breastfeeding- week 5 Flashcards
breasts in pregnancy
Increase in size and vascularity to prepare for lactation; increase in nipple size, becoming more erect and pigmented
Production of colostrum: antibody-rich, yellow fluid that can be expressed by the 3rd trimester; conversion to mature milk after delivery
Hormones and Milk Production
Skin-to-Skin & Sucking
Tells mom’s brain to make
Prolactin- Ant pituitary - Makes milk
Oxytocin - Post pituitary - Milk let down
skin to skin (sacred hour)
- Thermal synchrony- Maintains his body temperature normal
- Maintains his heart rate, respiratory rate and blood pressure
- Start breast feeding as soon as you can so baby is less likely to cry and is more likely to latch on well
- Is more likely to breastfeed exclusively and longer
- Will indicate to his mother when he is ready to feed
- It boosts baby’s mental development and immune system
- It reduces baby’s stress and pain
- It prevents postpartum depression
- It helps you make milk
- It promotes bonding with dad
benefits of breast feeding
S2S is a Treatment But, unsupervised S2S can be dangerous how can u prevent SUPC
Prevent SUPC (Sudden Unexpected Postnatal Collapse)
Teach and monitor safety
Monitor mother & infant:
delivery staff - continuously
postpartum staff - regularly
Mom sleeping? Where is baby?
with awake & alert support person
in bassinet
safe S2S
Face visible
Head in “sniffing” position
Nose and mouth not covered
Head turned to one side
Neck straight
Shoulders and chest face mom
Legs flexed
Back covered with blankets
baby led breastfeeding
Babies are “tummy-feeders”:
born with instincts to find breast and latch when “tummy-to-mummy”
Start skin-to-skin
Baby on top of mom
Mom supports baby’s back and shoulders
Mom follows baby:
Squirms and bobs head when hungry
Moves toward nipple and latches
born with instincts to find breast
baby wont latch?
S2S and baby-led BF
Tummy-to-mummy
Nose-to-nipple
Mom’s thumb at baby’s nose
Chin/lips touching side of breast
Baby’s lower lip far away from base of nipple
Express, give drops of colostrum
Wait for WIDE mouth
Pull shoulders deep, express milk into mouth
how do you know the baby is hungry
I lick my lips
I suck my tongue
I bring my hands to my mouth
I show my rooting reflex
I suck on my fingers
I start to fuss
baby is full when…
I come off the breast happy
I’m fully relaxed
I’m satisfied
I stay asleep
what is a lactation aid
A way to give extra nutrition (supplements) without bottle
A feeding tube attached to a syringe/container of milk
Tubing inserted into baby’s mouth at breast
enegorment
Painful inflammation
Milk stasis can lead to mastitis
Can shut down milk supply
URGENT Manage by Breast emptying Anti-inflammatories
breast care to prevent mastitis
Hand Hygiene
Hand Expression
Empty breasts frequently
Cleanliness-baby, self
Nursing Bra
Milk pads
Boppy pillow
Proper positioning
Proper latch
breast care to prevent mastitis
Hand Hygiene
Hand Expression
Empty breasts frequently
Cleanliness-baby, self
Nursing Bra
Milk pads
Boppy pillow
Proper positioning
Proper latch
best start in breastfeeding
S2S: birth until after first BF
Baby-led BF
Frequent BF/expression in 1st days
more milk sooner
NICU baby? Hand express 1st hour
Get help if BF hurts
Plan for 2nd night
Avoid bottles
