CLC ALL SECTIONS MW
... - ANS-
"Goals for the Nation" - ANS--Developed inside the 1970s for america to finish by means of
the 1990s; seventy five% initiation, 35% continuing to six months
-New goals advanced for year 2000; 75% initiation, 50% persevering with at 6 months, 25%
at 1 year
-New dreams in 2005; exceptional BF at three mos forty%, specific BF at 6 mos 17%
-Trends within the 90s confirmed development, however now not to the stages predicted
-CDC Is no collecting comprehensive little one feeding information
1. Milk Removal Is Needed In Order To Make Milk - ANS--expression inside 1 hour of
beginning for the highest milk quantity had most milk (thru wk 8)
-hand expression increases milk extent
-research suggests that contributors (babies <31 wks gestation) who hand expressed on
days 1-3 >5x a day & persevering with w/ pumping & hand expression had the maximum
milk (thru wk 8)
-hand expression is extra effective b/c oxytocin is aware of conditioned response, nipple
stretching & hand massage on breast
-hand expressed milk was maximum in calories in comparison to pumped milk
-early hand expression w/ later addition of pump expression yielded milk that handed norms
for fats & electricity
-the usage of a pump or hand expression to build the milk supply (can nurse on one aspect
& pump on the other aspect)
--ongoing guide person & expert oversight
--explicit in proximity to the toddler (specially at some stage in KMC) for better milk quantity
--double stimulation
--accumulating milk on one breast when nursing on the opposite is an powerful approach
--guided imagery has been proven to increase the amount accumulated via breast pump - in
a take a look at ladies doing guided imagery pumped 35mL more milk
--power pumping for a day or two may additionally help to increase volume (ok frequency of
stimulation plus attempt 5 min, pause, 5 min, pause, 5 min, pause)
10 Steps to Successful BF - ANS--1. Have a written BF policy that is mechanically
communicated to all health care personnel
--wishes to be in guide of the rest of the ten steps & to be had in a format/language that the
group of workers can get entry to
-2. Teach all fitness care personnel in competencies important ti implement this policy
--want to recognise what S2S is, how to put into effect it, a way to help moms explicit milk &
the way to assist trade the child's function while feeding if toddler/mom is uncomfortable;
help them research what they need to recognize to get via the first weeks of BF & assist
them find their nearby assets
-three. Tell all pregnant ladies about the advantages & management of BF
,--why we should do not forget BF, what EBF method, how to get off to an awesome begin w/
BF; recognise why those are vital: S2S, rooming in, cue primarily based feed, help them
analyze what they want to know to get rhubarb the primary weeks of BF & help them
discover local sources
-4. Help moms initiate BF inside 1 hour of delivery
--key ideas: on the spot S2S, uninterrupted & continuing until the finishing touch of the first
feeding
--if own family is not planning to BF, this S2S must nevertheless occur
--of the a hundred and forty million live births in 2015, 77 million newborns had to wait too
lengthy to be placed to the breast; best forty five% of newborns were placed to breast within
first hour
--sixteen% of neonatal deaths might be avoided of all babies have been BF from day 1
--S2S & Safe Sleep pointers to enhance protection have been advanced by the AAP
-five. Show mothers a way to BF & the way to hold lactation, although they're separated from
their babies
--feeding should be assessed at least as soon as. An afternoon while in medical institution
via CLC; if infant is in NICU paintings w/ mom & educate a way to gather milk & get it to the
NICU; if mother is in ICU, paintings w/ mom
-6.Deliver new child toddlers no food or drink other than BM unless medically indicated (and
follow "the Code")
--if figure isn't always BF then they glaringly can have
10 Steps to Successful BF (2018) - ANS--**1-2 Critical Management Procedures
-1. (a.) Comply w/ International Code of Marketing of Breast-milk Substitutes & relevant
World Health Assembly resolutions
-1. (b.) Have written toddler feeding policy that is automatically communicated to group of
workers & mother and father
-1. (c.) Establish ongoing monitoring & records management systems
-2. Ensure that group of workers have enough understanding, competence, & capabilities to
assist BF
-**3-10 Key Clinical Practices
-3. Discuss importance & management of BF w/ pregnant ladies & families
four. Facilitate instantaneous & uninterrupted pores and skin-to-pores and skin & guide
moms to initiate BF ASAP after beginning
-5. Support moms to initiate & preserve BF & manipulate common difficulties
-6. Do no provide BF new child any meals or fluids apart from BM, except medically
indicated
-7. Enable mothers & infants to remain together & practice rooming in 24 hrs an afternoon
-8. Support mothers to understand & reply to infant's cues for feeding
-9. Counsel mothers on the use & risks of feeding bottles, teats, & pacis
-10. Coordinate discharge in order that dad and mom and infants have timely get admission
to to ongoing aid & care
2 Different Care Patterns of Mammal Mothers - ANS--Nest/Cache (dogs/kittens, deer/rabbit)
-Carry/Follow/Hibernate (monkey, opossum, giraffe, bison, bears, groundhogs)
-composition of milk of a mammal species and the species feeding frequency are relates
-people ought to be inside the "Carry" institution, however we want to be nesters (our milk
composition tells us we ought to be carriers but society tells us we have to be nesters
,-human beings should be in the continuous feeding sample and the "carry" institution
-human milk is one of the maximum in lactose od all mammal milks, high in water, low in
protein & fats, a very dilute mammal milk
-maximum unexpectedly developing organ in human newborns is the brain, human milk is
the suitable gasoline for mind boom
-the nursing sample need to be frequent to accommodate this composition
-human milk modifications always, this makes it impossible to achieve a single consultant
pattern of milk
2. Infant Requires Nourishment to Remove Milk - ANS--when considering a supplemental
feeding device consider: --cost & availability of the tool
--ease of use & cleaning of the tool
--strain to the toddler of feeding method
--whether milk extent can be fed in 20-30 min
--whether or not expected use of the plan is brief or long time
--own family desire
--knowledge of the healthcare staff to train/supervise plan
--whether the approach complements development of BF abilities
--protection & efficacy of device used
--consideration of parents' potential to apply tool appropriately
2010 Health Care Reform (ACA) Created a Workplace BF Law - ANS--this amendment to
section 7 of Fair Labor Standards Act calls for employers:
--to offer "affordable damage time for an (hourly) employee to express BM for her nursing
baby for 1 12 months after the child's start whenever such employee has to the want to
specific the milk"
--the gap must be a personal area other than a rest room and "is protected from view & free
from intrusion by way of coworkers & the public"
-best forty% of hired ladies w/ infants has access to each destroy time & a non-public area to
specific BM
-employers who've less than 50 personnel can declare an exemption; however they need to
show that have much less than 50 employees
-the law also would not specify rules for spoil time, so girls can also must clock inside and
outside each time they take a destroy to pump (this can effect someone's profits & the
quantity of time spent pumping at work)
3. Above All, The Infant Cannot be Compromised - ANS--rule #1 is to feed the numerous
four-6 Months - ANS--distractible
-may additionally need to transport to quieter area
-ordinary naps? (every so often, all babies are diff)
-separation tension (normal & temporary)
-night feeds?
-teething
--sore nipples can happen while toddler's saliva changes & gets new enzymes across the
identical age as teething
--toddlers may also nurse extra of a lot much less
--offer cold "teethers" before nursing to "numb" mouth
, --if child is nursing less & milk is inflicting compression, keep milk supply by way of relieving
the fullness
--babies may have runny noses & issue respiration at this time
6-9 Months - ANS--cell
-teething
-ordinary naps? Maybe
-night time feeds? Perhaps
-playful
-long durations of concentration
-biting: need to explore why
--teething? Playfulness? Falling asleep?
--watch baby closely & take off breast earlier than biting begins & flippantly say "no"
--quit feeding
--offer breast at next ordinary feeding
nine-12 Months - ANS--stand & walk
-regular mealtimes & snack nursings
-nursing before bed & naps
-BF through the primary year:
--supports little one energy & boom via fostering a shared mom-toddler regulation of infant
food consumption
--promotes a pattern of mother-toddler interaction in the course of feeding that recognizes
the kid's function in regulating food consumption (outcomes in less battle at mealtimes)
AAP & Drugs & BF - ANS--regularly publishes a listing of prescription & nonprescription
capsules, indicating their compatibility w/ BF
AAP Response to BF-Associated Hypernatremia - ANS--"ensure formal eval &
documentation of BF by using trained caregivers (such as position, latch, milk switch, exam)
at the least for each nursing shift"
-"All BF new child toddlers need to be sen through pid at three-5 days of age which is inside
48-seventy two hours after discharge from health center"
-compare hydration (removal patterns)
-compare body wt benefit (frame wt no extra than 7% from birth and no further wt loss by
day five; determine feeding & take into account extra common follow up)
-talk maternal/toddler problems
-have a look at feeding
-*majority of peds aren't able to take a look at all of this stuff*
Abscess - ANS--pus - not milk
-as many as 60% can be wonderful for MRSA
-nursing on different breast is possible
-no clear clinical consensus approximately nursing on breast w/ abscess earlier than or after
"drainage"
Abscess Treatment - ANS--surgical procedure might also cut through nerves & ducts
... - ANS-
"Goals for the Nation" - ANS--Developed inside the 1970s for america to finish by means of
the 1990s; seventy five% initiation, 35% continuing to six months
-New goals advanced for year 2000; 75% initiation, 50% persevering with at 6 months, 25%
at 1 year
-New dreams in 2005; exceptional BF at three mos forty%, specific BF at 6 mos 17%
-Trends within the 90s confirmed development, however now not to the stages predicted
-CDC Is no collecting comprehensive little one feeding information
1. Milk Removal Is Needed In Order To Make Milk - ANS--expression inside 1 hour of
beginning for the highest milk quantity had most milk (thru wk 8)
-hand expression increases milk extent
-research suggests that contributors (babies <31 wks gestation) who hand expressed on
days 1-3 >5x a day & persevering with w/ pumping & hand expression had the maximum
milk (thru wk 8)
-hand expression is extra effective b/c oxytocin is aware of conditioned response, nipple
stretching & hand massage on breast
-hand expressed milk was maximum in calories in comparison to pumped milk
-early hand expression w/ later addition of pump expression yielded milk that handed norms
for fats & electricity
-the usage of a pump or hand expression to build the milk supply (can nurse on one aspect
& pump on the other aspect)
--ongoing guide person & expert oversight
--explicit in proximity to the toddler (specially at some stage in KMC) for better milk quantity
--double stimulation
--accumulating milk on one breast when nursing on the opposite is an powerful approach
--guided imagery has been proven to increase the amount accumulated via breast pump - in
a take a look at ladies doing guided imagery pumped 35mL more milk
--power pumping for a day or two may additionally help to increase volume (ok frequency of
stimulation plus attempt 5 min, pause, 5 min, pause, 5 min, pause)
10 Steps to Successful BF - ANS--1. Have a written BF policy that is mechanically
communicated to all health care personnel
--wishes to be in guide of the rest of the ten steps & to be had in a format/language that the
group of workers can get entry to
-2. Teach all fitness care personnel in competencies important ti implement this policy
--want to recognise what S2S is, how to put into effect it, a way to help moms explicit milk &
the way to assist trade the child's function while feeding if toddler/mom is uncomfortable;
help them research what they need to recognize to get via the first weeks of BF & assist
them find their nearby assets
-three. Tell all pregnant ladies about the advantages & management of BF
,--why we should do not forget BF, what EBF method, how to get off to an awesome begin w/
BF; recognise why those are vital: S2S, rooming in, cue primarily based feed, help them
analyze what they want to know to get rhubarb the primary weeks of BF & help them
discover local sources
-4. Help moms initiate BF inside 1 hour of delivery
--key ideas: on the spot S2S, uninterrupted & continuing until the finishing touch of the first
feeding
--if own family is not planning to BF, this S2S must nevertheless occur
--of the a hundred and forty million live births in 2015, 77 million newborns had to wait too
lengthy to be placed to the breast; best forty five% of newborns were placed to breast within
first hour
--sixteen% of neonatal deaths might be avoided of all babies have been BF from day 1
--S2S & Safe Sleep pointers to enhance protection have been advanced by the AAP
-five. Show mothers a way to BF & the way to hold lactation, although they're separated from
their babies
--feeding should be assessed at least as soon as. An afternoon while in medical institution
via CLC; if infant is in NICU paintings w/ mom & educate a way to gather milk & get it to the
NICU; if mother is in ICU, paintings w/ mom
-6.Deliver new child toddlers no food or drink other than BM unless medically indicated (and
follow "the Code")
--if figure isn't always BF then they glaringly can have
10 Steps to Successful BF (2018) - ANS--**1-2 Critical Management Procedures
-1. (a.) Comply w/ International Code of Marketing of Breast-milk Substitutes & relevant
World Health Assembly resolutions
-1. (b.) Have written toddler feeding policy that is automatically communicated to group of
workers & mother and father
-1. (c.) Establish ongoing monitoring & records management systems
-2. Ensure that group of workers have enough understanding, competence, & capabilities to
assist BF
-**3-10 Key Clinical Practices
-3. Discuss importance & management of BF w/ pregnant ladies & families
four. Facilitate instantaneous & uninterrupted pores and skin-to-pores and skin & guide
moms to initiate BF ASAP after beginning
-5. Support moms to initiate & preserve BF & manipulate common difficulties
-6. Do no provide BF new child any meals or fluids apart from BM, except medically
indicated
-7. Enable mothers & infants to remain together & practice rooming in 24 hrs an afternoon
-8. Support mothers to understand & reply to infant's cues for feeding
-9. Counsel mothers on the use & risks of feeding bottles, teats, & pacis
-10. Coordinate discharge in order that dad and mom and infants have timely get admission
to to ongoing aid & care
2 Different Care Patterns of Mammal Mothers - ANS--Nest/Cache (dogs/kittens, deer/rabbit)
-Carry/Follow/Hibernate (monkey, opossum, giraffe, bison, bears, groundhogs)
-composition of milk of a mammal species and the species feeding frequency are relates
-people ought to be inside the "Carry" institution, however we want to be nesters (our milk
composition tells us we ought to be carriers but society tells us we have to be nesters
,-human beings should be in the continuous feeding sample and the "carry" institution
-human milk is one of the maximum in lactose od all mammal milks, high in water, low in
protein & fats, a very dilute mammal milk
-maximum unexpectedly developing organ in human newborns is the brain, human milk is
the suitable gasoline for mind boom
-the nursing sample need to be frequent to accommodate this composition
-human milk modifications always, this makes it impossible to achieve a single consultant
pattern of milk
2. Infant Requires Nourishment to Remove Milk - ANS--when considering a supplemental
feeding device consider: --cost & availability of the tool
--ease of use & cleaning of the tool
--strain to the toddler of feeding method
--whether milk extent can be fed in 20-30 min
--whether or not expected use of the plan is brief or long time
--own family desire
--knowledge of the healthcare staff to train/supervise plan
--whether the approach complements development of BF abilities
--protection & efficacy of device used
--consideration of parents' potential to apply tool appropriately
2010 Health Care Reform (ACA) Created a Workplace BF Law - ANS--this amendment to
section 7 of Fair Labor Standards Act calls for employers:
--to offer "affordable damage time for an (hourly) employee to express BM for her nursing
baby for 1 12 months after the child's start whenever such employee has to the want to
specific the milk"
--the gap must be a personal area other than a rest room and "is protected from view & free
from intrusion by way of coworkers & the public"
-best forty% of hired ladies w/ infants has access to each destroy time & a non-public area to
specific BM
-employers who've less than 50 personnel can declare an exemption; however they need to
show that have much less than 50 employees
-the law also would not specify rules for spoil time, so girls can also must clock inside and
outside each time they take a destroy to pump (this can effect someone's profits & the
quantity of time spent pumping at work)
3. Above All, The Infant Cannot be Compromised - ANS--rule #1 is to feed the numerous
four-6 Months - ANS--distractible
-may additionally need to transport to quieter area
-ordinary naps? (every so often, all babies are diff)
-separation tension (normal & temporary)
-night feeds?
-teething
--sore nipples can happen while toddler's saliva changes & gets new enzymes across the
identical age as teething
--toddlers may also nurse extra of a lot much less
--offer cold "teethers" before nursing to "numb" mouth
, --if child is nursing less & milk is inflicting compression, keep milk supply by way of relieving
the fullness
--babies may have runny noses & issue respiration at this time
6-9 Months - ANS--cell
-teething
-ordinary naps? Maybe
-night time feeds? Perhaps
-playful
-long durations of concentration
-biting: need to explore why
--teething? Playfulness? Falling asleep?
--watch baby closely & take off breast earlier than biting begins & flippantly say "no"
--quit feeding
--offer breast at next ordinary feeding
nine-12 Months - ANS--stand & walk
-regular mealtimes & snack nursings
-nursing before bed & naps
-BF through the primary year:
--supports little one energy & boom via fostering a shared mom-toddler regulation of infant
food consumption
--promotes a pattern of mother-toddler interaction in the course of feeding that recognizes
the kid's function in regulating food consumption (outcomes in less battle at mealtimes)
AAP & Drugs & BF - ANS--regularly publishes a listing of prescription & nonprescription
capsules, indicating their compatibility w/ BF
AAP Response to BF-Associated Hypernatremia - ANS--"ensure formal eval &
documentation of BF by using trained caregivers (such as position, latch, milk switch, exam)
at the least for each nursing shift"
-"All BF new child toddlers need to be sen through pid at three-5 days of age which is inside
48-seventy two hours after discharge from health center"
-compare hydration (removal patterns)
-compare body wt benefit (frame wt no extra than 7% from birth and no further wt loss by
day five; determine feeding & take into account extra common follow up)
-talk maternal/toddler problems
-have a look at feeding
-*majority of peds aren't able to take a look at all of this stuff*
Abscess - ANS--pus - not milk
-as many as 60% can be wonderful for MRSA
-nursing on different breast is possible
-no clear clinical consensus approximately nursing on breast w/ abscess earlier than or after
"drainage"
Abscess Treatment - ANS--surgical procedure might also cut through nerves & ducts
