Demonstration
Safety aspects to assess when mother and baby are skin-to-skin during the postpartum hospitalization (at least 2 aspects)
Infant is correctly positioned
STS with head facing the mother
Mother can see baby’s face
Baby can raise head and shoulder on its own
Back is covered with blanket
Baby is not swaddled
Mother-infant dyad is monitored by staff regularly on the postpartum unit
Bed Rails are raised and properly secured
No pillows around the baby
No spaces between the bed and rails are filled
Mother guided to embrace baby in a manner that doesn’t restrict infant from raising head and shoulder
Mother is awake, alert, and well oriented
Until breastfeeding and lactation is established, you encourage parents to avoid using this for 4-6 weeks.
What is pacifier/teats?
Pacifiers may be introduced after this amount of weeks when breastfeeding is well established.
What is 4-6 weeks?
The parents state “the baby will cry when he/she is hungry.” You educate the parents that crying is this type of feeding cue.
What is late feeding cue?
Facilitating immediate and uninterrupted skin-to-skin, practicing rooming-in 24 hours a day, and supporting mothers with breastfeeding are part of this broad framework that guide the Baby-Friendly Hospital Initiative.
What are the Ten Steps to Successful Breastfeeding?
How you help mothers hand express breastmilk (at least 3 aspects)
Infant is correctly positioned
STS with head facing the mother
Mother can see baby’s face
Baby can raise head and shoulder on its own
Back is covered with blanket
Baby is not swaddled
Mother-infant dyad is monitored by staff regularly on the postpartum unit
Bed Rails are raised and properly secured
No pillows around the baby
No spaces between the bed and rails are filled
Mother guided to embrace baby in a manner that doesn’t restrict infant from raising head and shoulder
Mother is awake, alert, and well oriented
Definition: Many feedings close together in time is common and normal in the first 24-36 hours and is not indicated of inadequately supply.
What is cluster feeding?
Your patient is getting discharged, you want to make sure she understands the feeding plan. She verbalizes understanding that the minimum feeding frequency is at least this many times in 24 hours.
What is 8-12 times in 24 hours?
Maternal diagnosis of Ebola virus, Varicella, active Herpes lesions on breast, and/or receiving specific antimetabolites or chemotherapeutic agents, uses of illicit substances are categorized to this for breastfeeding.
What are contraindications?
In this updated policy, people with HIV may not be contraindicated to breastfeed after discussing options for feeding with their medical provider.
What is the Infant Feeding Policy?
How you help mothers achieve a comfortable and effective latch (at least 3 aspects)
First observe mother breastfeeding before recommending changes.
Make sure the mother brings the baby to the breast and not the breast to the baby.
Infant’s mouth is wide open.
Infant’s chin is touching the breast.
More areola visible above the baby mouth than below.
Lower lip is everted.
Infant’s cheeks are full, and no dimpling is evident.
Nipples are intact and not pinched after the feeding.
Absence of maternal pain.
Explain/demonstrate to mother how to release a latch that is painful or shallow without hurting herself.
Inform the mother to release or remove the baby from the breast when the latch is painful or shallow.
One of the essential issues that every breastfeeding mother should know to is how to evaluate this. The baby sucks regularly, rhythmically at the breast, no clicking sounds, urine and stool output is adequate and baby appears satisfied at the end of feed.
What is effective latch?
The World Health Organization (WHO) recommends exclusively breastfeeding for this length.
What is the first 6 months?
At discharge, parents expressed understanding that they need to contact the health care provider if the baby is irritable, never seems satisfied, scant urine per day, or no sign of swallowing with every 3-4 sucks, because these are warning signs of this in babies.
What is dehydration?
This policy drives our newborn feeding practice, in compliance with the International Code and implemented according to the Ten Steps.
What is the Infant Feeding Policy?
How you help mothers achieve a comfortable and safe position for breastfeeding within the first 6 hours after birth and later as needed during the hospital stay (at least 3 aspects)
Make sure the mother understands why it’s important to adopt a comfortable and safe position.
Explain why to remove blankets or clothes that are in-between mother and infant.
Help the mother identify how to hold her baby to best facilitate the baby’s innate reflexes and latching.
Explain principles of position or holding baby (baby faces breast, close to mother, whole body supported).
Use a hands-off (or hands-on-hands) approach to promote a mother’s empowerment. Hands-on is only used after asking permission and when additional help is necessary.
Offer additional help to a mother who had a caesarean to attain a comfortable position.
Help the mother identify useful positions for a weaker baby.
The hospital promotes mom to recognize and respond to her baby’s feeding cues and to facilitate bonding by expressing the importance of having baby in this location.
What is rooming-in?
Your patient was born at 36+4 weeks, DOL 3, and not suckling effectively at the breast. You want to have a discussion with the mother about excessive weight loss and adjust feeding plan when the infant loses more than this % from birth weight.
What is 7%?
The patient states she feels pain during breastfeeding but doesn’t want to move the baby because he/she is eating. You assessed the breastfeeding session and noticed the infant’s cheeks are dimpling, lips are pursed and suckling on nipple and the patient is arching her body over the baby. You offered recommendations as you know these are signs of this.
What is ineffective/poor latch?
Posters or materials with images of bottle-feeding and product companies are prohibited from distributing to parents. This Code also mandates that someone needs to regularly check materials that are in-sight of parents.
What is The International Code of Marketing of Breastmilk Substitutes?
How you help mothers achieve a comfortable and safe position for breastfeeding with her preterm, late preterm, or weak infant at the breast (at least 3 aspects)
First observe a mother breastfeeding before recommending changes.
Preterm, late preterm, or some weaker infants will require more time, more patience as they may not open mouth upon stimulation or may not open their mouths wide enough.
Guide a mother to bring baby to the breast and not breast to baby.
Help a mother identify the most useful positions for weaker babies.
Show how to do breast compression which may be useful with preterm, low tone or babies with a weak suck.
Show a mother how to express milk into the baby’s mouth.
Help a mother identify how and when to release a latch that is painful or shallow (more frequent with preterm infants) without hurting herself.
Holding the baby in this position helps late preterm infant improve stabilization of temperature, breathing and heart rate.
What is skin-to-skin? (Kangaroo Mother Care)
Infants who are born prematurely, have illnesses or medical treatments are categorized as high-risk populations that may need extra precautions to protect against severe infections associated with powdered formula are in this age group.
What is 2 months of age and younger?
Persistent painful latch, breast lumps, breast pain, fever, doubts about milk production, aversion to the child, any doubt about breastfeeding self-efficacy are warning signs for patients to take this action.
What is contact a healthcare provider?
When hospital standards are not met, everyone in the facility is affected. Monitoring hospital practices is important for this reason.
What is quality of care?