Flashcards in Feeding Deck (18)
What is good weight gain in a neonate?
25g/an ounce a day with a day off on Sunday
What are indications for NG tube feeding in neonates?
Any sick infant who is too ill of too young to feed normally
Expressed breast milk or formula milk is fed by NG/OG tube
What is trophic feeding
Minimal enteric feeding, gut priming
This is to maintain normal GI structure and function
What are indications for parental nutrition?
Via central vein
If oral nutrition is poor
Gut rest - necrotising enterocolitis
What are complications of parenteral nutrition?
Stop in stages to avoid hypoglycaemia
What are reflexes associated with breastfeeding
Suckling - jaw goes up and down while the tongue compresses the areola against the palate
Swallowing - larynx rises, epiglottis falls
What are signs of correct attachment?
Mouth wide open, chin touching breast
Baby should be seen to be drawing in the breast not just the nipple
Lower lip curled back, maximally gobbling areola
Slow, rhythmic deep jaw movements as well as suckling movement
When is expressing breast milk valuable?
To relieve painful breast engorgement between feeds
To keep milk production going when it is necessary to give nipples a rest
o aid nutrition if sucking is reduced - cleft lip, prematurity
If the mother is going to be separated from baby
How long can breast milk be kept?
5 days in the fridge
Frozen milk should be used within 6 months
What are symptoms of mastitis?
Tender, hot, red breast
What is treatment of mastitis?
Express if too painful
What are factors that make breastfeeding harder?
If mother and baby are separated at night
Unfriendly working environment
Cultural reframing of breasts as sex objects
what are advantages of breast feeding?
Sucking promotes uttering contractions so avoiding some PPHs
Breastfeeding induced oxytocin surges promote trust and diminish fear
Less insulin resistance, hypertension, obesity due to long chain polyunsaturated fatty acids
Breast milk is free and clean and gives baby attractive smell
Colostrum has good endorphins
IgA, macrophages, lymphocytes protect from infection
Why is feeding on demand encouraged?
Keeps baby happy and enhances milk production
Fewer breast problems - engorgement, abscesses
What are CI to breastfeeding?
What milk is given in cows milk allergy?
Hydrolized formula - protein hydrolysed into short peptides
How much milk do babies need?
150ml/kg/24h over 4-6 feeds