Course contents
Introduction
Case Study A (Joanne)
Discussing breastfeeding
What information to give
Effects of Breastfeeding alternatives
Common breastfeeding concerns
- 1 Topics to discuss
- 1.1 Encourage acquiring knowledge and support networks
- 1.2 Discuss the most appropriate outcome depending on individual circumstances
- 1.3 Encourage both parents to develop their own unique roles
- 1.4 Support breastfeeding with confidence, anywhere the mother and baby may be
- 1.5 Assist women to quit smoking and limit alcohol intake while breastfeeding, but it's better to be breastfed than formula fed even if the mother smokes.
- 1.6 Discuss healthy eating for maternal well-being
Breast examination
Contraindications to breastfeeding
- 1 Contraindications
- 2 Conditions that are NOT a contraindication to breastfeeding.
- 2.1 Hepatitis B
- 2.2 Hepatitis C
- 2.3 Pregnancy
Conditions related to lactation outcomes
Medications
Case Study B (Joanne)
Preparation Before Birth
Birthing Factors that Affect Breastfeeding
Management After Birth
- 1 Step 4 - Immediate skin-to-skin contact
- 2 Step 5 - Show mothers how to breastfeed and how to maintain lactation if separated
- 3 Step 6 - Give newborns no food or drink other than breastmilk, unless medically indicated
- 4 Step 7 - Practice rooming-in 24 hours a day
- 5 Step 8 - Encourage breastfeeding on demand
- 6 Step 9 - Give no artificial teats
Poor Attachment
Hypoglycaemia
Jaundice and Breastfeeding
Case Study C (Joanne)
Early problems
Risk of SIDS
Contraception
Milk composition
- 1 Breastmilk Composition
- 1.1 Carbohydrates
- 1.2 Protein and non-protein nitrogen
- 1.3 Fat
- 1.4 Vitamins
- 1.5 Minerals
- 1.6 Changes in milk composition
- 1.7 Milk yield
Slowing of growth
Introducing solids
Weaning
Case Study D (Sally)
Initial assessment
- 1 Adequacy of breastmilk intake?
- 2 Breast or nipple problems? Maternal confidence?
- 3 Infant examination
Milk production
Causes of inadequate infant growth
Increasing milk supply
Case Study E (Anna)
Sore nipples
Factors causing nipple damage
- 1 Engorgement
- 2 Anatomical variations of mother
- 3 Anatomical variations of the infant
- 4 Neurological issues with the infant
- 5 Inappropriate use of lactation aids
- 6 High intra-oral pressure
General treatment for sore nipples
- 1 Assess positioning and attachment
- 2 Advice about breastfeeds
- 3 Advice about nipple treatment
- 4 Lactation aids
- 5 Rest nipples
Further causes of nipple pain
Mastitis – diagnosis
Mastitis – treatment and complications
- 1 Effective milk removal/breast drainage
- 2 Occasionally, a woman with mastitis develops a breast abscess. What would predispose Anna to a breast abscess?
- 3 What symptoms or signs would make you suspect a breast abscess?