1. Breast feeding the real experience of motherhood

2. BREAST FEEDING

3. Structure of the breast

4. CHANGES IN BREAST

5. Physiology of milk production Two hormones control milk production and ejection Prolactin Oxytocin

6. Let down reflex

7. Why breast feeding Benefits for the baby –Nutritionally the best for every baby –Mother infant bonding –Breast milk is the least allergic –Uncontaminated –Freshly made on demand –Immunity from newborn infections –Promotes jaw and teeth development

8. Benefits for the mother –Reduces chances of post partum hemorrhages –Enables retraction of uterus to pre pregnant status –Regain shape faster

9. Preparation of breast for lactation Identify type of nipple Preparation

10. Accessories

11. The first feed- Colostrum Milk that appears for the 1 st 72 hrs Higher in protein, Vita A & immunoglobulin Lower in fat & CHO Provides 15kcal/oz

12. Establishment of lactation Earlier the better Works on the principle of demand & supply

13. Technique of feeding Postures Latching Detaching Burping

14. Feeding positions

18. Latching

20. Burping

21. Facts to know Foremilk/Hind milk Weight gain of baby Breast milk adequacy Duration of each feed

22. Calcium prevents osteoporosis

23. Calcium sources

24. Milk products

25. Foods enhancing milk production

26. Breast feeding for working moms

27. Expression and storage

28. Manual breast milk expression

29. Pump assisted expression

30. Simple remedies for common discomforts Sore nipples Inverted/flat nipples Breast engorgement Leaking breast

31. Questions