SUPUESTOS Fin
4.6.2. Talleres de capacitación TALLER DE CAPACITACIÓN
Assessing a Breastfeed
Objectives
After completing this session participants will be able to:
explain the 4 key points of attachment
assess a breastfeed by observing a mother and baby
identify a mother who may need help
recognize signs of good and poor attachment and positioning
explain the contents and arrangement of the BREASTFEED OBSERVATION JOB AIDIntroduction
Assessing a breastfeed helps you to decide if a mother needs help or not, and how to help her. You can learn a lot about how well or badly breastfeeding is going by observing, before you ask
questions. There are some things you can observe when a baby is not breastfeeding. Other things you can only observe if a baby is breastfeeding.
24 Session 4: Assessing a Breastfeed
Infant and Young Child Feeding Counselling: An Integrated Course. Participant’s Manual
B
REASTFEEDO
BSERVATIONJ
OBA
IDMother's name _______________________________ Date ____________________ Baby's name _________________________________ Baby's age ______________
Signs that breastfeeding is going well: Signs of possible difficulty:
GENERAL
Mother: Mother:
F Mother looks healthy F Mother looks ill or depressed
F Mother relaxed and comfortable F Mother looks tense and uncomfortable
F Signs of bonding between mother and baby F No mother/baby eye contact
Baby: Baby:
F Baby looks healthy F Baby looks sleepy or ill
F Baby calm and relaxed F Baby is restless or crying
F Baby reaches or roots for breast if hungry F Baby does not reach or root
BREASTS
F Breasts look healthy F Breasts look red, swollen, or sore
F No pain or discomfort F Breast or nipple painful
F Breast well supported with fingers F Breast held with fingers on areola away from nipple
BABY’S POSITION
F Baby’s head and body in line F Baby’s neck and head twisted to feed
F Baby held close to mother’s body F Baby not held close
F Baby’s whole body supported F Baby supported by head and neck only
F Baby approaches breast, nose to nipple F Baby approaches breast, lower lip/chin
to nipple
BABY’S ATTACHMENT
F More areola seen above baby’s top lip F More areola seen below bottom lip
F Baby’s mouth open wide F Baby’s mouth not open wide
F Lower lip turned outwards F Lips pointing forward or turned in
F Baby’s chin touches breast F Baby’s chin not touching breast
SUCKLING
F Slow, deep sucks with pauses F Rapid shallow sucks
F Cheeks round when suckling F Cheeks pulled in when suckling
F Baby releases breast when finished F Mother takes baby off the breast
Infant and Young Child Feeding Counselling: An Integrated Course. Participant’s Manual Fig. 4.1 How does the mother hold her baby?
a. Baby's body close, facing breast Face to face attention from mother
b. Baby's body away from mother, neck twisted No mother baby eye contact
Fig. 4.2 How does the mother hold her breast?
a. Resting her fingers on her chest wall so that her first finger forms a support at the base of the breast
b. Holding her breast too near the nipple
26 Session 4: Assessing a Breastfeed
Infant and Young Child Feeding Counselling: An Integrated Course. Participant’s Manual Fig. 4.3 How is the baby attached to the breast?
a. A baby well attached to his mother's breast b. A baby poorly attached to his mother's breast
Exercise 4.a. Using the B
REASTFEEDO
BSERVATIONJ
OBA
IDIn this exercise, you practise recognizing the signs of good and poor attachment in some slides of babies breastfeeding. In some of the photographs you will also see signs of good and poor positioning.
With Slides 4/8-4/9, use your observations to practise filling in one of the
BREASTFEED OBSERVATION JOB AIDS on the following pages. There are two forms. Fill in one form for each slide.
If you see a sign, make a 9 in the box next to the sign.
If you do not see a sign, leave the box empty.Infant and Young Child Feeding Counselling: An Integrated Course. Participant’s Manual
B
REASTFEEDO
BSERVATIONJ
OBA
ID–S
LIDE4/8
Mother's name _______________________________ Date ____________________ Baby's name _________________________________ Baby's age ______________
Signs that breastfeeding is going well: Signs of possible difficulty:
GENERAL
Mother: Mother:
F Mother looks healthy F Mother looks ill or depressed
F Mother relaxed and comfortable F Mother looks tense and uncomfortable
F Signs of bonding between mother and baby F No mother/baby eye contact
Baby: Baby:
F Baby looks healthy F Baby looks sleepy or ill
F Baby calm and relaxed F Baby is restless or crying
F Baby reaches or roots for breast if hungry F Baby does not reach or root
BREASTS
F Breasts look healthy F Breasts look red, swollen, or sore
F No pain or discomfort F Breast or nipple painful
F Breast well supported with fingers F Breast held with fingers on areola away from nipple
BABY’S POSITION
F Baby’s head and body in line F Baby’s neck and head twisted to feed
F Baby held close to mother’s body F Baby not held close
F Baby’s whole body supported F Baby supported by head and neck only
F Baby approaches breast, nose to nipple F Baby approaches breast, lower lip/chin
to nipple
BABY’S ATTACHMENT
F More areola seen above baby’s top lip F More areola seen below bottom lip
F Baby’s mouth open wide F Baby’s mouth not open wide
F Lower lip turned outwards F Lips pointing forward or turned in
F Baby’s chin touches breast F Baby’s chin not touching breast
SUCKLING
F Slow, deep sucks with pauses F Rapid shallow sucks
F Cheeks round when suckling F Cheeks pulled in when suckling
F Baby releases breast when finished F Mother takes baby off the breast
28 Session 4: Assessing a Breastfeed
Infant and Young Child Feeding Counselling: An Integrated Course. Participant’s Manual
B
REASTFEEDO
BSERVATIONJ
OBA
ID–S
LIDE4/9
Mother's name _______________________________ Date ____________________ Baby's name _________________________________ Baby's age ______________
Signs that breastfeeding is going well: Signs of possible difficulty:
GENERAL
Mother: Mother:
F Mother looks healthy F Mother looks ill or depressed
F Mother relaxed and comfortable F Mother looks tense and uncomfortable
F Signs of bonding between mother and baby F No mother/baby eye contact
Baby: Baby:
F Baby looks healthy F Baby looks sleepy or ill
F Baby calm and relaxed F Baby is restless or crying
F Baby reaches or roots for breast if hungry F Baby does not reach or root
BREASTS
F Breasts look healthy F Breasts look red, swollen, or sore
F No pain or discomfort F Breast or nipple painful
F Breast well supported with fingers F Breast held with fingers on areola away from nipple
BABY’S POSITION
F Baby’s head and body in line F Baby’s neck and head twisted to feed
F Baby held close to mother’s body F Baby not held close
F Baby’s whole body supported F Baby supported by head and neck only
F Baby approaches breast, nose to nipple F Baby approaches breast, lower lip/chin
to nipple
BABY’S ATTACHMENT
F More areola seen above baby’s top lip F More areola seen below bottom lip
F Baby’s mouth open wide F Baby’s mouth not open wide
F Lower lip turned outwards F Lips pointing forward or turned in
F Baby’s chin touches breast F Baby’s chin not touching breast
SUCKLING
F Slow, deep sucks with pauses F Rapid shallow sucks
F Cheeks round when suckling F Cheeks pulled in when suckling
F Baby releases breast when finished F Mother takes baby off the breast
Infant and Young Child Feeding Counselling: An Integrated Course. Participant’s Manual