LEARNING OBJECTIVES CONTENT METHODS OF TIME INSTRUCTIONAL EVALUATION

TEACHING FRAME RESOURCES

 Explain what is a A danger sign as any sign Teaching/Discussion 30 mins.  LAPTOP  Client was able to
danger sign that poses a potential  PROJECTOR explain in her
 Identify danger threat to a mother or her own words what
signs in pregnancy fetus. is a danger sign
 Frequent urination  Patient was able
with burning to identify the
 Swell up face or danger sign of
hands pregnancy.
 Gain too much
weight too quickly
 Have a hard time
breathing
 Watch from your
vagina in sudden
flow or leak
 A sharp pain when
urinating
 Baby moves a lot
than usual
 LEARNING OBJECTIVES
Demonstrate on proper
breastfeeding.
Explained the benefits and
importance of breastfeeding
 breastfeeding are the football, cross cradle,
CONTENT METH- TIME INSTRUCTIONAL EVALUATION
ODS FRAME RESOURCES
OF
TEACH
ING
 Breastfeeding Positioning 30 mins.
The mother and infant must be in comfort-
able positions to ensure breastfeeding suc-
cess. The four most common positions for
across-the-lap, and side-lying holds. Each
mother, on experimentation, can decide
which positions feel most comfortable for
her like:
In the football hold, the mother holds the
infant’s back and shoulders in her palm and
tucks the infant under her arm. Remind the
mother to keep the infant’s ear, shoulder,
and hip in a straight line. The mother sup-
ports the breast with her hand and brings it
to the infant’s lips to latch on. She contin-
ues to support the breast until the infant
begins to nurse. This position allows the
mother to see the infant’s mouth as she
guides her infant to the nipple. This is a
good choice for mothers who have had a
cesarean birth because it avoids pressure
on the incision.
The cross-cradling position is the one most
commonly used. The mother holds the baby
in the crook of her arm, with the infant fac-
ing the mother. The mother supports the
breast with her opposite hand.
In the across-the-lap position, the mother
places a pillow across her lap, with the in-
fant facing the mother. The mother sup-
ports the infant’s back and shoulders with
her palm and supports her breast from un-
derneath. After the infant is in position, the
infant is pulled forward to latch on.
In the side-lying position, the mother lies
on her side with a pillow supporting her
back and another pillow supporting the
newborn in the front. To start, the mother
props herself up on an elbow and supports
the newborn with that arm, while holding
her breast with the opposite hand. Once
nursing is started, the mother lies down in a
comfortable position
Importance in Breast Milk:
Human milk provides an ideal balance of
nutrients for newborns. Breastfeeding is ad-
vantageous for the following reasons:
- Human milk is digestible and economical
and requires no preparation.
- Extra calories are used, which promotes
weight loss gradually without dieting.
- Sucking helps to develop the muscles in
the infant’s jaw.
- Absorption of lactose and minerals in the
newborn is improved. - The immunologic
properties of breast milk help prevent in-
fections in the baby. - The composition of
breast milk adapts to meet the infant’s
changing needs as they grow.
 - Constipation in the baby is not a problem
with adequate intake. - Food allergies are
less likely to develop in the breastfed baby.
- The incidence of otitis media and upper
respiratory infections in the infant is re-
duced
Explain that breastfeeding is a learned skill
for both parties.
- Offer a thorough explanation of the ac-
tions involved. - Instruct the mother to
wash her hands before starting. - Make sure
the mother is comfortable (pain-free) and
not hungry.
– Tell the mother to start the feeding with
an awake and alert infant showing hunger
signs.
- Assist the mother in positioning herself
correctly for comfort.
- Urge the mother to relax to encourage the
let-down reflex
. - Guide the mother’s hand to form a ‘’C’
’to access the breast with thumb on top
and other four fingers under the breast.
Have the mother lightly tickle the infant’s
upper lip with her nipple to stimulate the
infant to open the mouth wide.
Aid her in helping the infant latch on by
bringing the infant rapidly to the breast
with a wide-open mouth.