16 - Obs - The Puerperium - Lactation

Question 1

Advantages of BFing

• ? against ? in neonate
• ?
• Protection against ? (mother)
• saves ?
• cannot give ? ?

Answer 1

protection against infection
bonding
cancers
money
too much

Question 2

Lactation is…
Dependent on ? and ?. Prolactin from ? ? stim milk ?, levels high at ?, but rapid decline in ? and ? after birth causes milk to be secreted – as prolactin ? by these.
Oxytocin from ? ? stim ?
response to nipple ?– also stims prolactin ? and more milk ?

Answer 2

prolactin
oxytocin
ant pit
secretion
birth
oestrogen and prog
antagonised
post pit
ejection
suckling
release
secretion

Question 3

Lactation
Up to ? of milk/d can be produced. As oxytocin release controlled by ?, lactation can be inhib by emotional/physical ?. ?, yellow fluid cont: fat-laden cells, ? (IgA) and minerals, passed for first ? before milk.

Answer 3

1000ml
hypothalamus
stress
Colostrum
protein
3d

Question 4

MGMT
? encourage BFeeding when ? is ready. Early feeding on demand.
Restful, ? env to reduce ?. ? ? given to reduce ? disease of the newborn.

Answer 4

gently
baby
comfy
stress
Vit K
haemorrhagic

Question 5

MGMT
Correct posn of baby: lower lip below ?, draw ? nipple into ?.
Prevents probs: ? milk, ?, ? and nipple ?

Answer 5

nipple
entire
mouth
insufficient
engorgement
mastitis
trauma