Breastfeeding Flashcards

1
Q

Health benefits for a baby that is breastfed?

A

Less gastroenteritis, reduced respiratory illness, ear infection, UTIs, atopic disease, diabetes, necrotizing enterocolitis, CV disease

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2
Q

Health benefits for a mother that is breastfeeding

A

Reduced breast cancer, ovarian cancer, hip fractures

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3
Q

Where do antibodies come from in mothers breast milk and how do they protect infant?

A

IgA protect gut lining and come directly from GALT/BALT pathways Peyers patches produce antibodies in milk directly from gut exposure

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4
Q

What does lactoferrin present in mother breast milk do for the baby?

A

Binds to free iron in gut so bacteria cant feed off it (ecoli)

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5
Q

4 hormones in breast milk?

A

Insulin, TSH, GH, Epidermal growth factor

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6
Q

Difference between milk insufficiency and milk production problems?

A

Milk insufficiency is when the baby doesnt attach properly but production problems are when there is effective attachment and feeding frequency

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7
Q

Benefits of skin contact?

A

Regulate temperature, hormone control, heart rate, breathing, bond with mother, breastfeeding

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8
Q

What is colostrum

A

Food produced by mother for newborn

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9
Q

What contents are found in colostrum

A

IgA, laxative for meconium, less volume higher density, lots of protein, fat soluble mineral (EAK), less lactose/fat/ water soluble vitamins

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10
Q

What cells produce milk and where are they found?

A

Acini cells found in the alveoli

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11
Q

How is milk expelled? what hormone is involved in the expulsion?

A

Myoepithelial cells contract due to oxytocin release

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12
Q

When do prolactin levels peak the most?

A

After a feed to stimulate further production

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13
Q

WHere are prolactin receptors found?

A

In acini cells

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14
Q

Where is prolactin released from?

A

Anterior pituitary

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15
Q

Where is oxytocin released from? what stimulates release?

A

Posterior pituitary, seeing baby, smelling baby, feeling baby, touching

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16
Q

What does regular breast feeding prevent the build up of?

A

Feedback inhibitor of lactation

17
Q

Good signs of feeding

A

long slow sucks, drawing sensation, cheeks round and full, wide lips, baby ends feed, breast softer after feeding

18
Q

How/why does a baby initially lose weight and how long till it puts it back on?

A

loses 10% body weight in 72 hours due to intracellular fluid loss and meconium, puts it back on in 10-14 days

19
Q

How much weight per month is a baby expected to put on between 0-4 months?

A

125-200g a week

20
Q

How much weight per month is a baby expected to put on between 4-6 months?

A

50-125g a week

21
Q

How much weight per month is a baby expected to put on between 6-12 months?

A

25-75g a week

22
Q

What causes engorgement of breasts?

A

Incorrect attachment, delayed first feed,

23
Q

Cause and signs of mastitis?

A

Stasis of milk in breast with or without infection, red, painful to touch, abscess, lumpy breast, flu ike, peau de orange

24
Q

Predisposing factors to mastitis?

A

Engorgement, blocked ducts, difficulty attachment, stress, tired

25
Q

Medical intervention for mastitis?

A

Ibuprofen, paracetamol, antibiotics, drainage of abscess

26
Q

Clinical presentation of nipples infected with candida?

A

itchy, painful, shooting pains that can last hours after breastfeeding, usually bilateral pain as thrush is passed by baby, loss of colour, cracked

27
Q

How does candida infection present in baby?

A

White around mouth that wont rub off, irritated whilst feeding, windy

28
Q

What oral gel is given to babys suffering candida infection?

A

Miconazole gel for baby and 2% cream for mothers nipples

29
Q

Preferred contraception whilst breast feeding?

A

POP

30
Q

4 contraindications for breast feeding?

A

Iodine treatment in the past, previous breast surgery, TB in sputum, HIV

31
Q

What drug shouldnt be taken during breastfeeding as it causes Reyes Syndrome?

A

Aspirin

32
Q

Drugs contraindicated in breast feeding?

A

Azathioprine, aspirin, iodine, oestrogen or bromocryptine, Phenobarbitone, ergotamine

33
Q

What is ergotism caused by ergotamine in breast milk?

A

Convulsive symptoms, painful seizure, spasms, diarrhoea, parasthesias, itching, mental effects of mania and psychosis, headaches, vomiting