Health-and-Nutrition/C2/Physical-methods-to-increase-the-amount-of-breastmilk/English

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Visual Cue
Narration
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


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?


  • 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 babys 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: 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-
  • 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: 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. * 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

Now 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 cheeks.
  • 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


Image: Cow, goat and bottled milk with a cross mark


Image: Baby and nipple shield with cross mark

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 nipple shields as it creates nipple confusion for the baby.


Image: Grouped image of early hunger signals


Image: Mother breastfeeding in sitting position

Remember,
  • 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.


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.


Thanks for joining.

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Contributors and Content Editors

Bellatony911, Gmungrey