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Breastfeeding Teaching Plan

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by

Jess Jones

on 18 March 2015

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Transcript of Breastfeeding Teaching Plan

Agenda
1. Problem at hand
2. Health Learning Need and Priorities
3. Teaching Plan
4. Evidence-Based Research
5. Growth and Development of a Newborn
6. Nutrition for Healthy Breast Milk
7. Cues of a Properly Nourished Newborn
8. Review of Breast Feeding Techniques
9. Resources

Evidence-Based Research
PS Question:
How would you optimize the health of both a new mother and her baby during breastfeeding?
Health Learning Needs and Priorities
Identifying if her baby is receiving enough milk
Refresh of how to breastfeed properly
Teaching Plan
1.
Purpose
: to ensure the baby is being properly nourished
2.
Overall Goal:
have the mother comfortable and confident with feeding her child*
3.
Objectives:
following the information session the mother will be able to:
a) Identify if her child is receiving enough milk
b) Know proper techniques for breastfeeding
c) Be comfortable feeding her child on her own
d) Know how to provide properly nourished breast milk
4.
Outline of Content:

a) Growth and development of a healthy child
b) Signs of a nourished baby
c) Proper nutrition for a mother to provide nourished breast milk
d) Proper techniques of breastfeeding
5.
Methods for teaching
:
a) 1:1 discussion on Growth and Development
b) Demonstration through pictures and literature
c) 1:1 discussion on nutrition for the mother
d) Demonstration of techniques for breastfeeding
6.
Teaching time:
twenty minutes
7.
Resources needed:
Pamphlets, diagrams from RNAO
8:
Evaluation of Learning:
observation of mother's techniques, questions and answers
Growth of a Newborn
Average Weekly Increase

Weight: 226-455g (approx. 1 lb)
Length: 0.6-2.5 cm
Head Circumference: 2 cm
Scenario/Problem
"New parents have just arrived home from the hospital with their newborn daughter. When you go over to visit, the mother (26) states that although she received discharge instructions in the hospital about breastfeeding she's not sure how much she remembers. Since you're a nurse, she asks you if you can review breastfeeding information with her. She is concerned that her baby is not getting enough milk."
Breastfeeding Teaching Plan
Bailee Noseworthy
Jessica Jones
Rylee Jacobs
Sarah Rolling

Nutrition for Healthy Breast Milk
Cues of a Properly Nourished Newborn
Review of Breastfeeding Techniques
References
Breasts feel softer
Baby is relaxed and satisfied
Continuous weight gain
Going through 5-6 diapers per day
Frequent bowel movements that are a yellow/mustard colour by the fifth day of birth
Most mothers don't need to alter their normal diet too much when breastfeeding
A lot of rules as to what is good to eat and what is not is based on culture traditions
Vitamin supplements are recommended
(Baby Center, 2012)
- Health Canada says that during the transition from pregnancy to breastfeeding, you may need less iron but more zinc intake
- If mothers are not already on a vitamin supplement starting one may be helpful
Things To Stay Away From
Medications
7 Things Recommended when Breastfeeding
Although nursing mothers do not usually have to make any major changes in their diets it is important that they maintain a healthy diet
recommended foods when breastfeeding
1. Omega-3
- from tuna and salmon
- important for brain and nervous system development
2. Berries
- help to regulate bowel movements in baby & mother
3. Avocado
-help to lower blood pressure and cholesterol in mother and helps to develop brain and eyes in infants

4. Quinoa
- contains lots of protein
promotes healthy digestive track
5. Nuts & Seeds
- good source of protein and aids in brain development in infants
6. Water
- it is important to stay hydrated
- aim for 2L a day (around the norm.)
7. Milk
- dairy is important for nursing moms
- ensures breast milk is full of calcium and vitamin D
(CANADAIN FAMILY,2015)
Many drugs are safe for moms to take,but others can harm the feeding infant(s)
Immune Suppressants:
- even small amounts in breast milk can cause damage to children
- the toxic nature of these medications lead to caution with their usage
Ergot Alkaloids:
- specific types of this drug can cause toxicity in the infant and reduced lactation in the mother
Iodine:
- not generally recommended for nursing mothers
- can lead to hypothyroidism in infants
Social Drugs
Alcohol:
- alcohol does go into the breast milk and will be ingested by infants
- moderate occasional consumption is thought to not pose a problem to feeding infants
-it is recommended that nursing is withheld for 2 hours per drink
- sedation and impairment of motor skills can occur due to tainted breast milk

Smoking:
-not recommended
- smoking has been associated with infant colic.

Street Drugs:
- street drugs should be avoided
- even small amounts in breast milk can lead to adverse affects in infants
- nursing should not occur after use of agents
- Infants may experience toxicity after exposure to maternal cocaine use. Marijuana use has also been associated with reduced motor development in children that are breastfeeding
Development of a Newborn
The first few days after birth 10% of birth weight is lost through respiration, urination, defecation, and low fluid intake
Psychosocial development
- bonding
- communication

Cognitive Development
- early development begins with innate behaviours, reflexes, and sensory functions

- Newborns initiate reflex activities and learn behaviours and desires

- For example, crying

Observe Infant for signs of correct latch on:
-wide opened mouth
-Flared lips
-Nose, cheeks and chin touching or nearly touching the breast

Observe infants for signs of milk transfer:
-sustained rhythmic suck/swallow pattern with occasional pauses
-audible swallowing
-relaxed arms and hands
-moist mouth
-satisfied after feeding

Observe mother for signs of milk transfer
-strong but not painful tugging
-thirst
-milk leaking from opposite breast while feeding
-relaxation or drowsiness
-breast soften while feeding
-nipple elongated after feeding but not pinched

cradle-hold
Modified cradle-hold
Side-lying
Football hold
Key Terms Used:
Breastfeeding
Health
Nourishment
Newborns
First time mothers
P: New mothers who are breastfeeding and the infant
S: Optimizing health of the mother and baby
Research Found
Breastfeeding should be done for at least six months to a year (DynaMed, 2015)
Extra support increases the duration of breastfeeding and increases the mothers confidence (Renfrew, Britton, McCormic, Wade, King, 2012)
Risk for stopping breastfeeding before six months increases when the mother doesn't have extra support (Renfrew, Britton, McCormic, Wade, King, 2012)
(Moretti, 2015)
(Moretti, 2015)
(Potter & Perry, 2014, p. 330)
(Potter & Perry, 2014, p. 228- 330)

Baby Center. (January, 2012). Diet for a healthy breastfeeding mom. Retrieved from Baby Center: http://www.babycenter.ca/a3565/diet-for-a-healthy-breastfeeding-mom

BabyCenter. (2015). How to Tell Whether Your Baby's Getting Enough Breast Milk. Retrieved March 11, 2015, from http://www.babycenter.com/0_how-to-tell-whether-your-babys-getting-enough-breast-milk_617.bc?page=2

Canadian Family. (2015). 7 Best Foods For Breastfeeding Moms. Retrieved from Canadian Family: http://www.canadianfamily.ca/food/the-7-best-foods-for-breastfeeding-moms/

DynaMed. (February 2, 2015). Breastfeeding. Ipswich, MA:EBSCO Information Services. Retrieved March 17, 2015, from http://web.a.ebscohost.com.libaccess.lib.mcmaster.ca/dynamed/detail?sid=2bb1a8a2-8057-4b72-a452-631f5e4e50f0%40sessionmgr4001&vid=4&hid=4112&bdata=JnNpdGU9ZHluYW1lZC1saXZlJnNjb3BlPXNpdGU%3d#db=dme&AN=115517&anchor=Overview



Moretti, M. (2015). Breastfeeding and Drugs. Retrieved from MOTHERISK - Treating the mother - Protecting the unborn: http://www.motherisk.org/women/breastfeeding.jsp

Potter, P. A. & Perry, A.G. (2014). Canadian fundamentals of nursing (5th ed.). J.C. Ross-Kerr, M.J. Wood, B.J. Astle, & W. Duggleby (Eds.). (pp. 328-330) Toronto, ON: Elsevier Canada.

Registered Nurses Association of Ontario (2003). Breastfeeding Best Practice Guidelines for Nurses. Toronto, Canada: Registered Nurses Association of Ontario. 7

Renfrew, M.J., Britton, C., McCormick, F.M., Wade, A., & King, S.E. (2012). Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews, 2012(5), Art. No.: CD001141.

Valuable tips for successful breastfeeding. (2014, March 3). Retrieved March 16, 2015, from http://www.phac-aspc.gc.ca/hp-ps/dca-dea/stages-etapes/childhood-enfance_0-2/nutrition/tips-cons-eng.php

(BabyCenter, 2015)
(RNAO, 2015)
(RNAO, 2015)
RNAO, Cradle-hold, 2003, http://pda.rnao.ca/content/breastfeeding-positions
RNAO, Modified cradle-hold, 2003, http://pda.rnao.ca/content/breastfeeding-positions
RNAO, Side-lying, 2003, http://pda.rnao.ca/content/breastfeeding-positions
RNAO, football hold, 2003, http://pda.rnao.ca/content/breastfeeding-positions
Full transcript