Adequate breastfeeding markers

INDICATORS OF ADEQUATE BREAST FEEDING 

For the mother :

- Marked filling before breast feeding ( indicate good breast filling ) . 

- Let down sensation ( milk flow from one breast while nursing from the other ) . 

For the infant :

 

- Weight gain : 250 gram every 10 days . 

- stool : 4 or more times per day 

- Urine : 6 times or more . 

- Baby feeds at least 8 times per day , and then sleeps for about 2-4 hours (which means satisfaction) . 

- Swallowing noises through out the feeding 

Problems of breastfeeding

Disadvantages of breast feeding

Considering the above title there is no agreement about if there are actual disadvantages or side effects to breast feeding in general , but we can consider a group of risk factors that is associated with breast feeding :

1-Transmission of infections as the

TORCH infections from the mother to the baby through the breast milk , theseinfections can be manifested by various presentation in the baby in the first years of life as mental retardation , small head and convulsions . 

2-Transmission of drugs as it may almost all the drugs are contraindicated as those which suppress the immune system of the baby and the mother .

3-Prolonged breastfeeding with out supplementation of other types of food beyond the age of about 6 months is great risk to the baby , as there are many requirements will not be covered by breast milk at this age . Surely  it can not be considered as a side effect but it is a point which must be pot into consideration in breast feeding .

4-Breast milk jaundice : which is discoloration of the skin and the mucous membranes due breast milk , there are many theories which can explain the process the most accepted one is infrequent breastfeeding which affects the entero-hepatic circulation leading to accumulation of the bilirubin In the baby , so the trearment in this condition is frequentbreastfeeding .

5-Unknown intake of the breast milk

6-Less flexible as other family members can not participate in the process of breast milk intake .

7-Many mothers complains from emotional upset as they can not provide the needs to their babies . 
For more about the advantages 

Production and ejection of breast milk

Factors produce and Eject Breast milk and reflexes .

The process of breast feeding is controlled by hormone and reflexes that regulate and control the breast feeding process .

FACTORS INCREASING THE PRODUCTION OF THE BREAST MILK :

1- Prolactin: is hormone from the anterior pituitary having receptors in the glands of the breast stimulates the production of milk 

2- Breast evacuation : stimulates the receptors for milk production , when the baby evacuates the mother's breast .

FACTORS THAT CONTROL THE EJECTION OF MILK :

1- oxytocin : from the posterior pituitary helps in ejection process 

 2- Suckling reflex : which may be psychological factor and also reflex at the same time , but it is proved it is the main factor that triggers milk ejection .

LET DOWN REFLEX :

Responsible for releasing of the milk in response to oxytocin.

Factors stimulating is : - Hearing the baby cry and thinking of the act 

                                     - Suckling reflex 

Factors that inhibit it is : fatigue , anxiety and stress .

Pictures for good positioning in breastfeeding

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