Hand Expresssinhbw

Question 1

Describe an approach to teaching the practical skills of breastfeeding which demonstarates a mother centre approach

Answer 1

Establish what mother already knows
Use simple language
Make good user of boob model and doll
Use appropriate body language
Eye contact
Hand expressions

Question 2

Describe how the hormones work and initiate breastfeeding

Answer 2

Prolactin activates milk production receptor theory
Oxytocin stimulated contraction of my epithelial cells
Fil is a protein in the milk which alerts the milk producing cells to stop producing milk if it’s the breast becomes full

Question 3

How to stimulate oxytocin

Answer 3

Having baby near
Gentle massaging of breast
A reminder of the baby

Question 4

Where can it be used

Answer 4

Anteantally
Enticing baby
Increasing ilk supply
SLO weight gain in the baby
Preterm baby

Question 5

How to support with hand expression

Answer 5

Stimulate breast with massage and nipple rollling to stimulate release of oxytocin
Place finger add thumb about 2.5cm away from nipple in a c shape
Compress in a steady rhythm
Rotte around breast if necessary
Can. Both breasts

Question 6

Frequency of expression

Answer 6

If fully replacing feed - 10x in 24hrs
Can cluster express and at least once a night

Question 7

How to store ebm

Answer 7

Fridge at 2-4 degrees for 8 days - in hospital 24-48hrs
Ice compartment in fridge - 2weeks
Freezer - 6 months

Question 8

Thawing of ebm

Answer 8

Slowly in fridge for up to 12hrs or at room temp
Do not microwave