birth practices and early infant feeding Flashcards
what four actions happen immediately after the baby us born and simutaneously?
handled by someone, dried thoroughly and stimulated, transition to extra-uterine life by breathing and crying, baby placed on its mother’s abdomen
What is the name of how we assess the condition of a baby at birth
Apgar scoring
define Apgar scoring
a rapid method of assessing the clinical status of a 1 minute newborn and the need for rapid intervention to establish breathing
describe Apgar scoring
from 0-10, scored at 1,5 and again at 10 mins if previous score was low
what are the signs for Apgar scoring
colour, heart rate, reflex irritability, muscle tone, respiration
define skin to skin contact
placing the dried, naked baby prone on mum’s bare chest, covered with a warm blanket
define prone
lying flat on back, face down
what are some of the benefits of skin to skin contact
stimulates release of prolactin, oxytocin and endorphins
protects baby from infection
stimulates breast seeking behaviour
what are the physiology adaptations of skin to skin
thermal regulation
early 1st feed = higher BGL which counteracts the drop in BGL after birth
reduce mean time for placenta expulsion
normal transition to extra utero life, more stable HR, respiratory rate and O2 saturation
What are the nine stages of neonatal behaviour
Baboons rock around after rest causing funny silly sounds.
Baby cry, Relaxation, Awakening, Activity, Rest, Crawling, Familiarisation, Suckling, Sleep
What happens with oxytocin post birth?
peak during birth, stimulated by touch, feeding, skin to skin so positive feedback loop
key role in mother-infant bonding
what happens with prolactin post-birth?
no longer suppressed by placental hormones
receptors activated
stimulate milk production as binded to receptor
positive feedback loop as stimulated by baby feeding
describe colostrum
protective factors
concentrated nutrition, not watery
small volumes as baby’s stomach is small
laxative effect to clear meconium
