Breast Feeding

Question 1

What is attachment?

Answer 1

How baby takes the breast into its mouth

Question 2

What is positioning?

Answer 2

How a mother holds the baby to help effective attachment

Question 3

Give some examples of effective feeding

Answer 3

Any from: 
Pain free
Chin indenting 
Mouth wide open
Checks full and round
More areola visible above lip
Rhythmic suck/swallow
Nipple remains rounded after feed

Question 4

Give some examples of ineffective feeding

Answer 4

Sore nipples
Engorgement 
Mastitis 
Decreased production 
Frequent feeding 
Frustration
Poor weight gain
Jaundice

Question 5

Name some cues for assessing feeding

Answer 5

Any from 
Urine & stool output 
Feeding pattern 
Gaining weight 
Engorgement/blocked ducts/mastitis
Appearance & behaviour 
Suck/swallow ratio 
Nipple shade after feed/damage
Use of dummy/nipple shields

Question 6

Name some things mothers want from help with feeding

Answer 6

Any from 
Practical tips and help 
Not hands on 
Observe a full feed
Proactive approach 
Encouragement 
Compassion

Question 7

Describe the changes in stools

Answer 7

Days 1-2 meconium
Days 2-4 changing stool, breastmilk coming in
Days 4 onwards soft, runny, yellow stools
From 4-6 weeks develop individual pattern