Breastfeeding 101
Also called “first milk”, this first secretion of mammary glands is rich in antibodies and can vary in color
Colostrum
According to our policy, antenatal breastmilk brought in from home should be stored in this
patient’s own fridge
These two reasons are considered the only exception to mom and baby rooming in and should be documented every time baby is not rooming in
Mother requests infant to nursery, education provided and medical reason for not rooming in
Name three different methods of feeding we may use for supplementation
Cup, Spoon, Syringe, Bottle, Finger
The time frame in which a new mother can expect a change from colostrum to transitional milk
2-5 days
The frequency we should teach mothers to breastfeed their babies
8-12 times in 24 hours and on demand
Doing this is the BEST way to regulate temperature of a mother and/or term infant, facilitates initiation of breastfeeding, regulates heartbeat, breathing and infant glucose levels and calms mother and/or baby
skin to skin/kangaroo care
The appropriate timeframe for which pacifier use and/or pumping should be introduced/initiated
when breastfeeding is well established or 3-4 weeks
We teach parents to discard prepared formula after this amount of time; and/or a bottle that is used for a feeding after this
2hrs; 1hr
These two hormones, stimulated by an infant’s suck, are responsible for milk production and ejection
Prolactin/Oxytocin
We allow mothers to do this when we teach them about the benefits of breastfeeding
make an informed choice
All breastfeeding mothers should be taught this skill to remove colostrum from the breast, help baby to latch, treat a blocked duct, relieve engorgement and is available to all mothers under the majority of circumstances
hand expression
Benefits of breastfeeding for mom and/or baby
For mom: uterine involution, mother/baby bonding, reduced chances of female cancers
For baby: nutrition tailored to baby, reduces illness for baby (including chronic), stabilizes blood sugar, best neurodevelopment of infant (brain growth; brain nutrition)
Always check these 2 things when providing parents with new bottles of formula
Correct calories/Expiration date
How long is breastmilk safely stored at room temperature? In the fridge? Freezer?
Up to 4 hours, 4 days, 4 months
This is the time frame when skin-to-skin should be initiated after cesarean birth
As soon as the mother is responsive and alert following a cesarean birth, unless there are medical problems
This is the time frame when skin-to-skin should be initiated after vaginal delivery
Immediately (within 5 minutes) unless there are medical problems
These two organizations are responsible for driving the Baby Friendly Hospital initiative in 1992
WHO/UNICEF
It is recommended that babies should be bottlefed using this technique so the baby eats at an adequate rate, not too fast or slow
paced feeding
A mother should be encouraged to initiate pumping when separated from her newborn within this amount of time
6 hours
Name at least 2 barriers to skin-to-skin
This is the Latch Score number that prompts you to seek the assistance of an LC
5, two consecutive times
2003
Four important things we teach a mother who is feeding formula to safely prepare and feed their babies include
safe storage, safe handling, appropriate reconstitution, appropriate hygiene, accuracy of measuring ingredients, cleaning of utensils and equipment, powdered formula is NOT sterile
*hint: Stage 1 begins during the second trimester
Lactogenesis