health talk.docx

8/12/2019 HEALTH TALK.docx

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M H R D A V INSTITUTE OF NURSING JALANDHAR HEALTH TALK -II

OBSTETRICS GYNAECOLOGICAL NURSINGTOPIC Exclusive Breast Feeding

Submitted To: Submitted ByRespected Miss.Roseline mam DEEPIKA SHARMAM.Sc.(N) OBG M.Sc. (N) 1styear

Submitted On 09-04-2014


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LESSON PLAN

NAME OF THE EVALUATOR : Ms. Roseline

NAME OF THE STUDENT : Deepika Sharma

NAME OF THE SUBJECT : Obstetrics & Gyanecological Nsg.

TOPIC : Exclusive breast feeding

DATE : 09-04-2014

TIME : 11am

VENUE : Civil Hospital Jalandhar

METHODS OF TEACHING : Lecture cum Discussion

AV AIDS : charts, flash card

GENERAL OBJECTIVES : At the end of teaching group will be able to answer the

questions & knowledge regarding exclusive breast feeding

SPEIFIC OBJECTIVES : At the end of the teaching the group will be able to

explain the composition of milk. describe the benefits of breast feeding explain the feeding reflexes in the baby enlist the steps of successful breast feeding.


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TIME CONTRIBUTING

OBJECTIVES

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LEARNING

ACTIVITY

A.V. AIDS EVALUATION

1. 1 min. To introduce self Good Morning Myself Deepika Sharma

student of M.Sc.(N) 1st year in MHR

DAV Institute of Nursing, Jalandhar.

2. 1 min To announce the

topic

Today .I will teach the topic exclusive

breast feeding.

3. 3min To identify the

previous knowledge

Students have little bit knowledge

regarding diet in lactating mother.

Pre test

4. min To introduce the

topic

INTRODUCTION

Breast milk is the perfect food for normal

neonates. It is the best gift mother can

give to her newborn baby. It contain all

the nutrients for normal growth and

development of a baby from the time of

birth to the first six month of life,

proportion and in a form that is easilydigested and absorbed

5. 3min. To define the breast

feeding & exclusivebreast feeding.

Definition:

Breast feeding:

Breastfeeding is the feeding ofaninfant or

youngchild withbreast milk directly from

Lecture cum

discussion
http://infant.askdefine.com/http://child.askdefine.com/http://www.askdefine.com/search?q=breast%20milkhttp://www.askdefine.com/search?q=breast%20milkhttp://child.askdefine.com/http://infant.askdefine.com/


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a woman'sbreasts,not from ababy

bottle or other container.

Exclusive breast feeding:

It is defined as an infant consumption of

milk with no supplementation of any type

like water or juice except vitamin, mineral

and medication. It is recommended for

first six month of life. Newborn babies

consume 30-90 ml of feed.

6. 5min. To explain the

composition of

breast milk.

Composition of breast milk:

Carbohydrates:Lactose is in a high concentration (

6-7g/dl) in breast milk. Lactose

helps in the absorption of calcium.

Proteins:The protein content of breastmilk

is low (0.9-1.1 g/dl) in the breast

milk as the baby cannot effectively

Lecture cum

discussion

Chart
http://breasts.askdefine.com/http://www.askdefine.com/search?q=baby%20bottlehttp://www.askdefine.com/search?q=baby%20bottlehttp://www.askdefine.com/search?q=baby%20bottlehttp://www.askdefine.com/search?q=baby%20bottlehttp://breasts.askdefine.com/


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metabolize a high protein load.

Fats:Breast milk is rich in

polyunsaturated fatty acid,

necessary for mylination of the

nervous system.

Vitamin and minerals:The quantity and bioavailability of

vitamins and minerals is sufficient

for the needs of the baby in the

first 4-6 months of life.

Water and electrolyte:Breast milk has a water content of

88% and hence a breast fed baby

does not require additional waterin the first few month of life even

in the summer months.

7. 4min. To describe the

benefits breast

milk.

Benefits of breast milk:

For the baby:


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Protection against other illness:breast fed babies have a lower

risk of infection and other

problem. They have a lower risk

of diabetes and other disease.

Mental growth: babies who arebreastfed are better bonded their

mother a higher IQ than those

babies who were given other

form of milk.

Breast fed children are at lessrisk for chrohns disease and

juvenile diabetes.

Adult daughter who werebreastfed are at less risk of

breast cancer.

Make the bond between motherand baby.

Provide immunity and protect


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provide against diarrhea.

For the mother: The uterus of a breast feeding

mother shrinks to its pre-

pregnancy size more quickly.

Calories are burned while breastfeeding. It takes approximately 20

calories produce an ounce of milk.

Osteoporosis and cervical cancerare less common in women who

breastfeed.

The return of fertility is delayedwith breastfeeding.

Breast milk is always available,clean and at the right temperature.

For the society:

Breast feeding is convenient;

breast milk does not need to be

warmed and does not require a


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clean water supply or a clean

serving container. No bottles or

other necessary equipment must be

cleaned or purchased.

Breast feeding benefits the

environment. It a natural resource

that is renewable with each

pregnancy

8. 6min. To enumerate the

varying

composition of

Varying composition of breast milk:

The composition of breast milk varies at

different stages after birth to suit the

1) only in small quantities, it hashigher protein content and is most

suited for the needs of the baby. It

should NEVER be discarded.2) Transitional milk: Is the milk

secreted during the following two

weeks. The immunoglobulin and

protein content decreases, while

the fat and sugar content increases

Lecture cum

discussion


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3). Mature milk:

Mature milk follows transitional

milk. It is thinner and watery but

contains all the nutrients essential

for optimal growth of the baby.

3) Preterm milk :Preterm milk is the breast milk ofa mother who delivers

prematurely. It contains more

proteins, sodium, iron,

immunoglobulins and calories that

are needed by her preterm

baby.Preterm milk is the breast

milk of a mother who delivers pr


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5. Fore milk:

Fore milk is the milk secreted at

the start of a feed. It is watery and

is rich in proteins, sugar, vitamins,

minerals and water and satisfies

the baby's thirst.

6. Hind milk comes later towards theend of a feed and is richer in fat

content andprovides more energy

and satisfies the baby's hunger. For

optimum growth, the baby needs

both fore and hind milk.

10. 10min. To comparison

between human

milk and cow milk

Comparison of human milk and cow

milk

The comparision table are as follows

In which all distribution of the content are

given as below in the table form

Lecture cum

discussion


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Humanmilk

Cow milk

Protein total

Casein

lactalbumin

1%

0.5%0.5%

4%(too

much)

3%0.5%

Aminoacids

Cystein

Taurine

Enough for

growing the

brain

Not enough

FatTotal

cholesterol

4% averageEnough

4%

Not enough

Lipase to

digest the

food

Present None

Lactose 7% enough 3-4% notenough

Salt(m Eq/l)Sodium

Chloride

Potassium

Correct

amount

12 correctAmount

14 correctamount

25 too

much

29 toomuch

35 toomuch


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Minerals(m

g/i) cal.

350correct

amount

1400 too

much

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Phosphate 150 amount 900 too

much

Iron small

amount,

wellabsorbed

Small

amount,

poorabsorbed

Vitamin Enough Not enough

Water EnoughNo extra

needed

ExtraNeeded

11. 3min. To enlist the steps

of successful breast

feeding.

Steps of Successful breastfeeding:

1. Mother should be motivated right from

the antenatal period. Her breasts

should be examined and she should be

informed about the benefits of breast

feeding.

2. Every health care facility must have a

Lecture cum

discussion


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written breastfeeding policy .One should

arrange mother craft classes in the

hospitals.

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. At birth a full term normal baby must be

put to the breast within half an hour

of birth. Babies born by cesarean section

should be put to the breast within four

hours or earlier after birth.

4. Rooming in: Since feeding is the best

stimulus for milk production, babies

should be roomed-in with mother and fed

on demand till the baby is satisfied.

One breast must be emptied out fully

before the second is offered, so that the

baby receives both foremilk and hind

milk.

5. Frequency: Frequent suckling helps to

stimulate milk production. It also


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prevents engorgement of breasts. The

baby should be fed whenever hungry.

Initially, some babies feed at short

intervals of 1 to 2 hours. Later the babies

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Prelacteal feeds: No prelacteal feeds

should be given to any baby. Water,

glucose water, tea, honey etc. satisfies the

baby's thirst and hunger. These

babies will not suck vigorously at the

breast which in turn will adversely

influence the milk production. Prelacteal

feeds also increase the risk of

Infection.7. Bottle feeds: No bottle feed should ever

be introduced. It causes nipple

Confusion and interferes with suckling at

the breast. It is also a source of

Infection.


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8. Feeding from both breasts: When the

baby releases one breast the other

Breast is offered. If the baby is still

hungry he will feed on the other breast.

Alternate breasts should be offered first at

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each feed. Duration of each feed:

The baby should be allowed to feed tillsatisfied. When the baby is satisfied she

Releases the nipple.

9. Duration/continuation of breast feeding:

A baby should be exclusively breastfed

for the first 6 months. Supplementary

feeds given to the baby before six months

reduces milk production and also leads to

infection and poor weight gain in the

baby.

10. Cost of lactation: Nursing mother

needs only 600 calories extra for

maintaining her lactation, which amounts


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to additional (x 1 times) home-made

food and fluids

12. 2 min. To summarize the

topic.

SUMMARIZATION:

So today have discussed about

Introduction. Definition of breast feeding?

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Composition of breast milk.

Benefits of breast milk. Reflexes of the baby. Comparison between human milk

and cow milk

13. 2min. To recapitalize the

topic.

Recapitalizations:

What is the composition of breastmilk?

What is the benefits of breastmilk?

What are the reflexes of the baby? What are techniques of breast


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feeding ?

Bibliography: .Myles. Text book of midwife,

Edition 8th .published by Elsevier,

New delhi,2009.

Dutta DC.Text book of obstetrics,Edition 6th.published

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by New central book agency Kolkata,2009.

Jacob Annnama, a comprehensivetext book of midwife, 2nd edition,

Jaypee, New delhi, 2008

Daftary N Shirish .Manual ofObstetrics. Edition 2003. Elsevierpublisher.

www.nlm.nih.gov/medlineplus/ency/article/

www.rn.ca.gov/pdfs/regulations
http://www.nlm.nih.gov/medlineplus/ency/article/http://www.nlm.nih.gov/medlineplus/ency/article/http://www.nlm.nih.gov/medlineplus/ency/article/http://www.nlm.nih.gov/medlineplus/ency/article/http://www.rn.ca.gov/pdfs/regulationshttp://www.rn.ca.gov/pdfs/regulationshttp://www.rn.ca.gov/pdfs/regulationshttp://www.nlm.nih.gov/medlineplus/ency/article/http://www.nlm.nih.gov/medlineplus/ency/article/


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