nutrition and breast feeding Flashcards

1
Q

give 2 benefits of breast feeding for the mother

A
  • improves bonding
  • reduces risk of breast cancer
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2
Q

give 2 benefits of breast feeding for the baby

A
  • transfer of IgA
  • reduced lifetime risk of diabetes, obesity and atopy
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3
Q

what supplements should all children > 6 months take

A

ACD

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4
Q

when should weaning be started

A

> 6 months

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5
Q

when can full fat cow’s milk be introduced as a drink

A

> 1 year old

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6
Q

give 2 contraindications to breast feeding

A
  • HIV
  • drugs e.g. lithium, amiodarone, cytotoxins and anti-depressants (except SSRIs)
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7
Q

mastitis and breast abscess cause

A

build up of breast milk

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8
Q

mastitis and breast abscess presentation

A
  • swollen area on breast that may feel hot and painful to touch
  • wedge shaped breast lump or hard area on breast
  • burning pain in breast that might be constant or only occur during breastfeeding
  • nipple discharge (may be white or contain streaks of blood)
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9
Q

mastitis and breast abscess management

A
  • analgesics
  • keep breastfeeding, starting with sore breast
  • express milk in between feeds
  • massage breast to clear any blockages
  • can prescribe antibiotics (dicloxacillin and cephalexin)
  • if not managed properly can cause breast abscesses
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10
Q

cracked nipples causes

A
  • poor attachment
  • mechanical pumping
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11
Q

cracked nipples presentation

A
  • painful nipples
  • dry, cracked, blistering nipples
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12
Q

cracked nipples management

A
  • encourage to continue to breastfeed via milk expression
  • give nipples time to heal
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13
Q

breast engorgement causes

A
  • delayed first feed
  • ineffective feeds
  • restricted breast feeding
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14
Q

breast engorgement presentation

A
  • poor milk flow
  • enlarged, painful, swollen and shiny breasts
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15
Q

breast engorgement management

A

empty breasts regularly with hourly feeds or expression

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16
Q

thrush presentation

A
  • bilateral extreme breast pain that is worse on feeding
  • baby pulling away from breast during feeding
  • possible oral thrush in baby
17
Q

thrush management

A
  • maternal: topical miconazole or oral fluconazole
  • baby under 4 months: oral nystatin
  • baby > 4 months: miconazole gel