Digital Breastfeeding Observation Videos for your CPD
Please read through the information provided, watch the video, and make notes. Then you can download the corresponding form using the ‘Download the form’ button below each case study description.
Case studies must be saved to your computer, then submitted through the Recertification page linked to here.
Breastfeeding Observation 1 - Assessment and Support for a 2 week old infant with breastfeeding challenges
Background:
Jane and Tom, first-time parents, have welcomed their baby girl, Emily, into the world two weeks ago. Emily was born full-term via vaginal delivery and weighed 3.5 kg at birth. Jane had an uncomplicated pregnancy and labour. Both parents express eagerness to breastfeed Emily exclusively. However, they have been experiencing difficulties with breastfeeding since Emily’s birth.
Presenting Concerns:
Poor Latch: Jane reports that Emily seems to struggle with latching onto the breast. She describes Emily’s latch as shallow, causing nipple pain and discomfort.
Frequent Feeding: Emily appears to feed very frequently, sometimes every hour, and Jane feels exhausted and worried about Emily’s intake.
Weight Gain:
Jane is concerned about Emily’s weight gain. Although Emily had gained initially after birth, Jane feels uncertain about whether Emily is gaining enough weight currently.
Assessment:
Upon assessment, you observe the following:
Latch: Emily demonstrates a shallow latch, causing Jane discomfort and nipple damage.
Feeding Patterns: Emily exhibits signs of hunger frequently, showing cues for feeding every hour. She appears unsettled between feeds.
Weight Gain: Emily’s weight gain has been inconsistent, with minimal weight gain observed over the past few days.
Breastfeeding Observation 2 - Evaluation and assistance for a 4 week old infant experiencing breastfeeding challenges
Background:
Sarah and Michael, proud parents of a 4-week-old baby boy named Liam, have been navigating the joys and challenges of parenthood since his birth. Liam was born full-term via vaginal delivery and weighed 3.8 kg at birth. Sarah experienced a smooth pregnancy and labour. However, they have noticed several difficulties with breastfeeding that have arisen in the weeks following Liam’s birth.
Presenting Concerns:
Poor Sustained Latch: Sarah reports that Liam frequently falls off the breast during feeding sessions. She describes his latch as inconsistent and worries about his ability to effectively nurse.
Excessive Windiness:
Liam appears to be very windy, often experiencing discomfort and fussiness after feeds. Sarah notes that he frequently brings up wind and seems unsettled.
Post-Feeding Discomfort: Sarah observes that Liam remains unsettled and uncomfortable after feeding, despite apparent milk intake. She worries about his well-being and seeks assistance in addressing his feeding challenges.
Assessment:
Upon assessment, you observe the following:
Inconsistent Latch: Liam demonstrates difficulty maintaining a sustained latch during breastfeeding sessions. He frequently slips off the breast, causing frustration for both Sarah and Liam.
Excessive Windiness: Liam exhibits signs of discomfort and restlessness after feeds, indicating
Post-Feeding Discomfort: Liam appears unsettled and agitated following feeding sessions, despite apparent milk transfer. He exhibits signs of colic-like symptoms, including increased crying and restlessness.
Breastfeeding Observation 3 - Assessment and intervention for breastfeeding challenges in a 5 day old infant and agonising mother
Background:
Sophie, a first-time mother, gave birth to her son, Oliver, five days ago. Oliver was born full-term via vaginal delivery, weighing 3.6 kg at birth. Sophie had a challenging labour, and postpartum, she has been experiencing significant pain and difficulty with breastfeeding. Oliver’s feeding patterns and behaviours have also raised concerns for Sophie, prompting her to seek assistance.
Presenting Concerns:
Maternal Pain: Sophie is in agony during breastfeeding sessions, experiencing significant pain and discomfort. She finds it increasingly challenging to continue breastfeeding due to the pain.
Feeding Challenges:
Sophie reports that Oliver struggles to latch effectively, causing further pain and frustration during breastfeeding sessions. She worries about his nutritional intake and overall well-being.
Infrequent Stools:
Sophie notices that Oliver’s stools are infrequent and still brownish in colour. She is unsure whether his bowel movements are normal and seeks clarification.
Assessment:
Upon assessment, you observe the following:
Maternal Pain: Sophie exhibits signs of nipple trauma and discomfort, indicating potential latch issues or ineffective breastfeeding techniques contributing to her pain.
Latching Difficulties: Oliver demonstrates difficulty latching onto the breast effectively, leading to shallow latches and poor milk transfer. His feeding behaviours suggest frustration and hunger.
Bowel Movements: Oliver’s infrequent stools and brownish colouration raise concerns about his nutritional intake and digestive function, warranting further evaluation.
Breastfeeding Observation 4 - Evaluation and assistance for breastfeeding challenges in a 4 month old infant
Background:
Rachel and David, parents of a 4-month-old baby boy named Ethan, have been navigating the joys and challenges of breastfeeding since Ethan’s birth. Ethan was born full-term via vaginal delivery, weighing 3.9 kg at birth. Rachel had a smooth pregnancy and delivery experience. However, they have noticed several challenges with breastfeeding as Ethan has grown older.
Presenting Concerns:
Feeding Behaviour: Rachel reports that Ethan frequently pulls and tugs at the breast during feeding sessions. He squirms around and displays restless behaviour while nursing. Rachel finds it challenging to maintain a consistent feeding rhythm due to Ethan’s behaviour.
Latch Issues: Ethan often pulls on and off the breast during feeding, leading to frustration and difficulty in achieving a sustained latch. Rachel worries about milk transfer and Ethan’s overall feeding efficiency.
Stool Characteristics: Rachel observes that Ethan’s stools are gassy and sometimes loose in consistency. She wonders whether this is normal for his age and seeks clarification.
Assessment:
Upon assessment, you observe the following:
Feeding Behaviour: Ethan displays restless behaviour during feeding, frequently pulling and tugging at the breast. He squirms around and seems easily distracted.
Latch Challenges: Ethan exhibits difficulty maintaining a sustained latch during breastfeeding, often pulling on and off the breast.
Stool Characteristics: Ethan’s stools appear gassy and loose in consistency
Breastfeeding Observation 5 - Assessment and support for breastfeeding challenges in a 10 day old infant
Background:
Lucy and James, parents of a 10-day-old baby girl named Lily, are encountering difficulties with breastfeeding. Lily was born full-term via vaginal delivery and weighed 3.6 kg at birth. Lucy had an uncomplicated pregnancy and delivery. However, they have noticed several challenges with breastfeeding since Lily’s birth.
Presenting Concerns:
Latch Difficulties: Lucy reports that Lily seems to struggle with latching onto the breast. She describes Lily as frequently ‘clicking’ and having difficulty maintaining a proper latch.
Post-Feed Symptoms:
Lily frequently brings up milk after feeding, and Lucy notices that Lily appears unsettled and wants to feed again shortly after finishing a feed.
Weight Gain: Lily was 100g under her birth weight at day 5 but has not been reweighed since then.
Assessment:
Upon assessment you observe the following:
Latching Challenges: Lily demonstrates difficulty latching onto the breast effectively, often clicking during feeds and struggling to maintain a proper latch.
Feeding Patterns: Lily frequently brings up milk post-feed and appears unsettled, indicating potential feeding difficulties or discomfort.
