7) Lactation and Breastfeeding (Part I) Flashcards Preview

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Flashcards in 7) Lactation and Breastfeeding (Part I) Deck (103)
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1

Why may breastfeeding be referred to as exterior gestation?

As it provides continuity in terms of security and nourishment between the mother and infant

2

What occurs to progesterone and estrogen secretion following parturition?

They decrease significantly, while other hormones rise to stimulate the secretion of milk

3

What is the magic hour?

The recommendation that infants be placed in contact with the mother's breast as soon as possible

4

Why is a support system crucial for successful long-term breastfeeding?

As psychological inhibitions (e.g. an unsupportive family) may decrease the flow of milk

5

Which conditions may result in the need of tube-feeding for the baby?

- Low-birth weight infant or neurologically impaired infant
- They are not able to suckle properly on the breast

6

What stimulates the production of milk? By what cells?

- The suckling stimulus stimulates the release of prolactin from the anterior pituitary
- Stimulates milk production by alveolar cells in mammary glands

7

What is the function of oxytocin in milk let-down?

- Oxytocin is released from the posterior pituitary
- Stimulates myoepithelial cells of the mammary gland to contract

8

How does breastfeeding suppress ovulation?

- Decreased levels of estrogen and progesterone
- Increased levels of prolactin
- The rate of breastfeeding must be maintained to prevent ovulation

9

When should the mother think of using other methods of contraceptives?

When the baby starts to sleep through the night

10

How does breastfeeding influence the size of the uterus?

- Breastfeeding stimulates the contraction of the uterus
- Results in the involution of the uterus through oxytocin release

11

What are four advantages of breastfeeding? (4)

1) May aid in proper jaw and tooth development
2) Bacteriologically safe, always fresh, and contains anti-infectious agents
3) Nutritionally superior
4) Associated with a lower risk of food allergies

12

Provide examples of milk compartments.

- Micelles
- Membrane-bound globules
- Live cells
- Protein
- Non-protein nitrogen compounds
- Carbohydrates
- Lipids
- Vitamins
- Minerals
- Trace elements

13

What are the three sources of milk components?

1) Transferred from maternal plasma
2) Synthesized from maternal secretory (alveolar) cells from maternal plasma precursors
3) Synthesized from other mammary cells in situ

14

What are the three phases of milk production? When do they occur?

1) Colostrum (5 to 7 days)
2) Transitional milk (7 days to 3-4 weeks)
3) Mature milk

15

How does colostrum compare to mature milk? (2)

1) High in protein and mineral content
2) Lower in energy, fat, and lactose content

16

What quantity of milk does colostrum provide? What does it ressemble?

- The quantity is very small (2-10 mL feeding per day)
- Intense transparent yellow fluid

17

What explains the intense transparent yellow fluid of colostrum?

Colostrum contains 10 times the carotenoid content of mature milk

18

How does transitional milk vary from colostrum?

1) Quantity of protein decreases to a consistent level
2) Increase in lactose and fat

19

How does mature milk vary?

According to the changing infant's needs (i.e. the time of day, or depending on the age of the child)

20

What is the composition of foremilk? Why?

- Contains a high quantity of water and lactose
- Due to the increased hydration needs of the child

21

What is the composition of hindmilk?

Higher in fat and calories

22

Why are women advised to empty one breast before moving on to the next one?

To provide the infant with a greater quantity of hindmilk, and, thus, a greater quantity of fat to aid in brain development

23

What are the three immunological properties of breast milk?

1) May have a direct action against pathogens
2) Modulate the immune response
3) Promote the growth and maturation of the GI tract

24

How do the immunological factors contained in breast milk compare to cow's milk and infant formula?

- Most immune factors are not found in infant formula
- Lower concentrations are found in cow's milk

25

How are whey proteins structurally different than caseins?

They are resistant against proteolysis and acid denaturation

26

Why are whey proteins resistant against proteolysis and acid denaturation?

Because they contain anti-proteases (e.g. sulfhydryl oxidases)

27

What is the major function of anti-proteases in whey protein?

- May protect bioactive proteins, enzymes, and immunoglobulins by preserving their disulfide bonds
- Whey proteins contain multiple disulfide bonds, providing a rigid structure that is difficult to digest by proteases

28

What are the abundant antibodies in breast milk directed against?

- Bacteria
- Bacterial toxins
- Viruses
- Fungi
- Food proteins that may cause allergies

29

Which antibodies are contained within the mammary gland?

- IgA
- IgM
- IgE
- IgI

30

Which antibody is contained in the maternal plasma?

IgG