Lactation Flashcards

1
Q

What are the WHO guideline for breastfeeding?

A

Exclusive for around 6 months and up to 2 years and beyond

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2
Q

What is the full duration of breastfeeding per child?

A

Between 4 and 7 years

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3
Q

What are the antiviral functions of human milk?

A
  1. Monolaurin
  2. Vit A
  3. Extracellular vesicles
  4. Lactoferrin
  5. Bacteriophages
  6. Cytokines
  7. Tenascin C
  8. Lysozyme
  9. Lewis X
  10. Lactadherin
  11. Mucins
  12. Oligosacchardies
  13. Gylcosaminoglycans
  14. Oxysterols
  15. Gangliosides
  16. sIgA
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4
Q

What does variance in the infant gut microbiome depend on?

A

Almost solely on breast milk for the first 14 months

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5
Q

How does breastfeeding aid maternal health?

A
  1. Breastfeeding reduces risk of breast cancer
    •20% reduction in triple-negative breast cancers
  2. High risk genetic mutations (e.g., BRCA1)
    •1 yr breastfeeding to risk reduction 35-40%
    •2 yr breastfeeding to risk reduction 55-60%
  3. Reduced risk ovarian and endometrial cancer
  4. Reduced risk of postnatal depression
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6
Q

What is the process for lactation?

A
  1. Sucking stimulus
  2. Spinal cord
  3. Supraoptic and paraventricular nuclei
  4. Posterior lobe of pituitary
  5. Oxyctocin
  6. Milk Let down
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7
Q

What are normal breastfeeding patterns?

A
  1. Typically feed at least 8 – 12 times per 24 hours
  2. Four month growth spurt
  3. Cluster feeds
  4. Differing content
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8
Q

What is normal newborn sleep?

A
  • 50% “active sleep” ≈ REM

1. Active sleep (~30m) to quiet sleep (~50m) to active sleep

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9
Q

What can arousal in active sleep be caused by?

A
  1. Hunger
  2. Cold
  3. Discomfort
  4. Startle reflex
  5. Unfamiliar conditions: It is normal that newborns “won’t be put down”
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10
Q

At birth is there a circadian rhythm?

A

NO clear

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11
Q

What factors can decrease supply of breast milk?

A
  1. Supplementing with formula milk
  2. Using a dummy in the early weeks
  3. Separating mother and baby
  4. Trying to follow a routine
  5. Sleep training
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12
Q

What is responsive feeding associated with?

A
  1. High prolactin levels
  2. Longer duration of breastfeeding
  3. Fewer breastfeeding difficulties
  4. Increased milk supply
  5. Lower risk of overweight
  6. Later satiety responsiveness
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13
Q

What is responsive feeding?

A
  1. Concept of demand and supply
  2. Rapid increase in prolactin & oxytocin after placenta removed
  3. Removal of milk from breast triggers prolactin
  4. Feeding whenever baby signals to be fed
  5. Typically very frequently
  6. Night feeding
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14
Q

Is feeding at night common?

A
  1. Normal to feed at night – and in many cultures feed more often as get older
  2. Infants who co-sleep feed more frequently
  3. Formula fed infants sleep more in early days but not as they get older
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15
Q

How effective is exclusive donor milk?

A

Service evaluation of first 2 years:
•>75 families supported with donor milk
•Normal growth and development
•Positive impact on maternal mental health
•Positive impact on maternal breastfeeding

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16
Q

What is sleep like in a baby that is 4 months or more old?

A
  • Light sleep to deep sleep to REM
  • 45-m insleep cycle for daytime sleep
  • 2-h sleep cycle for night-time sleep
17
Q

What is normal sleep like in infants?

A
  1. Most infants wake at least once per night during 1st year
  2. Average number of wakings 1.77
  3. Programmed to want to be close to caregiver
  4. Maintenance of temperature, heart rate and breathing
18
Q

What is the difference between breast feeding and formula feeding?

A
  1. Feed less frequently
  2. More predictably as uniform product
  3. Take in greater volumes
  4. Feed more quickly
  5. Be persuaded to take more
19
Q

What is the normal weight gain pattern for babies?

A
  1. Similar early growth patterns
  2. After 3 months, FF tend to gain more weight (but not length)
  3. Bottle fed breast milk gain more weight
20
Q

What is the correlation between weight loss and being BF?

A
  1. BF infants lose more weight in early days

2. BF infants take longer to regain weight (8.5 versus 6 days)

21
Q

What is purple crying?

A
  1. . P: Peaks gradually up to ~6 weeks old
  2. U: Unpredictable – suddenly on and off
  3. R: Resistant to comforting
  4. P: Pain – baby appears to be in pain (but no correlation to GI pathology)
  5. L: Long – 30m-3h – longest periods of crying in infancy
  6. E: Evening (usually)