Lactation

Question 1

Colostrum

Answer 1

Yellow
High in IgA and lactoferrin
Higher in protein, low in fat and lactose
Helps with lactobacillus establishment and passage of meconium

Question 2

Transitional milk

Answer 2

2-14 days
Lower Igs and protein
More lactose and fat
Increase in calories

Question 3

Mature milk

Answer 3

Main = water
Lipids = 50% of calories
Proteins = casein and whey
Lactoferrin

Question 4

Foremilk

Answer 4

More water, less lipids

Question 5

Evidence for breast feeding

Answer 5

Immunity
Decrease in atopic disease, SIDS, diabetes, death
Evidence less strong for obesity

Question 6

HIV and breast feeding

Answer 6

15% transmission through breast feeding

Can decrease if shorten duration, prevention of mastitis, antiretrovirals

Question 7

Feeding Recommendations

Answer 7

Exclusive breast for 6 months

Continue for 1-2 years

Question 8

AAP Recommendation right after birth

Answer 8

Infant is placed skin-to-skin with mother breastfeeding right away

Question 9

Newborn Feeding first 1-3 days

Answer 9

Colostrum (high fat, protein, Igs)
Practice BFing
Energy from glycogen stores last about 12 hours then gluconeogenesis and glycerol/fatty acid release
Stop losing weight by 5 days and back to birth weight by 2 weeks

Question 10

Infant Formula

Answer 10

Cow milk, protein load matches human. Amino acid mix, fortified with vitamins, etc