Human milk is recommended as the exclusive nutrient source for feeding term infants for the first six months of life and should be continued with the addition of solid foods after six months of age.
Benefits of Breastfeeding:
-Human milk stimulates gastrointestinal growth and motility.
-increases the rate of gastric emptying.
-increases the intestinal lactase activity.
-inhibits microbial activity.
-improves visual function
-lowers the incidence of gastroenteritis and respiratory disease, otitis media, urinary tract infection, sepsis
-prevents overweight and obesity.
-reduces the risk of cancer, heart disease, allergic conditions, diabetes
-improves cognitive development
-promotos stress reduction
Common Problems of Breastfeeding
Inadequate milk production
Poor milk extraction
Improper breastfeeding techniques
Nipple and Breast pain (treat with bacitracin or mupirocin, acetaminophen, ibuprofen, antifungals)
Infants with ankyloglossia (treat with lingual frenotomy)
Nipple vasoconstriction (treat with nifedipine, a vasodilator)
Engorgement (apply warm compresses, ibuprofen, acetaminophen, milk removal)
Plugged ducts (learn correct positions and latch techniques, empty the breast with frequent feeds, acetaminophen, ibuprofen, ultrasound to rule out an abscess
Lactational mastitis: anti-inflammatories, antibiotics (No MRSA risk: dicloxacillin, cephalexin, clindamycin; MRSA risk: use trimethoprim-sulfamethoxazole, clindamycin, linezolid)
Galactoceles: can occur due to unrelieved plugged ducts, need aspiration.