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
2
Q
what factors influence bf
A
- partner support , family support
- previous experience
- education
- having two or more children
- weight
- knowledge
social comfort
3
Q
little support from partner =
A
less likely to bf, lack of encouragement
4
Q
does seeing other bf influence ones thought
A
yes, they will be more likely to
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
6
Q
how does obesity impact bf
A
less likely to bf
7
Q
-lifestyle incompatibility , how is it an issue
A
- working women
dont have time
have to go to work
no time to bf
8
Q
where is milk synthesized
A
alevoli
9
Q
how many lobes on boobies
A
15-25
10
Q
what does muscle do in boobs
A
squish milk out
11
Q
IS AEROLA ELASTIC
A
YES
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
13
Q
does breast size and fat content matter in breastfeeding or how much milk is produced
A
No
14
Q
what triggers prolactin release
A
- fall in progesterone
- peaks: 10 days - 1 month
15
Q
function of prolactin during pregnancy
A
prepares breast to secrete milk
16
Q
when are prolactin levels highest
A
10 days after both, slowly decrease but remain. drop when breastfeeding is done
17
Q
where is prolactin from
A
anterior piturarty
17
Q
what happens when women have insuffienct glandular development
A
cant bf
18
Q
when does prolactin synthesize and secrete milk
A
after pregnancy
19
Q
oxytocin function
A
- contract uterus
- milk ejection
20
Q
what is bf based on
A
supply and demand, more baby bf, more milk is produced
21
Q
is the milk specific to the baby
A
yes
22
Q
where is oxytocin produced and when
A
- posterior pitutary
- during suckling
23
Q
let down / milk ejection reflex reflex is
A
OXYTOCIN ALLOWS milk to come down, baby is getting fed
24
how does bf decrease PPH
oxytocin release causing uterine contractions
25
uterus contracting during breastfeeding is known as
after pain
26
what happens with high levels of estrogen
inhibit lactation
27
how does the milk ejection reflex work
- 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
28
what happens when a mom first bf
- initally there will be little that comes out
29
what does the inital breast milk look like
watery
30
how does the milk eject reflex feel like
pins and needles
31
how does watery milk help
satisfy thirst
32
hind milk is
after the watery milk
- has a lot of fat
need to breast feed long enough to get hind milk
33
what helps the infant grow
hind milk
33
hind milk in poop looks like
fat globules
34
how long should one bf for (recommendations)
exclusive for 6 months
here and there up to 2years
35
why is breast milk better than formula
has specific milk proteins that is needed for growth
- fatty acids makes it digestable
36
how much whey protein is in breast milk and how much casein
70% whey, 30% casein
37
why is whey protein good
-high in essential amnio acids
- iron binding properties
- bacteriostatic
38
what helps absorb iron in breast milk
casein
39
what do long chain polyunsaturated fatty acids help with
- myelination of spc and nerves
- visual acuity
- cognitive and behavioural function
40
does breastmilk tailor to babies needs
yes
41
vitamin d requirement
400IU daily
42
do babies need water? why
no, takes up space for milk
43
how do babies get iron while being breastfed
for 6months from moms iron reserves from utero
and they need it from else where (food)
44
how long is iron fortified formula required for
till age 1
45
how can babies get vitamin D
d drops from pharmacy
46
should formula fed babies get more vitamin D
yes
47
which milks iron is better absorbed (breast milk or forumula)
breastmilk
48
iron rich foods to start babies on
meat
meat alternatives
iron fortified irons
49
do low birth babies get iron supplements
yes
50
60-80ml of water/kg needed, when
first two days
51
how much water/kg is needed by day 3-7
100-150
52
how much water/kg is needed by day 8+
120-180
53
how often should breast fed babies get fed
2-3 hr every day
54
what is cluster feeding
- happens during spontaneous growth spurt
- q1h x 5
55
what type of stool happen by day 3
transitional stool
56
what do the stools look like by day 5-6
yellow
soft
fat globules
57
how many feedings for formula fed babies per day
6-8 in 24h
58
how many stools per day in the first month
3 stools per day
59
will forumla fed babies have same stool
smellier, darker
60
output of urine matches
the day of life
61
how much weight do babies lose in the first 3-5 days
10%
62
when do babies regain the weight loss
2 weeks
63
when do growth spurt occur
10 days
3 weeks
6 weeks
3 months
6 months
64
how long do growth spurts last
24-48hrs
65
colostrum is
inital milk that baby gets, doesnt need anymore
66
benefits of colostrum
- helps pass mecoim
rich in antibodies, lower in fat than regualr breast milk
- helps with fluroa in GI
67
what changes the most in breast milk
fat content
68
which milk has dense fats and many calories
hind milk
69
how ling should feedings be to get hind milk
over 10 mins
70
breast milk stages
colostrum to transition milk to mature milk and hind milk
71
fore milk has
lactose proteins
water soluble vitamins
72
how to assess feeding is going well
- the chart:
73
what does the context of delivery mean
- vaginal, c section
lacerations
pain?
74
what information is in the chart
first time baby, several
breast fed before
knowledgable about breast feeding
the context of delivery,
75
interviewing the family
hows it going
does mom have partner
how do they feel about breastfeeidng
where do they live? are there resoruces
76
can a mom bf while shes on methadone
yes!
77
can you breastfeed 2 hrs after drinking
no
78
how long should mom wait after smoking to breast feeding
2 hours
79
does smoking impact breast milk
yes! decreases production
80
what does LATCH stand for
L- latch
A- audible
T- type of nipple
C - comfort
H - holding/ position
81
latch score 2 is
grasps breast
tongue down
lips flanged
rhythmic sucking
82
audible score 2 is
spontaneous and frequent
83
comfort score 2 is
no discomfort
soft
tugging feeling but no pain
84
type of nipple score 2 is
everted after stimulation
85
holding score 2 is`
no assist from staff
mother holds baby
86
should mom bring baby to breast or breast to baby
baby to breast
87
what to observe with feedings
- condition of breast
- condition of nipple
scars, piercing or implants
nicotine replacement
positioning
latching on
maternal response
infant response
partner response
88
what impacts moms nipples
if baby has thrush
- could be blistersted, cracked
89
are piercings a problem?
only if its in the areola, could affect nerves as well
90
can one breastfeed with implants?
yes only if milk ducts arent in the way
91
best nicotine consumption
gum or spray anything short acting
92
nipple should be aligned with
babies nose
- mouth is in direct line
93
are swallowing noises good?
yes
94
should breastfeeding be rthymic
yes
95
how to hold baby after c section
side lying hold
football holding
pillows
96
whats a late sign of hunger
crying
97
when does milk come in after c section and why
comes late, stress from surgery meds
98
early signs of hunger
- sucking on fingers and hands
- waking up
- rooting
- hunger posture: clenched
99
should you use soap on the breast
no its drying
100
what happens with poorly fitted bra
clogged ducts
101
with younger babies do their nose touch the boobies
yes
102
what are some signs baby is getting enough milk
- weight gain
output
BM
soft breast
103
how do we know baby is full
- arch back and push away
- fall asleep
- arms and legs extended
- content
104
do babies stay at breast after they are full and why
yes it is called, non-nutritive sucking
for comfort
105
how to fix sore nipples
-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
what causes sore nipples
- vasospams
- poor latch
- infection
- inproper sucking
107
what do nipple shields help with
- sore nipples
- for premies
- tongue tied
- flat nipple
108
when does engorgment happen
day 2-5
109
what do the breast feel like when they are engorded
very hard, hot, shiny
110
how to fix engorgment:
- feed frequently
- cold compress or warm
cold cabbable leaves
advil
express milk in shower
111
plugged ducts, do the mom have a fever
no
112
how to fix clogged duct
- feed often and on that side??
- massage
- warm compress
- hand expression
113
what causes a plugged duct
inadequate emptying of breast
114
what does a yeast infection fee like
no fever
- shooting, stinging, burning pain
115
causes of yeast infection
- antibiotic use
- nipple damage
- vaginal yeast infection
- baby with thrush
116
treatment for yeast infection
- antifungal for 14 days
good HH
117
how does one get mastitis
staph aureus, cracked nipple is the entry point
- from babies mouth, milk stasis, moms skin
118
risk factors of mastitis
- inadequate emptying
plugging ducts
baby is not feeding
- underwire bras
- poor nutrion, illness, trauma
119
s s for mastitis
fever
flu like symptoms
localized breast pain
red hot area on breast
120
treatment for mastitis
antiboitics
- feel on different side if too mainful
- antipyretics, analgeiscs
warm compress
121
what can lead to a breast abcess
mastitis
122
what can one get from mastitis
chronic mastisits and fungal infection
123
proper latching sign
- babies mouth fully covers areola
