Breast Feeding, etc Flashcards
methadone, buprenorphine, and naltrexone are safe for breast feeeding?
yes
what do we tell mothers about Neonatal Opioid withdrawal Syndrome?
it is expected, temporary, and treatable
MAT for OUD cause birth defects?
no harmful effects related to growth, cognitive development, sensory processing, or temperament
What do we know about MAT forAUD?
less safety data (weigh risks vs benefits), safe in antepartum
what are the AAP recommendations on breastfeeding?
infants should be fed human milk exclusively for first 6 months. Continue through first year. *** basically means they shouldn’t get solid foods
how do we as clinicians support breastfeeding?
- provide support, information, and encouragement
-letting women know they have the right to choose not to breastfeed without guilt or judgement
how are breastfeeding and depression related?
-bidirectional relationship
-mothers who breastfeed may be less depressed
-depressed mothers may stop breastfeeding early
what about mothers medicated for depression, in regards to breastfeeding?
they tended to breastfeed longer than moms who had untreated depression
what is dysphoric milk ejection reflex?
sudden feelings of despondency, anxiety, and agitation with milk letdown/breastfeeding
what hormones does depression impact in regards to breastfeeding?
prolactin and oxytocin
factors that can suppress oxytocin?
-C-section
-stressful or traumatic birth or labor
-epidurals or other birth interventions
do we prescribe reglan in depressed moms?
no, it should be avoided in history of women with MDD as they are highly susceptible to this interaction
galactagogues can increase or decrease depression?
increase
mothers milk supply is decreased. What should you check?
-thyroid dysfunction
-anemia
what population saw a decrease in breastfeeding and may need more support?
black women
