Certified Lactation Counselor
__________________ will increase and _____________________ decreases in infants
even as suckling. - ANS-Gastrin, somatostatin
10 steps to a success BF - ANS-1. Written BF coverage. Skin to Skin right away after
delivery.
2. Train healthcare body of workers
3. Inform pregnant women about benefits and management of BF
four. Help all moms provoke BF within 1 hour after birth
five. Show mother's how to BF and hold lactation
6. Exclusive breast milk handiest
7. Practice rooming in 24 hours a day
8. Encourage BF on call for
nine. No artificial teats or pacifiers
10. Establishment of BF assist businesses
3 strategies for increasing BF initiation and period - ANS-Promotion, Protection, Support
AAP guidelines for BF remark in hospital - ANS-Formal eval/documentation through skilled
personnel at the least once in line with shift
Assess latch, role, transfer, checks
Abscess - ANS-Full of pus, no longer milk
May be MRSA +
Nursing other breast can nonetheless be viable
May now not be seen; deep in breast
Ultrasound-guided technique to drain is safe and green; must be first preference (although
may additionally need to be repeated)
Alcohol and lactation - ANS--Oxytocin decreases at the same time as prolactin increases
-Oxytocin release can effortlessly be blocked
-Is water soluble, so it passes in and out of milk as it does blood. Pump and unload may not
speed up procedure.
All mammals have ____________________________ in their milk - ANS-lactose
Allergy vs. Intolerance - ANS--Allergy is a full-frame response: eczema, bronchial asthma,
skin eruptions, and many others
-Intolerance is discomfort is a selected vicinity: fuel, colic
Alveolar Cells - ANS-located in the partitions of the alveoli, easy squamous epithelial cells,
fundamental websites of gasoline exchange
,Alveoli - ANS-Small glands within the breast that produce milk
Are mother's GI hormones impacted with the aid of sucking and skin contact? - ANS-Yes, it
activates the parasympathetic frightened gadget. Increases in gastrin, CCK, and insulin were
found.
At-Breast Supplementer - ANS-a device that lets in a supplement to receive even as a child
is actively nursing on the breast,
ex: Supplement Nursing System
Atopy - ANS-hypersensitive or allergic nation concerning an inherited predisposition
Average wide variety of feeds in an afternoon? - ANS-eight-12
Baby poop on days 1-2, 2-3, and four+ - ANS-Meconium, greenish transitional, yellow/seedy
Baby suckle reasons a signal to go through the - ANS-Thoracic/intercostal nerves (T3-T5)
Benefits of BF-SIDS - ANS-EBF at 1 month, reduced SIDS rate 50% & after
2months +, BF has defensive impact in opposition to
Benefits of BM for premies - ANS-faster mind maturation
rapid maturation in intestinal barrier function
considerably decrease odds of prevalence of NEC & dying
Benefits of donor milk - ANS--Preventative
-Cost Effective
-Safe
Benefits of rooming-in - ANS--Feeding cues extra without difficulty located
-Babies are held STS greater
-Fed at their "exceptional" times
-Learning happens collectively
BF and Environmental Contaminants - ANS-Toxic publicity occurs in utero, minimally thru
milk.
Some populations are at danger use to agriculture or occupational exposure.
BF and Food flavors - ANS--Food flavors pass via milk
-Longer period of BF, better meals variety at 3 years
BF initiation charges within the early 1970s - ANS-25% (all time low)
BF initiation developments via decade - ANS-Lowest rates- early Nineteen Seventies
Increased from early 70s to early 80s
Dropped between early 80s to early 90s
Increased once more in Nineties
,Biggest intervention time throughout the primary a thousand days - ANS-Labor and birth-
approximately a 30-hour window
Bilirubin - ANS-an orange-yellow pigment fashioned within the liver by using the breakdown
of hemoglobin and excreted in bile.
Blebs - ANS--Small white spots at the face of the nipple (seems like a milk stuffed blister)
-One duct commencing is blanketed
-Stabbing pin factor pen
-May go out whilst handled as clogs
-May require lancing
Breast Anatomy - ANS-
Breast augmentation incision most related to milk insufficiency - ANS-Peri-areolar
(symptoms: perfectly round areola, jagged line from bottom of areola)
Breast development at some stage in menstruation - ANS-- Estrogen: Induces Ductal
System development
- Progesterone: Induces Lobular-Alveolar development
Breast reduction techniques associated with BF struggles - ANS-Free-nipple graft (nipple
absolutely removed), pedicle approach, anchor incision- straight line down from areola
Breastfed infant growth patterns - ANS-Consistent across the world
EBF infants advantage faster than FF infants till 3mo, then they benefit greater slowly than
FF toddlers
This is now preferred and now not FTT- until it have become general, healthful EBF infants
seemed to drop percentiles
Breastfeeding - ANS-Baby receives human milk, as well as different foods or fluids,
consisting of formula.
Breastfeeding troubles with overdue preterm and early-term infants - ANS--May need
greater opportunities to broaden latch and transfer abilities; susceptible suck and latch
-Often much less alert with much less stamina
-States exchange speedy, from deep sleep right to cry
-Very diffused feed cues
-May have a excessive suck to swallow ratio
Cadmium - ANS-Soy formulation has 6x extra than cow's milk. Formula fed babies may be
uncovered to as much as 12x the quantity.
Caffeine - ANS--Habits doesn't relate immediately to caffeine in milk
-Can accumulate in preemies and very newborns
, Calcium desires in mom's - ANS--May need dietetic counseling
-Have loads of calcium during being pregnant, no longer enough at some stage in lactation.
-Women revel in 3-nine% lower in bone density at some stage in lactation.
Can a woman BF if she has a flat or inverted nipple? - ANS-Yes!
-Baby's don't want a nipple to latch, they form the teat.
-Many nipples evert from sucking, some don't.
-If the nipple does not evert, the toddler's weight gain will want to be accompanied closely.
Can milk fat be distinct if the infant is male or female? - ANS-Yes.. Mother's appear to
provide milk that is 25% higher in fats content material for males.
Candida/Thrush (Yeast overgrowth) - ANS--May purpose ache for mom and toddler
-May be visible or not
-Itchy, flaky, and rushing nipple/breast skin
Carb content of human milk - ANS-7%
Causes of low EBF price globally - ANS-Beliefs approximately blended feedings
Lack of clinic/healthcare guide
Formula advertising
Lack of own family go away rules
Lack of information of risks of no longer EBF
Lack of know-how of BF strategies
Causes of reduced milk production - ANS-Long time among feeds
Long, sluggish feeds
Excess pressure in breast (vascular strain, lymphatic strain, excess fluid in labor, implants,
oversupply early on)
CCK (cholecystokinin) - ANS-Hormone that regulates the emptying of the gallbladder and
secretion of enzymes with the aid of the pancreas.
CDC mPINC - ANS-Score of this take a look at has nice courting to in-clinic breastfeeding
and EBF prices at eight weeks
Colostrum - ANS-Thick, milky fluid secreted through the breast for the duration of being
pregnant and all through the primary days after birth earlier than lactation starts offevolved.
Causes a laxative effect which enables the infant skip meconium.
Colostrum is excessive or low in lactose? - ANS-Low
Common mastitis - ANS-- Often takes place round vacations or with nipple guard use
- NSAIDS (like ibuprofen) often a first step to treatment
-if remedies are not effective, consider anemia or rarely IBC
__________________ will increase and _____________________ decreases in infants
even as suckling. - ANS-Gastrin, somatostatin
10 steps to a success BF - ANS-1. Written BF coverage. Skin to Skin right away after
delivery.
2. Train healthcare body of workers
3. Inform pregnant women about benefits and management of BF
four. Help all moms provoke BF within 1 hour after birth
five. Show mother's how to BF and hold lactation
6. Exclusive breast milk handiest
7. Practice rooming in 24 hours a day
8. Encourage BF on call for
nine. No artificial teats or pacifiers
10. Establishment of BF assist businesses
3 strategies for increasing BF initiation and period - ANS-Promotion, Protection, Support
AAP guidelines for BF remark in hospital - ANS-Formal eval/documentation through skilled
personnel at the least once in line with shift
Assess latch, role, transfer, checks
Abscess - ANS-Full of pus, no longer milk
May be MRSA +
Nursing other breast can nonetheless be viable
May now not be seen; deep in breast
Ultrasound-guided technique to drain is safe and green; must be first preference (although
may additionally need to be repeated)
Alcohol and lactation - ANS--Oxytocin decreases at the same time as prolactin increases
-Oxytocin release can effortlessly be blocked
-Is water soluble, so it passes in and out of milk as it does blood. Pump and unload may not
speed up procedure.
All mammals have ____________________________ in their milk - ANS-lactose
Allergy vs. Intolerance - ANS--Allergy is a full-frame response: eczema, bronchial asthma,
skin eruptions, and many others
-Intolerance is discomfort is a selected vicinity: fuel, colic
Alveolar Cells - ANS-located in the partitions of the alveoli, easy squamous epithelial cells,
fundamental websites of gasoline exchange
,Alveoli - ANS-Small glands within the breast that produce milk
Are mother's GI hormones impacted with the aid of sucking and skin contact? - ANS-Yes, it
activates the parasympathetic frightened gadget. Increases in gastrin, CCK, and insulin were
found.
At-Breast Supplementer - ANS-a device that lets in a supplement to receive even as a child
is actively nursing on the breast,
ex: Supplement Nursing System
Atopy - ANS-hypersensitive or allergic nation concerning an inherited predisposition
Average wide variety of feeds in an afternoon? - ANS-eight-12
Baby poop on days 1-2, 2-3, and four+ - ANS-Meconium, greenish transitional, yellow/seedy
Baby suckle reasons a signal to go through the - ANS-Thoracic/intercostal nerves (T3-T5)
Benefits of BF-SIDS - ANS-EBF at 1 month, reduced SIDS rate 50% & after
2months +, BF has defensive impact in opposition to
Benefits of BM for premies - ANS-faster mind maturation
rapid maturation in intestinal barrier function
considerably decrease odds of prevalence of NEC & dying
Benefits of donor milk - ANS--Preventative
-Cost Effective
-Safe
Benefits of rooming-in - ANS--Feeding cues extra without difficulty located
-Babies are held STS greater
-Fed at their "exceptional" times
-Learning happens collectively
BF and Environmental Contaminants - ANS-Toxic publicity occurs in utero, minimally thru
milk.
Some populations are at danger use to agriculture or occupational exposure.
BF and Food flavors - ANS--Food flavors pass via milk
-Longer period of BF, better meals variety at 3 years
BF initiation charges within the early 1970s - ANS-25% (all time low)
BF initiation developments via decade - ANS-Lowest rates- early Nineteen Seventies
Increased from early 70s to early 80s
Dropped between early 80s to early 90s
Increased once more in Nineties
,Biggest intervention time throughout the primary a thousand days - ANS-Labor and birth-
approximately a 30-hour window
Bilirubin - ANS-an orange-yellow pigment fashioned within the liver by using the breakdown
of hemoglobin and excreted in bile.
Blebs - ANS--Small white spots at the face of the nipple (seems like a milk stuffed blister)
-One duct commencing is blanketed
-Stabbing pin factor pen
-May go out whilst handled as clogs
-May require lancing
Breast Anatomy - ANS-
Breast augmentation incision most related to milk insufficiency - ANS-Peri-areolar
(symptoms: perfectly round areola, jagged line from bottom of areola)
Breast development at some stage in menstruation - ANS-- Estrogen: Induces Ductal
System development
- Progesterone: Induces Lobular-Alveolar development
Breast reduction techniques associated with BF struggles - ANS-Free-nipple graft (nipple
absolutely removed), pedicle approach, anchor incision- straight line down from areola
Breastfed infant growth patterns - ANS-Consistent across the world
EBF infants advantage faster than FF infants till 3mo, then they benefit greater slowly than
FF toddlers
This is now preferred and now not FTT- until it have become general, healthful EBF infants
seemed to drop percentiles
Breastfeeding - ANS-Baby receives human milk, as well as different foods or fluids,
consisting of formula.
Breastfeeding troubles with overdue preterm and early-term infants - ANS--May need
greater opportunities to broaden latch and transfer abilities; susceptible suck and latch
-Often much less alert with much less stamina
-States exchange speedy, from deep sleep right to cry
-Very diffused feed cues
-May have a excessive suck to swallow ratio
Cadmium - ANS-Soy formulation has 6x extra than cow's milk. Formula fed babies may be
uncovered to as much as 12x the quantity.
Caffeine - ANS--Habits doesn't relate immediately to caffeine in milk
-Can accumulate in preemies and very newborns
, Calcium desires in mom's - ANS--May need dietetic counseling
-Have loads of calcium during being pregnant, no longer enough at some stage in lactation.
-Women revel in 3-nine% lower in bone density at some stage in lactation.
Can a woman BF if she has a flat or inverted nipple? - ANS-Yes!
-Baby's don't want a nipple to latch, they form the teat.
-Many nipples evert from sucking, some don't.
-If the nipple does not evert, the toddler's weight gain will want to be accompanied closely.
Can milk fat be distinct if the infant is male or female? - ANS-Yes.. Mother's appear to
provide milk that is 25% higher in fats content material for males.
Candida/Thrush (Yeast overgrowth) - ANS--May purpose ache for mom and toddler
-May be visible or not
-Itchy, flaky, and rushing nipple/breast skin
Carb content of human milk - ANS-7%
Causes of low EBF price globally - ANS-Beliefs approximately blended feedings
Lack of clinic/healthcare guide
Formula advertising
Lack of own family go away rules
Lack of information of risks of no longer EBF
Lack of know-how of BF strategies
Causes of reduced milk production - ANS-Long time among feeds
Long, sluggish feeds
Excess pressure in breast (vascular strain, lymphatic strain, excess fluid in labor, implants,
oversupply early on)
CCK (cholecystokinin) - ANS-Hormone that regulates the emptying of the gallbladder and
secretion of enzymes with the aid of the pancreas.
CDC mPINC - ANS-Score of this take a look at has nice courting to in-clinic breastfeeding
and EBF prices at eight weeks
Colostrum - ANS-Thick, milky fluid secreted through the breast for the duration of being
pregnant and all through the primary days after birth earlier than lactation starts offevolved.
Causes a laxative effect which enables the infant skip meconium.
Colostrum is excessive or low in lactose? - ANS-Low
Common mastitis - ANS-- Often takes place round vacations or with nipple guard use
- NSAIDS (like ibuprofen) often a first step to treatment
-if remedies are not effective, consider anemia or rarely IBC
