Where is the milk produced? - ANS In the alveoli How long after cessation of breastfeeding does milk production (involution) stop? - ANS Approximately 40 days What are the common signs of milk "let down"? - ANS Tingling, warmth, fullness, dripping and contractions How is preterm milk different from term milk? - ANS It is higher in protein and immune factors (because the body KNOWS this is what the preemie needs!) What component of breast milk is the most variable? - ANS Lipids What component of human milk is destroyed by freezing? - ANS Macrophages When is the side-lying position helpful? - ANS In moms that are sleepy or have lacerations/repairs that put pressure and cause discomfort on the perineal area What position is centered around the infant attaching themselves to the breast? - ANS The laid back position (aka the biological position) When is the Australian/Saddle position helpful? - ANS When moms are experiencing active let-down What is the dancer hand? - ANS Mom would have hand below the breast in a "U" shape; this is good for infants who need good jaw support What are signs of milk transfer? - ANS Swallowing - harsh "Ca" sound; air from nose felt, neck movement visualized What are the stool transition colors? - ANS Black to green to yellow What is the normal weight loss for the infant during the first few days? - ANS 5-7% in first 24 hours Below 10% after that How many calories does a lactating mom need? - ANS Moms need approximately 500 extra calories/day when breastfeeding. Range is between 1,800 and 2,700 with most moms consuming around 2,200!
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