Fetal nutrition and lactation

Question 1

Preterm birth

Answer 1

Multiples, previous pretern, TOP, smoking, stress, infection

Question 2

Poor fetal growth

Answer 2

alcohol, drugs, poor nutrition, age, genetic abnorm, poverty, stress

Question 3

How many more cals do women need to eat at term?

Answer 3

200

Question 4

What happens if a women is vit D deficient>

Answer 4

Bone frag, rickets, obst complications - vit D increased absorp of calcium and phosphate

Question 5

Folic acid

Answer 5

Reduces risk of NTD
Cofactor for enzymes inv in DNA and RNa synth
All women 400um up to 12 wk
Obese and previous NTD - 5mg

Question 6

Colostrum

Answer 6

Thick, immune cells, ant-infective pt, abs, g.f. and vit A/K
1-3 days after birth

Question 7

Immunoglobulins

Answer 7

Mat immuno that have been produced in response to her environment - passed onto baby

Question 8

Risk factors for B.F.

Answer 8

No - lactoferrin, bifidus facotr, olisacc, IgA, WBC, EGF, viral frag, antiinflam mol

Question 9

Prolactin response?

Answer 9

Baby suckles - nip sends message to brain - prolactin form ANT PIT - lactocytes prod milk

Question 10

Prolactin

Answer 10

Stim lacto to prod milk 
More at nigh 
Supresses ovulation  - no gonado
Peaks after feed
Makes mum relax

Question 11

Prolactin R theory

Answer 11

Placenta expulsion - open pro R
Surges of prol prime R - not feeding = no prol = shut down of R
Stim R sites: skin to skin, early feeds, exp of breastmilk

Question 12

Oxytocin

Answer 12

Directs myo-epi cells to contract
Affected by mothers thoughts, feelings and snestation
Triggers calmness, mothering instinct and feelings of love

Question 13

Oxytocin response

Answer 13

baby suckles - nip to brain - oxy from POST PIT - myo-epi contract
Stim - sight, sound, smell of baby
Inhib - anx, stress, pain and doubt

Question 14

Inhib of lactation

Answer 14

Milk contains FIL - stops lactocytes resp to prolac when breast is full
More f sucking/feeds - less effect FIL has