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Reproductive > Breast Feeding- Ware > Flashcards

Breast Feeding- Ware Flashcards

1
Q

ACOG recommends breast feeding until what age

A

6 mos. exclusively and up to 2 years or as long as mutually wanted thereafter.

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2
Q

Shelby County breast feeding rates (any breast feeding)

A

60% ish….which is about 20% below the national average

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3
Q

What’s the number one reason for not breastfeeding in TN?

A

Not wanting to…

Followed buy not liking it, going back to work, other kids to take care of, etc…

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4
Q

Reasons women stop in TN

A

1) not producing enough milk
2) Breast milk doesn;t satisfy the baby
3) Baby had difficulty nursong

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5
Q

Breast feeding rates are the lowest in what population?

A
  • 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
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6
Q

Milk is species specific and age specific

A

ok

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7
Q

Colostrum

A

breast milk

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8
Q

Benefits of Colostrum

A
  • 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)
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9
Q

Risk reductions for babies

A
  • Lower respiratiry infection (72%)
  • Otitis media (50%)
  • Gastroenteritis ( 64%)
  • Necrotizing enterocolitis (77%)
  • etc,,, SIDS, Obesity, T1 and T2 Diabetes
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10
Q

Risk Reductions for mothers

A
  • Type 2 Diabetes
  • Premenopausal breast cancer
  • Post partum depression
  • Ovarian Cancer
  • CV disease
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11
Q

Women who have had breast surgery (augmentation)

A

May be able to breast feed unless there is complete severance of the lactiferous ducts.

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12
Q

improved breast feeding prognosis if nipple and areola left on pedicle during surgery

A

ok

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13
Q

Who should not be breastfed

A
  • 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
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14
Q

Hepatitis B, Hepatitis C, environmental chemicals, CMV carriers, tobacco users, alcohl drnkers, infant hyperbilirubinemia

A

NOT Contraindications for breast feeding

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15
Q

How many lobes in a mature mammary gland

A

6-10

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16
Q

Single opening from each lobe, its called a

A

galactophore

17
Q

Nipple and areola innervation

A

anterior and lateral cutaneous branches of 3rd to 5th intercostal nerves. 4th mostly (can be impacted during surgery

18
Q

What is a montgomery tubule

A

small sebaceous galnds on the areola
Not visible before pregnancy
secrete a cleansing and lubricating bacteriostatic fluid

19
Q

How many stages of lactogenesis?

A

3

20
Q

Lactogenesis I characterized by

A

High levels of prolactin, but very low levels of milk production due to progesterone antagonism

21
Q

Lactogenesis II characterized by

A

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

22
Q

Prolactin

A

milk production

23
Q

oxytocin

A

milk ejection

24
Q

Autocrine control of breast milk production

A

milk removed governs supply of milk made. If enough milk is not removed, FIL is released that prevents production

25
Q

Oxytocin release is stimulated by

A

Tactile stimulation of nipple areolar complex. Reacts with receptors of myoepithelial cells which results in contraction

26
Q

Immediate postpartum physical contact is important. Skin-skin contact is important. This encourages breast feeding, prevents hypothermia, and prevents hypoglycemia

A

ok… eye prophylaxis, weighing and measuring should be delayed until after the first feeding. First feeding needs to always occur within one hour.

27
Q

You literally have the baby breast-feed before you do anything else to it

A

ok

28
Q

Whats teh best way to suck a nipple

A

fish mouth it

29
Q

Feed how many times?

A

8-12 times per 24 hours

30
Q

Crying is a late sign of hunger

A

ok

31
Q

A mother is legally protected when it comes to breastfeeding. May breastfeed anywhere they need to

A

ok

Reproductive (36 decks)

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