Module 2 Flashcards
(29 cards)
Engorgement
Brady becomes hard, shiny, hot, and nipple becomes difficult to grasp
Engorged breast decrease flow, by decreasing circulation to capillaries in breast, due to inflammation.
What works well is soaking breasts in warm water
Storage capacity is effected by mom with breast plants and tight bras
Periareolar incision is the highest chance of effecting milk production
Always ask if they have sensation in breast after any surgeries
Prolactin = nipple stroking
Oxytocin = nipple stretching
Nipple inversion
Grade 1 easily pulled out with breast pump and infant nursing
Grade 2 can be pulled out but do not maintain their projection at all
Grade 3 difficult or impossible to pull out
Feed newborn first
Smoking decreases prolactin levels
Smoking is closely related to moms Early weening
22% of SUID can be attributed to maternal smoking during pregnancy
Using pacifier decreases the chance of ear infection and diarrhea
Delay pacifier introduction until breastfeeding is established
Pacifiers for premies in hospital
Improved baby’s satiety and lead to earlier dc
Using nipple shield 3x increased risk of not exclusively breast feeding
Also concern for fungal biofilm
Babies driven to feed by thirst not hunger
14 minutes is ideal
Ensure a good fit for breast pump, the nipple should not rub along the tunnel of the flange
Hand expressions lead to higher fat content for baby
Start by massageing the breast
Ensure the fingers are not sliding down the breast
2-3 cm above the nipple go for a period of time till milk decreases then start in a new place
Breast milk out for 4 hours room temp
Refrigerator 4 days
6-12 months freezer
Never refreeze human milk
After started bottle by baby must be reused within 2 hours
