course requirement

7/26/2019 Course Requirement

1/27

In Partial Fulfllment in the Course Requirement

HEALTH EDUCATION

BREASTFEEDING


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3/27

The Midi!e"s Pra#er


4/27

$# Rhonda %artle

O! all th# &i!ts' (od' &i)e to me

Coura&e' ta*t and s#m+ath#

Cheer!ulness' a read# hand

A arm' true heart to understand

A little o! the a&on#And su,erin& that has to $e-

And &i)e me lo)e and &i)e me &ra*e

That in ea*h mother I ma# tra*e

A li.eness to th# mother dear

That I ma# hel+ her quell her !ear

That in her +ain' her s+irit true

And heart o! lo)e ma# hel+ her throu&h-

And in ea*h $a$e that *omes to earth

Ea*h tin# soul I hel+ to $irth

(od' let me treat as i! t/ere TheeI nursed and $athed u+on m# .nee

Hel+ me to orshi+ ith m# heart

And in adoration' ta.e m# +art-

And hel+ me tea*h hen +ain is o/er

The mother' that she loo.s $e!ore'

And ta.e her $a$#/s !eet' the a#

O! truth and ri&hteousness' and +ra#

That !olloin& thee' the $a$e ma# &ro

In &ra*e and Holiness $elo-

And hen a $a$#' hite and still

Has dran his $reath' then lost the illTo li)e' hel+ me to $rin& her e#es

To see that here her $a$# lies

0o sa!e u+on the 0a)iour/s $reast

Is' a!ter all' +erha+s the $est-

(od hel+ me' too' hen strained and hite

A hus$and at*hes throu&h the ni&ht

1hen all that he holds dear is tried

And all his hel+ has $een denied

Hel+ me to s+ea. a ord o! *heer

That he ma# *hase aa# his !ear-

(od' .ee+ me +ure in mind and heart

That' in all honour' m# small +art

O! ser)in& Thee ma# so $e done

That at the settin& o! the sun

And ei&hin& u+ the ill and &ood

I ma# ha)e done 2ust all I *ould

TA%LE OF CONTENT0


5/27

A-TEACHIN( PLAN


6/27


7/27

BREASTFEEDING

PURPOSE:To provide information regarding the benefits and additional guidelines in breastfeeding

GOAL: The learners ould be !noledgeable and demonstrate proper breastfeeding te"hni#ues$

Objectives Content Outline Methos o!

Inst"uction

Ti#e

Allotte

Resou"ces M$te"i$ls Ev$lu$tion

%pon "ompletion

on

The topi"regarding

breastfeeding&

the "lient ill be

able to:

'$Define hat

breastfeeding

is$

A$Breastfeeding

B$(olostrum

($E)"lusive breastfeeding

*e"ture

dis"ussion

+isual

,resentation

-

minutes

Breastfeeding .andboo! /

0F*1A ,ubli" .ealth

Revised: Februar2 34'5

6orld .ealth 7rgani8ation

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&*aptop

,oerpoint

,resentation

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feedba"!$

9uestioning

3$Enumerate

*as that

governs

breastfeeding

A$E)e"utive 7rder No$5'

,hilippine (ode of

;ar!eting

of Breast mil! Substitutes

B$Republi" A"t No$ In and

Breastfeeding A"t of '??3

($Republi" A"t '443@

$

*e"ture

dis"ussion

+isual

,resentation

-

minutes

Best Start: 7ntarios

;aternal& Neborn and

Earl2 (hild Development

Resour"e (entre

$healthne)us$"a /$beststart$org

*(D&

&*aptop

,oerpoint

,resentation

Instant oral

feedba"!$

9uestioning

%&Enu#e"$te A$ A"ron2m of *e"ture - Best Start: 7ntarios *(D& Instant oral


8/27

Bene!its o!

b"e$st!eein'

to the b$b(&

BREASTFEEDING

B$(hild Development

dis"ussion

+isual

,resentation

minutes ;aternal& Neborn and


Resour"e (entre

$healthne)us$"a /

$beststart$org

,illitteri& Adele& ;aternal

and (hild .ealth Nursing:

(are of the (hildbearing

and (hildrearing Famil2&

5thedition& & et al$

&*aptop

,oerpoint

,resentation

feedba"!$

9uestioning

o $ Enumerate

Benefits of

breastfeeding to

the mother$

A$Short Term Benefit

B$*ong Term Benefit

*e"ture

dis"ussion

+isual

,resentation

-

minutes




Resour"e (entre

$healthne)us$"a /

$beststart$org






*(D&

&*aptop

,oerpoint

,resentation

Instant oral

feedba"!$

9uestioning

o 5$ EnumerateBenefits of

breastfeeding to

the "ommunit2$

A$(ontribution in the"ommunit2

*e"turedis"ussion

+isual

,resentation

-minutes

Best Start: 7ntarios;aternal& Neborn and


Resour"e (entre

$healthne)us$"a /

$beststart$org




*(D& &*aptop

,oerpoint

,resentation

Instant oralfeedba"!$

9uestioning
http://www.beststart.org/http://www.beststart.org/http://www.beststart.org/http://www.beststart.org/http://www.beststart.org/http://www.beststart.org/


9/27



)&& Discuss the

'uielines o!

b"e$st!eein'&

'$;anual Breast ;il!

E)presion

3$(ue>Based Feeding

-$Burping

$,roper ,ositioning Te"hni#ue

a$(radle,osition

b$Football ,osition

"$(ross (radle ,osition

d$Side *2ing ,osition

*e"ture

dis"ussion

+isual

,resentation

34

minutes




Resour"e (entre

$healthne)us$"a /

$beststart$org

*(D&

&*aptop

,oerpoint

,resentation

Instant oral

feedba"!$

9uestioning


10/27


11/27

Breastfeeding is the normal a2 of providing 2oung infants ith the nutrients the2 need for

health2 groth and development$

(olostrum& the 2elloish& sti"!2 breast mil! produ"ed at the end of pregnan"2& is re"ommendedb2 6.7 as the perfe"t food hi"h helps prevent ba"terial infe"tions that are a danger to

neborn babies 1 provides the first immuni8ation against man2 of the diseases that a bab2

meets after the deliver2$

E)"lusive breastfeeding is re"ommended up to = months of age& ith "ontinued breastfeeding

along ith appropriate "omplementar2 foods up to to 2ears of age or be2ond$

*as that prote"t and support breastfeeding


12/27

Key Facts

3-4 million *hildren under the a&e o! f)e die

e)er# #ear 56787 f&ures9-

More than hal! o! these earl# *hild deaths are

due to *onditions that *ould $e +re)ented or

treated ith a**ess to sim+le' a,orda$le

inter)entions-

Leadin& *auses o! death in under:f)e *hildren

are +neumonia' +reterm $irth *om+li*ations'

diarrhea' $irth as+h#;ia and malaria- A$out

one third o! all *hild deaths are lin.ed to

Executive Order No.51

Philippine Code of

Marketing

of Breast ilk

!u"stitutes

The aim o! the *ode is to

*ontri$ute to the

+ro)ision o! sa!e and

adequate nutrition !or

in!ants $# the +rote*tion

and +romotion o!

$reast!eedin& and $#

ensurin& the +ro+er use

o! $reast mil. su$stitutes

and $reast mil.

su++lementshen these are

ne*essar#-

#epu"lic $ct 1%%&'

An A*t Pro)idin&

In*enti)es to All

(o)ernment and Pri)ate

Health Institutions ithRoomin&:In and

%reast!eedin&

Pra*ti*es and For other

Pur+oses

#epu"lic $ct No. ()%%

*he #ooing + ,n and

Breastfeeding $ct of

1--&

The 0enate ado+tsroomin& in as a national

+oli*# to

en*oura&e'+rote*t and

su++ort +ra*ti*e o!

$reast!eedin&- It shall

*reate an en)ironment

here $asi* +h#si*al'

emotional and

+s#*holo&i*al needs o!

mothers and in!ants are

!ulflledThrou&h the +ra*ti*e o!

roomin&


13/27

malnutrition-

Source: WHO. Global Health Observatory

(http://www.who.int/gho/childhealth/en/inde!.ht"l)

BREASTFEEDING BENEFITS FOR BAB*


14/27

Breast mil! is the ideal food for neborns and infants$ It gives infants all the nutrients the2 need

for health2 development$ It is safe and "ontains antibodies that help prote"t infants from "ommon"hildhood illnesses > su"h as diarrhea and pneumonia& the to primar2 "auses of "hild mortalit2

orldide$ Breast mil! is readil2 available and affordable& hi"h helps to ensure that infants get

ade#uate sustenan"e$


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16/27

BREASTFEEDING BENEFITS FOR MOT+ERS

Sho"t Te"# Lon' Te"#


17/27

BREASTFEEDING BENEFITS IN T+E COMMUNIT*

In"reasing the fre#uen"2 and duration of breastfeeding benefits all members of

so"iet2$

Breastfed infants re#uire feer visits to the do"tors offi"e for illness& antibioti" pres"riptions&hospitali8ations& and da2s of absen"e from or! for emplo2ed parents$

Breastfeeding is more "onvenient for the motherCno bottles to prepare no formula to pur"hase&

transport& and refrigerate hen traveling and no diaper bags full of bottles& nipples& "ans offormula& ater& or arming e#uipment$ .uman mil! is ala2s available hen mother is

available and is ala2s read2 to feed at pre"isel2 the right temperature$

Breastfeeding is more environmentall2 friendl2Cfeer bottles& nipples& and "ans of formula& allof hi"h must be manufa"tured& distributed& and disposed of at an environmental "ost$


18/27

M$nu$l B"e$st Mil, E-."ession

Bu".in' (ou" b$b(

A $reast!ed $a$# does not sallo mu*h air- It is still a &ood idea to $ur+#our $a$#- 0ome $a$ies!uss' i! the# need to $ur+- %ur+in& ma# also hel+ to a.e #our $a$# u+ soshe *an *ontinue to!eed i! she ishes- 1at*h #our $a$# to see ho o!ten she needs to $e$ur+ed-= 0ome $a$ies need to $e $ur+ed durin& a !eedin& and a&ain at the end-

= 0ome $a$ies $ur+ on their on' hile !eedin& or hen the# are done-= 0ome $a$ies ma# not $ur+ e)er# time-= 0ome $a$ies s+it u+ a!ter !eedin&s- As lon& as #our $a$# a++ears *ontentand &ainsei&ht as the ee.s &o on' don"t orr# a$out s+ittin& u+ mouth!uls o! mil.-To $ur+ #our $a$#>= Hold #our $a$# a&ainst #our shoulder or ha)e her sittin& on #our la+-


19/27

= 0u++ort her head and +at or ru$ her $a*.- A $u$$le o! air *an *ome u+more easil#i! her $a*. is strai&ht-

P"o.e" Positionin' Techni/ues

Different Position

Techniques

Position Picture Proper Latch

#.$ross $radle%osition

Hold your baby

across yourbody as you

breast&eed.

'his positionwors well: i! #ou are

learnin& to

$reast!eed

i! #ou ha)e

a small

$a$#Football

%osition

'his position

wors well: i! #ou are

learnin& to

$reast!eed

i! #ou ha)e

a small

$a$#

i! #ou ha)e

lar&e

$reasts

i! #ou ha)e

?at or soreni++les

i! #ou had

a

*aesarean

$irth

i! #our

$a$# has


20/27

trou$le

lat*hin& on

to #our

$reast-

$radle %osition)estle your

baby in your

ar" in a cradle

hold. 'hisinvolves

cradling the

baby with yourar" on the

sa"e side as

the breast

beingpresented.

'his position

wors well: a!ter #ou

are

*om!orta$l

e ith

$reast!eed

in&

Side*+ying%osition

+ie on yourside in bed

&acing your

baby. ,sepillows as

needed to

support your

head- bac-and upper leg.

'his position

wors well: i! #ou fnd

it too

+ain!ul to

sit

i! #ou ant

to rest


21/27

hen #ou

$reast!eed

i! #ou ha)e

lar&e

$reasts

i! #ou had

a

*aesarean

$irth -

P"oble#s in b"e$st!eein'

#.Sore )ipples

At frst' most mothers !eel a tu& hen their $a$# su*.s- This *an $e a little

un*om!orta$le- @ou

should not e;+erien*e an# ni++le +ain- The most *ommon *ause o! sore

ni++les is a +oor lat*h-

I! #our ni++les are sore !rom a +oor lat*h' #ou ma# fnd>

= The +ain started 8 < da#s a!ter $irth-

= The +ain ma# $e orse at the start o! !eedin&s' and then im+ro)e-

= @our ni++les ma# a++ear +in*hed or missha+ed a!ter !eedin&s-

= @our ni++les ma# $e dama&ed or $leedin&- 50alloin& $lood !rom #our

ni++les

ill not harm #our $a$#-9


22/27

To +re)ent and im+ro)e sore ni++les ma.e sure>

= @our $a$# has a ide o+en mouth and is lat*hed on to the areola-

= @our $a$#"s ton&ue is under the ni++le and her li+s are ?ared out-

= @our $a$#"s head is tilted $a*. a little so he *an o+en his mouth ide-

= @our hand is +ositioned $a*. !rom the ni++le area and #our fn&ers are

not tou*hin& #our $a$#"s *hee.s or li+s-

I! #ou ha)e sore ni++les>

= Ru$ e;+ressed $reastmil. on #our ni++les a!ter !eedin&-

= Air:dr# #our ni++les !olloin& !eedin&s- @ou ma# fnd it more

*om!orta$le to lea)e #our $ra ?a+s don as mu*h as +ossi$le

$eteen !eeds and ear a loose *otton T:shirt- @ou *an also

e;+ose #our ni++les to air hile #ou are slee+in&-

= Bee+ #our ni++les dr# and *han&e dam+ nursin& +ads o!ten-

= %reast!eed on the least sore side frst until #our ni++le !eels

$etter-

= I! #ou are sittin& u+' su++ort #our $reast durin& the !eedin&-

6- ngorge"ent

Most omen fnd their $reasts !eel lar&er and hea)ier on da# or a!ter the$a$# as $orn-

This ma# last !or a$out hours- I! #our $reasts !eel sollen and tender' it is

*alled en&or&ement-

I! #our $reasts $e*ome en&or&ed' it ma# $e more di*ult !or #our $a$# to

lat*h-


23/27

En&or&ement usuall# ha++ens durin& the frst ee. o! $reast!eedin&' hen

#our mil. +rodu*tionstarts to *han&e !rom *olostrum to mil.- It *an $e due

to>

= In*reased $lood ?o to #our $reasts-

= 0ellin& o! #our $reast tissue-

= More mil. in #our $reasts than #our $a$# is remo)in&-

@ou *an o!ten +re)ent en&or&ement i! #ou>

= %reast!eed hene)er #our $a$# ants to' at least times in 6 hours-

= Ma.e sure #our $a$# is lat*hed ell and !eedin& e*ientl#- @ou should hear

#our $a$#

salloin& o!ten-

= Use $oth $reasts at ea*h !eedin&- I! #our $a$# ill not ta.e the se*ond

$reast' and it !eels

)er# !ull' e;+ress enou&h mil. !rom that side to ma.e #ou !eel *om!orta$le-

A!ter a !e da#s

#our $reasts ill !eel more *om!orta$le-

I! #our $reasts are en&or&ed>

= %reast!eed #our $a$# more o!ten-

= I! #our $a$# ill not lat*h' e;+ress $reastmil. to so!ten the areola then tr#

a&ain-

= 0ome mothers fnd it more *om!orta$le to ear a $ra- Other mothers +re!er

to &o ithout-

I! #ou ear a $ra' ma.e sure it is not too ti&ht-

= A++l# a ra++ed i*e +a*. or *old *om+ress to #our $reasts $eteen

!eedin&s-

= I! the en&or&ement does not im+ro)e and #our $a$# does not seem to $e

!eedin& ell'


24/27

e;+ress mil. !rom #our $reasts until the# !eel so!ter and &et hel+-

A!ter #our en&or&ement is *om+letel# &one 5at a$out 87 < 8 da#s9 #our

$reasts ill !eel

so!ter and less !ull- This is $e*ause the sellin& has &one aa#- It does notmean #ou are

losin& #our mil.-

%& %lugged ucts

@ou ma# ha)e a +lu&&ed du*t i! #ou noti*ea reddened' tender' hard or hot area on#our $reast-0u&&estions>= Continue to $reast!eed o!ten and use i$u+ro!en !or +ain' i! ne*essar#-= A++l# a arm *om+ress and massa&e the a,e*ted area &entl# toard theni++le $e!ore #ou $reast!eed-= %reast!eed #our $a$# on the sore side frst and o!ten-= 0teadil# *om+ress the +lu&&ed du*t area ith as mu*h +ressure as #ou *antolerate durin& the !eed-= %reast!eed in di,erent +ositions ith the $a$#"s *hin +ointin& toard thesite o! the +lu&&ed du*t-

= E;+ress a!ter the !eed i! #our $a$# has not !ed ell-Ma.e sure #our $ra is not ti&htaround #our $reast-= (et +lent# o! rest

0& 0astitis

Mastitis is a $a*terial in!e*tion in the $reast and does not a,e*t the qualit# o!

#our $reastmil.- I! #ou ha)e a hot' reddened' and tender area on #our $reast

and ?u:li.e s#m+toms 5!e)er' *hills' a*hin&9' *all #our do*tor- @ou ma# need

medi*ation-

0u&&estions>

= Continue to $reast!eed o!ten and !ollo su&&estions !or +lu&&ed du*ts-

= Drin. +lent# o! ?uids-


25/27

Cont"$inic$tions

An in!ant ith &ala*tosemia-

Her+es lesions on the mother/s ni++les-

Mother is on a restri*ted:nutrient diet that +re)ents qualit# mil. +rodu*tion-

Mother is re*ei)in& medi*ations that are ina++ro+riate !or $reast!eedin&'su*h as lithium or methotre;ate-

Maternal e;+osure to radioa*ti)e *om+ounds' as *ould ha++en durin& th#roidtestin&-

%reast *an*er' HI 5human immunodef*ien*# )irus9' and a*ti)e tu$er*ulosis-

Re#ine"s

Pra*ti*in& manual e;+ression o! mil. ma# $e hel+!ul-

Do not use soa+ on their $reasts durin& +re&nan*# $e*ause soa+ tends todr# and *ra*. ni++les-

1omen ho has in)erted ni++les ma# need to ear a ni++le *u+ 5a +lasti*shell9 to hel+ the ni++les $e*ome more +rotu$erant-

%rushin& the in!ant/s *hee. ith a ni++le stimulates the ne$orn/s rootin&re?e;- The $a$# ill then turn toard the $reast-

Do not tr# to initiate a rootin& re?e; $# +ressin& the $a$#/s !a*e a&ainst themother/s $reast> this ill *ause the *hild to turn aa# !rom the mother andtoard #ou-

It is im+ortant that in!ants o+en their mouths ide enou&h so the# *an &ras+the ni++le and areola hen su*.in&-


26/27

This &i)es them an e,e*ti)e su*.in& a*tion and hel+s to em+t# the *olle*tin&sinuses *om+letel#-

Alternatin& $reasts ensures e)en stimulation and em+t#in&' in*reasin& mil.su++l#- 0a!et# +in a*ts as a reminder !or the *lient a$out here to $e&in-

Ad)ise *lient to drin. at least to 4 :oG &lasses o! ?uid +er da#- Adequate?uid inta.e is essential to maintain an adequate mil. su++l#-

REFERENCES1,illitteri& Adele& ;aternal and (hild .ealth Nursing: (are of the (hildbearing and (hildrearing

Famil2& 5thedition& & et al$

Thomas& (la2ton * Tabers &(2"lopedi" ;edi"al Di"tionar2& '@thedition&& et al

Tortora& Gerard & ,rin"iples of Anatom2 and ,h2siolog2& ?thedition& et al

http:$s"ribd$"omdo"54@=353@BREASTFEEDING>.>TEA(.ING

http:$s"ribd$"omdo"@-@@@5.EA*T.>TEA(.ING>7N>BREASTFEEDING

http:$o)fordHournals$orgourHournalstropeHonlinetea"hingJ34moduleJ34onJ34breastfeeding3$pdf

http:$s"ribd$"omdo"-='==3


27/27

Best Start: 7ntarios ;aternal& Neborn and Earl2 (hild Development Resour"e (entre

$healthne)us$"a /$beststart$org

Breastfeeding .andboo! / 0F*1A ,ubli" .ealth Revised: Februar2 34'5
http://www.beststart.org/http://www.beststart.org/http://www.beststart.org/

course requirement

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