Lactation/breastfeeding - Dr. Qureishi
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Lactation/Breastfeeding - Dr. Qureishi
Mammary gland •
Pair – modified glands
Session objectives
•
Superficial surface convex
To be able to describe the
•
2nd – 6th rib
•
5-7 cms central thickness
•
Upper outer quadrant – axillary tail
•
Arteries- br’s of intercostals and internal thoracic
1
Anatomy of the breast
2
Physiology of lactation
3
Constituents of breast milk
4
Advantages of breast feeding
5
Complications of b’feeding and their management
6
Proper b’feeding technique
7
B’feeding in special circumstances
8
Drugs contraindicated in b’feeding
9
Contraception during the b’feeding period.
10-12 diameter
and internal mammary Embryology
Stage
Age of embryo
Crown-rump length
Mammary
(days)
of embryo (mm)
band
35
6
97 percent of children are ever breastfed.
streak
36
8
52 percent are breastfed within one hour of birth.
Line
37
10
82 percent are breastfed within 1 day of birth.
crest
40
13
Infants who receive only breast milk are considered
hillock
42
13
bud
49
20
Breastfeeding data KDHS 2006
exclusively breastfed. Exclusive breastfeeding is recommended for the first 6 months of life.
Acquired disorders •
Trauma –burns
•
hemangioma
Breastmilk
•
Chest tube insertion in infancy
and other
•
Preadolescent biopsy
•
Augmentation/reduction
Breastfeeding: Children less than 6 months Breastmilk Breastmilk and plain
and juices 9%
water
milk
13%
19%
Mammary gland Exclusively
•
Non pregnant
200 gms
•
Near term
400 - 600 gms
•
Lactation
600 – 800 gms
•
Glandular tissue – parenchyma
•
Connective tissue –
•
Epithelial components lobes 15 - 25
months.
•
Lactiferous ducts
The median duration of exclusive breastfeeding is
•
Lobe subdived into 20-40 lobules which in turn are
breastfed 13%
Breastmilk and other foods 46%
Duration of Breastfeeding
o o
The median duration of any breastfeeding is 21
stroma
composed of 20-100 alveoli
1.6 months. •
Alveolus single layer
(supporting)
•
Secretory epithelium
Colostrum •
Pre milk secretion
•
Yellowish
•
1st 2-3 days after delivery
•
Higher spar (1.040 – 1.06) & na + cc content, lower c1+o, 1c+fat content than mature milk.
•
Normal laxative action
•
Natural starter food - helps vary pass meconium
•
fore milk: Grey watery – rich in proteins lactose, vitamins, minerals + water
•
hind milk - end of feed: Water than fore milk – contains more fat - both needed!
ADVANTAGES OF BREASTFEEDING B-est for baby R-educes allergy E-conomical A-ntibodies S-tool inoffensive T-emp always right F-resh E-motionally bonding E-asily digested D-iarrhea reduced I-mmediately available N-utritious G-astroenteritis reduced
NOTES
Mammary gland •
Pair – modified glands
Session objectives
•
Superficial surface convex
To be able to describe the
•
2nd – 6th rib
•
5-7 cms central thickness
•
Upper outer quadrant – axillary tail
•
Arteries- br’s of intercostals and internal thoracic
1
Anatomy of the breast
2
Physiology of lactation
3
Constituents of breast milk
4
Advantages of breast feeding
5
Complications of b’feeding and their management
6
Proper b’feeding technique
7
B’feeding in special circumstances
8
Drugs contraindicated in b’feeding
9
Contraception during the b’feeding period.
10-12 diameter
and internal mammary Embryology
Stage
Age of embryo
Crown-rump length
Mammary
(days)
of embryo (mm)
band
35
6
97 percent of children are ever breastfed.
streak
36
8
52 percent are breastfed within one hour of birth.
Line
37
10
82 percent are breastfed within 1 day of birth.
crest
40
13
Infants who receive only breast milk are considered
hillock
42
13
bud
49
20
Breastfeeding data KDHS 2006
exclusively breastfed. Exclusive breastfeeding is recommended for the first 6 months of life.
Acquired disorders •
Trauma –burns
•
hemangioma
Breastmilk
•
Chest tube insertion in infancy
and other
•
Preadolescent biopsy
•
Augmentation/reduction
Breastfeeding: Children less than 6 months Breastmilk Breastmilk and plain
and juices 9%
water
milk
13%
19%
Mammary gland Exclusively
•
Non pregnant
200 gms
•
Near term
400 - 600 gms
•
Lactation
600 – 800 gms
•
Glandular tissue – parenchyma
•
Connective tissue –
•
Epithelial components lobes 15 - 25
months.
•
Lactiferous ducts
The median duration of exclusive breastfeeding is
•
Lobe subdived into 20-40 lobules which in turn are
breastfed 13%
Breastmilk and other foods 46%
Duration of Breastfeeding
o o
The median duration of any breastfeeding is 21
stroma
composed of 20-100 alveoli
1.6 months. •
Alveolus single layer
(supporting)
•
Secretory epithelium
Colostrum •
Pre milk secretion
•
Yellowish
•
1st 2-3 days after delivery
•
Higher spar (1.040 – 1.06) & na + cc content, lower c1+o, 1c+fat content than mature milk.
•
Normal laxative action
•
Natural starter food - helps vary pass meconium
•
fore milk: Grey watery – rich in proteins lactose, vitamins, minerals + water
•
hind milk - end of feed: Water than fore milk – contains more fat - both needed!
ADVANTAGES OF BREASTFEEDING B-est for baby R-educes allergy E-conomical A-ntibodies S-tool inoffensive T-emp always right F-resh E-motionally bonding E-asily digested D-iarrhea reduced I-mmediately available N-utritious G-astroenteritis reduced
NOTES
