Lactation Flashcards
What is colostrum like in compared to mature milk?
Higher in protein
Lower in carb
Lower in fat
Lower in calories
What is colostrum
The first milk secreted during the first few days post partum
What are some benefits of colostrum
Helps establish GI microflora
Protects against GI infection
What are the levels of Secretort IgA, lactofferin and vitamin A of colustrum in comparison to to mature milk?
0.5 - 0.1
0.5 - 0.2
151 - 75
The fluid level of maternal milk is about 80%
Will the infant need extra water ?
No
Water is also isotonic with maternal plasma
How many calories per mL with human milk ?
0.65 kcal/mL
But cals may vary with fat, pro and carb composition
Is human milk or human milk substitute lower in calories
Human milk lower in calories
What are the protein levels for mature human milk?
1g per 100ml
Lower than in whole cows milk
Has antiviral and microbial effects
What is the main protein in natural human milk?
Casein
And whey
The human milk protein is high in amino acids that he infant cannot synthesize but low in -
Phenylalanine
What provides half of the calories jn human milk
Fat
What is the effect of maternal diet on human breast milk
Fatty acid profile reflects dietary index of mom
Type of FA varies based on diet
What is the second largest component of breast milk?
First?
Lipids are second
Water is first
What component of breast milk is associated with higher IQ scores and also essential for retinal development
DHA
What is the dominant carbohydrate in human milk and how does it compare to cows milk
Lactose is most dominant
There is more in human milk than in cows
Does lactose enhance calcium absorption?
Is carbohydrate in milk effected by the diet of mom ?
Lactose enhances calcium absorption
There is a constant level during the day and not effected by maternal diet
What is an olgiosacharide
How does it help baby
Medium length CHO
Prevents binding of pathogenic microorganisms to gut
Which prevents infection and bacteria
Vitamin A in colostrum is double that of mature milk
And the yellow colour is from
Beta carotine
What is the vitamin D content like in human milk
Need to supplement ?
Most as 25-OH2 , vitamin D and D3
Content IS reflective of moms diet and exposure to the sun
Supplement at 400 IU a day for baby
Vitamin E content of breast milk is linked to
Milks fat content
Is vitamin E levels in human breast milk enough for preterm infants
No
What percent of babies breasted are at risk for K deficiency based on clotting factors
5%
Infants who did no receive k injection at birth (phylloquinone injection)
May be deficient
What are the water soluable vitamins in human breast milk reflective of
Mothers diet or supplement
What is the water soluable vitamin most at risk for deficiency in human milk
B6
Vitamin B12 and folate in breast milk are
Bound to whey proteins
Low b12 in milk seen in women who
Have hypothyroidism or latent pernicious anemia
Are vegans / malnourished
Have had gastric bypass
What is zinc bound to it Breast milk
Protein
Highly available
Sometimes there’s a defect in mammary gland uptake of zinc and may cause zinc deficiency that appears as …
Diaper rash
In general trace minerals in maternal milk aren’t affected by diet
What are the trace minerals present
Copper Selenium Chromium Manganese Molybdenum Nickel Fluoride
How can a moms variety in diet contribute to baby’s interest in solid foods
Because flavour in moms diet influences taste of breast milk
Flavours keep baby interested
May promote further intrigue to solid food
What are hormonal benefits of breast feeding
Increased oxytocin which stimulates uterus to return to prepregnancy status
Physical benefits of breastfeeding
Delay in monthly ovulation resulting in longer intervals between pregnancies
What are physiological benefits of breast feeding
Increased self confidence and bonding with infant
Nutritional benefits of breast feeding
Widely recognized. Nutrients are balenced. Meets infants protein needs without overloading kidneys. Contains soft easily digestible curd; a lot of the right lipids. Minerals are more bio available.
Immunological benefits
Lower infant mortality in developing countries
Fewer acute illnesses