VOEDING VOOR MOEDER & KIND
BORSTVOEDING
Inhoud
Belang van borstvoeding...........................................................................................................................................3
Breastfeeding Friendly Hospital Initiative.................................................................................................................4
Mother Friendly Hospital Initiative...........................................................................................................................5
Etische code...............................................................................................................................................................5
Anatomie van de borst..............................................................................................................................................5
Anatomie van de mond.............................................................................................................................................5
Fysiologie van de lactatie..........................................................................................................................................5
Mammogenese......................................................................................................................................................6
Lactogenese...........................................................................................................................................................6
Lactogenese 1....................................................................................................................................................6
Lactogenese 2....................................................................................................................................................6
Lactogenese 3....................................................................................................................................................6
Involutie.................................................................................................................................................................7
Normale opstart & verloop van de borstvoeding.....................................................................................................7
Aanleggen..............................................................................................................................................................8
Houdingen.............................................................................................................................................................8
Start borstvoeding.................................................................................................................................................8
Verloop borstvoeding eerste dagen......................................................................................................................9
Gewicht & grootte.................................................................................................................................................9
Verloop borstvoeding............................................................................................................................................9
Stuwing..................................................................................................................................................................9
Hongersignalen....................................................................................................................................................10
7 natuurwetten....................................................................................................................................................10
Begeleiding door de vroedvrouw........................................................................................................................10
Slapen & borstvoeding........................................................................................................................................10
Co-sleeping......................................................................................................................................................11
Veilig samen slapen.........................................................................................................................................11
Borstvoeding na de kraamtijd.................................................................................................................................11
Aantal & duur van de voedingen.........................................................................................................................12
Groeispurt...........................................................................................................................................................12
Voldoende melkproductie?.................................................................................................................................12
1
, Melk lekken.........................................................................................................................................................12
Teruggeven..........................................................................................................................................................12
Huilen & krampjes...............................................................................................................................................13
Nachtvoedingen & slapen...................................................................................................................................13
Preventie tandbederf..........................................................................................................................................13
Verzorging borsten..............................................................................................................................................13
Vruchtbaarheid & anticonceptie.........................................................................................................................14
Terugkeer menstruatie........................................................................................................................................14
Relatie met partner & seksualiteit......................................................................................................................14
Introductie vast voedsel......................................................................................................................................14
Rapley methode..............................................................................................................................................15
Preventie voedselovergevoeligheid................................................................................................................15
Stoppen met borstvoeding..................................................................................................................................15
Stoppen met borstvoeding na de kraamtijd.......................................................................................................15
Hoeveelheid moedermelk...................................................................................................................................15
Borstvoeding & werkhervatting..........................................................................................................................15
Wet..................................................................................................................................................................15
Onderzoek Mom@work..................................................................................................................................16
Onderzoek (aanstaande) moeders..................................................................................................................16
Problemen bij borstvoeding met betrekking tot de moeder..................................................................................16
Een andere start..................................................................................................................................................16
Pijnlijke borsten...................................................................................................................................................17
Pijnlijke tepels.....................................................................................................................................................18
Borstproblemen..................................................................................................................................................18
Borstweigeren.....................................................................................................................................................19
Afkolven van moedermelk..................................................................................................................................20
Moedermelk vervoeren & bewaren....................................................................................................................20
Afgekolfde moedermelk aan baby geven...........................................................................................................21
Problemen bij borstvoeding met betrekking tot de baby.......................................................................................21
Dorstkoorts..........................................................................................................................................................21
Gewichtsverlies...................................................................................................................................................22
Hypoglycemie......................................................................................................................................................22
Hyperbilirubinemie..............................................................................................................................................22
Kramer’s index.....................................................................................................................................................23
AAP Guideline......................................................................................................................................................23
Ankyloglossia.......................................................................................................................................................23
Te strakke lipband...............................................................................................................................................24
2
, Premature baby...................................................................................................................................................24
Bijvoeden – plan van aanpak...............................................................................................................................24
Problemen & uitdagingen bij borstvoeding op lange termijn................................................................................25
Failure to thrive...................................................................................................................................................25
Candida/spruw....................................................................................................................................................26
Reflux...................................................................................................................................................................26
Voedselovergevoeligheid....................................................................................................................................27
KME-allergie........................................................................................................................................................27
Keuze voor kunstvoeding................................................................................................................................27
Lactose allergie................................................................................................................................................28
Tandjes krijgen/bijten.........................................................................................................................................28
Galactosemie.......................................................................................................................................................28
BELANG VAN BORSTVOEDING
17 weken zwangerschap: kans op melk verliezen
3
BORSTVOEDING
Inhoud
Belang van borstvoeding...........................................................................................................................................3
Breastfeeding Friendly Hospital Initiative.................................................................................................................4
Mother Friendly Hospital Initiative...........................................................................................................................5
Etische code...............................................................................................................................................................5
Anatomie van de borst..............................................................................................................................................5
Anatomie van de mond.............................................................................................................................................5
Fysiologie van de lactatie..........................................................................................................................................5
Mammogenese......................................................................................................................................................6
Lactogenese...........................................................................................................................................................6
Lactogenese 1....................................................................................................................................................6
Lactogenese 2....................................................................................................................................................6
Lactogenese 3....................................................................................................................................................6
Involutie.................................................................................................................................................................7
Normale opstart & verloop van de borstvoeding.....................................................................................................7
Aanleggen..............................................................................................................................................................8
Houdingen.............................................................................................................................................................8
Start borstvoeding.................................................................................................................................................8
Verloop borstvoeding eerste dagen......................................................................................................................9
Gewicht & grootte.................................................................................................................................................9
Verloop borstvoeding............................................................................................................................................9
Stuwing..................................................................................................................................................................9
Hongersignalen....................................................................................................................................................10
7 natuurwetten....................................................................................................................................................10
Begeleiding door de vroedvrouw........................................................................................................................10
Slapen & borstvoeding........................................................................................................................................10
Co-sleeping......................................................................................................................................................11
Veilig samen slapen.........................................................................................................................................11
Borstvoeding na de kraamtijd.................................................................................................................................11
Aantal & duur van de voedingen.........................................................................................................................12
Groeispurt...........................................................................................................................................................12
Voldoende melkproductie?.................................................................................................................................12
1
, Melk lekken.........................................................................................................................................................12
Teruggeven..........................................................................................................................................................12
Huilen & krampjes...............................................................................................................................................13
Nachtvoedingen & slapen...................................................................................................................................13
Preventie tandbederf..........................................................................................................................................13
Verzorging borsten..............................................................................................................................................13
Vruchtbaarheid & anticonceptie.........................................................................................................................14
Terugkeer menstruatie........................................................................................................................................14
Relatie met partner & seksualiteit......................................................................................................................14
Introductie vast voedsel......................................................................................................................................14
Rapley methode..............................................................................................................................................15
Preventie voedselovergevoeligheid................................................................................................................15
Stoppen met borstvoeding..................................................................................................................................15
Stoppen met borstvoeding na de kraamtijd.......................................................................................................15
Hoeveelheid moedermelk...................................................................................................................................15
Borstvoeding & werkhervatting..........................................................................................................................15
Wet..................................................................................................................................................................15
Onderzoek Mom@work..................................................................................................................................16
Onderzoek (aanstaande) moeders..................................................................................................................16
Problemen bij borstvoeding met betrekking tot de moeder..................................................................................16
Een andere start..................................................................................................................................................16
Pijnlijke borsten...................................................................................................................................................17
Pijnlijke tepels.....................................................................................................................................................18
Borstproblemen..................................................................................................................................................18
Borstweigeren.....................................................................................................................................................19
Afkolven van moedermelk..................................................................................................................................20
Moedermelk vervoeren & bewaren....................................................................................................................20
Afgekolfde moedermelk aan baby geven...........................................................................................................21
Problemen bij borstvoeding met betrekking tot de baby.......................................................................................21
Dorstkoorts..........................................................................................................................................................21
Gewichtsverlies...................................................................................................................................................22
Hypoglycemie......................................................................................................................................................22
Hyperbilirubinemie..............................................................................................................................................22
Kramer’s index.....................................................................................................................................................23
AAP Guideline......................................................................................................................................................23
Ankyloglossia.......................................................................................................................................................23
Te strakke lipband...............................................................................................................................................24
2
, Premature baby...................................................................................................................................................24
Bijvoeden – plan van aanpak...............................................................................................................................24
Problemen & uitdagingen bij borstvoeding op lange termijn................................................................................25
Failure to thrive...................................................................................................................................................25
Candida/spruw....................................................................................................................................................26
Reflux...................................................................................................................................................................26
Voedselovergevoeligheid....................................................................................................................................27
KME-allergie........................................................................................................................................................27
Keuze voor kunstvoeding................................................................................................................................27
Lactose allergie................................................................................................................................................28
Tandjes krijgen/bijten.........................................................................................................................................28
Galactosemie.......................................................................................................................................................28
BELANG VAN BORSTVOEDING
17 weken zwangerschap: kans op melk verliezen
3
