L6: Breast Feeding Flashcards
….. is the preferred feeding for all newborns including the premature
Breast milk
Breastfeeding has: ….. advantages.
Nutritional,
Immunologic
Psychologic
Breast milk from mothers of premature babies has been found to have …… amounts of protein, IgA antibodies, cholesterol and fatty acids than milk from mothers of term babies.
even higher
All healthy full-term and low-risk preterm infants (……) should be …….
- born after 32 weeks gestation with no respiratory problems
- breastfed exclusively for 6 months following delivery.
The infant should be allowed to feed on demand day and night with no restriction on frequency or length of time.
…
Any infant that demonstrates signs or symptoms of illness such as
respiratory distress
poor suckling
abdominal distension
should be evaluated immed
..
Ten steps of successful breastfeeding
Initiation & maintenance of breastfeeding
Maternal practices that increase milk production such as: ….
◈ Increased fluid intake.
◈ Nutritionally balanced diet.
◈ Frequent rest periods.
◈ Smaller frequent breastfeeding attempts, especially with skin-to-skin contact.
To check positioning, look for:
Positioning and latch
..
To check attachment, Look for:
Use of both breasts
Continue breast feeding from one breast till the baby release the breast.
Baby should not be taken off from the breast – hind milk.
Offer the second breast – let the baby decide.
Never use bottle or pacifiers.
When the infant is not available or able to breastfeed
- the mother should be encouraged …..
to pump and store her milk.
cup, spoon, or tube feeding should be considered
ipple confusion can be prevented by ….
avoiding supplementing breastfeeding with bottle-feeding.
Problems of breastfeeding
- Engorment
- Nipple Discomfort
Prevention of Engorgement
Managment of Engorgement
Prevention of Nipple discomfort
Managment of Nipple discomfort
Care of the infant with breastfeeding difficulty
If the infant has a weak or ineffective suck ⇢
hand expression of milk may help to
initiate the let-down reflex and
stimulate the infant to breastfeed.
If the infant has uncoordinated suck and swallow or a sucking defect ⇢
Should be evaluated during breastfeeding to determine different successful positions or
alternative methods of feeding, such as spoon, cup, or tube feedings of expressed breast
milk.
Methods of evaluation of an infant has difficulty with breastfeeding
Indications of Expression and storage of breast milk
Lack of mother experiences.
Breast engorgement.
Sick and at-risk infants requiring alternative feeding.
If mother will not be available for the feeding.
Procedure of Expression and storage of breast milk
- Hand expression of breast milk
- Mechanical expression of breast milk
goals in Expression and storage of breast milk
◈ To supply breast milk for use while mother and baby are separated.
◈ To increase milk supply.
◈ To prevent or relieve engorgement.
Tips in Expression and storage of breast milk
Milk storage guidelines for hospitalized infants
General Guidelines for Milk storage
Guidlines for Milk storage
- Term Infant
- Clean, heavy plastic or glass bottles.
- Container should be washed well in a dishwasher with a sanitizing cycle or washed by hand in hot, soapy water and rinsed well with hot water.
Guidlines for Milk storage
- Container Choices
- Express directly into a clean/sterile glass or hard plastic container.
- Use of soft plastic bags is discouraged.
Guidlines for Milk storage
- Preterm / Sick Infants
Shelf Life of Milk
Refreezing Breast Milk
◈ It is not recommended to freeze breast milk that has thawed or partially thawed.
◈ Do not re-use milk left over in bottle, as baby’s saliva may contaminate the milk.
Thawing Breast Milk
