Milk Supply

Question 1

Methods for stimulating (pharm)

Answer 1

Metoclopramide, domperidone.

Question 2

Exclusively breastfed supply

Answer 2

1-6 months: drinks 750-800ml in 24 hrs.
Can range from 500-1000 mL

Question 3

Effect of low milk supply

Answer 3

Impact baby’s weight gain
Affect mother’s ongoing supply
Can be temporary and resolved

Question 4

Baby getting enough milk over 24 hrs

Answer 4

6-8 wet nappies
Wake for feeds and feed vigourously
8-12 feeds
Pass soft yellow stools
Settle and sleep fairly well
Birth weight in 2 weeks
Gain 150g every week for first 3 months

Question 5

Non-pharmacological strategies for stimulation of lactation

Answer 5

Correct positioning and attachment of baby
Increase frequency of feeds
Skin to skin contact
Massaging breasts whilst feeding
Rest, relaxation, good nutrition and hydration

Question 6

What are galactagogues and eg.

Answer 6

Synthetic/plant molecules used to induce, increase, and maintain milk production.
Herbs (dill, fennel)
Milk thistle
Raspberry leaf
ADR- allergic reactions, dermatitis, diarrhoea, blood glucose changes.

Question 7

Medication used for lactation suppression

Answer 7

Cabergoline - dopamine antagonist. taken on first postpartum day. N/V, dizziness, headache.

Question 8

Non-pharm for lactation suppression

Answer 8

Breast support
Leakage/express small amounts of milk
Cold gel packs/compress
Simple analgesics

Question 9

Breast milk storage

Answer 9

Fresh in container- room temp for 6-8 hrs, fridge for 72hrs, 2 wks in freezer
Previously frozen- 4 hrs at room temp, 24 hrs in fridge