Positionine and attatchment breastfeeding Flashcards
using model identify the structures and functions
Nipple- erectile tissue
Areola- darker circle, raise dots onto of this are Montgomery tubercles ( realise sebum to keep nipple lubricated)
Alveoli- contain milk producing hormones (acene cells)
Myoepithelial cells surround the alveoli contract to expel the milk
Milk travels to the lactiferous ducts which propels te milk to the ducts for the baby
name the hormone that stimulates milk production and identify its source and target cell- explain the physiological process and give three examples of how effective milk production can be achieved
Prolactin-realised from the anterior pituitary gland.These levels rise immediately after the delivery of the placenta
This is in correlation with the drop of oestrogen and progesterone
Three example- Early feeding right as baby is born, good positioning and attachment, effecting emptying of the breast
Identify the hormone responsible for the let down reflex- where is it realised from, the cells the hormone acts on and explain the factors which well help or hinder the release of this hormone
Oxytocin (feel good hormone)- released from the posterior pituitary
This hormone caused a release of milk through the milk ducts
Factors that help- Being close to baby, hearing, smelling and touching baby and having things around you that make you feel calm happy an comfortable
Factors that hinder- Stress, anxiety, lack of sleep, being away from baby (NICU)
Name the protein involved n the auto rinse production and maintenance of breastmilk
Feedback inhibitor of lactation- increases as milk builds up in breast
This protein excerpts a negative feedback mechanism- stops further supply of breastmilk
Important to empty the breast fully to increase supply
How should Robyn prepare herself for the feed
Ensure you are comfortable, in a private space, feel relaxed, go to toilet before hand, have things to hand so no need to move, midwifes are good to discover how to do while practising however should be taking a hands off approach
Encourage responsive feeding- Look for cues when baby is hungry- mouth moving, heading turning and hands in mouth
Helps bonding
use doll demonstrate suitable position that robyn can adopt prior to attaching Zac
Cross cradle- head and neck in line with breast and support baby with arm round baby back
Rugby ball- Baby under hand pit, with you arm supporting head and back with it in line with breast
If lying back a bit- Baby can lie on you abdomen with legs on thigh with head in line with nipple falls
Using CHINS demonstrate good positioning to breast prior to attachment- reasons
C- close,baby close into mum
H-Head free-nothing restricting head from sucking
I-In line with breast
N- Nose to nipple
S- Sustainable position
Detail the steps taken by Robyn to attach baby to breast
Bring baby to breast
Babysit wide open mouth
When mouth is open bring nose to nipple- nipple should be far back in baby mouth ( soft pallet not hard to avoid nipple pain)
Baby’s bottom lip should be out turned
Explain to Robyn the signs of good attachment
Chin indenting breast
More areoli over than under than baby’s mouth
Wide mouth
Cheeks should be full and round not inched in
Pain free
Sucking pattern should be rapid at start and then slow down with some sucks and pauses
At end of feed baby will flutter feed- Getting rich in fat milk
Baby should remove themselves from breast when ready and breast should look the same shape
How will Robyn know baby is had enough of breast- Advice
8-12 feeds in 24 hour time
lasting between 5-40mins from each breast
Sucking patterns become rhythmic
Plenty of wet and dirty nappies
Stool should be changing colour
Come off breast spontaneously
Settled between feeds
