Breastfeeding Flashcards
(9 cards)
What physiological changes enable the process of lactation?
Hormonal changes:
Prolactin: Stimulates milk production in the alveolar cells of the breasts.
Oxytocin: Triggers the let-down reflex, causing milk to be ejected from the alveoli into the ducts.
Breast tissue changes: The mammary glands enlarge and become functional during pregnancy, preparing for milk production.
Increased blood flow: The blood supply to the breasts increases to support milk production.
Colostrum: The first form of milk produced, rich in antibodies, is produced in the early postpartum period.
What is the midwifery role in supporting the establishment of breastfeeding?
Education: Teaching proper latch techniques and positioning for effective breastfeeding.
Support: Offering emotional support and reassurance to mothers about common challenges (e.g., nipple pain, latching issues).
Monitoring: Observing and assessing the baby’s feeding patterns and signs of effective milk intake (e.g., weight gain, output).
Encouragement: Supporting exclusive breastfeeding and advising on the importance of frequent feeding to establish milk supply.
What are the benefits of breastfeeding for mother
Promotes uterine contraction and reduces postpartum bleeding.
Helps with weight loss post-birth.
Reduces the risk of breast and ovarian cancer.
Strengthens emotional bonding with the baby.
what are the benefits for breastfeeding for the baby
Provides optimal nutrition and immune protection (antibodies).
Reduces the risk of infections, allergies, and chronic conditions (e.g., asthma).
Supports brain development and bonding with the mother.
What is lactogenesis
Lactogenesis: The process by which the breasts produce milk.
Lactogenesis I: Begins in pregnancy, producing colostrum.
Lactogenesis II: Occurs shortly after birth, when milk production increases (typically within 2-3 days postpartum).
How is milk supply maintained?
Frequent breastfeeding or pumping stimulates the release of prolactin, which keeps milk production active.
A mother’s milk supply is based on the demand-supply principle—more frequent feeding leads to more milk production.
What are the principles for expressing milk
Can be done manually or with a breast pump. Ensure proper hygiene, and express when breasts feel full.
What are the principles for storing and using breast milk
Storage:
Store in clean, air-tight containers.
Fresh milk can be kept at room temperature for 4 hours, in the refrigerator for up to 4 days, and in the freezer for up to 3 months.
Use:
Thaw frozen milk in the fridge or by running warm water over it.
Never refreeze milk once it has been thawed.
Warm expressed milk by placing the bottle in warm water, but avoid microwaving.
How should a midwife support a woman with artificial feeding?
Education: Teach about preparing formula safely (correct water-to-formula ratio), sterilizing bottles and nipples, and understanding different types of formula.
Support: Addressing concerns about the decision to use formula and providing emotional support for mothers who may feel pressured.
Monitoring: Ensuring the baby is fed adequately and demonstrating signs of satiety and proper weight gain.
Bonding: Encouraging skin-to-skin contact during bottle-feeding to strengthen bonding and provide comfort to the baby
