Lactation Ch 6 FULL Flashcards

Question

BM supply & demand: does breast size limit a woman's ability to nurse?

Answer 1

NO, the size of the breast does NOT limit a woman’s ability to nurse - adipose storage is the difference - smaller breast may hold < milk, BUT milk production is the SAME

Answer 2

Rate of milk synthesis is variable between breasts & between feedings -smaller breast may have to feed > frequently bc can store less in breast

Answer 3

1. Manually 2. Hand pumps 3. Commercial electric pumps 4. Hospital grade electric pumps bc babies can't latch on or mouth is small (small surgeries) ↑ frequency esp @ beginning bc will stimulate adequate milk may require 8-12 expressions per day -comparable to how much mom will be breastfeeding in 1st wks of life of the infant

Answer 4

1. Gag reflex—prevents infant from taking food and fluids into lungs 2. Oral search reflex—infant opens mouth wide when close to breast & thrusting tongue forward -swallowing & sucking; following finger when close to mouth -be attached to nipple&areola *position is key -appropriate positioning = adequate letdown & milk production 3. Rooting reflex—infant turns to side when lip stimulated on that side. -sign of hunger when babies act like they are getting milk from inanimate object

Answer 5

HUNGER is signaled by infant: 1. Bringing hands to mouth, sucking on fingers, & moving head from side to side 2. Crying is late sign of hunger Allow infant to nurse on 1 breast as long as they want to ensure they get foremilk & hindmilk w/ its ↑ fat content that provides satiety *Note: High lactose content of foremilk may cause diarrhea

Answer 6

newborn: 10-12 feedings/day are normal for newborns -Feeding ↓s overtime Stomach is small - ∴ stomach emptying occurs every ~1.5-2 hours -feeding & diaper changes are often (1st few days bbs drink 1 tbsp/feeding)

Answer 7

Normal weight loss for newborns - ~7% of birthweight in 1st week / 1st 5days - Weight loss of 10% or > needs evaluation by lactation consultant - not enough nutrients

Answer 8

Malnourished infants become sleepy, non-responsive, have a weak cry, & wet few diapers -By day 5 to 7, infants should have 6 wet diapers & 3-4 solid diapers per day -towards end of 1st wk (start happening around day 5) amount of wet diapers will give you an idea of how much milk they're intaking

Answer 9

Cavities can occur in children who are breastfed Risk factor is frequent nursing at night after 1 yr All children should be seen 6 months after 1st tooth erupts or @1 yr of age (water after 6mo bc BM is exclusive in 6months)

Answer 10

Evaluate at mom & infant - what is the cause? MATERNAL CAUSES: 1. Poor production of milk: Mom have poor energy intake? <1500 cals?/day -illness? Poor letdown -smoking? latching? stimulation from bb? ``` infant causes: POOR INTAKE -sucking inefficiencies or mouth -excess times between feedings ILLNESS: vomiting, diarrhea, infection ↑ ENERGY NEEDS: baby may need additional supply besides BM ```

Answer 11

HM has antimicrobial components (not in HMS) - HM helps prevent cavities in 1st yr of life - helpful, but does not mean infant will not develop cavities

Answer 12

Bbs exclusively breastfed don't usually develop deficiencies Vitamin K (bleeding): all U.S. infants receive vitaK injections at birth -5% births in US -but parents can opt out Vitamin D: exclusively breastfed infants need supplements @ 2 months No recommendations for fluoride or iron Ricketts: childhood bone disorder where bones soften & become prone to fractures and deformity. ( ) legs

Answer 13

MyPlate Food Guide has been adapted for prego & breastfeeding women DIETARY GUIDELINES -Moderate wt reduction can be achieved w/o compromising the wt gain of the infant Diets formed around a MyPlate food plan for prego & breastfeeding women provide -Healthy assortment of nutrients at specified calorie levels for each stage of breastfeeding

Answer 14

1. Energy needs vary by activity level 2. DRI is +500 kcal/day for the 1st 6 months & +400 kcal/ day afterward 3. A single recommendation for energy needs could never address all of the individual variation in energy needs

Answer 15

1. Protein-calorie malnutrition (meet min cals to produce milk) - Results in reduction in milk volume but not quality - quantity > quality 2. Wt loss during breastfeeding - caloric DRI assume a loss of 0.8 kg/month - Most women do not reach prepregnancy wt by 1 yr after birth - Modest or short-term energy reductions do not ↓ milk production (~500 kcal, but not <1500 kcal/d) - ie: 2300+500-500, if want to lose wt

Answer 16

Modest energy restriction combined w/ ↑ activity may help women lose wt & body fat Exercise does not inhibit milk production or infant growth

Answer 17

Fluids (milk is 87% water) -Women should drink to thirst -check if urine is pale yellow Infant Colic -Defined as crying for >3 hrs a day – no medical cause -Components of maternal diet may be related to infant colic -More likely with cow’s milk, onions, cabbage, broccoli, & chocolate *tip: drink water while BFing/pumping 10mins/breast; feeding & pumping

Answer 18

- Healthy People 2020 breas4eeding objectives: - ↑ proportion of infants breastfed - ↑ duration of breastfeeding - ↑ worksite lactation programs - ↓ formula supplementation in first 2 days of life - ↑ births in facilities providing recommended care for breastfeeding mothers

Answer 19

1. Embarrassment - mom can train body for < frequency, but > volume 2. Time & social constraints 3. Lack of support from family & friends 4. Lack of confidence 5. Concerns about diet & health 6. Fear of pain: not done properly & pain (esp in 1st wk)

Answer 20

1. Barriers exist such as lack of on-site day care 2. Insufficiently paid maternity leave 3. Rigid work schedules 4. Lack of understanding/knowledge by employers 5. Legislation is in progress to support breastfeeding or pumping in the workplace

Lactation Ch 6 FULL Flashcards

(44 cards)