A baby with medical problems should stop breast-feeding until medical condition is under control
What are some things a baby friendly hospital must do?
Train all necessary staff to implement policy
provide pacifiers to newborns
initiate breastfeeding after 2 hours of birth
allow mother to be with baby in her room for 24 hours a day
IBCLC is a simple certification that many dietitians opt to obtain.
What causes milk supplies to increase and when does it first occur?
Oxytocin released during the pregnancy
Prolactin released during the first trimester
Prolactin released during the first suckling from the new born
Prolactin released after birth
What causes uterus contraction and letdown (milk ejection from the milk gland)?
prolactin
oxytocin
colostrum
What is true about nutrient content of breast milk?
60 kcal per dL
0.9 - 1.2 grams protein
oligosaccharides which may help maintain gut flora
75% of calories from fat
low protein diet results in low protein in breastmilk
A mother who drinks more milk will have more lactose in her breastmilk
Is there bacteria in breast milk?
Over 700 species
there is no bacteria, breast milk is sterile
there is only bifidobactrium in breast milk
What are ways to ensure the baby is getting enough breastmilk?
audible swallowing
6 - 8 wet diapers
2 - 3 stools a day
check weight
It is ideal to pump just a few times a day
How do you treat an engorgement of the breast for the baby to latch on?
Use fresh cabbage leaves every 2 - 3 hours
cold compresses after pumping or nursing
a warm shower or compress
In the event of mastitis, it is best to continue breastfeeding from the infected breast
Which drugs are contraindicated for breast feeding?
anti-neoplastic
radioactive isotopes
cocaine
Breast milk donors are allowed to take only
probiotics
calcium
iron
analgesics
insulin
prenatal vitamins
progestin-only birth control
thyroxin
