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Milk ridge develops at
4-5 weeks
What’s in colostrum
Llamas Pee Gold
Lactofferin
Living cells
Secretory igA
Microbiome
Sugars (HMOs)
Proteins 90:10 whey/casein
Growth factors
What’s in colostrum compared to mature milk
More sodium and chlorine (salty shake)
More protein
More vitamin A and E
LESS lactose and fat
Calories in mature milk
20 kcal in 1 oz
Milk production by day
Dol 1: 7-14, 37
Dol 3: 27, 408
Dol 5: 57, 705
Composition of milk
85% water
7% lactose
3-5% fat
1% protein
% of calories from
Fat 50%
Lactose 40%
Protein 10%
Most abundant components in milk
1 lactose
2 lipids
3 HMOs
Whey:casein
90:10 in colostrum
60:40 in mature milk
What do HMOs do
PIDEN
Prebiotic
Immune health
Decoy receptors
Einstein (brain)
NEC protect
Fat soluble vitamins
A d e k
Water soluble vitamins
8 B’s and c
Innocenti declaration
10 steps
Legislation
Code
Committee and national coordinator
Where is IgA mainly?
Malt
Galt+balt
Mucosal associated lymphoid tissue
Hamlet
Alpha lactalbumin Kills cancer cells
Misfeasance
Mistake
Malfeasance
Illegal
Beneficence
Duty to do good
Where is prolactin secreted from
Anterior pituitary
Oxytocin secreted from
Posterior pituitary
Stroma
Supporting tissue
Parenchyma
Functional parts
Gestational age
Preterm < 37
Late pre term 34-36.6
Full 37-42
Post term > 42
Weight classification
Normal 2500-4200
LBW < 2500
VLBW < 1500
Elbw < 1000