Predominant Breastfeeding - ✔✔-Babies who receive breastmilk and other liquids (e.g. water, minerals, vitamins, oral meds).
Breastfeeding - ✔✔-Baby receives human milk, as well as other foods or fluids, including form
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Predominant Breastfeeding - ✔✔-Babies who receive breastmilk and other liquids (e.g. water, minerals, vitamins, oral meds).
Breastfeeding - ✔✔-Baby receives human milk, as well as other foods or fluids, including formula.
Complementary Feeding - ✔✔-Child is between 6-23 months receiving both human milk and solid or semi solid foods.
3 strategies for increasing BF initiation and duration - ✔✔-Promotion, Protection, Support
Promotion - ✔✔-Focuses on advantages of BF on a personal, community, country, or global level. BF to the community.
Protection - ✔✔-Focuses on government, manufacturer, and social responsibility to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - ✔✔-Addresses improper marketing practices by formula companies. It is not currently a law in the US.
What does the International Code Prohibit? - ✔✔-Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? - ✔✔-No distributing formula, discharge bags, industry written handouts.
Support - ✔✔-Focuses on interaction of helpers with family, as well as program development and implementation.
10 steps to successful BF - ✔✔-1. Written BF policy. Skin to Skin immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Healthcare staff responsibility for working with lactating mothers include what? - ✔✔-1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? - ✔✔-1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - ✔✔-Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - ✔✔-Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? - ✔✔-Nationally recognized designation awarded by the ALPP. Practice parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? - ✔✔-4, some yellow by day 4.
When should a baby be back to birth weight? - ✔✔-12-14 days post birth
How much weight should a baby gain daily? - ✔✔-Approximately 1 ounce
Why do women supplement with formula when there is no medical need? - ✔✔-1. Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
What period are women more at risk to stop BF? - ✔✔-3-7 days post D/C.
Alveoli - ✔✔-Small glands in the breast that produce milk
At-Breast Supplementer - ✔✔-SNS system
Atopy - ✔✔-hypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative - ✔✔-Initiative by UNICEF and WHO (1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online: http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - ✔✔-an orange-yellow pigment formed in the liver by the breakdown of hemoglobin and excreted in bile.
CCK (cholecystokinin) - ✔✔-Hormone that regulates the emptying of the gallbladder and secretion of enzymes by the pancreas.
Colostrum - ✔✔-thin, milky fluid secreted by the breast during pregnancy and during the first days after birth before lactation begins. Causes a laxative effect which helps the baby pass meconium.
Complementary feeding - ✔✔-Process starts when BM alone or infant formula alone is no longer sufficient to meet nutritional requirements of infants, therefore other foods or liquids are introduced.
Coryllos type - ✔✔-Classification system for anklyloglossia
Dancer Hand Position - ✔✔-Technique used to support Baby's chin and mother's breast. Use Thumb and index finger under chin, remaining 3 fingers to support breast.
Alveolar Cells - ✔✔-found in the walls of the alveoli, simple squamous epithelial cells, main sites of gas exchange
myoepithelial cells - ✔✔-contract in response to stimulation by sympathetic nervous system and squeeze milk up the duct
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