Professional Documents
Culture Documents
Breast
Modified from Weatherly White RCA
EVOLUTION OF NIPPLE
Babies can breastfeed from almost all of them.
TYPES OF NIPPLE
“FLAT”
TESTING A NIPPLE FOR
PROTRACTILITY
Smooth Musculature of Areola and Nipple in Cross
Section when Contracted to Make Nipple Erect.
- yl r eht ae W morf dei fi do M
Sites of Supernumerary Nipples Along “Milk
Line”.
hW
nekci H morf dei fi do M
Ramification of Lactiferous Ducts and
Mammary Tissue.
Anatomy of the Breast
Which is the correct attachment ?
A B
B
A
Signs of Good Attachment
1. More areola visible above baby’s mouth
2. Baby ‘s mouth wide open
3. Lower lip turned outwards
4. Chin close to the breast
5. Mother feels no pain
6. Baby suckles effectively
a) a few quick initial “call –up” sucks
b) then slow deep sucks, sometimes
pausing
CORRECT
ATTACHMENT
The tongue is under the
areola, with the tip of
the nipple touching the
hard palate.
Nipple Sucking
in which the nipple
is used as a teat
Process of
SUCKLING
Results of Poor Attachment
Sore Nipples
Pain and damage to Fissures
nipples
Engorgement
Breastmilk not
removed effectively Baby unsatisfied,
wants to feed a lot
Apparent poor milk
supply Baby frustrated,
refuses to suckle
Breasts make less milk
Baby fails to gain weight
Signs of Good
Positioning
OLD
• Ducts branch closer to
the nipple
• Conventionally
described lactiferous
ducts do not exist
• glandular tissue found
closer to nipple
• Subcutaneous fat is
minimal close to nipple
Other novel insights