Skin to skin
Baby benefits
Parent benefits
Human Milk
Formula feeding
100

How soon do we start skin to skin 

Immediately and uninterrupted 

100

Why is breastfeeding important for baby

Breastfed babies are overall healthier 

100

Why is suckling important in first 2 hours 

This triggers onset of milk production 

100

How long should we exclusively breastfeed 

6 months

100

What do we do when parents choose formula 

We support them and document this choice 

200

How do we maintain skin to skin during transfers

1. Keep baby skin-to-skin with the mother, covered with a dry blanket.
2. Make sure the baby is secure

200

Minimum feeding frequency is how often 

8 times in 24 hours 

200

Describe 3 aspects of listening when talking with a mother

Ask open ended questions.

Show interest 

Reflect back what the mother says.

Empathize 

Avoid words which sound judgmental 

200

What is the global recommendation length for breastfeeding

Two years or longer

200

What happens when we offer formula in the first few hours of life 

This undermines breastfeeding and reduces hormones to make milk 

300

When should skin to skin be interrupted

  • In presence of a critical medical issue.
  • Mother is not well (fainting, dizziness)
  • Baby is unstable
300

What about breastfeeding helps infant psychology

Infant bonds faster with parent because of mutual vocalizations. 

  • Lowers infant stress
300

What does responsive feeding mean 

Recognizing and responding to infant cues for feeding 

300

Human milk has what 

All the nutrients needed by baby 

300

Infant feeding companies may offer these:



Financial or material gifts. We have to refuse. 

400

What should be assessed while skin to skin

Color, breathing, free movements of head and neck (vitals are good too;)

400

What happens to the microbiome of the baby


The baby is colonized with the mother’s healthy bacteria

400

Rooming in with parents 

Helps parents see and recognize feeding cues of infant 

400

What is a good sign of adequate transfer of milk

Infant passing meconium stool followed by increase in stool output 

400

What can we accept from formula companies

Scientific and factual information about their products 

500

How does skin to skin help breastfeeding physiologically 

Stimulates hormones for breastfeeding


500

How does skin to skin help baby physiologically 

  • Microbiota is colonized with mother’s flora.
  • Temperature, heart rate and breathing are within normal limits
  • Glycemia is maintained within normal limits.
  • Breastfeeding is facilitated
  • Pain reduced during painful procedures such as heel stick and intramuscular injections.
  • Bonding is facilitated 
500

Breastfeeding reduces the risk of what to mothers 

Fewer postnatal depressive symptoms.

  • Maternal feeling of well-being
  • Less stress for the mother
  • Surge of oxytocin for placental expulsion
  • Reduces the risk of breast and ovarian cancer
500

Discard freshly expressed breastmilk after how long in room temperature 

More than 4 hours. Thawed or warmed breastmilk must be discarded after 2 hours. 

500

Name 3 items covered by the International Code of Marketing 

Breast-milk substitutes (including infant formula), Other foods and beverages promoted, Feeding bottles and teats

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