Secretory Activation
Coming to volume (CTV) >500ml/day by pp day 14
What does D-MER stand for?
Dysmorphic Milk Ejection Reflex
What does Project HOME stand for?
Home on Mother's Milk Everytime
During the first ____ days of life, preterm infants exhibited the highest negative impact from acute and chronic pain/stress.
12
What are biomarker changes when mom's milk comes in?
Decreased Sodium
Increased Lactose
What are the identifying symptoms of D-MER?
Abrupt dysphoria and/or negative emotions during let down
Name 3 of 5 Project Home workforce groups.
STS holding
OIT
First oral feed at breast
Multidisciplinary feeding rounds
Provider education
True or False:
Donor milk was widely advocated for use as a supplement when MOM was unavailable due to COVID-19 status during the pandemic.
False
Assures optimal MOM for baby
Regulates milk production long term (moms need to make more milk than there preemie initially needs)
Is D-MER a psychological or a physiological response to milk release?
What tool in Epic was developed to help guide weekly feeding rounds?
Feeding Rounds Navigator
Infants held S2S for ____ # of minutes each day demonstrate higher neurodevelopmental scores.
60-150 minutes
What is the primary modifiable factor for secretory activation (SA) for mothers with NICU babies?
Number of pumpings per day.
D-MER is mediated by a drop in which hormone?
dopamine
Name 2 reasons OIT is beneficial.
Immunity for baby
Stimulation of gastric enzymes
Suck training-positive oral experience
Parent involvment
Name 2 of the 3 key practices that the WHO recommends to support breastfeeding.
S2S holding
direct breastfeeding
rooming in
Why is pre-pregnancy obesity harmful for lactogenesis?
Adipose tissue holds on to progesterone, which decreases prolactin levels, making mom's milk yields 200ml/day less by post partum day 7.
Name 2 strategies to help cope with BAA.
sucking on ice chips vitamins
hydration relaxation
rest
self care
talking about feelings/validation
Name 2 strategies we use to encourage skin to skin holding.
Kangaroo-a-thon
Decision map for holding readiness
Umbi line securement
Due to immaturity of the nervous system, preterm infants may experience hyperalgesia and allodynia. This means _______ and ______.
hyperalgesia-enhanced sensitivity to pain
allodynia-pain from stimuli not normally painful