Breastfeeding and expression Flashcards
What are 3 health benefits for the mother breast feeding?
Protects against:
Breast cancer
Ovarian cancer
Osteoporosis
What are 3 health benefits for babies from breastfeeding?
Lower risk of:
Obesity
Diabetes
Allergies
List the 4 steps in the enterobronchomammary pathway
1- mother exposed to infection
2- white blood cells produce specific antibodies
3- the white blood cells go to the breast and continue producing antibodies
4- antibodies are secreted into breast milk and protect the baby
Advantages of breast feeding
Reduces diarrhoea
Increased immunity to infection
Introduces normal gut bacteria
What are the 4 steps of the prolactin response?
1-baby suckles
2-sensory impulses travel from nipple to brain
3-prolactin secreted goes via bloodstream to breasts
4-milk secreting cells produce milk
What are four steps in the oxytocin reflex?
1- baby suckles
2-sensory impulses pass nipple to brain
3-oxytocin secreted goes via bloodstream to breasts
4-muscle cells contract and expel milk
What can stimulate oxytocin secretion?
Touching the baby
Seeing the baby
Hearing the baby cry
What can hinder the oxytocin reflex?
Pain/ soreness
Worry/anxiety
Negative feelings
How does the presence of a feedback inhibitor (secreted in milk) affect milk production?
It blocks further milk production when there is a build up of milk
How does removal of milk affect milk production?
It removes the feedback inhibitor, stimulating more milk production
Advantages of skin to skin contact
Shares bodily heat
Stimulates oxytocin
Encourages attachment
Calming
What is baby led feeding?
Responsive feeding
Observing cues that the baby is hungry (rooting, head bobbing, reaching) and feeding accordingly
What are 3 reflexes the baby has?
Rooting (when something touches it’s lips it opens its mouth and turns its head)
Sucking
Swallowing (when his mouth fills with milk he swallows)
What are some signs of good attachment?
Rounded cheeks Rhythmic sucking More Areola visible above top lip than below bottom lip Nose touching/ close to breast Chin indenting breast Lower lip curled back Wide mouth
Signs of ineffective feeding
Baby not gaining weight Sore nipples Frustrated baby Less milk produces (as not being removed) Baby hungry and crying
Positioning of the baby (CHIN)
Hold baby Close
Allow Head to move
Head In line with body
Nose to nipple
Why is expressing useful?
Breast comfort (prevent over-fullness, leaking)
Helping baby learn to breast feed (allowing him to taste milk)
Stimulation of milk supply (eg if mother and baby are separated)
Obtaining milk for baby who can’t feed
Enabling someone other than mother to feed the baby
How to express
1- massage breast
2- form C shape 2-3 cm from nipple base
3- compress rhythmically without rubbing skin
4-rotate fingers around
Difficulties feeding a preterm
Baby
Unable to suckle strongly
Lacks energy
May need nutrients that can’t get from breastfeeding alone
How does preterm milk differ to full term milk?
More protein
More calcium+sodium
Less lactose
Higher fat content
Why may you cupfeed a preterm baby?
Allow oral experience
Enhance digestion (involving the saliva)
To top up breast feeds if baby isn’t feeding effectively
How can you calm a baby?
Skin to skin
What is the name of milk secreting cells in the nipple?
Acini cells
