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Low Intake in the Breastfed infant
Insufficient milk supply, FTT and slow weight gain
27
Biology
Not Applicable
07/12/2011

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Cards

Term
overlapping etiologies
Definition
combination of causative factors
Term
primary hormone responsible for ductal growth into the fat pad
Definition
estrogen
Term
hormone responsible for development of alveoli
Definition
progesterone 
Term
How hormones interact during menstrual cycling to stimulate mammary development until age 30
Definition

estrogen rises during first half

progesteron dominates second half

Term
hormone associated with change in breast volume
Definition

HPL- Human Placental Lactogen

 

(twin pregnancies with an additional placenta create greater mamogenisis!)

Term
approximate rate of milk production for single baby for first six months
Definition
788 ml/ 24hr
Term
7 OTC & prescription meds that reduce milk supply
Definition

1. pseudoephedrine (nasal decongestant)

2. bromocriptine, cabergoline (Parkinson's Disease meds)

3. ergotamine (migrane med, causes uterine contractions might be given pp to reduce bleeding!)

4. hormonal birth control

5. blood pressure meds

6. overdose vitamin B6

7. antihistamines (allergy meds)

Term
alcohol effect on breastfeeding
Definition

may increase prolactin (milk supply)

but decrease oxytocin (inhibited MER)

Term
8 diseases causing low milk supply
Definition

1. gestational ovarian theca lutein cysts- rare, symptoms like PCOS

2. Lupus

3. POCOS

4. diabetes type II (not well controled)

5. thyroid issues

6. hypotituitarism (sheehan's syndrome)

7. Autoimmune disease

8. Renal failure

 

Term
conditions having medications that cause low supply
Definition

1. Parkinson's disease

2. allergies (because of pseudoephedrine)

Term
4 non-chronic illnesses effecting milk supply
Definition

 1. infection (including mastitis)

2. anemia

3. obesity

4. hypertension

Term
hormonal issues that can effect milk supply
Definition

1. low progesterone (breast development)

2. prolactin deficiency- rare

3. prolactin resistance

4. high testosterone

5. thyroid disorders

Term
laryngomalacia
Definition
floppy laryngeal structures in infant, pulled into airway when breathing
Term
traheomalacia
Definition
softening of the ring surrounding the trachea (wheezing heard)
Term
how many suck:swallow:breath patterns a baby should be able to sustain
Definition
10-30 in a row= rhythmic sucking
Term
way to determine 24 hour milk production
Definition

have mom pump every hour for 4 pumping sessions

 

take third and fourth expression amounts, add together, multiply by 12

Term
adequate weight gain pattern
Definition

-regain birth weight by 2 weeks

-gain at least 5-7 oz (140-200 gm) per week during first 3 months

Term
non-herbal galactogogues
Definition

1. metoclopramide (reglan & maxeran)

2. domperidone (motilium)

Term
medication used to help treat PCOS and type II diabetes and increase milk production in those mothers
Definition
Metformin
Term
common herbal galactogogues
Definition

1. fenugreek

2. blessed thistle

3. milk thistle

4. nettle

5. alfalfa

6. goat's rue

7. anise seed

8. caraway seed

9. coriander seed

10. dill seed

11. marshmallow root

Term
amastia
Definition
congenital absence of the breast and nipple
Term
herbs reported to reduce milk
Definition
parsley, sage, mint
Term
how smoking effects milk supply
Definition

reduces prolactin secretions

reduces lipids

Term
FTT
Definition

failure to thrive 

-less than 60 % of median weight

-weight for length is less than 5th percentile

Term
WHO references for average weight gain for girls
Definition

1st month = 1000 g

2nd month = 900 g

3rd month = 700 g

4th month = 600 g

Term

WHO references for average weight gain for boys

Definition

1st month = 1200 g

2nd month = 1100 g

3rd month = 800 g

4th month = 600 g

Term

iatrogenic condition

definition

Definition
condition caused by medical means
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