Breastfeeding
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The major determinants of successful Breastfeeding can be determined by the SAIB scale,(Systematic Assessment of the Infant at breast), which is a four point system in which four areas are assessed and if each goal is reached the mother will get 4 points, if not then she may need more education or assistance in breastfeeding. The SAIB scale is broken down into: Alignment/Positioning, Areola Latch-On, Areola Compression/Sucking, Audible Swallowing. There are certain criteria for each of these categories as shown on the SAIB sheet that was received first day of class.
The other determinant is the LATCH system that looks for, Latch, Audible Swallowing, Type of Nipple, Comfort, Hold
these are scored from 0-2 for how well each of these are achieved. A quick checklist that the mother can followto tell if she is successfully feeding would be: 1. your baby's mouth is wide with lips curled out.
2. his chin and nose are resting against the breast 3. he has taken as much of the areola as possible into his mouth 4. he is suckling rhythmically and deeply in short bursts separated by pauses 5. you can hear him swallowing regularly 6. your nipple is comfortable after the first few suckles. Some signs that you might be doing it wrong, 1. your baby's head is not in line with his body. 2. he is sucking on the nipple only, instead of suckling on the areola with the nipple far back in his mouth 3. he is sucking in a ligh, quick, fluttery manner rather than taking deep, regular suckles. 4. his cheeks are puckered inward or you hear clicking noises. 5. you don't hear him swallow regularly after your milk production has increases. Both of these check lists take into consideration aspects from both the SAIB and LATCH scales.
The let down reflex is the physiologic process of the movement of milk through and out of the breast. The milk is produced in the alveoli, which are located distally to the nipples. The Lactiferous duct system...
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