SUPPLEMENTARY SUCKLING TECHNIQUE (SST) IN LACTATION FAILURE

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SUPPLEMENTARY SUCKLING TECHNIQUE (SST) IN LACTATION FAILURE

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SUPPLEMENTARY SUCKLING TECHNIQUE (SST) IN LACTATION FAILURE DR. SURENDRA GODARA SENIOUR RESIDENT CHACHA NEHRU BAL CHIKITSALAYA DELHI

WHO recommends relactation through Supplementary Suckling Technique :

Supplementary Suckling Technique (SST) is a technique which can be used as a strategy to initiate relactation in mothers who have developed lactation failure or Mother’s Milk Insufficiency (MMI). WHO recommends relactation through Supplementary Suckling Technique

How SST works:

Use of breastfeeding supplementer Which consists of a tube which leads from a cup of supplement to the breast, and which goes along the nipple and into the infant’s mouth. The infant suckles and stimulates the breast at the same time drawing the supplement (expressed mother’s milk or therapeutic formula) through the tube, and is thereby nourished and satisfied. How SST works

The Suckling Technique:

The Suckling Technique  The supplementation is given via an NGT n°8 (n°5 is too small)  The tip is cut back beyond the side ports approximately 1cm and the cap at the end of the tube is removed  F-100 diluted is put in a beaker. The mother holds it.  The end of the tube is put in a cup.  The tip of the tube is put on the breast at the nipple and the infant is offered the breast.

The Suckling Technique:

The Suckling Technique  The mother holds the tube at the breast with one hand and uses the other for holding the beaker  It may take one or two days for the infant to get used of the tube but it is important to continue

The Suckling Technique:

The Suckling Technique  When the infant sucks on the breast with the tube in is mouth, the milk from the cup is sucked up through the tube and taken by the infant.  The beaker is placed at least 10cm below the level of the breast so the milk does not flow too quickly and distress the infant.

Amounts of F100 diluted for infants put on SST :

Weight (kg) ml of F100 diluted per feed (8 feeds/day) >=1.2 25 1.3-1.5 30 1.6-1.7 35 1.8-2.1 40 2.2-2.4 45 2.5-2.7 50 2.8-2.9 55 3.0-3.4 60 3.5-3.9 65 4.0-4.4 70 F100 undiluted is never used for small infants Amounts of F100 diluted for infants put on SST

Children < 6 months, with edema, should be on F 75 and not F 100 diluted:

Children < 6 months, with edema, should be on F 75 and not F 100 diluted

Results of SST and counseling for Children <6m old admitted in NRC:

Results of SST and counseling for Children <6m old admitted in NRC

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