Page 277 - كتاب تمريض نسا الاكتروني

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• Nipple erection reflex" results also from stimulation of the nipple by

suckling or tactile stimulation of the nipple. This is of great help to the baby

during suckling.

Factors Affecting Milk Production

2. Regular complete breastfeeding.

3. Suckling abilities of newborn.

4. Maternal health, and Nutrition.

5. Psychological factors.

6. Hormones : Prolactin, Oxytocin, Thyroxin,

Growth hormone, in addition to

Progesterone and estrogen. Normal levels of

these hormones are essential for initiation &

maintenance of lactation.

3. Psychological Changes (Emotional response)

Phases of maternal role:

Emotional changes in the mother during the postpartum period (restorative

process) as described by Reva Rubin pass through three phases. They are:

o Taking –in phase

o Taking –hold phase

o Letting-go phase

 The first phase: Taking –in phase (turning in)

- It takes 2-3 days, during which time the mother’s first concern is with her own

needs (sleep and food).

- The woman reacts passively, mostly depends on others to meet her.

- She initiates little activity on her own. She is quite talkative during this phase

about every detail of her labor and delivery experience.

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