Front | Back |
What are some contraindications to breastfeeding?
|
- Active breast malignancies undergoing chemo or radiation
- HIV+ or AIDS - recreational drugs - certain prescription drugs |
What are the three characteristic phases of breast milk?
|
Colostrum
Transitional Mature |
When is fat content highest in breastmilk?
|
In hindmilk, at end of feeding
|
How does breastmilk change diurnally?
|
High volume / low fat in morning
Low volume / high fat later in the day |
What are properties of colostrum?
|
Low in volume, high in density, rich in protein and immunoglobulins
|
What are properties of mature milk?
|
High in volume, more lactose and fat, less protein
|
When does mammary gland become fully functional?
|
Onset of lactation
|
Does bigger mouthful of breast enhance milk flow received by baby?
|
Yes
|
What is lactogenesis?
|
Initiation of milk production
|
What stimulates lactogenesis?
|
Delivery of placenta causes estrogen, human placental lactogen, and progesterone levels to drop; prolactin levels to rise --> initiation of milk prod
|
What is galactopoiesis?
|
The process of ongoing milk production
|
What stimulates galactopoiesis?
|
Sensory stimulation
Breast emptying Supply and dement Milk ejection (let-down) reflex |
Is "more milk out equals more milk made" a true concept?
|
Yes
|
How does emptying the breast improve ongoing milk production?
|
More milk out means more milk made
Drained breasts make milk faster while full breasts make milk slower due to the feedback inhibitator lactation (FIL) factor and pressure |
What are the most important factors that contribute to the successful transfer of milk from breast to baby?
|
Compression
Suction Tongue action |