breastfeeding Flashcards
what is the advice regarding length of breastfeeding and why
exclusively breastfeeding for the first 6 months, and sustained for up to two years or longer with appropriate complementary feeding, is important for the nutrition, immunologic protection, growth and development of infants and toddlers
what are the benefits of breastfeeding to the child
less infections (middle ear, GI, upper resp, NEC)
decreased risk of certain illnesses and chronic conditions (allergies, diabetes, certain childhood cancers)
optimal cognitive devel
what are the benefits of breastfeeding to the mother
weight loss
decreased risk of osteoporosis
less post partum bleeding
less uterine and breast cancer
what are the benefits of breastfeeding to society
less cost
less garbage
less pollution
less loss of work time
how quickly does baby usually feed after birth
1 hour
should you bundle baby?
no–hats off at 6 hr
what is appropriate skin to skin positioning
airways clear spread eagled sniff postion clear view of babys face Hcp assessing babies
what is good evidence of milk transfer during breastfeeding
output from baby
weight
what are the three rules of breastfeeding
- feed the baby
- stimulate the breasts
- help baby learn to feed
how do you take care of rule number 1: feed the baby?
skin to skin
look for feeding opportunities
improve the latch
stimulate the baby
massage/compress breast
increase frequency
average volume of breastmilk per feed for a…
0-24 hour infant
7 mL
total per day 4-26 mL
average volume of breastmilk per feed for a…
24-48 hour infant
14mL
total per day 44-335 mL
average volume of breastmilk per feed for a…
48-72 hour infant
38 mL
total per day 98-775 mL
average volume of breastmilk per feed for a…
72-96 hour infant
58 mL
total per day 378-876 mL
average volume of breastmilk per feed for a…
96-120 hour infant
70 mL
total per day 452-876 mL
what are some reasons to supplement feeds
asymptomatic hypoglycemia unresponsive to frequent feeds (symptomatic, start IV)
clinical and lab evidence of dehydration –> more than 10% weight loss, high sodium, poor feeding, lethargy
weight loss of 8-10% accompanied by delayed lactogenesis II (day 5 or later)
delayed bowel movements or continued meconium stools on day 5
insufficient intake despite adequate milk supply
when macronutrient supplementation is indicated
hyperbilirubinemia–when assoc with poor feeding or insufficient breastmilk jaundice
what are some maternal indications to supplement feeds
delayed lactogenesis II and inadequate intake
breast pathology or surgery
intolerable pain
why do most infants lose weight in first 12-96 hours
all infants diurese in first 12-96 hours
name a galactogogue
domperidone
what is one cause of sore nipples when breastfeeding
ankyloglossia (tight frenulum)
clipping tight frenulum showed to decrease breastfeeding pain and increase milk transfer rate and production
