TIM

E
1mi
n

SPECIFIC
OBJECTIVE

CONTENT

TEACHING &
LEARNING
INTRODUCTI
ON.
Breast
feeding is the
natural
method of
feeding , it is
skillfull that
must be
learned in
order to be
effective and
enjoyable.
Proper
positioning
has far
reaching
implication.

1mi
n

ANOUNCEM
ENT OF
TOPIC:
So today I am
going to
discuss about
the topic
breastfeeding
techniques.

EVALUATIO
N

DEFINITION:
2mi
n

Defines the
terminologies
.

Breast feeding : means assisting new mothers with

positioning and technique of breastfeeding during the
early postpartum days.

Student
teacher
defines the
terminologies
using ppt.

Define
breastfeedin
g?

Student
teacher
enlists the
purposes of
breastfeeding
using ppt.

Enlists the
purpose of
breast
feeding?

Breast care is the activity to prepare and clean the

breasts during pregnancy and location for breast feeding.
Engorgement: is a condition in which the breasts
become enlarged, heavy, hard and tender. It is often seen
in varying degrees commonly between third and fifth day
of pueperium.
PURPOSE:
2mi
n

Enlists the
purposes of
breast
feeding.

1. To enable mothers to feed their babies adequately

without discomfort.
2. To enable the newborn meet born his/her nutritional
needs adequately.
3. To promote mother-baby bonding
4. To minimise chances of developing breast problems
due to stasis of milk.
5. To prepare the woman for breast feeding.
6. To correct the minor defects of the breasts.
7. To reduce discomfort of the mother by relieving pain
and tenderness
8. To maintain lactation
9. To prevent further complication of the breasts

3mi
n

Explain the
contraindicati
ons of breast
feeding.

CONTRAINDICATIONS:

PERMANANT
TEMPORARY
Chronic medical illness
puerperal
such as decompensate
illness.
organic heart lesion,
2. Acute
active pulmonary
breast
tuberculosis, Puerperal
EQUIPMENT:
complicatiwater
psychosis.
1. Bowl with lukewarm
on such
2. Tray lined with
towelas Patient having high
3. Kidney traycracked
doses of antiepileptic
4. Few rag pieces
or sponge
nipples,
and ant thyroid drugs.
5. Bath towel mastitis or
6. Pillows [1-2]breast
abscess.
3. Following
exhaustive
PROCEDURE:
and
complicate
Student
RATIONALE
NURSING ACTION
d labour
teacher
1.Explain to the and
mother about
Prepares mother for demonstrates
the act of
the procedure
breastfeeding and
how you can
breastfeeding.
delivery.
via
NEONAT
Very low
Severe degree of cleft
assist with the1.procedure.
demonstratio
2.Instruct the mother
the Galactosaemia.
Use of soap on nipples
is not
AL
birth to cleanpalate
n
.
nipple and areolar
region with a wet
recommended as it is a drying
weight
wash cloth and dry
them. With a rag agent and can lead to cracking.
baby.
2. Asphyxia
and
intracrani
al stress.
MATERN
AL

1
min

10
min

Demonstrate
s the
procedure .

Student
teacher
explains the
contraindicati
ons of
breastfeeding
using ppt.

1. Acute

What are the

contraindicat
ion of breast
feeding?

piece first clean nipple area then

clean one breast at a time.
3.Postoperative mothers:
[A]Assist the mother to a
sidelying position.
[B]Tuck a pillow under her ribs if
feeding from the lower
breast
4.post vaginal delivery mother who
wishes to feel in sitting position.
Instruct the mother to use one of the
following positions:
Cradle hold
Football hold
Cross-cradle or modified cradle
hold
1. For cradle hold(tummytummy)
Position the infants head at or
near the antecubital space and
level with her nipple, with her
arm supporting the infants
body and with her hand to hold
the breast.
2. For football hold:
Instruct mother to support the
infants head in her hand with
the infants body resting on
pillows alongside her hip.

Facilitates feeding without strain to

the incisional area.
Placing a pillow under the ribs
brings baby and breasts closer and
provides a shield over the incision.
Sitting in chair with back and feet
supported is commfotable for
feeding.

This would adjust the height so

that she need not bend forward.

3. For cross cradle or

modified cradle hold:
Assist the mother to sit with
her back upright and at right
angles to her lap.
Place a pillow on her lap.
Let the mother hold the bay
supporting his head with her
extended arms
BREAST FEEDING TECHNIQUE
5.Move the baby near the breast,
turned towards the mothers body
with neck slightly extended and
mouth near the nipple.
6.let the mother move the babys
mouth against her nipple.
7.as the baby opens the mouth
dropping his lower jaw and darting
his tongue, insert the nipple and
breast tissue inside his mouth, so
that the baby latches on to the
nipple and areola correctly
8. provide assistance as needed to
help for correct attachment of the
baby to the breast and to start
sucking.

Having the bottom lip about 1.5cm

away from the base of the nipple
allows the baby to latch on the
breast.
With this position the lactiferous
sinuses will be inside the babys
mouth.

9. Remove the baby from breast

,insert a finger into the corner
sucking infants mouth.
10. When the baby release the
breasts , burn up.
11. Encourage the mother to feed
the baby from the second breast in
the same manner.
12. Burp the baby as he comes off
the second breast.
13. Wrap the baby and lay him on his
side in the crib
14. Replace the articles
15. Record in the chart the time and
duration of feeding any
observation made.

Facilities breaking the suction ,

avoids damage to nipple.
Burping permits expulsion of
swallowed air.
When the baby has had sufficient
milk , he release the first breast.
Burping the baby reduces risk of
vomiting and aspiration.
Prevents of aspiration if the baby
vomits.

HEALTH TEACHING TO MOTHER:

3mi
n

Discuss the
health
education
given to
mothers.

1. Placement of the baby on the breast should enable

him to feed from the breast rather than from the
nipple.
2. The finishing breast at one feed should be starting
breast for the next feeding so that both breasts get
emptied.
3. Baby led feeding / demand feeding generally will be
long feeding with longer intervals [6-8 hours] in
between for the first one or two days and shorter
and frequent after two days [that is every 3-4

Student
teacher
discusses the
health
education
given to
mothers
using ppt.

What health
education
you will give
to mothers.

hours].
4. Daily bathing and change of dress are important for
breast hygiene of nursing mothers.
5. Breastfeeding mothers need to wear proper fitting
brassieres to provide comfortable support to breast.
SUMMARY
So today I
have discuss
about the
topic breast
feeding
techniques.
CONCLUSIO
N
Breast
feeding
techniques is
the most
requirement .
A mother
should be
acknowledge
with the
various
beneficial
techniques of
breast

feeding in
order to
prevent
complications
such as
asphyxia.

BIBLIOGRAPHY
Textbook of obstetrics including perinatology and
contraception, D.C.Dutta 6th edition 2004 pg.no. 567570
Clinical case record for midwives, Mrs molly babu,
kumar publishing pg no. 263-268.
Myles textbook for midwives, Diane M. Fraser,
Margaret A Cooper, 14th edition .
www.babycentre.com>home>baby>breastfeeding>ba
sics.