Breastfeeding Flashcards
1
Q
Recommendations for Breastfeeding (3)
A
- Should be done exclusively for first 6 months
- Have effective latch and suckle by 48 hours of life
- No supplementation in first 2 days
2
Q
Prenatal Education
A
One of the most important potential interventions for increasing breastfeeding initiation and duration
3
Q
Healthy 2020 Objectives (3)
A
- Increase the proportion of mothers who breastfeed
their babies - Decrease the percentage of breast-fed newborns who
receive formula supplementation within the first 2
days of life - Increase the percentage of live births that occur in
facilities that provide recommended care for lactating mothers and their babies
4
Q
Skin to Skin (7)
A
- Immediately after birth
- No bedding or clothing between them
- Uninterrupted for 30 minutes
- Delay routine procedures until after
- Ensure 8-12 feeds at breast /24 hours
- NO supplements unless medically necessary
- DO NOT DELAY – Vitamin K / Hep B
5
Q
First feeding (2)
A
- Initiate within 1 hour of delivery in the U.S. –
2. FIRST FEEDING SHOULD OCCUR 30-60minutes AFTER BIRTH!
6
Q
Skin-to-Skin in Newborn Advantages (7)
A
- Promotes physiologic stability
- Provides thermal regulation
- Glucose homeostasis
- Decreased crying
- Enhances feeding opportunities
- Colonization with maternal flora
- Diminishes pain response (heel sticks)
7
Q
Skin-to-Skin for Mother (5)
A
OXYTOCIN RELEASE
- Uterine contractions – placenta
- Stimulates milk production
- Maternal attachment
- Feelings of love
- Bonding
8
Q
BF Steps (6)
A
- Infant suckles at breast
- Stimulation of nerve endings in mothers nipple /areola send message to mothers hypothalamus
- pituitary releases prolactin and oxytocin
- hormones travel via bloodstream to mammary glands to stimulate milk production
- milk ejection reflex occurs “let down”
- baby feeds
9
Q
Maternal Factors that Support Optimal Lactation (5)
A
- Normal breast anatomy
- Intact reflex
- Good general health
- Good nutritional status
- Effective support system
10
Q
Nutrition During Lactation (5)
A
- Healthy diet
- Drink fluids to thirst
- Adequate protein
- Additional 450-500 kcal/day
- calcium and vitamin D
11
Q
What is produced in breastmilk? (4)
A
- Colostrum – 1st few days “first immunization”
- High in concentration of antibodies
- Infection protective elements
- High in total protein
- Low in carbohydrate
- Lower volume then mature milk- ideal match for small gastric capacity - By day 2-5 early milk – colostrum becomes transitional milk- volume increases
- Mature milk by day 10-14
* with higher volumes produced, watery appearance - More output (voiding/stooling) – reassuring
12
Q
Foremilk (5)
A
- The initial milk produced by Nursing Mothers
- Thinner milk
- Fat sticks to the side of the alveoli cells while the watery portion moves down the ducts to the nipple
- The longer the time between feedsthe more diluted the milk
- Higher lactose content (good for energy) but lower fat
13
Q
Hindmilk (6)
A
- Comes toward the end of a feeding
- Higher fat content (most of the time)
- Nursing baby –> triggers the milk ejection reflexthis squeezes the milk and moves the ‘fat sticking cells’ into the ducts
- This happens as one nurses
- Filling – not thirst quenching!
- Higher in fat (calories for growth)
14
Q
Human Milk (8)
A
- Newborn immunologically immature
- Increased risk for infection
- Limited phagocyte function – limited response to
infection - HM – bolsters immature immune response
- IgA in colostrum binds to antimicrobial antigens enhancing the immune response and phagocytosis
- Vitamin A,C, E – higher in HM- scavenge free radicals
- Anti inflammatory properties at mucosal level to limit damage and facilitate growth
- LACTOFERRIN- Limits bacterial growth blocking penetration of viruses and bacteria
* Enhancing intestinal cell growth
* Protein
