Lactation Flashcards
What is the nutritional composition of breast milk?
Water- main component
Lipids- 50% calories
Proteins
What are some medical contraindications to breast feeding?
Toxic substances
Infections
Infant galactosemia
What enzyme is effected in mild galactosemia?
What enzyme is effected in severe galactosemia?
Mild- galatokinase
Severe- GALT
Damage due to galactosemia is due to accumulation of toxic substances. What substance accumulates in the lens?
Galactitol
What are the symptoms of galactosemia?
Failure to thrive Infantile cataracts Hepatomegaly Jaundice Intellectual disability
What is the treatment of galactosemia?
Exclude galactose and lactose from diet
Is galactosemia screened for a birth?
Most states do screen for this condition
Within the first hour of birth, what is the recommended practice regarding giving the baby to mom?
Give baby to mom as soon as possible
Encourage breast feeding
“Milk comes in” about 3-4 days after birth, what about the first few days?
Baby is born with stores of glycogen/fat
Detail the fluctuation of infant weight in the first few days post partum.
Lose ~5% of birth weight
Stop losing weight by day 5
Regain of BW by 2 weeks
What risks are associated with formula feeding?
Atopy
DM-1
During the first 3 months there is similar weight gain between BF infants and formula fed infants. How does this change with time?
After 3 months, formula fed infants gain more weight, biggest differences after 6 months
Contrast the WHO growth charts with CDC growth charts.
CDC growth charts- developed with population of infants that were formula fed, risk of labeling BF infants as “growth faltering”
WHO growth charts- developed with population of infants that were BF
What growth chart should be used?
WHO
