Breastfeeding

Question 1

How long should you breast feed exclusively for?

Answer 1

Infants should be exclusively breastfed for the first six months of life to achieve optimal growth, development and health and continue up to two years of age or beyond

Question 2

This cream can help promote moist wound healing

Answer 2

Lansinoh

Question 3

What could the following cause:
Delay in first feed
Ineffective positioning and attachment
Restricted feeding
Ineffective emptying
Supplementation

Answer 3

Engorgement

Question 4

The breasts look shiny because of the oedema and can be painful.
The milk does not flow well due to increased pressure in the breast.
The breast (s) may be red
The mother may be feverish

Answer 4

Engorgement

Question 5

Antibiotics for mastitis (and alternative if penicillin allergic)

Answer 5

Flucloxacillin (1g 4x a day)

Clindamycin if penicillin allergic (450mg 3x a day)

Question 6

What causes breast thrush?

Answer 6

Candida Albicans

however this is pretty rare, consider other causes first!

Question 7

An agonising pain in both breasts
Pain is felt equally in both breasts
Pain AFTER every feed

Answer 7

Breast thrush

Question 8

Signs of thrush in the infant

Answer 8

• nappy rash
• oral thrush
• baby pulling off breast while feeding
• baby windy, fretful or difficult to settle

Question 9

Treatment of superficial breast thrush

Answer 9

Miconazole cream 2% for 1 week

Question 10

Treatment of deep breast thrush

Answer 10

Fluconazole

300mg loading does and then 150mg daily for at least 10 days

Question 11

Treatment of thrush in baby

Answer 11

Oral nystatin suspension for 1 week

Question 12

Treatment of thrush in baby > 4 months

Answer 12

Miconazole oral gel