Certified Breastfeeding Counselor
Breast Anatomy - Breast development during menstruation - - Estrogen: Induces Ductal System development - Progesterone: Induces Lobular-Alveolar development Does stress play a role in hormone release? - stress can inhibit hormonal release - high levels of cortisol/catacholamines reduce oxytocin and prolactin levels How long does Lactogenesis 2 last? - 2-4 days How many stages of Lactogensis are there? - 4 How often does the let-down reflex occur? - several times during a feeding Lactogenesis 1 - Ductal and Lobular-Alveolar systems grow at an accelerated rate (influenced by hormones) - breasts enlarge - high progesterone levels cause an increase in alveoli - colostrum begins to produce in the alveoli Lactogenesis 2 - The placenta is released from the uterus and progesterone levels drop - this causes the alveolar cells to begin to release milk and allows them to continue to produce more milk Lactogenesis 3 - also known as galactopoiesis - the resupply of mature milk that occurs when milk is removed from the breast Lactogenesis 4 - involution - milk production is decreased by apoptosis of the milk making epithelial cells List some ways to reduce stress for breastfeeding - remove visitors turn lights out skin to ski
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