Breastfeeding Best Practices
All about Baby-Friendly
Successful Breastfeeding
Random
Formula Preparation
100
This should be started immediately after birth
Skin-to-skin
100
This organization designates hospitals as Baby-­Friendly once they have completed all 4 Phases
Baby-Friendly USA
100
This unnecessary intervention reduces chances for successful breastfeeding.
What is non medically indicated formula supplementation?
100
Mothers should receive a breast/nipple exam and be educated about benefits of breastfeeding during this time frame.
What is prenatal period?
100
Hypoglycemia, hyperbilirubinemia, excessive weight loss, infants whos mothers are severely ill, galactosemia, maternal use of illegal drugs, HIV.
What is medical indication for supplementation?
200
If a baby is in the NICU, mom should be start hand expressing or pumping with-in ___ hours of birth and at least _____ in 24 hours
6 hours, 8-10 times
200
This percentage of mothers should be taught hand expression of their milk.
100%
200
When all pregnant women are given information on breastfeeding this allows them to be
Prepared
200
It’s important for all women to receive information about breastfeeding and the benefits so they can _____
Make an informed decision/choice
200
Increased risk of GI disturbances, infections (middle ear / URI), low maternal milk supply, allergies, diabetes, SIDS.
What are the risks of formula feeding?
300
This method can be used to help baby latch, relieve engorgement and relive blocked ducts
Hand expression
300
These two organizations started the Baby-­Friendly Hospital Initiative
World Health Organization (WHO) and the United Nations Children's Fund (UNICEF)
300
A mother who recognizes _____ is able to feed on demand, have a “happy” contented baby and have a good milk supply
Feeding cues or cue-based feeding
300
Name four benefits of breastfeeding; two for mom and two for baby
Mom: weight loss, lower risk of breast cancer, ovarian cancer, cervical cancer, lower incidence of PPD, lower risk of obesity etc. Baby: lower risk of obesity, lower risk of SIDS, lower risk of diabetes, lower risk of infections, brain development, immunity etc.
300
JHMC staff teaches all formula feeding mothers safe formula prep to prevent this.
What is contamination with increased bacterial counts?
400
This practice allows for on demand feeding and bonding time
Rooming-in
400
How many phases are there in the Baby­-Friendly designation process
4
400
This is important to reduce the likelihood of sore nipples, have a good milk transfer and ultimately a sufficient milk supply
Correct positioning and attachment
400
Describe what a good latch looks and sounds like
Nipple to baby’s nose, lips flanges, baby’s chin up, soft swallows, baby’s cheeks puffed, mom should feel slight pulling and tugging but not pinching
400
Burping the baby, holding the baby while feeding and not propping the bottle are all considered what?
Appropriate feeding methods
500
Initial skin to skin should last ____________
Until the first breastfeeding or at least one hour
500
In order for a hospital to be designated as Baby-­Friendly they must have this displayed and implemented in the hospital
Ten Steps to Successful Breastfeeding
500
What are some of the scientific and long-term benefits that will be seen in babies who are breastfed for at least 6 months (name at least 3)
E.g. reduced risk of obesity, reduced risk of diabetes, brain development, lower chance of asthma, lower risk of allergies, diarrhea reduced, etc.
500
This is how long skin to skin should last.
What is until the first feeding is complete or as long as mother wishes?
500
This is the order of preference for supplementing an infant with medical need for more calories.
1. Mothers milk; Breastfed 2. Mothers milk; Pump 3. Donor milk 4. Formula
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