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372 > breastfeeding > Flashcards

breastfeeding Flashcards

1
Q

when are decisions to breast feed made?

A

most decide before the baby is born or before conception
or first tri
or after birth

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2
Q

what factors influence bf

A
  • partner support , family support
  • previous experience
  • education
  • having two or more children
  • weight
  • knowledge
    social comfort
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3
Q

little support from partner =

A

less likely to bf, lack of encouragement

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4
Q

does seeing other bf influence ones thought

A

yes, they will be more likely to

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5
Q

barriers to bf

A
  • discomfort, uneasiness, if they have never seen someone
  • pain
  • dont like the idea of it
    -lifestyle incompatibilty
  • discomfort in public
  • lack of lactation servicees
  • if family discourages it
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6
Q

how does obesity impact bf

A

less likely to bf

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7
Q

-lifestyle incompatibility , how is it an issue

A
  • working women
    dont have time
    have to go to work
    no time to bf
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8
Q

where is milk synthesized

A

alevoli

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9
Q

how many lobes on boobies

A

15-25

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10
Q

what does muscle do in boobs

A

squish milk out

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11
Q

IS AEROLA ELASTIC

A

YES

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12
Q

how much of the aerola should be in the babies mouth? where should the nipple be

A

whole lot of the aerola
- nipple should be in back of mouth

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13
Q

does breast size and fat content matter in breastfeeding or how much milk is produced

A

No

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14
Q

what triggers prolactin release

A
  • fall in progesterone
  • peaks: 10 days - 1 month
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15
Q

function of prolactin during pregnancy

A

prepares breast to secrete milk

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16
Q

when are prolactin levels highest

A

10 days after both, slowly decrease but remain. drop when breastfeeding is done

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17
Q

where is prolactin from

A

anterior piturarty

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17
Q

what happens when women have insuffienct glandular development

A

cant bf

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18
Q

when does prolactin synthesize and secrete milk

A

after pregnancy

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19
Q

oxytocin function

A
  • contract uterus
  • milk ejection
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20
Q

what is bf based on

A

supply and demand, more baby bf, more milk is produced

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21
Q

is the milk specific to the baby

A

yes

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22
Q

where is oxytocin produced and when

A
  • posterior pitutary
  • during suckling
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23
Q

let down / milk ejection reflex reflex is

A

OXYTOCIN ALLOWS milk to come down, baby is getting fed

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24
Q

how does bf decrease PPH

A

oxytocin release causing uterine contractions

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25
Q

uterus contracting during breastfeeding is known as

A

after pain

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26
Q

what happens with high levels of estrogen

A

inhibit lactation

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27
Q

how does the milk ejection reflex work

A
  • baby latches
  • nerve endings in areola and nipple are stimulated
    oxytocin is released
    oxytocin stimulates the cells to contract, milk is squeezed into ducts and towards nipples
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28
Q

what happens when a mom first bf

A
  • initally there will be little that comes out
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29
Q

what does the inital breast milk look like

A

watery

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30
Q

how does the milk eject reflex feel like

A

pins and needles

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31
Q

how does watery milk help

A

satisfy thirst

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32
Q

hind milk is

A

after the watery milk
- has a lot of fat
need to breast feed long enough to get hind milk

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33
Q

what helps the infant grow

A

hind milk

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33
Q

hind milk in poop looks like

A

fat globules

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34
Q

how long should one bf for (recommendations)

A

exclusive for 6 months
here and there up to 2years

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35
Q

why is breast milk better than formula

A

has specific milk proteins that is needed for growth
- fatty acids makes it digestable

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36
Q

how much whey protein is in breast milk and how much casein

A

70% whey, 30% casein

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37
Q

why is whey protein good

A

-high in essential amnio acids
- iron binding properties
- bacteriostatic

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38
Q

what helps absorb iron in breast milk

A

casein

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39
Q

what do long chain polyunsaturated fatty acids help with

A
  • myelination of spc and nerves
  • visual acuity
  • cognitive and behavioural function
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40
Q

does breastmilk tailor to babies needs

A

yes

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41
Q

vitamin d requirement

A

400IU daily

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42
Q

do babies need water? why

A

no, takes up space for milk

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43
Q

how do babies get iron while being breastfed

A

for 6months from moms iron reserves from utero
and they need it from else where (food)

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44
Q

how long is iron fortified formula required for

A

till age 1

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45
Q

how can babies get vitamin D

A

d drops from pharmacy

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46
Q

should formula fed babies get more vitamin D

A

yes

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47
Q

which milks iron is better absorbed (breast milk or forumula)

A

breastmilk

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48
Q

iron rich foods to start babies on

A

meat
meat alternatives
iron fortified irons

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49
Q

do low birth babies get iron supplements

A

yes

50
Q

60-80ml of water/kg needed, when

A

first two days

51
Q

how much water/kg is needed by day 3-7

A

100-150

52
Q

how much water/kg is needed by day 8+

A

120-180

53
Q

how often should breast fed babies get fed

A

2-3 hr every day

54
Q

what is cluster feeding

A
  • happens during spontaneous growth spurt
  • q1h x 5
55
Q

what type of stool happen by day 3

A

transitional stool

56
Q

what do the stools look like by day 5-6

A

yellow
soft
fat globules

57
Q

how many feedings for formula fed babies per day

A

6-8 in 24h

58
Q

how many stools per day in the first month

A

3 stools per day

59
Q

will forumla fed babies have same stool

A

smellier, darker

60
Q

output of urine matches

A

the day of life

61
Q

how much weight do babies lose in the first 3-5 days

A

10%

62
Q

when do babies regain the weight loss

A

2 weeks

63
Q

when do growth spurt occur

A

10 days
3 weeks
6 weeks
3 months
6 months

64
Q

how long do growth spurts last

A

24-48hrs

65
Q

colostrum is

A

inital milk that baby gets, doesnt need anymore

66
Q

benefits of colostrum

A
  • helps pass mecoim
    rich in antibodies, lower in fat than regualr breast milk
  • helps with fluroa in GI
67
Q

what changes the most in breast milk

A

fat content

68
Q

which milk has dense fats and many calories

A

hind milk

69
Q

how ling should feedings be to get hind milk

A

over 10 mins

70
Q

breast milk stages

A

colostrum to transition milk to mature milk and hind milk

71
Q

fore milk has

A

lactose proteins
water soluble vitamins

72
Q

how to assess feeding is going well

A
  • the chart:
73
Q

what does the context of delivery mean

A
  • vaginal, c section
    lacerations
    pain?
74
Q

what information is in the chart

A

first time baby, several
breast fed before
knowledgable about breast feeding
the context of delivery,

75
Q

interviewing the family

A

hows it going
does mom have partner
how do they feel about breastfeeidng
where do they live? are there resoruces

76
Q

can a mom bf while shes on methadone

A

yes!

77
Q

can you breastfeed 2 hrs after drinking

A

no

78
Q

how long should mom wait after smoking to breast feeding

A

2 hours

79
Q

does smoking impact breast milk

A

yes! decreases production

80
Q

what does LATCH stand for

A

L- latch
A- audible
T- type of nipple
C - comfort
H - holding/ position

81
Q

latch score 2 is

A

grasps breast
tongue down
lips flanged
rhythmic sucking

82
Q

audible score 2 is

A

spontaneous and frequent

83
Q

comfort score 2 is

A

no discomfort
soft
tugging feeling but no pain

84
Q

type of nipple score 2 is

A

everted after stimulation

85
Q

holding score 2 is`

A

no assist from staff
mother holds baby

86
Q

should mom bring baby to breast or breast to baby

A

baby to breast

87
Q

what to observe with feedings

A
  • condition of breast
  • condition of nipple
    scars, piercing or implants
    nicotine replacement
    positioning
    latching on
    maternal response
    infant response
    partner response
88
Q

what impacts moms nipples

A

if baby has thrush
- could be blistersted, cracked

89
Q

are piercings a problem?

A

only if its in the areola, could affect nerves as well

90
Q

can one breastfeed with implants?

A

yes only if milk ducts arent in the way

91
Q

best nicotine consumption

A

gum or spray anything short acting

92
Q

nipple should be aligned with

A

babies nose
- mouth is in direct line

93
Q

are swallowing noises good?

A

yes

94
Q

should breastfeeding be rthymic

A

yes

95
Q

how to hold baby after c section

A

side lying hold
football holding
pillows

96
Q

whats a late sign of hunger

A

crying

97
Q

when does milk come in after c section and why

A

comes late, stress from surgery meds

98
Q

early signs of hunger

A
  • sucking on fingers and hands
  • waking up
  • rooting
  • hunger posture: clenched
99
Q

should you use soap on the breast

A

no its drying

100
Q

what happens with poorly fitted bra

A

clogged ducts

101
Q

with younger babies do their nose touch the boobies

A

yes

102
Q

what are some signs baby is getting enough milk

A
  • weight gain
    output
    BM
    soft breast
103
Q

how do we know baby is full

A
  • arch back and push away
  • fall asleep
  • arms and legs extended
  • content
104
Q

do babies stay at breast after they are full and why

A

yes it is called, non-nutritive sucking
for comfort

105
Q

how to fix sore nipples

A

-make sure there is no infection
- correct latching and postioning
- ensure baby is not tongue tied
- oitment , remove before breastfeeding
- see physican for thrush, plus treat baby
- nipple shields

106
Q

what causes sore nipples

A
  • vasospams
  • poor latch
  • infection
  • inproper sucking
107
Q

what do nipple shields help with

A
  • sore nipples
  • for premies
  • tongue tied
  • flat nipple
108
Q

when does engorgment happen

A

day 2-5

109
Q

what do the breast feel like when they are engorded

A

very hard, hot, shiny

110
Q

how to fix engorgment:

A
  • feed frequently
  • cold compress or warm
    cold cabbable leaves
    advil
    express milk in shower
111
Q

plugged ducts, do the mom have a fever

A

no

112
Q

how to fix clogged duct

A
  • feed often and on that side??
  • massage
  • warm compress
  • hand expression
113
Q

what causes a plugged duct

A

inadequate emptying of breast

114
Q

what does a yeast infection fee like

A

no fever
- shooting, stinging, burning pain

115
Q

causes of yeast infection

A
  • antibiotic use
  • nipple damage
  • vaginal yeast infection
  • baby with thrush
116
Q

treatment for yeast infection

A
  • antifungal for 14 days
    good HH
117
Q

how does one get mastitis

A

staph aureus, cracked nipple is the entry point
- from babies mouth, milk stasis, moms skin

118
Q

risk factors of mastitis

A
  • inadequate emptying
    plugging ducts
    baby is not feeding
  • underwire bras
  • poor nutrion, illness, trauma
119
Q

s s for mastitis

A

fever
flu like symptoms
localized breast pain
red hot area on breast

120
Q

treatment for mastitis

A

antiboitics
- feel on different side if too mainful
- antipyretics, analgeiscs
warm compress

121
Q

what can lead to a breast abcess

A

mastitis

122
Q

what can one get from mastitis

A

chronic mastisits and fungal infection

123
Q

proper latching sign

A
  • babies mouth fully covers areola

372 (6 decks)

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