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11 Cards in this Set
- Front
- Back
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What's the WHO's stance on breastfeeding?
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it's the ideal way to provide nutrients, all mothers can breastfeed, breastfeeding should be used exclusively for 6 mo, colostrum is ideal within the first hour after birth.
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Is breastfeeding the cultural norm in the US?
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Apparently not. the goal is to have 75 % of mothers start breastfeeding, 50 % continue to 6 mo, and 25 % continue to a year. We're not there yet.
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Who has the lowest breast feeding rates in the US?
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low education, low income, African American women.
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What hormones are involved in breast feeding?
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prolactin (regulates amt of milk produced)
oxytocin (from post pituitary, responds to stimulated areola --> myoepithelial contraction and release of stored milk. inhibited by stress and EtOH. bonding hormone.) |
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What are the stages of lactogenesis?
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Pregnancy: full development of alveoli, mature epithelium, final mammary growth and differentiation
Stage 1: midpregnancy, breasts can secrete milk Stage 2: heavy milk secretion, milk "comes in", 4 days post-partum lactation: milk secretion as long as milk is removed (feedback inhibition) involution: when milk removal is discontinued, apoptosis, remodeling |
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What are the health benefits of human milk to the child?
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50 % less ear infection, 64 % less diarrhea, 72 % less pneumonia, 30-40 % less asthma, 25 % less obesity, 15-20 % less leukemia, less SIDS, less necrotizing enterocolitis
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What are the health benefits of breastfeeding for the mother?
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4.3 % less breast cancer, 21 % less ovarian cancer, more self esteem, mother-infant bonding, less post-partum hemorrhage (oxytocin -> uterine contraction), faster return to pre-pregnancy weight
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What are the benefits of breast feeding for society?
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save $3.6 billion/yr, decrease preventable diseases, environmentally friendly
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What are some barriers to breast feeding?
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Lack of community/public/partner/family support, no role models, inadequate prenatal education, no health care support, intro of infant formula, maternal cigarette smoking, need to return to work, maternal obesity
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How can docs promote breast feeding?
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know what meds are compatible (most are), learn to manage substance abuse, milk supply, breast problems (mastitis, engorgement, nipple soreness), jaundice, poor infant wt gain.
have peripartum counseling and lactation consultatnts, early skin to skin contact, postpartum assistance |
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What are some common misconceptions about breastfeeding?
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It's not contraindicated if:
HBsAg positive mother mother w/ hep C febrile mother smoking mother mother on methodone |
