Breast Feeding Flashcards
features of a baby when a mother has lactating thrush?
nappy rash
oral thrush
unhappy baby
features of a mother with lactating thrush?
pain
itchy/flaky/red nipple
cracked nipple
tx for lactating thrush?
mum - ointment
baby - oral gel
causes of breast engorgement?
delay in feed
poor attachment
ineffective emptying
restrictive feeding
features of breast engorgement?
shiny boobs pain poor milk flow redness fever
Tx for breast engorgement?
express
warm bath and compress
technique improvement
paracetamol and NSAIDs
features of cracked nipples?
baby can vomit blood wedge shaped redness engorged breast worse at start of feed pain
Tx of cracked nipples?
keep feeding
leave breast milk to dry on nipple
lansinoh
what is the most common causative organism in lactational mastitis?
staph aureus
what can cause mastitis?
plugged milk duct
features of mastitis?
tender red sore lump ± fever N + V cracked nipple pus and blood
Tx for lactational mastitis?
keep feeding
warm compress
NSAIDs
antibios if not improving - fluclox/amox
what complication can occur in mastitis? how is it treated?
breast abscess
US guided aspiration
how long should all infants be breast fed for?
exclusively for 6 months
when should solid foods be introduced?
6 months
how much vitamin D should pregnant and breastfeeding women be taking?
10 μg/day
how much vitamin D should breast fed infants from 6 months be taking?
7 μg/day
what is the name of the reflex of milk production?
let down reflex
how long can expressed breast milk be kept for in the freezer?
Up to six months in a domestic freezer, at minus 18ºC or lower
how long can expressed breast milk be kept for in the fridge?
5 days
two indications of good attachment?
baby has a large mouthful of breast
babies chin should be indenting the breast
what in the UK can formula feeds be based on?
cows milk
goats milk
soya milk
forms of sterilising formula feeding?
steam
boiled water
chemical
microwave
in pregnancy, what hormones help
ducts
lobules
grow?
ducts - oestrogen
lobules - progesterone
