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Babies should have no more weight loss by day _.
- answer-day 5
Babies should lose no more than _% of birth weight
- answer-7%. Weight loss in the infant of greater than 7% from birth weight
indicates possible breastfeeding problems and requires more intensive evaluation
of breastfeeding and possible intervention to correct problems and improve milk
production and transfer.
By what mechanism does a mom's risk of T2DM decrease with breastfeeding?
- answer-CCK and Gastrin are high in the breastfeeding mom too which increases
the efficacy of insulin
Expected weight gain of newborn baby
- answer-Approximately 1 oz of weight gain from day 5 onward
Global Nutrition Targets for 2025 for EBF?
- answer-Increase the rate of exclusive breastfeeding in the first 6 months up to at
least 50%
HMO
- answer-Prebiotics, stimulate bifidobacteria, pathogenic bacteria cannot
metabolize HMO, helps to eliminate bad bacteria because HMO bind to epithelial
wall of intestine, then pathogenic microbes cannot distinguish HMO vs gut wall,
they bind to HMO and get eliminated from the body
How do we assure an adequate milk supply?
- answer-- Universal understanding of how breastfeeding works
- Early initiation and adequate breastfeeding (10-12 x daily)
- Appropriate breastfeeding assessment
- Improved and early breastfeeding support to decrease "lactastrophes"
- Appropriate HCP and LCP follow-up in the postpartum (see reasons to refer in
the appendix)
- Admitting that there's no magic bullet!
, How is fluid milk formed?
- answer-The presence of lactose draws in water which forms fluid milk
How many children die from malnutrition yearly?
- answer-3 million
How many nipple pores functioning per each breast?
- answer-3-5 nipple pores
Infants lose more weight in the first postpartum days when...
- answer-labor meds are used (except at a baby-friendly hospital), when more
intrapartum fluids have been given, when there was no labor prior to C-section
Is a breastfeed baby's gut more acidic or alkaline than a formula fed baby's gut?
- answer-Acidic
Myoepithelial cells
- answer-Are the smooth muscle cells, they squeeze the alveolar cells (oxytocin
hits this to squeeze them which squeezes the alveolar cells)
Nipple stretching
- answer-Oxytocin release mechanism, happens with a proper latch
Preterm Milk composition compared to mature baby
- answer-Preterm milk is higher in protein, fat, and electrolytes than mature milk
for the first 5-7 weeks after delivery independent of gestational age at delivery
Prolactin receptors during pregnancy
- answer-Prolactin receptors on alveoli are blocked by progesterone during
pregnancy
T/F: Colostrum is low in lactose
- answer-True
T/F: Oxytocin is decreased by stress/adrenaline while Prolactin is not
- answer-True
T/F: Urinary output is an accurate measurement of intake for baby.
- answer-FALSE. Count stools instead