Formula & Breastfeeding

Question 1

what are the reasons for formula feeding? (5)

Answer 1

Maternal preference
Maternal medications
Separation from mother
Maternal HIV
Some neonatal metabolic (ex: galactosemia)

Question 2

why might the mother choose formula feeding?

Answer 2

either have breast fed in past & not been successful or they just don’t want to

Question 3

Some medication are incompatible with breast milk. What medications are safe?

Answer 3

Ibuprofen; colace; and even percocet are safe to breastfeed on

Question 4

list the risks of formula feeding (8)

Answer 4

allergies
alteration in gut flora
overfeeding
ear infections
resp infections
asthma
later obesity
eczema

Question 5

how can formula feeding contribute to the development of allergies later in life?

Answer 5

bc of exposure to foreign proteins

Question 6

how can formula feeding cause overfeeding?

Answer 6

baby keeps sucking even if they are full

Question 7

what types of formulas are fed?

Answer 7

usually milk based
lactose-free, soy, pre-digested are special needs determined by pediatrician

Question 8

how often are newborns fed formula? why?

Answer 8

6-8 times in 24 hrs (every 3-4 hrs)

Takes longer to digest → important if the baby has any sugar issues

Question 9

how should/should not baby be fed bottle?

Answer 9

Hold infant “en face”
Should not prop a bottle
Do not put baby to sleep with bottle

Question 10

what should be done halfway through bottle feed?

Answer 10

burping

Question 11

what methods of bottle heating are not safe and why?

Answer 11

No microwaves, no stovetops
Can heat unevenly or overheat → do not want to burn baby

Question 12

how long can you wait before discarding uneaten formula left in the bottle that the baby has already drank from?

Answer 12

must be discarded after 1 hr

Question 13

how long is powder mixed formula good for only after mixing?

Answer 13

24hrs in the fridge

Question 14

what is the perfect latch position?

Answer 14

Baby’s nose touching mother’s breast
Mouth wide open around the nipple
Baby tongue should be over lips
Baby’s body positioned against mother’s tummy

Question 15

should mom feel pain during breastfeeding?

Answer 15

not if there is a good latch; it should just feel like a strong tug

Question 16

why is patience key with breastfeeding?

Answer 16

Babies don’t take to breastfeeding as easily
but it becomes much easier than formula feeding & pumping but can take a few weeks

Question 17

should mom switch breasts during breastfeeding?

Answer 17

first we want them to receive all the milk they can from one side. then, burp the baby and switch side

Question 18

what is inside breastmilk in the beginning and end of feed?

Answer 18

foremilk = skim milk; they get first has lots of fluids,

hindmilk = cream; get at the end of the feeding & contains the fat

Question 19

during breastfeeding, the baby should NOT have to do what?

Answer 19

turn had towards breast

Question 20

what are different types of breastfeeding positions? (5)

Answer 20

cradle
cross-cradle
football hold
laid back
side-lying

Question 21

what position should breastfeeding moms be careful using?

Answer 21

side lying

Question 22

how often should the baby be breastfed?

Answer 22

8 or more times in 24 hours → babies need to nurse AT least 8 times effectively and more if possible

Question 23

if it is going on 4 hours since last breastfeeding and baby is asleep what should mom do?

Answer 23

wake them up; change diaper; tickle feet

Question 24

some babies cluster feed, what should mom do?

Answer 24

always watch clock

Question 25

if mom says “how do I know my baby is getting enough when I breastfeed?” what should the nurse tell her?

Answer 25

Diapers → tell them how many wet & dirty diapers the baby should have each day
Weight → weigh baby everyday; if they stay in 5-10% range there is not a concern; Baby will grow better on breast milk
Satiety cues → most babies will look satisfied and go to sleep when they have gotten enough feeding