Layout and content for IEC material
Topic : holistic approach of breastfeeding
Model: spinning wheel
A spinning wheel divided into 12 sections with different headings. The titles are as follows












Colostrum
Cradle feeding position
Side lying position
Reclining or lying back feeding position
Sitting baby position
Maternal and fetal advantages of breastfeeding
Pumping
Power pumping technique
Pumping equipment
Pros and cons of pumping
Why one can choose to pump
Storage of expressed milk
Information regarding each section will be written in a flash card format and the content for the same is
given below
Colostrum
A sticky white or yellow fluid secreted by the breasts during the second half of pregnancy and for a few
days after birth, before breast milk comes in. It is high in protective antibodies that boost
the newborn's immune system
High in protein than mature breast milk but lesser fat and more minerals.
Different positions of breastfeeding
1. Cradle hold
The cradle hold is the classic breastfeeding position.

Hold the baby with its stomach against your body.

Support the baby with the arm that is on the same side as
the breast from which the baby is nursing.

Keep the baby’s head in line with the rest of their body to
avoid straining their neck.

Try using a nursing pillow or an armrest to support your
elbow to make this hold more comfortable.
2. Reclining or lying back
the reclining position can comfortable for women struggling with muscle pain or recovering from surgery or
childbirth.

Find a comfortable reclining position that supports your
head and neck. Imagine watching TV or reading a book
while reclining. A reclining chair can help.

Position the baby stomach down on your chest, with their
head at breast level.

Ensure that nothing is covering the baby’s nose and that
their neck is not bent.

The baby may find the breast by themselves, but feel free to help as much as necessary..
3. Sitting baby
When a baby is old enough to support their head, they can breastfeed in a sitting position.

Sit in an upright position and support the baby to sit. Younger babies
can lean against your slightly bent arm for more support. Older babies
may do better sitting up fully, with their legs wrapped around either
side of your abdomen.

Support the baby’s back and neck until they can sit without
assistance.

Ensure the baby’s neck and back are straight and aligned.

Make sure that nothing is covering the baby’s nose.
5. Side-lying
Side-lying is an ideal breastfeeding position for women recovering from
surgery

Lie on one side, facing the baby.

Place the baby so its nose is close to your nipple.

Hold the baby close to your side, and support its back with your lower arm or a rolled up blanket or
towel.
Advantages :
What is pumping
in breast feeding?
Pumping is another method of feeding your baby your milk. Instead of the baby latching directly onto
your breast, your milk is expressed either by a breast pump or manually. Pumping your milk allows you
to store your milk for convenient feeding throughout the day.
Why one may choose to pump







You need help to pull out flat nipples or inverted nipples.
If the mother is not available.
If the baby is preterm and can not breastfeed.
You are returning to work or school.
You have stopped breastfeeding and would like begin relactating
You would like to increase your milk supply.
You need to temporarily wean your child.
What is power pumping?
Power pumping is a technique that's designed to mimic cluster feeding a term for a period during which
your baby feeds more frequently than usual (usually because of a growth spurt)., and in turn, encourage
your body to begin producing more breast milk. Ideally, your power pumping session should last an
hour.
A power pump schedule might look like this:





Pump for 20 minutes
Rest for 10 minutes
Pump for 10 miinutes
Rest for 10 minutes
Pump for 10 minutes to finish the hour
4. Pumping equipment may include:





breast pump
bottles
milk storage bags
phalanges for the breast pump
a hands-free pumping bra
Some people also invest in an additional refrigerator and freezer to store pumped milk.
Pros of pumping
1. Control over timing(Mother can decide on a schedule that works for them and pump when
necessary)
2. Donor milk
Biological parents are not the only people who can supply breast milk.
An adopted baby might receive donor milk.
a person who cannot produce enough milk might supplement their supply with milk from a milk bank.
3. Addressing supply issues
. Pumping can also help build a freezer stash of milk if a person is concerned about low supply.
4. More breaks
Pumping allows the caregivers to have a break while they are coping with months, or even years,
of sleep deprivation.
Cons of pumping
1. Fewer immune system benefits
Pumping means the milk may not be as tailored to the baby’s needs, and so it will offer fewer benefits
for the immune system.
2. Additional expense
Exclusively breastfeeding is free, but pumping requires equipment.
3. Storage concerns
Some women can express a large supply of breast milk. Breast milk expires even when frozen, and
storing it can be difficult.
How to store breast milk
Pumping is only half the story: You’ll also need to know how to store breast milk. Many breast pumps
come with custom containers that can be used as storage and feeding bottles; others allow you to use a
standard feeding bottle to collect milk.
You can also collect expressed breast milk in plastic bags (definitely use the ones specifically designed
for breast milk — plastic bottle liners are too flimsy) and fill them three-quarters full if you'll be freezing
them to allow for expansion. Freezing milk in small quantities (3 to 4 ounces at a time) allows for easy
thawing.
Expressed milk can stay fresh at room temperature for up to four hours as long as it's kept away from
the sun or other sources of heat. Milk can be safely stored in the refrigerator for up to four days and in
the freezer for six to 12 months (using it within six months is best).
Always label each container with the date, and make sure to use the oldest milk first.
https://www.hellomotherhood.com/article/541311-what-is-the-difference-between-breastfeedingpumping/
https://www.medicalnewstoday.com/articles/322839#cons-of-pumping
https://www.healthline.com/health/breastfeeding/power-pumping#what-is-it
https://www.whattoexpect.com/pumping-breastmilk.aspx#:~:text=Power%20pumping%20boosts%20your%20milk,that%20stimulates%20breast%20milk
%20production.
https://www.medicalnewstoday.com/articles/322984
https://www.babycenter.com/baby/breastfeeding/good-positions-for-breastfeeding_8784
https://www.slideshare.net/yuyuricci/breastfeeding-78604206
https://www.rxlist.com/colostrum/definition.htm