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Oxytocin makes
Muscle cells them contract
Prolactin makes
Milk-secreting cells
them secrete milk
Ducts
Larger ducts
Nipple
Areola
Montgomery’s glands
Alveoli
Supporting
tissue and fat
Is there a difference between a
small breast and a large breast ?
Is there a difference between a small breast and a large breast ?
Prolactin
Sensory impulses
from nipples
Prolactin in blood
Baby suckling
• More prolactin
secreted at night
• Suppresses
ovulation
What can we suggest to help a
mother INCREASE her milk supply ?
What can we suggest to a mother so she could INCREASE her milk supply ?
Sensory impulses
Oxytocin in from nipples
blood
Baby
suckling • Makes uterus
contract
Oxytocin is
If breast remains
Inhibitor
full of milk,
secretion stops
Baby’s tongue …
• forward over his lower
gum and beneath the
larger ducts
• cupped round the
“teat”
• presses milk out of
larger ducts into baby’s
mouth
When a baby suckles effectively…
1 2
Good and poor attachment
1 2
Nipple ?
Larger duct – where ?
Tongue can reach larger duct ?
Tongue pressing duct ?
3/9
1 2
Attachment – outside appearance
1 2
Painful nipples
Damaged nipples
Engorgement
Baby unsatisfied and cries a lot
Baby feeds frequently and for a long time
Decreased milk production
Baby fails to gain weight
Mother may loose self confidence
To prevent complications of poor
attachment…
Skill
Mother learns
to position
baby
Baby learns to
take breast Swallowing
Reflex
When mouth fills
with milk, baby
swallows
Summary of session 3 is found on
pages 15 to 21 of the participants’ manual