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Flashcards in Breastfeeding Deck (11)
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1
Q

how does breastfeeding work?

A
  • Infants are born with a sucking reflex
  • Mother’s body produces hormones that stimulate milk duct system in the breast
  • Delivery of the placenta triggers hormone changes that stimulate milk production
  • Sucking by the baby stimulates milk ejection reflex
2
Q

colostrum

A

First breast milk produced, filled with lots of antibodies

3
Q

breastfeeding recommendations

A
  • Breastfeed within the first hour
  • Breastfeed exclusively for the first six months
  • Continued breastfeeding with appropriate complimentary food for 1-2 years or beyond
4
Q

who is most likely to breastfeed?

A
  • The higher the income, the more likely you are to breastfeed
  • The higher the education received, the more likely you are to breastfeed
  • Culturally dependent (lower in White and Aboriginal populations than Asian and Black populations)
  • Immigrants more likely to breastfeed
5
Q

formula

A
  • Usually cow milk-based or soy-based
  • Use first arose in late 1800s
  • Associated with problems when it first arose due to issues with spoilage
  • Now, lots of debate
6
Q

claims of breastfeeding advantages

A
  • Economic savings
  • Environmental savings
  • Better for mother (lower rates of post-partum depression)
  • Better for infant (improved physical and mental health, intelligence, cognitive abilities)
  • Better for mother-infant bonding
7
Q

studying breastfeeding

A
  • Difficult to do -> can’t randomly assign women to breastfeed vs. Formula feed
  • Lots of other differences between mothers who choose to breastfeed vs. Formula feed
    • Ex. SES, maternal education, culture
8
Q

Evenhouse & Reilly: breastfeeding and family factors study

A
  • Do the benefits of breastfeeding remain if family factors are controlled for?
  • Methods:
    • Looked at siblings who were fed differently as infants
    • Examined relationship between breastfeeding and adolescent well-being (physical/emotional health, academics/IQ, mother-child relationship)
  • Results:
    • Looking between families, lots of correlations between breastfeeding and outcomes
    • But within families (comparing between siblings), only IQ was significantly correlated with length of breastfeeding
  • Limitations: siblings may not be controls for each other
9
Q

Kramer et al: breastfeeding and cognitive development

A
  • Is breastfeeding related to cognitive ability in childhood?
  • Method:
    • Mothers who expressed intention to breastfeed were included
    • Maternity hospitals/clinics were randomly assigned to use breastfeeding interventions (talking about the benefits of breastfeeding) or care as usual
    • Looked at IQ and cognitive development 6.5 years later
  • – Higher rates of breastfeeding in intervention group vs breastfeeding
  • – Higher IQ in intervention group
  • – Higher teacher ratings (cognitive development) in intervention group
  • Results:
    • Mothers exposed to breastfeeding interventions were more likely to continue breastfeeding
    • Infants exposed to breastfeeding intervention showed higher IQ at 6 years
  • Limitations: pediatricians aware of conditions
10
Q

why the advantages?

A
  • Contents of breast milk
    • Nutrients, hormones
  • Or is it more about the situation of breastfeeding itself?
    • Emotional bonding and physical contact between mother and infant during feeding
    • Underlying differences in temperament
11
Q

reasons why moms can’t/don’t breastfeed

A
  • Maternal health reasons (some diseases can be transmitted thru breastmilk)
  • Medication (some meds can be transmitted thru breastmilk)
  • Time/money (hard to breastfeed if you’re working)
  • Difficulty latching, unable to produce enough milk, severe pain
  • Personal choice