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Doula Work > Breastfeeding > Flashcards

Breastfeeding Flashcards

1
Q

What is the Baby Friendly Hospital Initiative?

A

Global program that helps hospitals recognize best breastfeeding practices to support mama and baby

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2
Q

What are the 10 steps to successful breastfeeding?

A
  • Have a breastfeeding policy. Teach it to staff
  • Train staff with skills to implement policy
  • Inform pregnant woman on breastfeeding benefits and management
  • help moms breastfeed within first hour of birth
  • show moms how to breastfeed, maintain lactation, even if separated from their infant
  • practice rooming in
  • encourage breastfeeding on demand
  • no pacifiers or artificial nipples
  • help with establishment of breastfeeding support groups and refer moms to them on discharge
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3
Q

What is the nearest baby friendly hospital to the Hampton Roads?

A

Virginia Commonwealth University Medical Center in Richmond VA

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4
Q

What is section 4207 of the patient protection and affordable act (federal law) ?

A

employers must provide reasonable
breaks for nursing mothers to express breast milk, in a private location, in the first year of baby’s life

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5
Q

What is the Virginia Pregnant Workers Fairness Act?

A

Requires employers to provide frequent break to nursing mothers, and access to a private location to nurse.

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6
Q

What is colostrum?

A

first milk that is produced by breasts after birth

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7
Q

What are the benefits of giving baby colostrum?

A

rich in antibodies, protein, vitamins, and immunoglobulins that protect baby from infections

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8
Q

Should honey be consumed by infants?

A

No, honey should be avoided be

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9
Q

What is botulism?

A

A serious illness caused by toxins that attacks the body’s nerves. Symptoms include muscle weakness that can be found in the eyes, mouth, throat, arms, legs, etc.

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10
Q

What is amenorrhea?

A

The absence of monthly menstrual periods. Without ovulation and periods, a woman cannot get pregnant.

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11
Q

True or False: breastfeeding is related to a longer period of amenorrhea and infertility after delivery?

A

True

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12
Q

What are the recommendations surrounding breastfeeding from AAP and WHO?

A

They recommend exclusive breastfeeding for babies up to 6 months. After 6 months, you can introduce complementary foods.

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13
Q

What is normal weight loss for newborn after birth ? When should they regain weight?

A

Weight loss can be up to 10% of birth weight, but they should regain their birth weight by day 14.

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14
Q

What is abnormal weight loss for a newborn?

A

not regaining

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15
Q

Are children who are breastfed exclusively for at least 6 months usually at lower or higher risk of being obese?

A

lower

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16
Q

What are some possible explanations for the protective effect of breastfeeding against childhood obesity?

A

Self regulation/behavioral theory: infants learn how to self regulate their food intake by naturally unlatching from the breasts when full instead of being forced to eat.

Metabolic programming: mom’s breastmilk has fatty acids that lowers adipocytes in babies body. too much adipocytes lead to higher insulin levels, which lead to insulin resistance, which is strongly associated with abdominal fat

Differences in macronutrient intake

families that breastfeed tend to adopt healthier lifestyle habits as well

formula-fed infants consume larger volumes and gain weight faster

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17
Q

What is the relationship between breastfeeding and weight loss postpartum?

A

Breastfeeding and pumping helps burn calories and can accelerate weight loss postpartum

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18
Q

True or false: slight asymmetry in breasts is abnormal?

A

false

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19
Q

Can flat or dimpled nipples and true inverted nipples still breastfeed?

A

Yes it is possible, but mom may need help from a lactation consultant.

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20
Q

What are the 3 Steps in the 3 Step Education Counseling Method?

A

1) Begin Conversation
2) Affirmation
3) Education

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21
Q

What is the 3 Step Education Counseling Method?

A

According to my breastfeeding training course, it is a counseling method for providers to go by when they are assessing patient’s needs and providing them with information. This helps providers do so in a way that is effective and makes the patient feel heard.

22
Q

What does step 1 of the 3 step education counseling method consist of?

A

Begin conversation:
- ask open ended questions ex) who, what, when, tell me about, etc
- ask follow up questions to clarify patient’s answers

23
Q

What does step 2 of the 3 step education counseling method consist of?

A

Affirmation: Acknowledge patient’s feelings so they are more receptive to recommendations. Can build trust and comfortability.

24
Q

What does step 3 of the 3 step education counseling method consist of?

A

Education: address concern and give options, education w/ information relevant to patient’s situation, keep information short and simple, repeat so client can remember it, give resources, don’t be judgemental

25
Q

What are some health benefits for the breastfeeding mother?

A

Reduces risk of type 2 diabetes, breast cancer, ovarian cancer, and hypertension

may decrease risk of postpartum depression (oxytocin release)

delays postpartum ovulation (with exclusive breastfeeding) to support birth spacing

26
Q

How can oxytocin release during breastfeeding benefit mom?

A

oxytocin is the same hormone released during orgasm. Called the “love hormone” or “feel good hormone”

increases relaxation, reduced stress, and bonding with infant

increases uterine contractions which reduces maternal blood loss after delivery and aids in faster postpartum recovery

27
Q

What are some health benefits for the breastfed infant?

A

Because of the antimicrobial and anti inflammatory agents as well as antioxidants found in human milk, it reduces the risk of baby developing many conditions, including childhood leukemia, type 1 and type 2 diabetes, SIDS, and urinary tract infection, lower respiratory tract infections, necrotizing enterocolitis (NEC), late onset sepsis in preterm infants, acute otitis media, and some gastrointestinal illnesses,

28
Q

What are the environmental benefits of breastfeeding?

A

breastfeeding reduces the amount of waste from formula bottles, which usually end up in landfills having a negative impact on our environment. For every 1 million infants who are formula fed, 150 million formula containers are consumed.

29
Q

When does the CDC advise against breastfeeding?

A
  • when infant is diagnosed with galactosemia
  • mom has been infected with diseases such as HIV, HTLV, or active tuberculosis
  • mom is undergoing radiation therapy ( may only be a temporary interruption)
  • mom is taking cancer chemotherapy
  • mom is using or dependent on an illegal or unprescribed drug
  • mom is taking antiretroviral medications
30
Q

What is galactosemia?

A

A rare hereditary disorder where a person cannot turn the simple sugar galactose (a simple sugar that makes up half of lactose, found in human and animal milk) into glucose. If infant with galactose is given milk, it will build up in infant’s system, damaging the liver, brain, kidneys, and eyes.

31
Q

What are some symptoms of galactosemia?

A

convulsions, irritability, lethargy, poor feeding (baby refuses to eat formula containing milk), poor weight gain, yellow skin (jaundice), vomiting

32
Q

True or false: According to AAP, A mom with Hepatitis C cannot breastfeed.

A

False. A mom with Hep C can still breastfeed.

33
Q

What is HTLV?

A

Human T cell lymphotrophic viruses. Known for their potential to cause cancer, and can be transmitted through blood, breast milk, and semen.

34
Q

What are the types of milk a mom’s breasts produces?

A

colostrum, transition milk, and mature milk: fore milk and hindmilk

35
Q

When does colostrum begin to appear?

A

prenatally to about day 3-4 after birth

36
Q

When does transition milk begin to appear?

A

around 7-10 days postpartum to 2 weeks postpartum

37
Q

When does mature milk appear?

A

Generally after two weeks postpartum

38
Q

What is foremilk?

A

Foremilk is produced earlier in the feeding session and has a thin bluish appearance. It has lower fat than hindmilk.

39
Q

What is hindmilk?

A

Hindmilk is produced later in the feeding session. It has higher fat but lower protein than fore milk. It increases infants feeling of fullness.

40
Q

What are the benefits of skin to skin contact immediately after birth?

A

skin to skin bonding is associated with long term breastfeeding success, some research suggests at a rate of 50% longer

41
Q

Why is it important to initiate breastfeeding in that first hour?

A

Because not doing may decrease mill supply and can predict early breastfeeding failure

42
Q

What are some early hunger cues?

A

smacking or licking lips
sucking on hands, fingers, toys, lips, or clothing
opening and closing mouth

43
Q

What are some active hunger cues?

A

squirming, increased physical movement
hand to mouth
stretching
rooting at the chest
pulling up on the mother’s clothes to nurse or arches back to position him/herself for nursing

44
Q

What are late hunger cues?

A

crying
moving head back and forth
falling asleep from exhaustion

45
Q

What are some signs of adequate milk supply?

A

Baby goes through 6-8 wet cloth diapers or 5-6 disposable diapers

Baby may poop after each feed or pass 1-2 large bowel movements in 24 hours

46
Q

How does a babies’ poop change over time?

A

Meconium ( first stool after birth ) will be thick, black, and tarry

After 2-3 days, stool looks greenish

After 4-5 days, stool looks yellow or golden

47
Q

What are the benefits of breast massage during pumping and hand expression after pumping?

A

It increases milk volumes

48
Q

What does WHO recommend when it comes to breastfeeding?

A

Exclusive breastfeeding until 6 months with continued breastfeeding + complementary foods up to 2-3 years of age

49
Q

What is mother- initiated weaning?

A

Gradually replacing one feed at a time with a liquid or a solid

50
Q

What is natural weaning?

A

allowing child to outgrow breastfeeding at their own pace. This slowly decreases mother’s milk supply over time. The age child stops can vary widely.

51
Q

What is a “nursing strike”? What are some possible causes, and what can be done?

A

When an infant refuses to breastfeed all of a sudden. This may be due to moms soap, deodorant, or perfumes, moms stress, onset of menstruation in mom, or infant teething. Often, infants exhibiting this can be gradually and gently persuaded into breastfeeding again.

Doula Work (6 decks)

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