Advantages of Breast Milk And Breast Feeding - NEET PG Pediatrics
Feb 07, 2023
Breast milk and Breast feeding are one of the most crucial topics of the Pediatrics subject. Students should have a deep understanding the composition, functions and advantages of Breast milk which is exactly what we’ll discuss in this blog.
Read further to elevate your NEET-PG/NExT preparation as we dive deep into the topic and also answer some of the FAQs related to Breast Feeding.
Let’s get started with the FAQs first:
When should breast feeding be initiated?
As soon as possible after birth or within 1 hr of childbirth
Irrespective of normal vaginal delivery or C-section
Exclusive breast feeding is recommended for how long?
It is recommended for first 6 months of life
Exclusive breast feeding means that baby is given only breast milk, not even sips of water unless medically recommended
After 6 months of age, what should be started?
Complimentary feeding: Refers to some semisolid energy dense food that should be affordable, feasible, acceptable, sustainable, safe & that can be given in addition to breast milk
What is the problem if food grains are started at <age 6 months?
More chances of food allergy are seen in babies
Some study linked usage of wheat in <6 months of child to celiac disease
Storage of expressed breast milk can be done for how long?
Depend on temperature of storage:
At room temperature: 8-10 hrs
In refrigerator at 2-8°C: 24 hrs
In deep freezer (-20°C): 3 months
Signs of good positioning while breast feeding?
Body of baby should be:
Turned towards mother
Occiput, shoulder and buttocks should be in straight line
So close to mother that abdomen of baby should touch abdomen of mother
What are sign of good attachment while breast feeding?
Related to nipple area of mother and oral cavity of baby:
Mouth of baby should be wide open
Lower lip of baby should be everted or turned out
Whole of areola should be covered by mouth except upper part which may be visible
Chin of baby should touch mother’s breast
What is the contraindication to breast feeding in neonates?
Conditions related to baby: Galactosemia, Congenital lactose intolerance
Maternal condition: Absolute – Mother on chemotherapy or radiotherapy
Infective condition like maternal HIV
In developed countries – C.I
In developing countries – Indicated: Maternal active TB, Varicella involving breast area, Breast abscess
The composition of Breast Milk varies after delivery which is explained below:
Based on time after birth
Colostrum in first 72 hrs - Thick and yellowish, very beneficial that it is called 1st immunization of baby, no pre lacteal feed is given
Transitional milk - For next 2 weeks
Mature milk – Thin and watery
Based on gestational age at which baby is delivered
Preterm breast milk is richer in Na, Immunoglobulins, Protein, Iron, Calories
Based on each feeding session
Foremilk – Initially watery part, it satisfies mainly thirst of the baby
Hindmilk – thick, comes at end, rich in lipids, it satisfies mainly hunger of the baby
Mother is recommended to feed from one breast completely before switching to other so that baby receives both foremilk and hindmilk
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