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Managing the Breastfeeding Woman Objectives To understand the benefits of breastfeeding for both the mother and the child. To understand breastfeeding mechanics and proper technique. To recognize the additional energy, vitamin and mineral requirements for women during lactation. To understand potential obstacles and contraindications to breastfeeding. Healthy People 2010 Goals Increase to at least 75% the proportion of mothers breastfeeding upon discharge and 50% still breastfeeding when the infant is 6 months of age. Obstacles to Initiating and Continuing Breastfeeding Physician apathy and misinformation Insufficient pre-natal breastfeeding education Distribution and promotion of infant formula Disruptive hospital policies Inappropriate interruptions of breastfeeding Early hospital discharge Lack of social support Role of the Physician Establish positive attitudes in pregnancy Address medical issues/ physical obstacles Encourage nursing immediately after delivery Provide post-partum support Explain nutritional needs Assess substance use Discuss employment concerns Establish Positive Attitudes Endorse and encourage breastfeeding because it is best for mother and baby. Ask about previous experience Provide positive statements about breastfeeding Offer confirmatory words from all office staff Distribute appropriate education materials Be supportive no matter what the woman plans General Benefits of Breastfeeding Maternal-infant bonding Inexpensive Convenient (no preparation) Perfect temperature Easily digested Immunological protection Allergy prophylaxis Breastfeeding Advantages for Mothers May delay return of ovulation. Loss of pregnancy associated adipose tissue. Reduction in postpartum blood loss due to increased oxytocin levels. Reduction in pre-menopausal breast cancer and reduced risk of ovarian cancer. Improved bone remineralization postpartum. Immunological Contentsof Breast Milk Immunoglobulins IgA, IgG, IgM, leukocytes, cytokines Host resis
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