Breast Feeding- Ware Flashcards
ACOG recommends breast feeding until what age
6 mos. exclusively and up to 2 years or as long as mutually wanted thereafter.
Shelby County breast feeding rates (any breast feeding)
60% ish….which is about 20% below the national average
What’s the number one reason for not breastfeeding in TN?
Not wanting to…
Followed buy not liking it, going back to work, other kids to take care of, etc…
Reasons women stop in TN
1) not producing enough milk
2) Breast milk doesn;t satisfy the baby
3) Baby had difficulty nursong
Breast feeding rates are the lowest in what population?
- Non-hispanic black populations
- women under 20
- Women enrolled in WIC (Women, infants, and children food and nutrition services)
- women completing high school or less
- women that live in the southeast
Milk is species specific and age specific
ok
Colostrum
breast milk
Benefits of Colostrum
- High levels of immune protection (IgA)
- Milk composition changes to match infant needs ( Protein and sodium decrease as fat and lactose increase over the first 4-7 days)
Risk reductions for babies
- Lower respiratiry infection (72%)
- Otitis media (50%)
- Gastroenteritis ( 64%)
- Necrotizing enterocolitis (77%)
- etc,,, SIDS, Obesity, T1 and T2 Diabetes
Risk Reductions for mothers
- Type 2 Diabetes
- Premenopausal breast cancer
- Post partum depression
- Ovarian Cancer
- CV disease
Women who have had breast surgery (augmentation)
May be able to breast feed unless there is complete severance of the lactiferous ducts.
improved breast feeding prognosis if nipple and areola left on pedicle during surgery
ok
Who should not be breastfed
- classic glactosemia in the infant. Basically lactose intolerance in the infant
- maternal TB or varicella
- HTLV (Human T Lymphotrophic virus) –> Mothers receiving radioactive isotopes
- Mothers on antimetabolites or chemotherapy
- Street drugs
- ## Moms with herpes on the breast
Hepatitis B, Hepatitis C, environmental chemicals, CMV carriers, tobacco users, alcohl drnkers, infant hyperbilirubinemia
NOT Contraindications for breast feeding
How many lobes in a mature mammary gland
6-10
Single opening from each lobe, its called a
galactophore
Nipple and areola innervation
anterior and lateral cutaneous branches of 3rd to 5th intercostal nerves. 4th mostly (can be impacted during surgery
What is a montgomery tubule
small sebaceous galnds on the areola
Not visible before pregnancy
secrete a cleansing and lubricating bacteriostatic fluid
How many stages of lactogenesis?
3
Lactogenesis I characterized by
High levels of prolactin, but very low levels of milk production due to progesterone antagonism
Lactogenesis II characterized by
3 days post-partum, very rapid increase in milk production and volume, main cause is the rapid decrease in progesterone post-partum
Lactogenesis III- 10 days post-partum. Changes in milk composition to mature milk
Prolactin
milk production
oxytocin
milk ejection
Autocrine control of breast milk production
milk removed governs supply of milk made. If enough milk is not removed, FIL is released that prevents production
Oxytocin release is stimulated by
Tactile stimulation of nipple areolar complex. Reacts with receptors of myoepithelial cells which results in contraction
Immediate postpartum physical contact is important. Skin-skin contact is important. This encourages breast feeding, prevents hypothermia, and prevents hypoglycemia
ok… eye prophylaxis, weighing and measuring should be delayed until after the first feeding. First feeding needs to always occur within one hour.
You literally have the baby breast-feed before you do anything else to it
ok
Whats teh best way to suck a nipple
fish mouth it
Feed how many times?
8-12 times per 24 hours
Crying is a late sign of hunger
ok
A mother is legally protected when it comes to breastfeeding. May breastfeed anywhere they need to
ok
