BFI day 3

Question 1

observations of healthy term babies

Answer 1

Level of consciousness
– pick baby up to check
▪ Colour
▪ Respiration and heart rate
▪ Tone

Question 2

meeting the baby for the first time

Answer 2

• All mothers have skin to skin contact with their baby after birth, at least until after the first feed for as long as they wish.
• All mothers are encouraged to offer the first feed in skin contact where the baby shows signs of readiness to feed.
• Mothers and babies who are unable to have skin to skin immediately are commenced to encourage skin to skin as soon as possible

Question 3

how should baby be in skin to skin

Answer 3

position them upright on your chest, ensuring their head is turned to one side and their chin is away from their chest to maintain a clear airway.

Question 4

Why skin to skin should be protected – audit

Answer 4

• Triggers lactation
• Regulates temperature, heart rate, breathing in baby
• Colonises baby with microbes from mother and father and their environment
• Stimulates feeding behaviour
• Reduces stress hormones in mother and baby

Question 5

what would you do to a woman in antenatal who doesn’t want to breastfeed

Answer 5

• Triggers mothering hormone
• Regulates temperature, heart rate and breathing rate
• Colonises baby with microbes – important if not receiving breastmilk
• Reduces stress hormones in mother and
• baby
• Start the mother and baby bond

Question 6

what are the 9 stages of lactation

Answer 6

9 stages of lactation - on average take baby 62mins
1. Birth Cry: The initial cry as the baby takes their first breath.
2. Relaxation: The baby is quiet and still, recovering from birth.
3. Awakening: The baby starts showing signs of activity, like small head and shoulder movements.
4. Activity: The baby’s movements become more deliberate, including rooting and lip movements.
5. Rest: The baby may pause between activities or stages. – baby is not getting on the breast.
6. Crawling: The baby uses their limbs to move towards the breast, often sliding or pushing.
7. Familiarization: The baby reaches the breast and nipple, licking and exploring.
8. Suckling: The baby self-attaches to the breast and begins to suckle.
9. Sleeping: After suckling, the baby typically falls asleep

Question 7

how should you talk to the women

Answer 7

• Establish rapport
• Paraphrase to make sure they understand
• Remember body language
• Accept and knowledge

Question 8

something happened overnight and the women is upset how would you unpick this

Answer 8

Audit – something happened overnight and shes really upset
How would you unpick
What happened
How did you feel
What dyu want to do now

Combination feeding
* Explore reasons sensitively
* Build confidence
* Revisit goals
* Discuss options
* Value breastmilk if decison made to combination feed
* Provide information on making up feed

Question 9

is relaxation possible when is it the easiest

Answer 9

relactation is possible – easier in first 4 months
Tips to help
* Skin to skin contact
* Breast massage and pumping
* Consider a supplementer

Question 10

what is the voluntary support for breastfeeding

Answer 10

• National childbirth trust
• La leche league