Term
| What conditions does breastfeeding help reduce in the child? |
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Definition
-acute otitis media
-nonspecific gastroenteritis
-severe lower respiratory infxn
-atopic dermatitis
-DM I & II
-childhood leukemia
-asthma
-obesity
-necrotizing enterocolitis |
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Term
| What conditions does breastfeeding help reduce in the mother? |
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Definition
-DM II
-Breast CA
-Ovarian CA
-depression |
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Term
| What are supplementation recommendations for the breastfeeding infant? |
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Definition
-200 IU Vitamin D at 2 mos
-fluoride at 6 mos |
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Term
| What maternal conditions are contraindications to breastfeeding? |
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Definition
-active TB
-HIV +
-debilitating maternal dz (e.g. CA)
-drug abuse: heroin, cocaine
-medications: radioactive isotopes, antimetabolites, CA chemotherapy
-active herpetic lesions on breast
-infectious varicella
-HTLV1: human T-cell leukemia type 1 |
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Term
| What infant conditions are contraindications to breastfeeding? |
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Definition
-galactosemia
-inborn error of metabolism |
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Term
| On the 1st day of life, newborn will eat ___?___ |
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Definition
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Term
| On ___?___ days of life the newborn will cluster feed. |
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Definition
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Term
| On 4th and 5th days of life, the newborn will nurse ___?___ times/day. |
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Definition
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Term
| Babies feed less often __?___ and more often ___?___ |
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Definition
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Term
| When does swallowing begin to be audible? |
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Definition
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Term
| Less than ___?___ or more than ___?___ feedings/day indicate inadequate output. |
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Definition
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Term
| What are the "4 As" of breastfeeding? |
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Definition
-Alignment: head and body of infant
-Areolar grasp
-Areolar compression
-Audible swallowing |
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Term
| What breast conditions might inhibit breastfeeding? |
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Definition
-hypoplasia
-tubular
-no increase in size during pregnancy
-surgery
-previous tx for breast CA
-trauma or burns |
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Term
| What are physical trauma causes of nipple pain? |
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Definition
-engorgement
-poor position or latch
-not breaking suction correctly
-anatomical oral variations of infant
-inappropriate cleaning of nipples |
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Term
| Normal/Physiologic engorgement usually peaks day ___?___ and resolves without treatment. |
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Definition
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Term
| What are infant factors that predispose to engorgement? |
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Definition
-ineffective or poor latch
-sleepy
-poor feeder
-prematurity
-SGA
-jaundice
-physical abnormalities of the mouth: tight frenulum/tongue tie |
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Term
| What are maternal factors that predispose to engorgement? |
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Definition
-delayed or missed BF
-early supplements
-flat or inverted nipples
-breast surgery
-abrupt weaning
-over-hydration in labor |
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Term
| What maternal factors predispose to mastitis? |
|
Definition
-infrequent or missed feedings
-poor latch
-nipple damage
-illness
-oversupply
-rapid weaning
-pressure on breast: tight bra, seat belt
-blocked milk duct or nipple pore
-stress and fatigue
-malnutrition or anemia |
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Term
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Definition
| tiny white cyst on tip of nipple |
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Term
| How is a breast bleb formed? |
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Definition
| milk leaks into surrounding tissue |
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Term
| What are s/s of breast vasospasm? |
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Definition
-blanching nipple after or between feeding
-deep shooting, burning, or stinging pain |
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Term
| What maternal factors predispose to vasospasm? |
|
Definition
-h/o Raynaud's dz
-"poor circulation"
-low BMI |
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Term
| What are major risk factors for jaundice? |
|
Definition
-jaundice in 1st 24h
-ABO incompatability
-<37 weeks
-LBW
-sibling received phototherapy
-cephalohematoma or bruising
-exclusive breastfeeding not going well
-East Asian race |
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Term
| What are reasons that drugs may transfer into breast milk? |
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Definition
-high concxn in plasma
-low molecular wt (<500)
-low protein binding (bound to albumin or freely soluble; look for levels >90%)
-highly lipid soluble |
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Term
| Breastfeeding is safe when the Relative Infant Dose (RID) is ___?___ |
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Definition
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Term
| What are lactation risk categories? |
|
Definition
-L1: safest
-L2: safer
-L3: moderately safe
-L4: potentially hazardous
-L5: contraindicated |
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