nutrition during lactation

Question 1

hyperactive letdown

Answer 1

milk streams from the breast - can overwhelm baby- get air in and gets gas and fussy

Question 2

hyperlactation

Answer 2

can cause hyper active letdown- too much milk for the baby- can cause excessive gas, green frothy, green frothy explosive stool. can have high volumes of low fat milk which can lead to colitis

Question 3

engorgement

Answer 3

overfilled- common in first week (day 2-3) when the baby is sleepy, sore nips, or bad technique. some techniques are to pump out the milk if the baby is not there
may have to pump before feeding to make less lard

Question 4

cabbage leaves

Answer 4

reduce discomfort and swelling

Question 5

plugged duct

Answer 5

try new position, massage, warm

Question 6

mastitus

Answer 6

inflammtion of the breast, can occur do tu cracked nip or engorgement- examp baby missing a feeding- get fever and flu like symptom. can be resolved by pum[ping or feeding frequently or antibiotics

Question 7

what is the most common erason for stoping bf

Answer 7

thought of not making enough

Question 8

can birthcontrol be given to lactating women

Answer 8

yes but progesterone only should be given, estrogen can decrease milk production

Question 9

alcohol of bm

Answer 9

can reduce the amount produce and can be found in the milk, less time sleeping

Question 10

cigarettes

Answer 10

can increase otitus media, asthmas, respiratory infections, gi disregulation, (coliac disregulation)
produce less milk
less likely to bf
lower fat in milk
should be discourages

Question 11

thc

Answer 11

weed

can go into bm

Question 12

cafeine

Answer 12

can ause babies to be wakeful, hyperactive and fussy

Question 13

food alergies

Answer 13

infant food alergies are developed by genetic risk of allergy, duration of bf, time for introduction of other foods, maternal smoking , air pollution, infectious deseases, maternal diet, immune system

Question 14

food intolorences

Answer 14

cannot give the baby bm that is gassy or acidic
diet and infant colic is controversial- make a log book to see if theirs trends
some flavors can be passed through

Question 15

pre-term infants

Answer 15

at risk for insufficient milk intake, hypoglycemia, jaundice, poor weight gain
dont have proper swallowing reflex and could have trouble latching- mothers should pump to maintain milk supply

Question 16

preterm infant milk

Answer 16

higher in protein and lower in lactose, higher in energy content but baby will outgrow the demand for calcium, mg, zn, folic acid, d,d,e,k- should have fortification

Question 17

what are the challenges of feeding lbw baby

Answer 17

adequate kcals/ nutrient intake, making enough milk

Question 18

when should women not bf

Answer 18

galactosemia, HIV, is taking antiretrovial meds, tuberculosis,t-cell lymphotropic virus type 1 or , using drugs, chemotherapy,

Question 19

hiv infected mothers in developing countries vs developing conutrires

Answer 19

wherever there is a safe and affordable substitute this is encouraged but where it is not safe or too expensive they should still breastfeed-mastitus can increase chance of getting it.
the benefits outway the risk beaseu bm is so much better

Question 20

milk bank

Answer 20

the milk is paturized and frozen- some people do milk sharring which is not regulated and can hae lots of bacteria and viruses

Question 21

rush mothers milk club

Answer 21

program of bf interventions, for the neonatal intensive care un- very lbw babies fed the mothers milk
provides info on
1:making decision
2: access to breast pump
3: provide skin to skin pratice at sucky on empty breast,
4: allows them to start feeding as soon as they can suck and swallow
5: prepare for bf