Lactation Flashcards
96% of Australian women start BREAST FEEDING 39% are still fully breast feeding by 3/12
True
Role of prolactin in breast feeding
Stage 2 lactogensisis
Prolactin as a role in stage 1 breast development
No milk till the placenta stop the hormones that block the prolactin
Prolactin is increased by sucking and that causes increased secretion of breast milk and that means
Prolactin produced at night
Oxytocin
Involved in milk letdown
And the mother baby bond
Mum stressed pain tired less oxytocin less milk letdown
FIL
Feedback inhibitor of lactation
Milk production in the 3rd stage not hormonal driven
Full breast lots of FIL so less milk produced
Empty breast NO FIL so more milk produced
Demand =supply
Positioning and attachment really important for BF
1 position well supported /chest to chest / nose in line with the nipple
2 attachment 4 things Wide open mouth Flared lips out 3 chin in contact with the breast 4 min pain after a few sucks
Baby sucking correctly
Low jaw moves rhymically
Swallowing can be seen or heard
Feeding is quiet ( clicking ? Tongue tie)
Thrush
Causes are vaginal thrush /nipple damage/ antibiotics
Symptoms pain reddened nipple burning itchy
Deep pain in the breast
Signs nipple damage bright pink/reddened nipple/ thrush in baby
Treatment mother baby antifungal
Low breast milk supply
Should have 4-6 wet nappies per day and one poo per day
2 moist mm and good skin tugor
Newborn -6 weeks feeding 8-12 times a day
1-2 months 7-9 feeds
Increase supply more freq feeds or Expressing after feeds regularly
Gallactogues domeridone 10-20mg 3-4 x per day
Maxolon more side effects
Oates
Tongue tie
May interfere with breast feeding Tongue tie if the tongue doe not extend over the gums Feeding problems 1 nipple pain /damage 2 infant loses suction 3 clicking sounds 4 FTT
Jaundice
60% of babies get Jaundiced term
Physiological J because ineff liver gone by 2weeks
BM Jaundice rare about 2.5% of babies
Don’t stop breast feeding
