LESSON PLAN
NAME OF THE EVALUATOR
:
Ms. Roseline
NAME OF THE STUDENT
:
Deepika Sharma
NAME OF THE SUBJECT
:
Obstetrics & Gyanecological Nsg.
TOPIC
:
Exclusive breast feeding
DATE
:
09-04-2014
TIME
:
11am
VENUE
:
Civil Hospital Jalandhar
METHODS OF TEACHING
:
Lecture cum Discussion
AV AIDS
:
charts, flash card
GENERAL OBJECTIVES
:
At the end of teaching group will be able to answer the questions & knowledge regarding exclusive breast feeding
SPEIFIC OBJECTIVES
:
At the end of the teaching the group will be able to
explain the composition of milk. describe the benefits of breast feeding explain the feeding reflexes in the baby enlist the steps of successful breast feeding.
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TIME
CONTRIBUTING OBJECTIVES
1.
1 min.
To introduce self
CONTENT
TEACHING LEARNING ACTIVITY
Good Morning Myself Deepika Sharma st
student of M.Sc.(N) 1 year in MHR DAV Institute of Nursing, J alandhar. 2.
1 min
To
announce
the
topic 3.
3min
To
Today .I will teach the topic exclusive breast feeding.
identify
the Students
have
little
bit
knowledge
Pre test
previous knowledge regarding diet in lactating mother. 4.
½ min
To
introduce
the
topic
INTRODUCTION
Breast milk is the perfect food for normal neonates. It is the best gift mother can give to her newborn baby. It contain all the nutrients for normal growth and development of a baby from the time of birth to the first six month of life, proportion and in a form that is easily digested and absorbed
5.
3min.
To define the breast feeding & exclusive breast feeding.
Definition: Breast feeding:
Breastfeeding is the feeding ofan infant or young child with breast milk directly from
Lecture cum discussion
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EVALUATION
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A.V. AIDS
Lecture cum
Chart
a woman's breasts, not from a baby bottle or other container. Exclusive breast feeding :
It is defined as an infant consumption of milk with no supplementation of any type like water or juice except vitamin, mineral and medication. It is recommended for first six month of life. Newborn babies consume 30-90 ml of feed. 6.
5min.
To explain the composition of
Composition of breast milk:
breast milk.
Carbohydrates: Lactose is in a high concentration ( 6-7g/dl) in breast milk. Lactose helps in the absorption of calcium.
Proteins: The protein content of breastmilk is low (0.9-1.1 g/dl) in the breast milk as the baby cannot effectively
discussion
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CONTENT
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metabolize a high protein load.
Fats: Breast
milk
polyunsaturated
is
rich
fatty
in acid,
necessary for mylination of the nervous system.
Vitamin and minerals: The quantity and bioavailability of vitamins and minerals is sufficient for the needs of the baby in the first 4-6 months of life.
Water and electrolyte: Breast milk has a water content of 88% and hence a breast fed baby does not require additional water in the first few month of life even in the summer months.
7.
4min.
To describe the benefits breast milk.
Benefits of breast milk: For the baby:
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CONTENT
Protection against other illness:
breast fed babies have a lower risk of infection and other problem. They have a lower risk of diabetes and other disease. Mental growth: babies who are
breastfed are better bonded their mother a higher IQ than those babies who were given other form of milk. Breast fed children are at less
risk for chrohn’s disease and juvenile diabetes. Adult daughter who were
breastfed are at less risk of breast cancer. Make the bond between mother
and baby. Provide immunity and protect
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provide against diarrhea. For the mother:
The uterus of a breast feeding mother
shrinks
to
its
pre-
pregnancy size more quickly.
Calories are burned while breast feeding. It takes approximately 20 calories produce an ounce of milk.
Osteoporosis and cervical cancer are less common in women who breastfeed.
The return of fertility is delayed with breastfeeding.
Breast milk is always available, clean and at the right temperature.
For the society:
Breast
feeding
is
convenient;
breast milk does not need to be warmed and does not require a
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clean water supply or a clean serving container. No bottles or other necessary equipment must be cleaned or purchased. Breast
feeding
benefits
the
environment. It a natural resource that
is
renewable
with
each
pregnancy 8.
6min.
To enumerate the
Varying composition of breast milk:
Lecture
varying
The composition of breast milk varies at
discussion
composition of
different stages after birth to suit the 1) only in small quantities, it has higher protein content and is most suited for the needs of the baby. It should NEVER be discarded. 2) Transitional milk: Is the milk secreted during the following two weeks. The immunoglobulin and protein content decreases, while the fat and sugar content increases
cum
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3). Mature milk : Mature milk follows transitional milk. It is thinner and watery but contains all the nutrients essential for optimal growth of the baby. 3) Preterm milk : Preterm milk is the breast milk of a
mother
who
prematurely.
It
proteins,
sodium,
delivers
contains
more iron,
immunoglobulins and calories that are
needed
by
her
preterm
baby.Preterm milk is the breast milk of a mother who delivers pr
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5.
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Fore milk: Fore milk is the milk secreted at the start of a feed. It is watery and is rich in proteins, sugar, vitamins, minerals and water and satisfies the baby's thirst.
6. Hind milk comes later towards the end of a feed and is richer in fat content andprovides more energy and satisfies the baby's hunger. For optimum growth, the baby needs both fore and hind milk. 10.
10min.
To between
comparison
Comparison of human milk and cow
human milk
milk and cow milk
The comparision table are as follows In which all distribution of the content are given as below in the table form
Lecture cum discussion
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EVALUATION
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TIME
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CONTENT
Protein total Casein lactalbumin
Human milk 1% 0.5% 0.5%
TEACHING LEARNING ACTIVITY
Cow milk 4%(too much) 3% 0.5%
Aminoacids Enough for Not enough Cystein growing the Taurine brain Fat Total cholesterol
4% average Enough
4%
Lipase to digest the food Lactose
Present
None
7% enough
3-4% not enough
Not enough
Salt(m Eq/l) Sodium Correct amount Chloride 12 correct Amount Potassium 14 correct amount
25 too much 29 too much 35 too much
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Minerals(m g/i) cal.
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TIME
CONTRIBUTING OBJECTIVES
Phosphate
150 amount
Iron
small amount, well absorbed Enough
Water
3min.
1400 too much
CONTENT
Vitamin
11.
350correct amount
Enough No extra needed
TEACHING LEARNING ACTIVITY
900 too much Small amount, poor absorbed Not enough Extra Needed
To enlist the steps
Steps of Successful breastfeeding:
Lecture
of successful breast
1. Mother should be motivated right from
discussion
feeding.
the antenatal period. Her breasts should be examined and she should be informed about the benefits of breast feeding. 2. Every health care facility must have a
cum
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written breastfeeding policy .One should arrange mother craft classes in the hospitals.
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CONTRIBUTING OBJECTIVES
CONTENT
.
At birth a full term normal baby must be
put to the breast within half an hour of birth. Babies born by cesarean section should be put to the breast within four hours or earlier after birth. 4. Rooming in: Since feeding is the best stimulus for milk production, babies should be roomed-in with mother and fed on demand till the baby is satisfied. One breast must be emptied out fully before the second is offered, so that the baby receives both foremilk and hind milk. 5. Frequency: Frequent suckling helps to stimulate milk production. It also
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prevents engorgement of breasts. The baby should be fed whenever hungry. Initially, some babies feed at short intervals of 1 to 2 hours. Later the babies
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Prelacteal
feeds:
No
TEACHING LEARNING ACTIVITY
prelacteal
feeds
should be given to any baby. Water, glucose water, tea, honey etc. satisfies the baby's thirst and hunger. These babies will not suck vigorously at the breast which in turn will adversely influence the milk production. Prelacteal feeds also increase the risk of Infection. 7. Bottle feeds: No bottle feed should ever be introduced. It causes nipple Confusion and interferes with suckling at the breast. It is also a source of Infection.
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8. Feeding from both breasts: When the baby releases one breast the other Breast is offered. If the baby is still hungry he will feed on the other breast. Alternate breasts should be offered first at
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CONTRIBUTING OBJECTIVES
CONTENT
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each feed. Duration of each feed: The baby should be allowed to feed till satisfied. When the baby is satisfied she Releases the nipple. 9. Duration/continuation of breast feeding: A baby should be exclusively breastfed for the first 6 months. Supplementary feeds given to the baby before six months reduces milk production and also leads to infection and poor weight gain in the baby. 10. Cost of lactation: Nursing mother needs
only
600
calories
extra
for
maintaining her lactation, which amounts
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to additional (x 1 ½ times) home-made food and fluids 12.
2 min.
To summarize the topic.
SUMMARIZATION:
So today have discussed about Introduction. Definition of breast feeding?
SR. NO.
TIME
CONTRIBUTING OBJECTIVES
CONTENT
Composition of breast milk.
Benefits of breast milk.
Reflexes of the baby.
Comparison between human milk and cow milk
13.
2min.
To recapitalize the topic.
Recapitalizations:
What is the composition of breast milk?
What is the benefits of breast milk?
What are the reflexes of the baby?
What are techniques of breast
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feeding ?
Bibliography:
.Myles. Text book of midwife,
Edition 8th .published by Elsevier, New delhi,2009.
Dutta DC.Text book of obstetrics, Edition 6th.published
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TIME
CONTRIBUTING OBJECTIVES
CONTENT
by New central book agency Kolkata, 2009. Jacob Annnama, a comprehensive
text book of midwife, 2nd edition, Jaypee, New delhi, 2008
Daftary N Shirish .Manual of Obstetrics. Edition 2003. Elsevier publisher.
www.nlm.nih.gov/medlineplus/enc y/article/
www.rn.ca.gov/pdfs/regulations
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