Pumping
Every 3 hours, or at least 8x per day.
How often should a pump-dependent patient be pumping?
At least 8-12x.
What is the minimum number of times a newborn should feed per day?
Assess the latch, review positioning, document nipple condition and place a lactation consult.
What are the steps to take when a patient reports painful feeds or nipple damage?
Mom and baby snuggled together with no fabric between them.
What is skin to skin?
Cups, spoons, oral syringes, bottles, feeding tube, Neotech Bridge.
What are supplementation devices?
Between 10 and 20 min
How long should you pump for with colostrum?
Up to 10%.
What is a normal amount of weight loss (%) for a newborn?
Colostrum, coconut oil, lanolin or other nipple ointment, hydrogel pads
What can be used to help with nipple healing?
Baby's front touching mom's body.
What is belly to belly?
Allowing the baby to set the pace for the bottle feeding.
What is paced bottle feeding?
About 20-50%
What suction level is recommended?
There is no "good" amount of time. What matters is QUALITY.
How long should newborns eat for?
Uncomfortable sensation of fullness/pressure in the breasts.
What is engorgement?
Pinching/biting sensation during feeds. Blisters, cracks, bruises, or misshapen nipples after feeds.
What is signs of shallow latch?
Can be used with inverted/flat nipples.
What are nipple shields and bridges used for?
Having the speed set at 70-80
What is stimulation mode?
By day 2-3, transitional stool and at least 2-3 voids.
What is normal diaper output?
Cold packs, ibuprofen, lymphatic massage, hand expression.
What is treatment for engorgement?
Belly to belly, chin buried in breast, baby looking up slightly.
What is good positioning for baby?
2-10ml
What is the recommended volume per feed on day one of life?
Pain, swelling, cracks, less milk being removed.
What are signs that pumping is not working well?
Swallowing, no pain, baby settled after, nipple shape normal after.
What are signs of good milk transfer?
Going too long between feeds/pumps, ineffective milk removal (baby or pump), a very restrictive bra, too much milk production.
What are causes of plugged ducts and mastitis?
Touching the baby's chin elicits this.
The type of device that the parents choose.
What is the best supplementation method?