78 The baby's mouth should encircle the entire areola (ring of pigmented skin around nipple), not just the nipple. The mother can exert pressure from outside the areola so that milk is transferred properly and the baby can feed efficiently. Physiology Hormonal secretions in the mother and the reflexes in the baby function jointly to result in appropriate breastfeeding. » Prolactin – helps in milk production » Oxytocin – leads to milk ejection » Reflexes in the baby – rooting, sucking, and swallowing Four aspects of good attachment are: » The baby's mouth is wide open. » The lower lip is curled outwards. » Baby's chin touches the breast. » The lower portion of the areola is not visible. Effective Suckling: Once the infant shows good attachment, the next step would be to assess suckling. If the infant takes several slow deep suckles, followed by swallowing and pauses, the infant is suckling effectively.
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