Lactation - Mother Flashcards
physiology
Endocrine influences - prolactin, oestrogen + progesterone, oxytocin
Stops menstrual cycle
Suckling -> touch sensations -> impulses sent to hypothalamus + pituitary -> increased oxytocin -> contraction -> milk ejection
Nutritional requirements
0-4 months
4+ months
0-4 months - +450-570kcal and +11g protein
4+ months - +240-480kcal and + 8g protein
Vit D = 10mg
Benefits
Contracts uterus Utilisation surplus body fat Delays ovulation Conserves iron stores Free Bonding with infant No preparation required
Reduced risk - breast cancer, ovarian cancer, osteoporosis
Disadvantages
Quality of breastmilk maintained at expense of mothers stores Closely spaced births take toll Demands on mothers time Incompatible with work Embarrassment Can create jealousy Failure to thrive
Problems - sore nipples, c-section, fatigue, insufficient milk supply, fixing difficulties
Contra-indications
When not to Drug abuse Adoption Low birth weight Illness of infant
General dietary guidelines
Eat variety of foods Do not attempt slim Eat regularly Drink plenty fluids Only take supplements on medical advice Avoid foods thought to be upsetting baby
Incidence
Initial rates increased 81% UK 2010
Higher in high social class
Correlation with age completing school
Factors affecting - past experience, primiparas
Positive attitudes
Previous success
Support from family, friends, health workers
Attitudes in education
+ body image
Negative attitudes
Poor personal experience
Baby dissatisfied
Not seeing how much infant take
Low attendance at ante-natal classes
Common reasons for discontinuing
Sick Sore/cracked nipples Baby dissatisfied Not producing enough milk Too many other responsibilities Work
Promotion of breast feeding
Feelgood factor
Health scotland: ‘off to a good start’
UNICEF UK
