Breastfeeding and Maternal Medications

Question 1

LATCH score….?

Answer 1

LATCH score, which allows objective evaluation of breastfeeding—
latching,
audible swallow,
type of nipple,
comfort, and
hold

Question 2

Expected physiologically appropriate small colostrum intake…?

Answer 2

about 15 to 20 mL in the first 24 hours

Question 3

Guidelines for breast milk storage

Answer 3

(i) use fresh, unrefrigerated milk within 4 hours of milk expression (CDC: 6 to 8 hours)

(ii) refrigerate milk immediately following expression when the infant will be fed within 96 hours (CDC: 5 days);

(iii) freeze milk when the infant is not being fed or the mother is unable to deliver the milk to the hospital within 24 hours of expression

Question 4

Breast feeding in Varicella mothers…?

Answer 4

Varicella in the mother 5 days prior to delivery or 2 days after will require separation of the mother–infant dyad.

However, expressed breast milk can be given and breastfeeding may be initiated once the lesions are crusted.

Question 5

Breast feeding and alcohol …?

Answer 5

Alcohol use should be avoided because it is concentrated in milk and it can inhibit short-term milk production. Although an occasional, small alcoholic drink is acceptable, breastfeeding should be avoided for 2 hours after the drink.

Question 6

Careful