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Session 39

Session 39. Nutrition of lactating mothers and their health and fertility. Source of Energy and Nutrients in Breastmilk. 200 Calories. 500 Calories. From food which mothers eat. From mother reserves. 39/1. Effect of Mother’s Nutrition on Breastmilk Production. WELL NOURISHED.

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Session 39

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  1. Session 39 Nutrition of lactating mothers and their health and fertility

  2. Source of Energy and Nutrients in Breastmilk 200 Calories 500 Calories From food which mothers eat From mother reserves 39/1

  3. Effect of Mother’s Nutrition on Breastmilk Production WELL NOURISHED MODERATE UNDERNUTRITION SEVERE UNDERNUTRITION 39/2

  4. Example of extra food needed each day by a breastfeeding woman 39/3

  5. Any sick woman If admitted to hospital If she has fever If feels too unwell or unwilling to breastfeed If extremely ill If mentally ill When mother recovers Ask “Do you have a breastfeeding baby?” Encourage her to continue Admit baby with her Give plenty to drink Help her to express her breastmilk Feed baby by cup Consider expressing her breastmilk Feed baby by cup Find helper to care for mother and baby together Help her to increase her breastmilk or relactate Helping a Sick Mother to Breastfeed 39/4

  6. Mother’s Medication and Breastfeeding 39/5

  7. While no menstruation: Up to age 6 months Good protection From 6-12 months Partial protection After menstruation returns: No protection Breastfeed fully Breastfeed frequently day and night Breastfeed frequently day and night (with complementary feeds) Use another family planning method Use another family planning method Breastfeeding Delays Pregnancy 39/6

  8. No other family planning method needed if : No menstruation AND Baby LESS than 6 months old AND Baby fully breastfed Use other family planning FP method if : Menstruation has returned OR Baby MORE than 6 months old OR Baby not fully breastfed Lactational Amennorrhea Method (LAM) 39/7

  9. Complementary Family Planning Options for Breastfeeding Women 39/8

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