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Breastfeeding plays a crucial role in the health, growth and development of babies and has benefits for the mother too. Women may need some help to successfully feed their babies. They need support and reassurance as they learn this skill. This session focuses on the initiation of breastfeeding following birth and when and how to refer women who are experiencing difficulties. Providing information and demonstrating breastfeeding techniques Encouragement and support What am I going to learn?

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This is called the let-down reflex. This is normal.

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Guidelines on HIV and infant feeding When was this given? This activity is deed to get you and your colleagues to assess how you provide breastfeeding counselling and support, and what could be improved or strengthened.

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Stick to the basic facts about the looling of breastfeeding for the baby and for the mother. Just because a baby is crying, it does not mean that she does not have enough breast milk.

Was skin-to-skin contact promoted after birth the baby placed on the mother's upper abdomen? Our Firsf Discussion of breastfeeding should start during pregnancy by asking women how they plan to feed the baby. Their quick sucks will change to deep rhythmic swallows as the milk begins to flow. You should help the mother with the first breastfeed to show her how to position and attach the baby.

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Once home many women experience feeding problems such as engorged breasts or cracked nipples. Advice to women who are not breastfeeding Some women may not be able to breastfeed and others may choose not to. If the mother lookign baby are separated for any reason then reassure the mother about the baby's progress lactatingg she asks. It's fine to feed your baby whenever they are hungry, when your breasts feel full or if you just want to have a cuddle.

Skin-to-skin means holding your baby naked or dressed only in a nappy against your skin, usually under your top or under a blanket.

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Find out what support exists, or contact women who have successfully breastfed and see if they would be available to support women after birth. This womna called responsive feeding. The amount of milk you make will increase or decrease depending on how often your baby feeds.

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But gradually you and your baby will get into a pattern and the amount of milk you produce will settle down. This is often referred to as your milk "coming in". Advise the woman to return if she has any problems with her breasts.

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If your baby has not fed recently, you could offer them a feed as breastfeeding is also about you being comfortable. If the low birth-weight or preterm baby cannot be fed breast milk, either by the mother, a wet nurse or from a breast milk bank, then the baby can be given standard infant formula by cup.

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When the baby seems ready, encourage the mother to help the baby to her breast. Although we view breastfeeding as a natural process, it is womqn a skill that has to be learned.

What is so good about breastfeeding? Try to find out about breast milk banks in your area and keep this information available for mothers who cannot breastfeed for a while due to health problems.

Why does my baby want to feed all the time?

Reassure her that there is no need to rush, even if the baby is crying. Your milk will vary according to your baby's needs.

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Try to include the partner or other family members and communicate to them all about the benefits of breastfeeding for the mother and baby, the process of breastfeeding and when and how long to feed for. Before discharge and if the mother returns to the health facility during the postnatal period you need to assess how breastfeeding is going. Got a breastfeeding question?

How can you work with women to overcome some of these problems? It is easier to carry out than feeding formula; it takes no preparation; is always at the correct temperature, it is always clean and is rirst available. Many women find breastfeeding difficult due to problems such as engorgement or sore nipples.

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Reassure her that she will have enough milk for both babies. A baby who is demanding more breast feeds may be growing.

Preparing to breastfeed before the birth

If you are having difficulties with breastfeeding, take a look at breastfeeding problems. Make sure that you or others in the facility do not give the baby anything that will interfere with exclusive breastfeeding. Others feel nothing at all. It's a very concentrated food, so your baby will only need a small lactatiny, about a teaspoonful, at each feed.

Encourage the mother to start each feed with a different breast.