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Flashcards in Breast Feeding- Ware Deck (31):
1

ACOG recommends breast feeding until what age

6 mos. exclusively and up to 2 years or as long as mutually wanted thereafter.

2

Shelby County breast feeding rates (any breast feeding)

60% ish....which is about 20% below the national average

3

What's the number one reason for not breastfeeding in TN?

Not wanting to...
Followed buy not liking it, going back to work, other kids to take care of, etc...

4

Reasons women stop in TN

1) not producing enough milk
2) Breast milk doesn;t satisfy the baby
3) Baby had difficulty nursong

5

Breast feeding rates are the lowest in what population?

- Non-hispanic black populations
- women under 20
- Women enrolled in WIC (Women, infants, and children food and nutrition services)
- women completing high school or less
- women that live in the southeast

6

Milk is species specific and age specific

ok

7

Colostrum

breast milk

8

Benefits of Colostrum

- High levels of immune protection (IgA)
- Milk composition changes to match infant needs ( Protein and sodium decrease as fat and lactose increase over the first 4-7 days)

9

Risk reductions for babies

- Lower respiratiry infection (72%)
- Otitis media (50%)
- Gastroenteritis ( 64%)
- Necrotizing enterocolitis (77%)
-etc,,, SIDS, Obesity, T1 and T2 Diabetes

10

Risk Reductions for mothers

- Type 2 Diabetes
- Premenopausal breast cancer
- Post partum depression
- Ovarian Cancer
- CV disease

11

Women who have had breast surgery (augmentation)

May be able to breast feed unless there is complete severance of the lactiferous ducts.

12

improved breast feeding prognosis if nipple and areola left on pedicle during surgery

ok

13

Who should not be breastfed

- classic glactosemia in the infant. Basically lactose intolerance in the infant
- maternal TB or varicella
- HTLV (Human T Lymphotrophic virus) --> Mothers receiving radioactive isotopes
- Mothers on antimetabolites or chemotherapy
- Street drugs
- Moms with herpes on the breast
-

14

Hepatitis B, Hepatitis C, environmental chemicals, CMV carriers, tobacco users, alcohl drnkers, infant hyperbilirubinemia

NOT Contraindications for breast feeding

15

How many lobes in a mature mammary gland

6-10

16

Single opening from each lobe, its called a

galactophore

17

Nipple and areola innervation

anterior and lateral cutaneous branches of 3rd to 5th intercostal nerves. 4th mostly (can be impacted during surgery

18

What is a montgomery tubule

small sebaceous galnds on the areola
Not visible before pregnancy
secrete a cleansing and lubricating bacteriostatic fluid

19

How many stages of lactogenesis?

3

20

Lactogenesis I characterized by

High levels of prolactin, but very low levels of milk production due to progesterone antagonism

21

Lactogenesis II characterized by

3 days post-partum, very rapid increase in milk production and volume, main cause is the rapid decrease in progesterone post-partum

Lactogenesis III- 10 days post-partum. Changes in milk composition to mature milk

22

Prolactin

milk production

23

oxytocin

milk ejection

24

Autocrine control of breast milk production

milk removed governs supply of milk made. If enough milk is not removed, FIL is released that prevents production

25

Oxytocin release is stimulated by

Tactile stimulation of nipple areolar complex. Reacts with receptors of myoepithelial cells which results in contraction

26

Immediate postpartum physical contact is important. Skin-skin contact is important. This encourages breast feeding, prevents hypothermia, and prevents hypoglycemia

ok... eye prophylaxis, weighing and measuring should be delayed until after the first feeding. First feeding needs to always occur within one hour.

27

You literally have the baby breast-feed before you do anything else to it

ok

28

Whats teh best way to suck a nipple

fish mouth it

29

Feed how many times?

8-12 times per 24 hours

30

Crying is a late sign of hunger

ok

31

A mother is legally protected when it comes to breastfeeding. May breastfeed anywhere they need to

ok