post partum breastfeedinf

Question 1

CONTRAINDICATIONS

Answer 1

*Baby glucosemia +
*HIV+
*HSV lesions on breast
*Bucelosis/infection from raw milk
*Active TB
*Ebolia
*Active varicella
*Drug use (?)
*Malnutrition
*Infant problems – Mom can pump and freeze and save for baby

Question 2

STAGES OF MILK PRODUCTION

Answer 2

1) Colostrum =
2) Transitional milk
3) Mature milk = foremilk & hindmilk

Question 3

1. Prolactin =
2. Infant sucking =
3. Let down reflex =

Answer 3

Prolactin 🡪stimulates milk to be produced

*Infant sucking 🡪 stimulation of milk supply; Supply & Demand *Oxytocin 🡪 milk to fill lactiferous ducts

*Let down reflex 🡪milk to move to ducts

Question 4

Mature Milk

Answer 4

About 10-15 days after birth, you start making mature milk. Like each phase of breast milk, it has all the nutrients your baby needs. The amount of fat in mature milk changes as you feed your baby. Let your baby empty your first breast before switching to the other breast during a feeding.

Question 5

Hindmilk

Answer 5

Hindmilk often appears thick and creamy and is richer and more calorie dense

Question 6

Latching

Answer 6

• Nose to nipple
  Chin to breast
• Belly to belly

Question 7

TIMING OF BREASTFEEDING

Answer 7

*Within 1 hour of birth – evidence-based practice – less hypoglycemia for baby
*Q 2-3 hrs during day
*At least 1x/night

Question 8

EFFECT OF SUPPLEMENTAL FEEDS

Answer 8

*↓ milk supply
*Δ in flora of GI tract
*Less than ideal nutrition for baby
*↓ involution for Mom

Question 9

CRITERIA TO EVALUATE SUCCESSFUL BF

Answer 9

*6-8 wet diapers/day
*several stools/day
*Content and relaxed baby at the end of the session
*Weight gain

Question 10

NIPPLE CARE

Answer 10

PROPER LATCH/UNLATCH
PLUGGED DUCTS, ENGORGEMENT, MASTITIS
TRANSITION INTO BREASTFEEDING CAN BE MESSY Plugged ducts

Question 11

Engorgement

Answer 11

happens when milk isn’t fully removed from your breast.

Question 12

BREAST PUMPS
A. Electric breast pumps
B.Manual breast pumps
HAAKAA

Question 13

BREASTMILK STORAGE
A52 (DATED)
*Room Temp – 6-8 hours
*Refrigerator – 5 days
*Freezer – 3-6 months
*Deep Freeze – 6-12 months

Question 14

BOTTLE FEEDING
*Different types of preparation

*Concentrated
*Ready to use
*Clean method
*Aseptic method
*Proper nipple stage
*No more than 20 minute

Question 15

Treatment

Answer 15

IV antibiotics

support bra

Question 16

T or F offer the most sore nipple

Answer 16

T - the more vigorous suck on the left breast

Question 17

Sore or cracked nipples: