Infant Feeding And Breast Practives Flashcards
What happened immediately after a baby s born
Baby is handled
Baby is dried throughly and stimulated
Baby transitions to extra uterine life by breathing and crying
Baby is placed on mums abdomen
What is the agar score
A rapid method of assessing the clinical status of the newborn infant at 1 and 5 min of age - and again at 10 mins if low - and need for prompt intervention to establish breathing
Baby s scored out of 10
Asseses - colour , heart rate, reflex irritability,muscle tone,respiration
How to position baby for safe skin on skin contact
- Ensure baby is dry except palms
Place baby so their chest and abdomen is against mums chest and abdomen
Ensure babys head is turned to side slightly so nose and mouth are free
Cover with warm blankets
Check the both bodies are well supported
Allow instinctual maternal behaviour to adjust the dyads position
What are the benefits of skin to skin contact
Stimulates release of prolactin and oxytocin
Calms and relaxes baby and mother
Regulates babys heart rate and M breathing
Regulate baby temp
Stimulate breast seekin behaviour and interest in feeding
Stimulates endorphin release
Protects baby from infection - colonises their micro biome
What is the physiology of skin to skin contact
Thermal regulation avoiding hypothermia
An early first feed and higher blood glucose levels counteract physiological drop in blood glucose fter birth
Bay to familiarise itself with its there’s chest and learn to locate and self attach to the breast
Normal transition to extra utero life more stable heart rate, respiratory rate and oxygen saturation
Reduction in mean time or placental expulsion
What are the nine stages of neonatal behaviour
Birth cry - BIG
Relaxation - RUBY
Awakening - ATE
Activity - A
Rest - RASBERRY
Crawling - CROISSANT
Familiarisation - FROM
Suckling - SUNNY
Sleep - SPAIN
WHAT DO EXPECT FROM THE FIRST FEED
Take its time with the seven steps before suckling
Feed may last 5+ minutes
May start and stop pattern of rhythmic sucklingonce latched
Latch, unlatch and re latch
May fall asleep on the breast
Oxytocin for the mum
Oxytocin peak during labour and birth
Elias feeling of love
Key role in mother and infant bonodning and feelings of protectiveness
Stimulated by touch,feeding and skin t skin contact
What does prolactin do
No longer suppress by progesterone being excreted by the placenta so prolactin receptors are ctivated
High circulation levels of prolactin can now lock into the receptor sites to stimulate milk production
Ongoing prolactin can now lock into the receptor sites to stimulate milk production
When they baby suckles the prolactin is released from the anterior pituitary gland
Why is colostrum important
Packed with protective factors
Concentrated nutrition
Small volumes - intentionally
Laxative effect - too clear mechanism
