Breastfeeding

Question 1

Fat changes through the breastfeeding session from ___ to __

Answer 1

Fore milk (less fat) - hindmilk (more fat)

Question 2

What can fat free formula lead to

Answer 2

Linoleic acid deficiency and malnutrition

Question 3

What is HMO (what macronutrients)

Answer 3

Human milk oligos: strengthens good gut bacteria

Carbs

Question 4

Describe milk flow

Answer 4

Milk flows from alveolar cells where it’s produced by the lactiferous sinuses = fore milk
More suckling = oxy released, let down reflex occurs
More fat injected becomes hind milk

Question 5

Hormones: Estrogen

Answer 5

Stimulates growth and specification of ducts - preps for milk production
Levels drop after birth and remain low for several months of breast feeding

Question 6

Hormones: progesterone

Answer 6

Low levels after birth –> stimulate prolactin production

Growth in alveoli and lobes ***

Question 7

Hormones: prolactin

When is response highest

Answer 7

Suckling stimulates anterior pituitary to release
Acts on Acinar cells to produce milk
2-6am

Question 8

Hormones: oxytocin

Answer 8

Suckling stimulates release from posterior pituitary

Contracts myopic helical cells around alveoli

Question 9

Does oxy act only one breast

Answer 9

No acts on two breasts

Question 10

Early and mid hunger cues

Answer 10

Early - rooting, mouth opening and licking

Mid - hands to mouth, cooing, sucking sounds

Question 11

Rate of sucking

Answer 11

1 suck per second with let down

2 sucks per second when milk flow slows (near end)

Question 12

Ratio of whey and casein in breastmilk and cows milk

Answer 12

60:40 in breast milk and 20:80 in cows milk