Chapter 25 Flashcards
What is better Breast milk or formula?
Breast!
Notes
AAP recommends exclusive breastfeeding for the first 6 months of life and that breastfeeding contuines as complementary foods are introduced
Breastfeeding should contuine for 1 year
Formula is fine!
Remember the overall goal is to feed the baby!
No cows milk until baby is 1
Do not water down formula
Do not give baby water in between feedings
Lactation is the hallmark of what?
Female mammals
Lactations is under endocrine control
What two main hormones ?
Prolactin - produce milk
Oxytocin - contracts utrues and milk ducts to move milk and stop bleeding
When does lactogenesis start?
Begins during the late stages of pregnancy
The delivery of the placenta and the resulting dramatic reduction in progresteron, estrogen and human placental lactate levels stimulate?
Milk production
Colostrum is the first milk a breastfeed baby receives. What does it contain? (3)
High wbc
Antibodies
IGA
The IGA coats the infants immature intestines and helps prevent pathogens invading the baby’s system and ??
Helps with passing their first poop!
Milk production is a what?
Supply meets demand system
Why do we encourage mom to empty all the milk?
Usually feels soft and empty when doing so
Because if we don’t it leads to decrease milk supply
Notes
Oxytocin is essential to lactation
As the nipple is stimulated by the suckling infant, the posterior pituitary gland is prompted by the hypothalamus to produce oxytocin.
This hormone is responsible for the ?
Milk ejection reflex ( MER )
Let down reflex
What are some contraindications to breatfeeding?
HIV
tuberculosis
Herpes
What are 5 common breastfeeding positions?
Describe each?
Laid back
- mom on back and baby laying on mom stomach
Cradle hold
- your basic thought of breastfeeding
Cross cradle hold
- one arm hold boob up
- other arm hold baby to boob
Football hold
- twins usually
Side lying
- boob smacking baby basically
What does LATCH STAND FOR?
L - latch
( how likely baby is to latch )
A - audible swallow
( does baby immediately swallow or no )
t - type of nipple
( inverted or flat )
C - comfort
( is boob soft, firm ?)
H - hold
( how we are holding up the baby )
Newborns need to be breastfeed what?
8-12 times in a 24 hours period
The average time for early feedings is?
And per breast?
30-40mins
15-20mins
Why should the nurse need to watch at least 1 breastfeeding session every 8-12 hours while mom and baby are at the hospital?
In order to follow that LATCH
And education
What is breastfeeding engorgement?
Increase in milk production and breast become firm tender and hot and can appear shiny and taut
How do we prevent breast engorgement?
Early and frequent feedings 8-12 times in 24 hours
Or softenin it by pumping
What are some common interventions for engorgement?
Ice packs
Gel packs
Cold compressions
Warm compression
Breast massage
What is sore nipples?
Results from?
How do we treatment?
Literally soreness or painful
Crackled
Poor poisoning
Infection
Ointment
Is insufficient milk supply the reason why many woman stop breastfeeding?
Yes sadly
Careful evaluation of the mother and infant is needed
Assessments
Stress and fatigue can be why
Education on emptying the breast too
What is a plugged milk duct?
Caused by?
How do we treat?
Inadequate removal of milk from the breast
Tigjt clothing
Same position to breast feed
Warm compression
What is mastitis?
Symptoms ?
How does it look like?
Treatment ?
Inflammation of the breast
Flu like symptoms
Inflamed, red, hot, tender to touch
Antibiotic like cephalexin or dickoxacillin for 10-14 days and analgesic and antipyretic medications such as ib can help
Can we contuine to feed with Mastitis?
Yes
Sore, cracked nipples can lead to mastitis by providing portal of entry for causative organisms like?
Staph
Strep
E. Coli
