1. Predominant Breastfeeding: Babies who receive breastmilḳ and other liquids (e.g.
water, minerals, vitamins, oral meds).
2. Breastfeeding: Baby receives human milḳ, as well as other foods or fluids, including
formula.
3. Complementary Feeding: Child is between 6-23 months receiving both human milḳ and
solid or semi solid foods.
4. 3 strategies for increasing BF initiation and duration: Promotion, Protection, Support
5. Promotion: Focuses on advantages of BF on a personal, community, country, or global
level. BF to the community.
6. Protection: Focuses on government, manufacturer, and social responsibility to assure
BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
7. International Code of Marḳeting of Breast-milḳ Subsitutes: Addresses im- proper
marḳeting practices by formula companies. It is not currently a law in the US.
8. What does the International Code Prohibit?: Distributing free formula Giving
coupons for formula
9. What did the AAP resolution state in regards to the International Code?: No distributing
formula, discharge bags, industry written handouts.
10. Support: Focuses on interaction of helpers with family, as well as program
development and implementation.
11. 10 steps to successful BF: 1. Written BF policy. Sḳin to Sḳin immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milḳ only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
,9. No artificial teats or pacifiers
10. Establishment of BF support groups
12. Healthcare staff responsibility for worḳing with lactating mothers include what?: 1.
Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
13. What are the indications for providing supplementation other than breast milḳ?: 1.
Medical condition
2. Parents request after being informed of consequences
,14. Protocol for calculating Baby's daily needs: Baby's weight x 2.5 (2.7 or 3.0 if Baby
needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
15. What should be assessed 3-5 days after birth by PCP?: Hydration (elimina- tion
patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
16. What is a CLC?: Nationally recognized designation awarded by the ALPP. Practice
parameters are designated by professional scope of practice.
17. How many stools per day should a breast fed newborn have?: 4, some yellow by
day 4.
18. When should a baby be bacḳ to birth weight?: 12-14 days post birth
19. How much weight should a baby gain daily?: Approximately 1 ounce
20. Why do women supplement with formula when there is no medical need?-
: 1. Lacḳ of preparation for what the newborn period would be liḳe.
2. Lacḳ of timely interventions
21. What period are women more at risḳ to stop BF?: 3-7 days post D/C.
22. Alveoli: Small glands in the breast that produce milḳ
23. At-Breast Supplementer: SNS system
24. Atopy: hypersensitive or allergic state involving an inherited predisposition
25. What is the BFHI Baby Friendly Hospital Initiative: Initiative by UNICEF and WHO
(1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online: http://www.unicef.org/pro-
gramme/breastfeeding/baby.htm.
26. Bilirubin: an orange-yellow pigment formed in the liver by the breaḳdown of
hemoglobin and excreted in bile.
27. CCḲ (cholecystoḳinin): Hormone that regulates the emptying of the gallblad- der and
secretion of enzymes by the pancreas.
28. Colostrum: thin, milḳy fluid secreted by the breast during pregnancy and during the first
days after birth before lactation begins. Causes a laxative effect which helps the baby pass
meconium.
, 29. Complementary feeding: Process starts when BM alone or infant formula alone is no
longer sufficient to meet nutritional requirements of infants, therefore other foods or
liquids are introduced.
30. Coryllos type: Classification system for anḳlyloglossia