Breast Feeding Flashcards
How long should breast feed?
6 months
Then supplement after with other food groups
Contraindications in breast-feeding
Maternal brucellosis
Active TB in mother can feed expressed milk
Galactosemia in infant
HIV mom
Herpes positive on mothers nipples
Diagnosis and treatment of cancer in mother
Colostrum
Thick yellow
Less calories& less fat more immunoglobulins antibodies vitamins and increased meconium passage
Transitional milk
Happens several days after delivery
Mature milk
Occurs week two has about 20 kg calories per ounce it is 90% water
Ankyloglossia
Tongue tie
Makes>female
BF positions
If it to the side not placed on back
Good latch= no click or popping sound
Top and bottom of lips are flanged over nipple
Straight line visualized from ear shoulder and hips
How long can pumped milk stay in a refrigerator
Eight days
How long is milk good for if you defrost it
24 hours
How long is frozen milk good for
3 to 6 months if at the proper temperature
Urinary Elimination on day one what is expected
One to three urinations
Urinary elimination on day three was expected
4-6 wet diapers
Urinary Elimination after the first week
6 -8 wet diapers per day
Stool within the first 24 hours
One meconium stool expected
Stool on the second and third day
Day 2- meconium #2
Day 3- loose, yellow, Seedy stool
Occurs 2-3 x per day
Stool after first month of life
After the first month may go with every feed to only going several days in between
If a baby has colic what can be done by Mom to help
Can decrease mom‘s intake of cows milk egg peanuts tree nuts soy fish and wheat
How much alcohol can a mother drink before is expressed in breastmilk
> 0.5 g/kg mom body weight
equates to 2 cans of beer, 8 oz of wine, 2 oz liquor
Caffeine and breastmilk
Caffeine can be expressed in breastmilk causes baby to be jittery mom can have less than 2 cups per day
Engorgement Mangement
Hot shower Hot compress 5 to 10 minutes before nursing Massage Manual expression B4 feeding Nursing frequently Nipple Shields for flat nipples
Sore nipples treatment
Breast shield
Rub breastmilk or colostrum on nipples
Frequent feeding
Nurse on the least sore side
Nipple confusion
Avoid bottle nipples and pacifiers
For 4 to 6 weeks
Mastitis
Infection of the breast normally buy staph aureus or
Mastitis management
Massage breast
Empty breast
NSAIDS
Penicillin, cephalosporins X 10 to 14 days
Formula calculation
Formula/BM = 20 KCAL/OZ
30 mL = 1 oz
ML=CC
Example: baby = 3 KG
360 cc
360 mL X 20kcal. = 360X 0.666=240 kcal
X. 30cc/mL. 3kg
=80 kcal/kg/day
Breast milk jaundice
> day 7-10 of life
Has good urine store and weight gain
Jaundice/Bili @ 10-15 day increased
mastitis causes
r/t cracked nipple , plugged ducts, poor bra fitting, sudden wean
Mastitis symptoms
S/s: flu like symptoms, red lump in breast, Fatigue, pain
