Lactation I Flashcards
Describe the composition of colostrum milk (4)
Name 2 additional purposes
- High in IgA, lactoferrin
- High protein, lower fat
- Establishes lactobacillus flora and facilitates passage of meconomium
Describe the composition of mature milk (4)
When does it come in?
- Higher fat
- Protein is casein and whey
- Still contains Lactoferrin
- Lactose
- Begins after only a few days, fully in by 14 days
What are the recommendations for vitamin supplementation in breast fed infants?
- Exclusively breast fed infants need Iron supplements by 6 months of age
- Exclusively breast fed infants need Vitamin D supplementation earlier
Name benefits of breast feeding for the infant (5)
- Immune protection (cells, IgA, lactoferrin)
- Protection against asthma, allergies
- Protection against diabetes, obesity
Name benefits of breastfeeding for mom
(4 immediate, 2 long term)
- Immediate
- Prevents post-partam hemorrhage
- More rapid return to pre-pregnant weight
- Amenorrhea
- Bonding
- Long term
- Reduced breast and ovarian cancer
What is the recommendation for how long to breast feed?
Exclusive breastfeeding for 6 months
Some breastfeeding for 1-2 years
What is the recommendation for initiating breast feeding?
Skin to skin breastfeeding within first hour of baby’s life
Describe the progression of infant weight
- Newborns lose 5% of birthweight in first 5 days
- Newborns stop losing weight around 5 days (because mature milk is fully in)
- Newborns regain birth weight by 1-2 weeks
Early milk supply is strongly related to…
Amount of suckling/breastfeeding
Compare weight gain in breast fed and formula fed infants
- All babies gain weight similarly for first 3 months
- Formula fed babies then gain more weight than breast fed babies
Describe the 2 different growth charts used and recommendations for when to use them
- WHO growth charts: based on breast fed babies
- CDC growth charts: based on formula fed babies
- Recommendation: use WHO chart until 2 yo
