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HUNT243 > Lecture 8 > Flashcards

Lecture 8 Flashcards

Maternal energy needs during lactation

1
Q

Energy needs during lactation

A

Total energy cost of lactation derived from energy content of milk plus the energy required to produce it

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2
Q

Estimated energy requirements of lactation
0-6 months postpartum:

A

2000 kJ above NPNL

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3
Q

Estimated energy requirements of lactation
>6 months postpartum

A

1680 kJ above NPNL

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4
Q

Breastfeeding and weight loss: Studies suggest that in the first 3 months postpartum

A

the rate of weight loss is similar in lactating and non lactating women

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5
Q

Breastfeeding and weight loss:
Several studies have reported that women who lactate

A

longer and more intensively lose weight more rapidly between 3 and 6 months postpartum than women who exclusively bottle-feed or those who lactate less fully or for a shorter duration

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6
Q

Exclusive breastfeeding
Before 2001 recommendation:

A

Recommended EBF for 4-6months

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7
Q

Exclusive breastfeeding
After 2001 recommendation:

A

Recommend EBF for the first 6 months

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8
Q

The review concluded that infants EBF to 6 months experienced

A

less morbidity from gastrointestinal infection but there were no differences in growth between EBF periods

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9
Q

Recommended after 6 moths of EBF

A

Thereafter, infants should receive complementary foods with continued breastfeeding up to 2 years of age or beyond

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10
Q

Ozfits vs first foods ????

A

First foods is better for initiated breastfeeding, exclusive breastfeeding, any breastmilk (5-6mo) and any breastmilk (10-11mo)

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11
Q

breastfeeding practices

A

vary widely across regions some regions face greater challenges than others

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12
Q

Human infants and young chilren are most likely to ……….. when breastfed

A

Most likely to survive, grow and develop to their full potential when breastfed

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13
Q

When the increase of fluids anything other than breastmilk then the more percent chance

A

there is going to be problems with breastfeeding

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14
Q

Exclusive breastfeeding means

A

That from birth the babu receives only breast milk (from the breast or expressed) and prescribed medicines, where necessary.

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15
Q

Partial breastfeeding means

A

That the baby receives some breast milk (from the breast or expressed) and some infant formula or other solid food

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16
Q

Benefits of breastfeeding for the baby:

Reductions in infant morbidity and mortality

A
  • Protects against gastrointestinal infections
    -Protects against respiratory illnesses
    -Reduced otitis media infections
    -Reduced risk of SUDI
17
Q

Benefits of breastfeeding for the baby:

Reductions in chronic disease

A

-Allergic disease
-Type 2 diabetes
-Obesity in childhood

Increased cognitive function

18
Q

Benefits of breastfeeding for the mother

A

Protects mothers health
- Helps reduces risk of uterine bleeding and helps the uterus to return to its previous size
-reduces risk of breast and ovarian cancer
-Reduced risk of postpartum depression

Helps delay a new pregnancy

Helps a mother return to pre-pregnancy weight more rapidly

19
Q

So why are EBF rates low then

A
  • Marketing of breast milk substitutes
  • Lack of workplace support
  • Lack of attendance or availability to antenatal care
    -lack of accessible lactation/breastfeeding support
    -societal or cultural beliefs
20
Q

Globally what is the percentage of EBF infants ages 0-6 months

A

48%

21
Q

what is the global target by 2030 with EBF

A

Increase the rate of exclusive breastfeeding in the first 6 months up to at least 70%

22
Q

services to support breastfeeding

A

Plunket- breastfeeding has been on the top 4 of most frequently asked questions

23
Q

National -La Leche League

A

-established in 1964
-Currently 140 Leaders and 50 groups

24
Q

International Baby friendly Hospital Initiative (BFHI)

A

BFHI launched in 1993 established by UNICEF and the world health Organisation to ensure that all maternities, whether free standing or in a hospital, become centres of breastfeeding support

25
Q

A maternity facility can be designated ‘baby friendly’ when

A

it does not accept free or low cost breast milk substitutes, feeding bottles or treats, and has implemented 10 specific steps to support successful BF

26
Q

The Ten steps to successful BF
(first 5)

A

1- Have a written BF policy that is routinely communicated to all health care staff

2- train all health care staff in skills necessary to implement this policy

3-Inform all pregnant women about the benefits and management of BF

4-Help mothers initiate BF within a half-hour of birth

5-Show mothers how BF, and how to maintain lactation even if they should be separated from their infants

27
Q

The Ten steps to successful BF
(second 5)

A

6- Give newborn infants no food or drink other than breastmilk, unless medically indicated

7-Practice rooming in allow mothers and infants to remain together 24h a day

8-Encourage breastfeeding on demand

9-Give no artificial teats or pacifiers to BF infants

10-Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic

28
Q

Definition of a baby Friendly Hospital

A

A health car facility where the practitioners who provide care for women and babies adopt practices that aim to protect, promote and support exclusive breastfeeding from birth

29
Q

Purpose of BFHI is

A

1- To actively protecy, promote, encourage and support breastfeeding through education of health care workers in maternity and neonatal services

2-To accredit hospitals that demonstrate that they meet the WHO/UNICEF criteria as a baby friendly hospital

30
Q

International Code of Marketing of Breast-milk Substitutes

who was the founder and when?

A

-Organised by Dr Manuel Carballo and established in 1981 by the general assembly of the WHO

31
Q

International Code of Marketing of Breast-milk Substitutes

Meaning…

A

Restrict the marketing of breast milk substitutes, such as infant formula, to ensure that mothers are not discouraged from breast-feeding and that substitutes are used safely if needed

32
Q

International code has …… key points

??????

A

10 key points

33
Q

Breastfeeding and alcohol consumption

A

Breastfeeding women should avoid drinking alcohol as there is no safe amount of alcohol that breastfeeding women can drink. A babys developing brain is more sensitive to damage from alcohol than an adults brain is. Alcohol crosses easily into breast milk and passes through the breast milk to the baby

HUNT243 (9 decks)

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