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 and place a lactation consult.
What is the first step to take when nipple soreness/damage begins or when a pt reports painful feeds?
Mom and baby snuggled together with no fabric between them.
What is skin to skin?
Cups, spoons, oral syringes, bottles, feeding tube at the breast.
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 mis-shapen nipples.
What is signs of shallow latch?
Can be used with inverted/flat nipples.
What are nipple shields and bridges?
Having the speed set at 70-80 PPM
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, looking up slightly.
What is good positioning for baby?
2-10ml
What is the recommended volume per feed on day one of life?
Pain during/after pumping, swelling of the areola, cracks on the nipple, less milk being removed.
What are signs that pumping is not working well?
Swallowing, no pain with feed, baby settled after feed, nipple shape normal after feed.
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 can cause "plugged ducts"?
Touching the baby's chin elicits this.
What is the reflex for baby to open mouth very wide?