Chapter 6: Breastfeeding Flashcards
What percent of infants are breastfed?
48%
How much has breastfeeding increased for babies 6 months and under?
10%
What is the WHO’s target for the percent of moms breastfeeding by 2025?
50%
How many children could be saved by increasing breastfeeding rates?
820000 children
How many people do not have full coverage of essential health services?
4.5 billion
What does breastfeeding reduce in mothers?
Cancer and non-communicable diseases
What is 2x increased when breastfeeding is protected and supported?
The likelihood of mother breastfeeding
What can help mothers be more protected and supported breastfeeding?
Increasing investment in programs and policies
Workplace policies= maternity leave and good childcare
Breastfeeding counselling
Laws restricting breastmilk substitutes
How is breastfeeding shown online?
Easy
White mom and baby
Only newborn babies
Sexualization of breasts
Blank in four people don’t want to see breastfeeding on a magazine?
3 in 4
T or F: Human milk is species specific
True
What is breastmilk suited for?
Babies requirements for growth and development
Breast milk is the ultimate what?
Superfood, as it can independently sustain life
How is breastmilk adjusted for babies needs at birth?
Low protein due to underdeveloped kidneys
High in lactose for brain development
Should moms still breastfeed when sick?
Yes as it can protect baby from bacteria and viruses mom comes in contact with
What is colostrum?
“Baby’s fist vaccine” , “liquid gold”, occurs during early postpartum period
When should feeding first be initiated with baby?
Within the first hour
What is Estrogen and Progesterones role in pregnancy?
Prepare breasts to make milk, high during pregnancy and drops after birth thus triggering milk production, makes more ducts
What is prolactins role in breastfeeding?
Increases after birth, initiates and maintains milk supply
What is Oxytocin’s role in breastfeeding
Releases milk from the breasts, let down/ milk ejection reflux
Helps with uterine shrinking after birth so when mom breastfeeds she may cramp
What is the breastfeeding recommended length?
Exclusive for first 6 months, intro to solid foods at 6 months with continued breastfeeding for 2+ years
How many babies are exclusively breastfed for 6 months?
41%
How many babies are not fed within first hour of life?
3 in 5
Common reasons why mothers stop breastfeeding
Not enough milk
Difficulty with technique
25% stop before baby is 1 month
What were breastfeeding rates in Canada in 1965 to now?
1965= >25%
2015/16= 90%
How many women in Canada continue breastfeeding after 6 months?
57%
Does Western or Eastern Canada have higher breastfeeding rates?
Western: 96%
Eastern: 57%
What are the main causes of infant death?
Diarrhea and respiratory illness
What is the dose response relationships in breastfeeding?
Duration and exclusivity
T or F: Formula increases pain response
True
What percentage does breastfeeding reduce risk of SIDS
Decreases risk by 36%
Sudden Infant Death Syndrome
What do Oxytocin and protein lactoferin have an effect?
Anti-inflammatory effect
Should moms breastfeed after circumcision and injections?
Yes as it has a pain relieving effect
What is “kangaroo care”
Immediately after brith until first feeding
Makes babies more stable, bond better and improve heart function in premature babies
T or F: Breastmilk decreases childhood cancers
True
Breastfeeding and cognitive development
Increase in language reception and perform better on intelligence test
Does breastfeeding decrease risk of obesity?
Yes as it has ideal composition of fat and calories, not possible to overfeed infant
Formula is possible to over feed
Degree of health outcomes depends on what?
Duration, frequency, and exclusivity of breastfeeding
What benefits do breastfeeding mothers have?
Reduced risk of:
Breast and ovarian cancers
Hypertension, hyperlipedma, metabolic syndrome
Rheumatoid arthritis
Postpartum depression
Sleep disturbances
Is breastfeeding really free?
NO it costs time and energy
How much more info is there on erectile dysfunction than breastmilk?
2x
How many articles are there on breastmilk?
10 000
Out of 10 women how many will have babies?
9/10
How many babies in the U.S. are born in a baby friendly hospital ?
1 in 5
What does mom produce in breast milk from babies saliva if the baby has staph or salmonella?
Hydrogen peroxide
T or F: Breastmilk fuels baby’s behaviour
True
What do formula moms need instead of shame?
Support!!
Is powdered formula sterile?
No
Liquid is however it is much more expensive
What can get rid of pathogen contamination in formula?
Proper formula making
Clean and sterile equipment
Why is Melamine banned?
It was added to disguise low protein and gave a milky appearance
gave 300000 children in China kidney stones
Why is breast feeding important in difficult circumstances?
To help malnourished kids
In places where water is scare (natural disasters)
What is the baby killer
Western countries promoting formula to countries not equipped for it
What does BFHI stand for?
Baby Friendly Hospital Initiative
What was the BFHI?
Promote, protect and support breastfeeding
Launched by WHO and UNICEF in 1991
Infant feeding in the 1920s- 1960s
Canadian Dairy grew and public health promoted formula
Cow milk increased mortality rates (increased efforts to improve formula)
What helped formula thrive in the 20’-60’s
Vitamin fortification
Breastfeeding in the 1970’s
Breastfeeding increased in Western regions
Decreased in developing regions
Led to growing concern of formula marketing in developing countries
What was held in 1979 by WHO and UNICEF?
International meeting concerning infant feeding
When was the International Code of Breastmilk substitutes developed?
1981 by WHO and UNICEF
What is the Innocenti declaration?
Developed in 1990
Promote and protect breastfeeding
Second meeting in 2005
When was the revision of the BFHI document?
2006
What is the other name for the WHO CODE?
International code of marketing of breastmilk substitutes
What are some of the rules of the WHO CODE?
No advertising breastmilk substitutes
No free samples for mothers
No promotion of products in health service
No pictures of infants idealizing products
Info to healthcare workers should be scientific and factual
What is Premiumization?
the use of gold and black to make things “premium”
What is the BFHI called in Canada?
Baby Friendly Initiative
What is the BCC?
Breastfeeding Commitee for Canada
What makes a hospital baby friendly in Canada?
Follow WHO CODE and 10 steps outlined by UNICEF
What is the first step of successful breastfeeding:
According to WHO code and UNICEF?
Hospital Policies
- keep track of breastfeeding support
- written infant feeding policy
-follow WHO code
What is the second step of successful breastfeeding:
According to WHO code and UNICEF?
Staff competency
- staff that have efficient knowledge and skills to support breastfeeding
What is the third step of successful breastfeeding:
According to WHO code and UNICEF?
Antenatal Care
- discuss importance and management of breastfeeding with women and there families
What is the fourth step of successful breastfeeding:
According to WHO code and UNICEF?
Care after birth
- immediate skin to skin and breastfeeding after birth
What is the fifth step of successful breastfeeding:
According to WHO code and UNICEF?
Support breastfeeding mothers
-helps initiate and maintain breastfeeding and manage difficulties
What is the sixth step of successful breastfeeding:
According to WHO code and UNICEF?
Supplementing
-support mothers to breastfeed exclusively unless supplements are medically needed
What is the seventh step of successful breastfeeding:
According to WHO code and UNICEF?
Rooming in
-enables mothers and infants to remain together 24/7
What is the eighth step of successful breastfeeding:
According to WHO code and UNICEF?
Responsive feeding
- encourage mom to realize and respond to feeding cues
What is the ninth step of successful breastfeeding:
According to WHO code and UNICEF?
Bottlers and pacifiers
- counsel mothers on use and risks of feeding bottles, teats and pacifiers
What is the tenth step of successful breastfeeding:
According to WHO code and UNICEF?
Discharge
-coordinate discharge so mom and infant have timely access to ongoing support and care
Is breastfeeding easy in the NICU?
NO!! It is very hard and complex
How many breast pumps were there for per beds?
1 pump per 8 beds
What is male role in breastfeeding?
Supporting mom
Caring for baby
Cleaning equipment
Feeding baby via bottle
Housework