Breast Feeding Lecture Powerpoint

Question 1

Benefits of breast feeding (4)

Answer 1

• reduces infection of many kinds for child
• reduces child cancers (leukemias), allergies, obesity
• increases intelligence
• reduces incidence of breast cancer in the mother

Question 2

Human milk digestion vs formula

Answer 2

Human milk is digested faster (1.5 hours) and thus requires more feeding but is much easier to digest than formula

Question 3

Colostrum

Answer 3

First liquid the breasts produce, yellow thicker than breast milk that has laxative effect helping baby pass first bowel (meconium), prevent newborn jaundice, and contains multiple immune factors largely IgA, lower calorie (contributing to initial weight loss for first 2 weeks after birth before regaining)

Question 4

Mature milk

Answer 4

Thinner than colostrum that forms after transitional milk period, thinner than colostrum 90% water

Question 5

Recommendations on breast feeding

Answer 5

-started within 1 hour of birth, exclusive for up to 6 months, then typically up to 1 year complementary with introduction of formula and solids

Question 6

Lactation consultants

Answer 6

Teach mom how to position baby on breast, give tips to increase milk supply or handle breast infection, reduce anxiety and frustration of mother and devise special feedings strategies for premature infants or disabled

Question 7

Breast feeding is lowest in these populations (5)

Answer 7

• under age 20
• unemployed
• unmarried
• lower socioeconomic status
• poor social support

Question 8

Father’s role in breastfeeding

Answer 8

-strong approval influences mothers decision to continue breastfeeding

Question 9

Maternal advantages of bresatfeeding (5)

Answer 9

• faster return to prepregnancy weight
• decreased postpartum bleeding (oxytocin uterine contractions)
• increased bone mineral density
• lower incidence of ovarian and breast cancer
• rest time for mom

Question 10

Bottlefeeding women return to their period approx ___ months after delivery, breast feeding women return approx ___ months, but it can vary drastically and is not guaranteed contraception

Answer 10

3, 8

Question 11

Contraindications to breastfeeding (6)

Answer 11

• TB
• HIV
• Herpes lesions on breast
• varicella within 5 days antepartum or 2 days postpartum
• malabsorption disease in children
• certain drugs including chemotherapeutic compounds

Question 12

Mammogenesis during pregnancy

Answer 12

Influenced by progesterone, growth hormones, others, see secretary differentiation of milk secreting cells, lobular formation and ductal branching, and proliferation of distal portions of the ducts, after breastfeeding returns to prepregnancy state and secretory cells are replaced with adipose tissue

Question 13

Let down reflex mechanism of action

Answer 13

• prolactin promotes alvolar milk production
• cutaneous nerve innervation either nipple latching, hearing crying, certain emotions, etc stimulates prolactin and oxytocin production and release into blood stream
• oxytocin causes muscle contraction around alveoli and milk ducts

Question 14

Breast surgery and breast feeding

Answer 14

Most with augmentation can still breastfeed just fine, areolar damage will cause difficulty initiating let down reflex

Question 15

Root reflex and breast feeding

Answer 15

Rub tip of nipple around baby’s mouth, and then baby opens mouth to latch onto areola but not nipple otherwise will be painful

Question 16

How to tell if baby is getting enough breast milk?

Answer 16

Watch for hydration status, watch for bowel movements, changes in weight, etc

Question 17

Pumping

Answer 17

Storage of breast milk that can be refrigerated for 5 days or frozen for 6-12 months

Question 18

Management of engorgement, sore nipples, inverted nipples, inadequate milk supply, plugged ducts, mastitis

Answer 18

• hand express milk, breastfeed more often
• adjust latching technique
• nipple shields
• fluids, rest, increase frequency and duration
• massage, warm compress
• antibiotics 10-14 days and continue feeding

Question 19

Weaning

Answer 19

Final stage of development over a few weeks, as frequency of breastfeeding is reduced prolactin levels fall back and this ends in total cessation of milk production