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  3. Nutrition and Hydration Myths vs. Evidence in Breastfeeding
Course Content
Why Breastfeeding Matters (10 minutes)
Health and developmental benefits for infants Maternal benefits (physical and mental) Economic and community-level advantages Common myths and culturally specific misconceptions
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Newborn Feeding Cues & Anatomy (20 minutes)
Early vs. late hunger cues and what they mean Normal newborn feeding patterns and stomach capacity Brief breast anatomy (lobes, ducts, nipple, areola) in plain language Signs of effective feeding (swallowing, contentment, diaper output)
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Positions & Achieving a Good Latch (40 minutes)
Position options: cradle, cross-cradle, football/clutch, side-lying Stepwise approach to help baby latch (prepare — attach — assess) Signs of a good vs. poor latch (comfort, nipple shape, audible swallowing) Small-person adaptations (premature, small mouth, tongue-tie considerations) Safe positioning for mothers with C-section recovery
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Protecting & Building Milk Supply (25 minutes)
Establishing supply in the first days and weeks (frequency, skin-to-skin) Night feeds and cluster feeding explained Lifestyle and medical factors that reduce supply (e.g., certain medications, stress) Relactation and increasing milk supply safely Nutrition and hydration myths vs. evidence
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Expressing & Storing Breastmilk (20 minutes)
Hand-expression steps and common mistakes Choosing and using pumps (manual vs. electric) — practical tips Safe collection, labeling, storage, thawing and warming guidelines (low-resource options included) Cleaning and hygiene for bottles and storage containers Feeding expressed milk to infant (cup, spoon, paladai, bottle considerations)
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Common Problems & Practical Solutions (25 minutes)
Causes of sore nipples and immediate relief techniques Managing engorgement and preventing blocked ducts Recognising mastitis vs. normal engorgement and when antibiotics may be needed Low weight gain: assessment steps and feeding plan adjustments Non-judgmental approach to supplementation and safe short-term options
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Returning to Work or School; Feeding Outside the Home (15 minutes)
Creating an express-and-feed routine (timing, containers, transport) Practical storage and transport tips for different commute types Rights and workplace basics (general guidance; encourage local legal verification) Communicating with caregivers and preparing safe feeder notes Emotional coping and practical fallback plans
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Special Situations (20 minutes)
Feeding preterm or low-birthweight infants: kangaroo care, cup or tube feeding basics Managing twins/multiples: tandem feeding tips and time-saving routines Mothers on medication or with infectious illness: how to check drug safety and local guidelines (HIV, TB, etc.) Using donor milk or milk banks (where available) — safety basics
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When to Seek Help & Building a Support Network (15 minutes)
Red flags for baby and mother (e.g., poor weight gain, fever, severe pain) Where to seek help: clinic, CHW, lactation consultant, emergency care Building a support network: partners, family, peer counsellors, community groups Using telephone/text supports, community groups, and referral pathways
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Wrap-up, Resources & Final Assessment (15 minutes)
Key takeaways and common pitfalls to avoid Next steps: seeking local support, advanced training options How to use course materials beyond the course (groups, sharing, peer support) Final 20-question multiple-choice quiz (80% pass mark)
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How to Breastfeed — Self-Paced, Evidence-Based Course for African Moms

Introduction

Mothers often hear advice about what they “must” or “must not” eat or drink while breastfeeding. Many of these are myths, not supported by science. Understanding the truth reduces anxiety and helps mothers focus on what really matters: balanced nutrition, adequate hydration, and responsive feeding.


1. Common Myths and the Evidence

Myth 1: “Mothers must drink milk to make milk.”

  • Evidence: Human milk is made from the body’s stores and fluids, not directly from cow’s milk.

  • Mothers do not need to drink milk to produce milk. Water and fluids are enough.


Myth 2: “You must drink a lot of water to increase supply.”

  • Evidence: Extra water does not increase milk volume beyond thirst needs.

  • Recommendation: Drink to thirst, not excess.


Myth 3: “Certain foods (e.g., porridge, soup, fenugreek, moringa) guarantee more milk.”

  • Evidence: Some herbs/foods may support supply in some women, but no food alone guarantees milk.

  • Milk supply depends mainly on frequent and effective breast stimulation.


Myth 4: “Spicy foods, beans, or cabbage should be avoided because they cause colic.”

  • Evidence: Most babies tolerate a wide variety of foods.

  • Only if a baby shows clear, repeated discomfort after a certain food should mother limit it.


Myth 5: “Mothers must eat a ‘perfect’ diet or baby won’t thrive.”

  • Evidence: Even with less-than-ideal diets, mothers still make high-quality milk.

  • Good nutrition supports mother’s health more than milk quality.


2. What the Evidence Supports

  • Eat a variety of foods from all food groups (grains, proteins, fruits, vegetables, healthy fats).

  • Iron, calcium, vitamin D, and B12 may need attention (supplement if advised).

  • Hydrate according to thirst — water, soups, and healthy drinks are fine.

  • Limit alcohol, caffeine, and smoking for baby’s safety and health.


3. Key Principle

👉 Milk supply is driven by demand (baby feeding or expressing), not by what the mother eats or drinks.
Nutrition matters for mother’s health and energy, not for making milk “appear.”


End of Lecture Quiz

Q1. True or False: A breastfeeding mother must drink cow’s milk to make breast milk.
Answer: False
Rationale: Milk supply does not depend on cow’s milk intake.


Q2. What is the best guide for fluid intake while breastfeeding?
A. 3 liters of water daily, no matter what
B. Drinking only milk and juice
C. Drinking whenever thirsty
D. Avoiding water after evening feeds

Answer: C. Drinking whenever thirsty
Rationale: Thirst is the body’s natural signal; excess fluids do not boost supply.


Q3. A mother eats spicy food, and her baby seems fine. Should she avoid spicy food?
A. Yes, all spicy food is harmful
B. No, unless baby consistently reacts negatively
C. Yes, but only during the first month
D. No, babies never react to foods

Answer: B. No, unless baby consistently reacts negatively
Rationale: Most foods are safe; only individual sensitivities matter.


Curated Online Resources


Key Takeaways

  • Mothers do not need special foods or excess fluids to make milk.

  • Eat a balanced, varied diet for your own health and energy.

  • Hydrate to thirst — not more, not less.

  • Most foods are safe unless a baby shows repeated sensitivity.

  • Milk supply depends on demand, not diet.


Call to Action

  • Mothers: Trust your body — enjoy a balanced diet and drink when thirsty.

  • Health workers: Correct myths early to prevent unnecessary dietary restrictions.

  • Communities: Support mothers with nourishing foods and reassurance, not food rules.

Ushauri Mama - Your MNCH Guide