Ost528-Breastfeeding-Dr.douma

Front 1

What are the benefits of breastfeeding for the infant, the mother and society?

Back 1

1.Nature:enhance survival of species
2.Health,nutritional,psychological,social,economic benefits
3.Breastfeeding is species-specific
4.Lower risk of breast & ovarian cancer
5.Maternal-infant neuroendocrine interaction
6.Helps infant's immune system

Front 2

When is the infant's immune system completely developed?

Back 2

Ages 1 to 4.

Front 3

What does breast milk provide on the infant's intestines?

Back 3

Provides a layer so that there is a decreased adherence of pathogens.

Front 4

What do the enzymes in breast milk help do?

Back 4

Enzymes in breast milk help lyse and bind pathogens.

Front 5

What does breast milk do for the immune system and intestinal flora?

Back 5

Modulates immune factors and promotes healthy intestinal flora.

Front 6

What are the healthy bacteria that breast milk provides?

Back 6

Lactobacillus & Bifidobacterium

Front 7

Babies drinking breast milk have what kind of stool?

Back 7

Runny

Front 8

How does breast milk help protect against autoimmune diseases?

Back 8

Breast milk provides some sort of mechanism to help the body recognize its own cells.

Front 9

For how long should babies receive exclusive breast milk?

Back 9

6 mos.

Front 10

For how long should breastfeeding continue?

Back 10

12 mos.

Front 11

How many years of breastfeeding does the WHO recommend?

Back 11

A minimum of 2 years.

Front 12

What are the medical contraindication for breast feeding?

Back 12

1.Maternal HIV
2.Drugs
3.Chemo
4.Lithium
5.Radioactive cmpds
6.Ergot alkaloids
7.Infant galactosemia

Front 13

What should physicians do to help increase breastfeeding rates?

Back 13

Physicians should tell their patients that "breastfeeding IS best and here's some ideas tht can help you make it work for you and your baby."

Front 14

What are the current rates for breastfeeding in the US?

Back 14

2001: 69.5% of mothers began breastfeeding at the child's birth. By 6 mos., only 32.5% were breastfeeding and only 18.7% were at 12 months. These number drop off real fast!

Front 15

What does the baby have to do for adequate milk transfer?

Back 15

The baby's tongue needs to extend over the lower gum and cup the areola. (creates negative pressure) Tongue needs to express the milk by massaging the areola.

Front 16

What type of mechanism is breastfeeding?

Back 16

Supply & Demand-If the baby is drinking a lot of milk, the mom's body will make more and if the baby is not drinking a lot of milk, the mother's body will make less.

Front 17

What 3 reflexes does the baby have that help it get to the breast?

Back 17

1.Stepping & crawling
2.Searching & rooting
3.Sucking

Front 18

Opening the mouth, rooting, sucking, or chewing are all what type of signals?

Back 18

Early hunger cues.

Front 19

Crying & deep sleep are what type of hunger cues?

Back 19

Late hunger cues.

Front 20

Describe the "snuggled skin-to-skin" method of milk transfer.

Back 20

Baby is naked except for diaper and mother's shirt is opened in the front, and the baby will try and find the breast.

Front 21

Describe the "cross-cradle" method of milk transfer?

Back 21

Mother is sitting and baby comes in from the side in a horizontal position.

Front 22

Describe the "side-lying" method of milk transfer?

Back 22

Mother and baby are both lying down, facing each other.

Front 23

If the feeding is too short (less than 10 minutes), what does this mean?

Back 23

Baby is not getting enough hindmilk?

Front 24

If the feeding is always long (more than 45 mintues), what does this mean?

Back 24

The baby may not be feeding very effectively.

Front 25

With regards to feeding, what does it mean if the baby is gaining weight and there is spit-up and feces and urine?

Back 25

Means that baby is getting enough food.

Front 26

How should a baby be latched on to the nipple?

Back 26

Aim the nose to the nipple and the chin to the breast.

Front 27

When does a good latch occur?

Back 27

When the baby has the whole areola inside of its mouth.

Front 28

When latching onto the nipple, should the babies lips be latched outward or sucked in?

Back 28

Latched outward.

Front 29

If the babies lips are sucked in, what does this do?

Back 29

It hurts the mother.

Front 30

Describe the nutritive suck.

Back 30

Baby has a short period of fast sucking to bring the milk down. This is followed by rhythmic jaw motion-->OPEN, PAUSE, CLOSE

Front 31

What are the cues signaling that the baby is done drinking?

Back 31

The baby will stop sucking and swallowing, or baby will fall into a deep sleep and may be floppy and weak.

Front 32

What does a breast-fed babies poop look like?

Back 32

Yellow & seedy

Front 33

Initial feces that comes out the first couple of days, it is sticky and tarry.

Back 33

Meconium

Front 34

As milk is introduced, feces becomes more runny.

Back 34

Transitional

Front 35

Eventually, breat-fed babies develop this type of feces.

Back 35

Yellow-seedy

Front 36

By 6 to 8 weeks of age, what do babies do with their feces?

Back 36

Hold their feces in and go all at once.

Front 37

What are the ways to fix a poor feeding?

Back 37

1.Right position, latch
2.No pacifiers, bottles
3.OMT
4.Get tongue-tie cut-off
5.Train baby to suck using finger

Front 38

What can mother do to help a poor feeding?

Back 38

Increase skin-to-skin time with mom-decreases cortisol and adrenaline, babies feed better.

Front 39

When is supplementation required?

Back 39

Baby is sick, very angry, very sleepy, & babies may become fussy during a growth spurt.

Front 40

How long should feedings take?

Back 40

Between 10-45 minutes.