Baby H.'s mother has decided to breastfeed her infant. She asks for assistance
Identify six important points to include in your teaching plan.
What will be an ideal response?
• Try to initiate as soon as feasible after birth.
• You need to wash your hands after every diaper change, after changing the peri-pad, and before
touching your breasts.
• Choose a comfortable position for yourself and your infant with the infant's head slightly elevated.
Place a pillow under your arm for support.
• Compress the breast behind the areola and have the baby directly in front of the nipple so he
can latch on easily. The infant's mouth needs to be on part of the areola, not just the nipple, to
breastfeed.
• The baby needs to be awake and alert; stimulate if necessary.
• The initial fluid the breast produces is colostrum. It is very nutritious and rich in immunoglobulins
that help protect the baby from disease.
• Breast milk will come in a few days, but it is important to feed the baby regularly to stimulate milk
production and relieve engorgement.
• Feed your baby every 2 to 3 hours during the day and as the baby awakens during the night but at
least every 4 hours at night the first few weeks of life. Milk supply works on the principle of supply
and demand. An infant needs to nurse 8 to 12 times per day. Nurse at least 5 to 10 minutes on each
side initially, and increase to 15 minutes per breast as milk increases. The breast is stimulated to
produce milk if it is emptied completely.
• Breastfed babies do not ingest as much air as bottle-fed babies do, but they still need to be burped
after feeding from each breast. Hold the baby upright over your shoulder and gently pat his back,
or hold in a sitting position on your lap and gently pat his back. Don't forget the "burp cloth."
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