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Breast feeding

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Breast feeding – PowerPoint PPT presentation

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Tags: breast | feeding | letdown | whey

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Title: Breast feeding


1
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Breast feeding working mother 1
  • Breast milk physiology
  • Composition of Mature Breastmilk
  • Equipement
  • Breast milk holding
  • FORMULA
  • Composition

3
2
  • Praise the mother for
  • breast feeding / economic
  • Education
  • Difficulty
  • Formula
  • Breast milk holding
  • Equipment for continue breast milk

4
Breast is best nothing that money can
buy is as good for a baby as breastfeeding
Breast milk physiology
5
BREAST FEEDING
  • B est for babyR educes incidence of allergiesE
    conomical - no wasteA ntibodies - greater
    immunity to infectionsS tool inoffensive - never
    constipatedT emperature always correct and
    constant  

6
BREAST FEEDING
  • F resh milk - never goes sour in the breastE
    motionally bondingE asy once establishedD
    igested easily within two to three hoursI
    mmediately availableN utritionally balancedG
    astroenteritis greatly reduced
  • From a publicity leaflet by the TIBS support
    group, Trinidad.
  •  

7
Breast milk physiology
  • Prolactin
  • ( night sucking-
  • (production milk)
  • Oxytocin
  • ( nipple contraction- suckling
  • (let down milk )

8
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9
  • Equipement

10
  • Equipement

11
  • Equipement

12
  • Equipement

13
  • Equipement

14
  • Equipement

15
  • Equipement

16
  • Equipement

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  • Equipement

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Induced lactation and relactation
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Composition of Mature Breastmilk
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Composition of Mature Breastmilk
20 calories per ounce

21
CALORY
  • 60 - 70 KILOCALORY / DL

22
  • MINERAL
  • CA / NA/ FE
  • VITAMINE

23
HYDROCARBONE
  • LACTOSE
  • 7 g r / dl

24
FAT
  • UNSUTURATED
  • 3/5 g r / dl

25
PROTEINE
  • WHEY 60
  • CASEINE 40
  • 1/1 g r / dl

26
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Breast milk holding

Normal temperature 4-8 hours Refrigerator
48 hours freeze milk
23 weeks Refreeze milk
24 hours freeze milk in -18 3
mo freeze milk in - 32 6-12 mo
28
Breast milk holding
  • Normal temperature 4-8 hours
  • Refrigerator 48 hours
  • freeze milk 23 weeks
  • Refreeze milk 24 hours
  • freeze milk in -18 3 mo
  • freeze milk in - 32 6-12 mo

29
FORMULA
Milk protein or soy protein allergy Complicated
gastrointestinal disorders Colic Feeding
intolerance to cow-milk or soy formulas
  • COW,S MILK
  • MODIFIED COW,S MILK
  • SOY FEED
  • SPECIFIC MILK

30
Cow-Milk Based Composition
  • 20 calories/ounce standard dilution
  • Protein is ideally whey-predominant
  • Carbohydrate is lactose (except in Lacto-Free
    formula)
  • Fat is a mixture of vegetables oils (LCT)

31
Cow-Milk Based Composition
  • Approximately 32 ounces of standard formula per
    day will meet 100 of RDA for vitamins and
    minerals for term infants.
  • If infants are only fed ready to feed formula,
    fluoride supplement of 0.25 mg/day is necessary

32
Available Brands of Cow-Milk Based Formulas
  • Enfamil with Iron (or low-iron)
  • Similac with Iron (or low-iron) (Ross)
  • Good Start
  • Similac PM 60/40 used in renal patients.)
  • Lacto-Free (cow-milk protein,) but lactose-free

33
Soy-Based Formulas
34
Soy-Based Formulas
  • Vegetarians
  • IgE mediated reaction to cows milk protein
  • Lactose Intolerance or Galactosemia
  • Refeeding after chronic diarrhea (lactose-free)

35
Composition
  • 20 calorie/ounce standard dilution
  • Protein Soy protein with added methionine
  • Carbohydrate Sucrose, corn syrup solids, tapioca
    starch
  • Fat Blend of vegetable oils

36
Available Brands of Soy Formulas
  • Prosobee
  • Isomil
  • Isoyalac

37
Composition
  • Protein casein hydrolysate
  • (small peptide considered hypoallergenic)
  • Carbohydrate modified tapioca starch and glucose
    oligosaccharides.
  • Fat approximately 50 of fat is MCT oil

38
Casein Hydrolysate Formulas
39
Casein Hydrolysate Formulas
  • Milk protein or soy protein allergy
  • Complicated gastrointestinal disorders
  • Colic
  • Feeding intolerance to cow-milk or soy formulas

40
  • Poor taste and expensive
  • Not recommended for long-term use in preterm
    infants due to inadequate vitamin
  • Alimentum is only available in ready to feed
  • Pregestimil is available as a powder for the
    consumer, but is available in some hospitals as
    20 24 calorie/oz ready to feed.
  • Nutramigen is available in liquid concentrate and
    powder

41
Available Brands
  • Nutramigen
  • Pregestimil
  • Alimentum

42
Premature Infant Formulas
43
Similac NeoCare
  • Designed for premature infants gt1800 grams who
    require increased calories, protein, vitamins and
    minerals.
  • 22 calories/ounce standard dilution
  • Available in powder commercially.
  • Appropriate for the first year of feeding.

44
Premature Infant Formulas
  • premature infants with birthweight lt1800
  • easier digestion
  • Vitamin and mineral content is approximately 3
    times that of standard formulas to meet the
    increased needs premature infants.
  • 20 or 24 calorie/ounce.

45
Composition
  • Protein 60 casein and 40 whey
  • Carbohydrate 50 lactose and 50 glucose
    polymers
  • Fat 50 Medium chain and 50 long chain
    triglycerides

46
Human Milk Fortifiers
  • Composition of Commercially Available

47
Composition of Commercially Available Human Milk
Fortifiers
48
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50
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