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Breastfeeding Best Practices
All about Baby-Friendly
Successful Breastfeeding
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Formula Preparation
100
This should be started immediately after birth
Skin-to-skin
100
This organization designates hospitals as Baby-­Friendly once they have completed all 4 Phases, and had a successful in-person assessment.
Baby-Friendly USA
100
In order to maintain a comfortable and effective latch at the breast, it is important to avoid supplementing with these.
Bottle nipples
100
Mothers should receive a breast/nipple exam and be educated about importance of breastfeeding during this time frame.
prenatal period
100
HIV infection, use of contraindicated medications, intolerable pain during feedings unrelieved by interventions, delayed bowel movements by day 5, and weight loss of 8-10% or more accompanied by delayed lactogenesis II on day 5 or beyond are all examples of this.
Medical indication for supplementation
200
If a baby is in the NICU, mom should be start hand expressing and/or pumping with-in ___ hours of birth and taught to do so at least _____ in 24 hours.
6 hours, 8-10 times
200
This percentage of mothers should be taught to hand express their milk before discharge.
100% (Minimum for designation: 80%)
200
Educating and empowering pregnant women with information about breastfeeding this allows them to be _______.
Prepared
200
It is important for all women to receive information about breastfeeding and the benefits so they can _____
Make an informed decision.
200
Increased risk of GI disturbances, infections (middle ear / URI), low maternal milk supply, allergies, diabetes, SIDS.
What are the risks of formula feeding?
300
This technique can be used to help baby latch, relieve engorgement and relieve blocked ducts.
Hand expression
300
These two organizations started the Baby-­Friendly Hospital Initiative.
World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) (in 1991)
300
A mother who recognizes _____ is able to feed on demand, have a “happy” contented baby and have a good milk supply.
baby's feeding cues
300
Breastfeeding reduces the mother's risk of various serious illnesses including these. (Name at least 3.)
Mom: breast cancer, ovarian cancer, cervical cancer, lower post-partum depression, heart disease, hypertension, etc.
300
Baby-Friendly hospital staff teach all formula-feeding mothers to boil water for formula because _____.
There is bacteria in formula which can be killed when mixed with water > 158 degrees F.
400
This practice allows for on demand feeding and bonding time.
Rooming-in
400
Studies show that hospitals who implement _____ steps begin to see statistically significant improvements in breastfeeding outcomes. This increases with every addition 2 steps.
5
400
This is important to reduce the likelihood of sore nipples, have a good milk transfer and ultimately, a sufficient milk supply.
Correct positioning and attachment
400
This is what a comfortable and effective latch looks and sounds like.
Mom is comfortable. Baby's body is aligned and head is supported from the neck. Baby’s nose to mother's nipple, lips flanged, baby’s chin up, soft swallows, baby’s cheeks puffed (no dimpling), mom should feel slight pulling and tugging (but not pinching).
400
Burping the baby, holding the baby close while feeding, not propping the bottle, and pacing the feeding are all considered what?
Appropriate formula-feeding methods
500
Initial skin to skin should last ____________
at least through the first breastfeeding, or at least one hour if exclusively formula-feeding. After that, as long as mother desires.
500
In order for a hospital to be designated as Baby-­Friendly they must have this displayed and implemented these throughout the hospital.
Ten Steps to Successful Breastfeeding
500
Exclusively breastfeeding for six months significantly reduces the baby's risk of many illnesses throughout the lifespan. (Name at least 3.)
E.g. obesity, diabetes, asthma, allergies, diarrhea, etc.
500
It is important to avoid pacifiers until breastfeeding is well-established because ______.
Pacifiers mask feeding cues, which may cause hypoglycemia, jaundice, weight loss and low milk supply.
500
This is the order of preference for supplementing an infant with medical need.
1. Mothers milk; Breastfed 2. Mothers milk; Pump 3. Donor milk 4. Formula