suckling on mothers breast | ||
| Let us see how to do hot water fomentation, | | Let us see how to do hot water fomentation, | ||
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* Mother should take a warm water bath | * Mother should take a warm water bath | ||
* Or keep a warm cloth on her breast | * Or keep a warm cloth on her breast | ||
* Both these methods will help circulation of milk in the breast and push the milk out. | * Both these methods will help circulation of milk in the breast and push the milk out. | ||
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| Image: Group image of back massaging and breast massaging | | Image: Group image of back massaging and breast massaging | ||
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Image: Mother massaging breast in sitting position | Image: Mother massaging breast in sitting position | ||
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| Image: Helper massaging back of the mother. | | Image: Helper massaging back of the mother. | ||
− | | * Massaging of the upper back and neck will help the milk to flow freely | + | | |
+ | * 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. | * Since the same nerve goes to the upper back and the breast. | ||
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Image: Empty the breast completely | 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 | * Hence, the milk will flow freely and the breast will be emptied completely | ||
− | * | + | * Leading to higher milk production |
− | + | ||
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|- | |- | ||
| Image: Baby latched on to mother’s breast | | Image: Baby latched on to mother’s breast | ||
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| Another method of increasing the amount of breast milk is- | | 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- | Let us see how to do so- | ||
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|- | |- | ||
| Image: Brushing of nipple on upper lip | | Image: Brushing of nipple on upper lip | ||
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Image: Baby opening mouth widely | Image: Baby opening mouth widely | ||
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Image: Correct latching | Image: Correct latching | ||
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Image: Correct latching giving sufficient milk | Image: Correct latching giving sufficient milk | ||
− | | * Rub the nipple on the upper lip of the baby | + | | |
+ | * Rub the nipple on the upper lip of the baby | ||
* This will help the baby to open the mouth widely | * This will help the baby to open the mouth widely | ||
* And will help with the correct latch and give sufficient milk to the baby | * And will help with the correct latch and give sufficient milk to the baby | ||
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|- | |- | ||
| Image: Mother breastfeeding in sitting position | | Image: Mother breastfeeding in sitting position | ||
| Make sure during breastfeeding- | | Make sure during breastfeeding- | ||
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| Image:Mother holding baby to support full body | | Image:Mother holding baby to support full body | ||
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Image: Baby’s tummy touching mothers tummy | Image: Baby’s tummy touching mothers tummy | ||
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Image: Position of head, neck and body in straight line with nipple | Image: Position of head, neck and body in straight line with nipple | ||
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Image: Baby’s nose in line with nipple | Image: Baby’s nose in line with nipple | ||
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* Baby’s head, neck and body are always in a straight line | * Baby’s head, neck and body are always in a straight line | ||
* Baby’s nose is in the line with the mother’s nipple | * Baby’s nose is in the line with the mother’s nipple | ||
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|- | |- | ||
| Image: Chin pressed into breast by bending baby’s head outward. | | Image: Chin pressed into breast by bending baby’s head outward. | ||
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Image: Lips curled outward | Image: Lips curled outward | ||
− | | * The chin should be brought forward and pushed into mother’s breast | + | | |
+ | * The chin should be brought forward and pushed into mother’s breast | ||
* The lower lip is curled outward. | * The lower lip is curled outward. | ||
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|- | |- | ||
| Image: Baby sucking lower areola | | 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. | * So that the upper areola is more visible than the lower areola. | ||
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| Please note- | | Please note- | ||
− | Areola is the dark | + | Areola is the dark area around the nipple. |
− | + | ||
− | area around the nipple. | + | |
|- | |- | ||
| Image: Gentle pressing of the breast | | Image: Gentle pressing of the breast | ||
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Image: Gentle holding of the breast | Image: Gentle holding of the breast | ||
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Image: Breast squeezing | Image: Breast squeezing | ||
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* To do so- | * To do so- | ||
− | * | + | * Gently hold and squeeze the breast during breastfeeding. |
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|- | |- | ||
| Image: Releasing more milk | | Image: Releasing more milk | ||
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GIF: Baby suckling on breast | 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. | * This will help to give out more milk with each suck of the baby. | ||
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| Image: Gentle pressing of breast | | Image: Gentle pressing of breast | ||
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| Gentle pressing of the breast has been explained in another tutorial of same series. | | Gentle pressing of the breast has been explained in another tutorial of same series. | ||
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| Image: Breast feeding at night in sitting position | | Image: Breast feeding at night in sitting position | ||
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| An interesting fact is that night time feeding is important. | | An interesting fact is that night time feeding is important. | ||
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Let us understand why ? | Let us understand why ? | ||
|- | |- | ||
− | | Image: Prolactin hormone | + | |Image: Prolactin hormone |
− | + | ||
− | + | ||
+ | | | ||
+ | * The amount of hormone Prolactin in breast milk is higher during the night | ||
|- | |- | ||
| GIF: Baby suckling on breast | | GIF: Baby suckling on breast | ||
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Image: Growth and development of baby | Image: Growth and development of baby | ||
− | + | | | |
− | + | * When the baby feeds more at night it improves the amount of milk during breastfeeding | |
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* Thereby, helping in growth of the baby | * Thereby, helping in growth of the baby | ||
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− | | Image: | + | | Image: Milk droplets from breast |
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+ | Image: Mother breastfeeding 12 times. | ||
Image: Breastfeeding at night 3 times. | Image: Breastfeeding at night 3 times. | ||
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| Another important factor to increase the amount of breast milk is- | | Another important factor to increase the amount of breast milk is- | ||
the breastfeeding frequency. | the breastfeeding frequency. | ||
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* Baby should be fed minimum 10-12 times in 24 hours | * 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 | * And it is also important to feed the baby at least 2-3 times at night | ||
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| Image: Group image of early hunger signals. | | Image: Group image of early hunger signals. | ||
− | + | | | |
− | + | * Do not keep the baby hungry | |
− | + | ||
− | + | ||
Watch out for early hunger signals such as, | Watch out for early hunger signals such as, | ||
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| Image: Baby turning her body from one side to other side | | Image: Baby turning her body from one side to other side | ||
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Image: Baby turning mouth towards finger touched on her cheek, with arrows. | Image: Baby turning mouth towards finger touched on her cheek, with arrows. | ||
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Image: Baby opening mouth | Image: Baby opening mouth | ||
− | | * Baby moves her arms and legs | + | | |
+ | * Baby moves her arms and legs | ||
* Baby turns towards anything that is touched to her cheeks. | * Baby turns towards anything that is touched to her cheeks. | ||
* And she opens her mouth. | * And she opens her mouth. | ||
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| Image: Baby crying | | Image: Baby crying | ||
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| Image: Breast and glass with hind milk | | Image: Breast and glass with hind milk | ||
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Image: Breast with milk at the back of breast | Image: Breast with milk at the back of breast | ||
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Image: Fat droplets | Image: Fat droplets | ||
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Image: Hind milk in a glass to show consistency | Image: Hind milk in a glass to show consistency | ||
+ | Image: Complete emptying of one breast and then second breast by breastfeeding. | ||
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| Also removal of hind milk is important | | Also removal of hind milk is important | ||
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* Hind milk is the milk present in the back part of the breast | * Hind milk is the milk present in the back part of the breast | ||
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* It is made up of fats | * It is made up of fats | ||
* It is thick in consistency | * It is thick in consistency | ||
* Therefore Mother should ensure complete emptying of one breast and then offer the other breast. | * Therefore Mother should ensure complete emptying of one breast and then offer the other breast. | ||
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|- | |- | ||
| Image: Mother manually expressing milk | | Image: Mother manually expressing milk | ||
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| Now let us discuss about expressing the milk from the breast after feeding the baby, | | Now let us discuss about expressing the milk from the breast after feeding the baby, | ||
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| Image: Mother removing milk | | Image: Mother removing milk | ||
− | + | | | |
− | + | * Expressing is manual removal of milk with mother’s own hands, | |
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|- | |- | ||
| Image: Breast milk expression with fingers and thumb | | Image: Breast milk expression with fingers and thumb | ||
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Image: Pressing the breast inward | Image: Pressing the breast inward | ||
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| To do so, | | 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. | * Then gently presses the areola inward towards the chest, compressing and then releasing. | ||
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| GIF: Baby suckling | | GIF: Baby suckling | ||
− | + | | | |
− | + | * It is done even if the baby has suckled completely | |
− | + | ||
− | + | ||
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|- | |- | ||
− | | Image: Group image of expressing milk in between two feeds with 1 hour gap | + | |Image: Group image of expressing milk in between two feeds with 1 hour gap |
− | + | ||
Image: Mother expressing breast milk with one hand | Image: Mother expressing breast milk with one hand | ||
− | | * Mother should remove the milk even in between two feeds | + | | |
+ | * Mother should remove the milk even in between two feeds | ||
* Removing milk frequently will improve the amount of breastmilk | * Removing milk frequently will improve the amount of breastmilk | ||
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|- | |- | ||
| Image: Artificial nipple and formula milk with cross mark | | Image: Artificial nipple and formula milk with cross mark | ||
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Image: Cow, goat and bottled milk with a cross mark | Image: Cow, goat and bottled milk with a cross mark | ||
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Image: Baby and nipple shield with cross mark | Image: Baby and nipple shield with cross mark | ||
| Always remember the following: | | Always remember the following: | ||
− | * | + | * Avoid use of artificial nipples and formula milk |
− | + | * As they reduce mother’s milk | |
− | + | ||
− | + | ||
* Avoid feeding cow/goat milk or formula milk | * Avoid feeding cow/goat milk or formula milk | ||
* Avoid nipple shields as it creates nipple confusion for the baby. | * Avoid nipple shields as it creates nipple confusion for the baby. | ||
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|- | |- | ||
| Image: Grouped image of early hunger signals | | Image: Grouped image of early hunger signals | ||
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Image: Mother breastfeeding in sitting position | Image: Mother breastfeeding in sitting position | ||
| Remember, | | Remember, | ||
− | * | + | * The baby should be breastfed whenever she shows early hunger signs. |
− | + | ||
− | + | ||
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| Image: Health worker talking to mother | | Image: Health worker talking to mother | ||
− | | | + | | |
− | * | + | The health worker should |
− | + | * Build mother’s confidence by guiding her about correct latching technique. | |
− | + | ||
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| Image: Baby kept on weighing scale | | 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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| '''Acknowledgement''' | | '''Acknowledgement''' | ||
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Image: Spoken tutorial logo. | Image: Spoken tutorial logo. | ||
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Image: IIT Bombay logo. | Image: IIT Bombay logo. | ||
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Image: NMEICT Logo | Image: NMEICT Logo | ||
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[http://www.spoken-tutorial.org www.spoken-tutorial.org] | [http://www.spoken-tutorial.org www.spoken-tutorial.org] | ||
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Image: WHEELS Global Foundation Logo. | Image: WHEELS Global Foundation Logo. | ||
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Image: Maa aur Shishu Poshan Logo | Image: Maa aur Shishu Poshan Logo |
Revision as of 13:59, 23 October 2018
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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-
|
Image: Mother and baby in skin to skin contact | Note that, the procedure for Kangaroo mother care-
|
Image: Let down reflex
Image: Oxytocin hormone Image: Breast with milk droplets Image: Mother thinking about baby Image: Breast with milk droplets |
Next, we will learn how to improve the let down reflex or Oxytocin reflex.
Before that we should know what is Oxytocin?
|
Image: Mother looking at the baby
Image: Mother smelling the babys clothes Image: Mother listening to music |
Therefore, to push the milk out-
|
Image: Group 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-
|
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,
|
Image: Group 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. |
|
Image: Mother massaging the breast
Image: Milk flowing freely Image: Breast with milk droplets Image: Empty the breast completely |
|
Image: Baby latched on to mother’s breast | Another method of increasing the amount of breast milk is-
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 |
|
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 |
|
Image: Chin pressed into breast by bending baby’s head outward.
Image: Lips curled outward |
|
Image: Baby sucking 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 |
Now let us look at another physical method which is gentle pressing of the breast-
|
Image: Releasing more milk
GIF: Baby suckling on breast |
|
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 |
|
GIF: Baby suckling on breast
Image: Growth and development of 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.
|
Image: Group image of early hunger signals. |
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 |
|
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
|
Image: Mother manually expressing milk | Now let us discuss about expressing the milk from the breast after feeding the baby, |
Image: Mother removing milk |
|
Image: Breast milk expression with fingers and thumb
Image: Pressing the breast inward |
To do so,
|
GIF: Baby suckling |
|
Image: Group image of expressing milk in between two feeds with 1 hour gap
Image: Mother expressing breast milk with one hand |
|
Image: Artificial nipple and formula milk with cross mark
Image: Cow, goat and bottled milk with a cross mark Image: Baby and nipple shield with cross mark |
Always remember the following:
|
Image: Grouped image of early hunger signals
Image: Mother breastfeeding in sitting position |
Remember,
|
Image: Health worker talking to mother |
The health worker should
|
Image: Baby kept on weighing scale |
|
Acknowledgement
Image: Spoken tutorial logo. 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.
|
Image: MHRD, Government of India logo.
Image: WHEELS Global Foundation Logo. Image: Maa aur Shishu Poshan Logo |