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Adult-Breastfeeding Adult-Breastfeeding Getting Started Getting Started [HUMAN MILK] [HUMAN MILK] Doodhwali Gali- Sadar Bazaar Doodhwali Gali- Sadar Bazaar (Delhi) (Delhi)

Adult Nursing & Feeding

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Page 1: Adult Nursing & Feeding

Adult-BreastfeedingAdult-BreastfeedingGetting StartedGetting Started

[HUMAN MILK][HUMAN MILK]Doodhwali Gali- Sadar Bazaar Doodhwali Gali- Sadar Bazaar

(Delhi)(Delhi)

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Simply put, adult breastfeeding is when an adult consumes a woman's breast milk. There are many reasons why this might happen, and one of the most common ones has to do with health reasons. Breast milk is, for the most part, completely sanitary, cannot spoil, is mostly hypoallergenic, full of nutrition and infection-fighting potential, packed with calories and good fats and proteins, and the list just goes on.

What is an Adult Breastfeeding?

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What is an Adult Nursing Relationship?

An adult nursing relationship is a physical, intimate relationship

between two people, where one of the parties    to the relationship nurses from a

woman who either is or is not lactating. I tried doing some searches about adult nursing relationships    and found that, though there are many searches

on the subject, there aren't a lot of resources or information. From what I was able to find, it seems clear to me

that every adult nursing relationship is unique.

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Can Adults Reap Benefits to Drinking Breast Milk and Adult Nursing?

In fact, breast milk is so healthy and safe (provided the woman

who nurses is healthy and disease free) that cancer patients

have been given breast milk to help boost their immune system and help keep them healthy and

to maintain their weight and nutrition during chemotherapy

treatments. What's good for baby is good for any human being. In fact, some studies clearly indicate that any human being could thrive, not

just survive but thrive, on a diet of pure breast milk from a healthy

woman.

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Advantages for the DrinkerAdvantages for the Drinker

Less illnesses, diseases & disordersLess illnesses, diseases & disorders

Antibodies in breast milkAntibodies in breast milk

Always the right temperatureAlways the right temperature

Nurturing benefits from skin to skin Nurturing benefits from skin to skin contactcontact

Aids in development of baby’s brain and Aids in development of baby’s brain and nervous systemnervous system

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Advantages for Wet NurseAdvantages for Wet Nurse

Decreased postpartum bleeding

Earlier return to pre-pregnancy weight

Delayed resumption of ovulation

Reduced risk of ovarian cancer

Reduced premenopausal breast cancer

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Anatomy & PhysiologyAnatomy & PhysiologyDuring PregnancyDuring Pregnancy

Breast, areola, & nipple increase in sizeBreast, areola, & nipple increase in size

Veins may be more noticeableVeins may be more noticeable

Milk glands & ducts increaseMilk glands & ducts increase

Colostrum is produced in the second Colostrum is produced in the second trimestertrimester

Montgomery glands become numerous Montgomery glands become numerous and prominentand prominent

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How Does a Breast How Does a Breast Produce Milk?Produce Milk?

Milk is made in grapelike Milk is made in grapelike structures deep in the breaststructures deep in the breast

When milk “let’s down” it travels When milk “let’s down” it travels out of the “grapes” down the out of the “grapes” down the stems “ducts” and collects in stems “ducts” and collects in the pools (sinuses) under the the pools (sinuses) under the dark area (areola) behind the dark area (areola) behind the nipplenipple

Baby’s gums press areola to Baby’s gums press areola to release milkrelease milk

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The Market

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Before Nursing: Before Nursing: Preparing for Breastfeeding Preparing for Breastfeeding

Massage breasts and rub nipples gentlyMassage breasts and rub nipples gently

Avoid using soap on nipplesAvoid using soap on nipples

Expose nipples to air and briefly to Expose nipples to air and briefly to sunlightsunlight

Let nipples rub against clothingLet nipples rub against clothing

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Flat or Inverted NipplesFlat or Inverted Nipples

Begin treatment late Begin treatment late in pregnancyin pregnancy

Stop if causes Stop if causes uterine contractionsuterine contractions

Breast shellsBreast shells

Wear 1 hour a day Wear 1 hour a day and gradually and gradually increase to several increase to several hourshours

Dry area under nipple Dry area under nipple oftenoften

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Breastfeeding:Breastfeeding:Getting StartedGetting Started

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Is Your Client Hungry?Is Your Client Hungry?Adult Feeding Cues Adult Feeding Cues

Bringing hands to mouth or cheek and Bringing hands to mouth or cheek and trying to suck on themtrying to suck on them

RootingRooting

Lip smacking, mouthing, tongue Lip smacking, mouthing, tongue protrusionprotrusion

Biting is a late feeding cueBiting is a late feeding cue

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Breastfeeding Your Clients Breastfeeding Your Clients

Wash your handsWash your hands

Position yourself comfortably and Position yourself comfortably and correctlycorrectly

Use pillows or towels for supportUse pillows or towels for support

Uncover the breast you wish to offer firstUncover the breast you wish to offer first

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The Side-lying PositionThe Side-lying Position

Lie on your sideLie on your side

Use pillowsUse pillows

Tummy-to-tummyTummy-to-tummy

Client’s mouth in line Client’s mouth in line with nipplewith nipple

Illustration by Joyce Kopatch, USACHPPM

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The Cradle PositionThe Cradle Position

Tummy-to-tummyTummy-to-tummy

Client’s head in Client’s head in crook of your elbowcrook of your elbow

Shoulders, hips, in Shoulders, hips, in straight linestraight line

Level with breastLevel with breast

Pillow in lap will helpPillow in lap will help

Illustration by Joyce Kopatch, USACHPPM

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Milk Ejection ReflexMilk Ejection Reflex“Let Down”“Let Down”

Tingling sensation in breastTingling sensation in breast

Relaxed feeling occursRelaxed feeling occurs

““Let down” can occur between feedingsLet down” can occur between feedings

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Offering Your Breast to ClientOffering Your Breast to Client

Fingers underneath, Fingers underneath, thumb on top of thumb on top of breastbreast

Fingers well behind Fingers well behind areolaareola

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Rooting Reflex and Latch-OnRooting Reflex and Latch-On

Position client correctly at breast with Position client correctly at breast with mouth directly in front of nipplemouth directly in front of nipple

Use nipple to tickle client’s lips until Use nipple to tickle client’s lips until mouth opens widemouth opens wide

Support client’s headSupport client’s head

Client’s mouth is open wide enough to Client’s mouth is open wide enough to take in nipple and most of areolatake in nipple and most of areola

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Open wide…Open wide…

Quickly center your Quickly center your nipple in his mouth and nipple in his mouth and pull him toward you pull him toward you

Client’s lower jaw far Client’s lower jaw far back from the nipple back from the nipple

Clients’s chin on breastClients’s chin on breast

Nose may be on breastNose may be on breast

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ChallengesChallenges

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Is Client getting enough to eat?Is Client getting enough to eat?

Client feeds rapidlyClient feeds rapidly

20-25 on each breast per feeding20-25 on each breast per feeding

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Nursing Mothers:Nursing Mothers:Stay Well NourishedStay Well Nourished

Follow same healthy diet you ate while Follow same healthy diet you ate while pregnantpregnant

Breast feeding burns 300-400 additional Breast feeding burns 300-400 additional calories per daycalories per day

If you are not well nourished, your If you are not well nourished, your supply of breast milk may decrease supply of breast milk may decrease

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Breast CareBreast Care

Sore or cracked nipplesSore or cracked nipples

EngorgementEngorgement

Plugged DuctsPlugged Ducts

MastitisMastitis

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Preventing Sore or Cracked Preventing Sore or Cracked NipplesNipples

Properly position infantProperly position infant

Use pillowsUse pillows

Check for good latch onCheck for good latch on

Do not use ointments or creamsDo not use ointments or creams

Express a few drops of milk onto nipple Express a few drops of milk onto nipple after feeding (antibacterial properties)after feeding (antibacterial properties)

Allow nipples to air dryAllow nipples to air dry

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EngorgementEngorgement

May occur between 2nd and 6th day May occur between 2nd and 6th day when your milk “comes in” when your milk “comes in”

Occurs more frequently in first-time Occurs more frequently in first-time mothersmothers

Hang in there! This will go away after a Hang in there! This will go away after a day or so.day or so.

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Plugged DuctsPlugged Ducts

Tender spot, redness, or sore lump in Tender spot, redness, or sore lump in breastbreast

Milk is unable to flow through duct leads Milk is unable to flow through duct leads to inflammationto inflammation

Change feeding positions from time to Change feeding positions from time to timetime

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MastitisMastitis

Occurs when plugged duct is not treatedOccurs when plugged duct is not treated

Flu-like symptoms (tired, aches, fever)Flu-like symptoms (tired, aches, fever)

Start treatment immediatelyStart treatment immediately

Contact physician for antibioticsContact physician for antibiotics

Apply heatApply heat

Breastfeed frequentlyBreastfeed frequently

RestRest

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REMEMBERREMEMBERGetting breastfeeding correct Getting breastfeeding correct

from the start is crucial to long-from the start is crucial to long-term breastfeeding success!term breastfeeding success!

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Reasons to Suspend or Avoid Reasons to Suspend or Avoid BreastfeedingBreastfeeding

Treatment with a medication that transfers Treatment with a medication that transfers into the breast milkinto the breast milk

Level of risk to environmental exposures Level of risk to environmental exposures at duty station or in the fieldat duty station or in the field

SolventsSolvents

ChemicalsChemicals

FuelsFuels

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QUESTIONSQUESTIONS

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AcknowledgementsAcknowledgements

Ms. BethAnn Cameron, MS, CHES Ms. BethAnn Cameron, MS, CHES

Health EducatorHealth Educator

Directorate of Health Promotion and WellnessDirectorate of Health Promotion and Wellness

US Army Center for Health Promotion and Preventive MedicineUS Army Center for Health Promotion and Preventive Medicine

Ms. Cindy PlankMs. Cindy Plank

Health EducatorHealth Educator

General Leonard Wood Army Community HospitalGeneral Leonard Wood Army Community Hospital

Fort Leonard Wood, MissouriFort Leonard Wood, Missouri

Wellness CenterWellness Center

Martin Army Community HospitalMartin Army Community Hospital

Fort Benning, GeorgiaFort Benning, Georgia

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