Breastfeeding

Question 1

Disparities in Breastfeeding

Answer 1

Blacks are 50% lower than white

Question 2

WHO/UNICEF Steps to Successful Breastfeeding

Answer 2

1. Written breastfeeding policy communicated to all health care providers
2. Train all health care staff in skills to implement policy
3. Inform all women about benefits of the boobie
4. Help initiate breastfeeding within 1 hr
5. Show how to breastfeed and maintain lacation
6. No other food or drink than breastmilk
7. Rooming in
8. Breastfeeding on demand
9. No artificial nips or pacifiers
10. Breastfeeding support groups for post discharge

Question 3

Nutrition for Newborn

Answer 3

Can go 1st day without eating
Hypoglycemia < 30
No baby is on schedule!

Question 4

Culture against Breastfeeding

Answer 4

Modesty, embarrassment, rude comments, staring, work rules and regulation (lack of)

Question 5

Baby’s Benefits of Breastfeeding!

Answer 5

Reduces: ear infections, gastroenteritis, lower respiratory infection, atopic dermatitis, asthma, obesity, type 1 and 2 diabetes, childhood leukemia, lymphoma, SIDS, NEC (short gut syndrome)

Question 6

Mothers Benefits from Breastfeeding

Answer 6

Reduces risk of breast, uterine, and ovarian cancer and postpartum depression

Question 7

Breastfeeding Benefits to Society

Answer 7

Reduced health care costs
Reduced cost to WIC programs
Healthier population
Reduce formula cans- environment friendly! 
Less work absences from child illness

Question 8

USA Breastfeeding

Answer 8

12% of infants are breastfed exclusively for 6 months

If 90%- 13 billion dollars would be saved

Question 9

Day 1 Feedings

Answer 9

Term babies within first hour of life- awake for about 2 hours- looking for the boobie!
Sleepy stage, 4-8 hours or longer
Wake up to feed!
Unwrap (if over 98.0) to wake up and promote skin to skin

Question 10

Breastfeeding Positions

Answer 10

Cradle Hold
Football Hold
Sidelying- all against mom skin
Laid Back- belly down
Stoke cheek with nipple- baby will root and open wide!

Question 11

Breastfeeding Length

Answer 11

Leave on breast for 10-30 minutes
Can try and burp and switch breasts
Next feeding should be on opposite breasts

Question 12

Types of Milk

Answer 12

Colostrum- thirst quenching
Hind milk- thicker, when baby stays on breast for at least 10 minutes
Skim like milk when sucking for only 5 minutes

Question 13

Breastfeeding Frequency

Answer 13

Frequent feedings help establish a milk supply
Begin pumping ASAP if baby cannot or is not willing
Pump 4 hours after delivery if not breastfeeding

Question 14

Milk Expiration

Answer 14

After baby drinks it- good for 1 hour
Fresh milk is good for 4-8 hours at room temp
Stored in refrigerator for 3-5 days 
Frozen for 3-5 months
Deep freeze 6-12 months

Question 15

Breast milk Care

Answer 15

Gently swirl
DO NOT SHAKE OR MICROWAVE
Denatures the milk

Question 16

Breastmilk Properties

Answer 16

Foremilk- high water content, not a lot of fat but thirst quenching
Hind milk- high fat content, supports growth

Question 17

Breastfeeding Hormones

Answer 17

Prolactin is the major milk stimulating hormone
Highest levels at end of pregnancy
Progesterone keeps Prolactin multiplying
Prolactin receptors multiply in breasts after delivery

Question 18

Prolactin

Answer 18

Frequent sucking is responsible for development of more Prolactin receptors
Over a few weeks- milk production goes from endocrine to autocrine (receptors in the breast)
Locally controlled after birth

Question 19

Refilling of the Breast

Answer 19

As it fills up, concentrations of why protein rise and trigger a cutback in production
As it decreases, the lower the concentration of FIL and allows breast to make more milk
FIL- Feedback Inhibitor of Lactation

Question 20

Breast milk Handling

Answer 20

Swirl, microwave

GLOVES! is a bodily fluid

Question 21

Milk Ejection Reflex

Answer 21

Let down
Prolactin and Oxytocin is also released
Causes muscle like cells in the alveoli of the breast to contract and milk go into ducts
Milk will freely flow with the reflex occurs
Causes: other babies crying, eating or drinking fluids
Can occur more than once in a feeding