BFI 1

Question 1

What are the maternity standards

Answer 1

• Pregnant women are prepared
• Closeness and feeding straight after birth
• Breastfeeding of to a good start
• Informed decision about other food for babies
• Close and loving relationships

Question 2

what are the neonatal standards

Answer 2

• Close and loving relationships
• Breastmilk and breastfeeding
• Parents as partners in care

Question 3

what are the health visiting standards

Answer 3

• Support for pregnant women
• Continued breastfeeding
• Informed decisions about other food for babies
• Close and loving relationships

Question 4

children centred standards

Answer 4

• Support for pregnant women
• Support for infant feeding
• Close and loving relationships

Question 5

what is the importance of relationship?

Answer 5

• Evidence suggests that mothers who have formed a bond with their unborn baby are more likely to begin to breastfeed and overcome the early challenges.
• Explaining how oxytocin helps with babies’ brain development – so for example keeping the baby close and breastfeeding will help keep high levels of oxytocin.
• If a baby is bottle fed it is important to limit the number of people who feed the baby to build

Question 6

Responsive feeding - how is responsive feeding and breastfeeding different?

Answer 6

A method of feeding using breast milk , an approach that follows baby’s cues.* A sensitive reciprocal relationship between a mother and her baby – a mother responds to her babies - he shows signs feeding cues, he is distressed or lonely, her breast is full , she simply wants a sit down a cuddle.

Question 7

how can you support responsive feeding

Answer 7

• Hold baby close
• Semi reclined
• Encourage feeding by routing a finger or by moving the teat against the top link
• When she opens her mouth, gently put the teat so she can help draw it further.
• Hold horizontally or slightly tipped over
• Pace the feed by following the baby’s cues for when they need a break (recognising that these may differ : e.g. splayed fingers and toes, milk spilling out of mouth, flaring nostrils, stopping sucking, turning head away, pushing bottle

Question 8

signs of lactation

Answer 8

Lactogenesis 1 – breast development and colostrum from 16weeks gestation.
Lactogenesis 2 – onset of copious milk secretion occurring between 32 and 96 hours after milk
Lactogenesis 3 – maintenance of milk production

Question 9

constituents of breast milk

Answer 9

• Water
• Carbohydrates
• Fats
• Vitamins and Minerals
• Proteins
• Growth factors
• Lymphocytes
• Stem cells

Question 10

constituents of formula

Answer 10

• Vitamins and minerals
• Fats
• Carbohydrates
• Waters and mineral
• Protein

Question 11

what are the hormones used in breast milk

Answer 11

Prolactin
* Responsible for milk production
* Levels higher at night
* Frequent contact feeds
Oxytocin
* Responsible for milk production
* Acts on muscle cells
* Levels high when baby is near
FIL - feedback inhibitor or lactation
* Fil is a protein found in breastmilk
* Main job is to regulate supply based on demand
* How does FIL work – when milk builds up in the breast – FIL levels rise – the presence of high levels of FIL inhibits further milk production.
* This is helpful in feeding - prevents overproduction - supports babies needs

Question 12

what is first strep nutrition

Answer 12

Provides evidenced based information regarding breastfeeding

Question 13

recognising effective attachment

Answer 13

• Feeding is pain free
• Chin indenting breast
• Cheeks full and rounded
• More areolar may be visible at the top of the lip
• Rhythmic suck and swallows