T6: Newborn Nutrition Flashcards
Exclusive Breastfeeding for….
6 months of life (this includes no water
if baby stops breast feeding after 6 months what is recommended?
supplement with formula or other human milk (donated)
what is a priority to babies of diabetic mothers
feed the baby right away because they are used to high glucose levels so they can become hypoglycemic
contraindications for breastfeeding
-In United States: HIV positive
-Untreated TB
-Positive human T-cell lymphotrophic virus type I or II with untreated brucellosis
-Active herpes lesions around breast
-Maternal illegal drug use
prolactin
Milk production, impacts ovulation and return of menses
oxytocin
Milk ejection “letting down reflex”
normal breast during pregnancy
-Venous pattern more prominent
-Nipples and areola more pigmented
-Montgomery tubercles prominent (Raised pinkish red nodules on the areola)
When is colostrum present?
16 weeks gestation
when does mature milk production begin
day 3 after delivery
encourage mom to…
breastfeed in the first 30 minutes of life
feeding cues
o Crying, rooting, open their mouths
holds for breast feeding
o Football hold, modified cradle, cradle hold, side lying
education fro side lying breast feeding position
Educate mom for side lying that they need not to fall asleep so that they don’t roll on baby
what helps babies latch on with an inverted nipple
nipple shield
how much of the breast should be in the mouth of the infant
as much as the areola as posisble
the lips of the baby make a seal in the mouth, so..
When taking baby off use a finger to break the seal
Indicators of effective feeding
o Wet and dirty diapers tell you if baby is well fed
normal indicator for effective feeding
6-8 wet diapers and at least 3 bowel movements/day
breast milk can be stored at room temperature for
3-4 hours
breast milk can be stored in the fridge for
longer than 3-4 hours, this lasts 5-8 days
breast milk can be stored in the freezer for
6 months
breast milk can be stored in the deep freezer for
12 months
how to know if the baby is getting enough breast milk
o First 24 hours (1 day old) - 1 wet, 1 dirty diaper
o Second 24 hours (2 days old) - 2 wet, 2 dirty diapers
o Third 24 hours (3 days old)- 3 wet, 3 dirty diapers
o When milk is in - 6-8 wet, 2-10 dirty diapers
meconium stool
first stool of baby
stool color changes to what when breastfeeding
light yellow, seedy, watery and frequent
how to promote milk supply
- Early initiation of breast feeding
- Correct sucking pattern
- Frequent feedings
- Emotional support and encouragement to mother
