hospital giving out discharge packages ẁith formula
2. Milking Stool- 3 legs: Protect, promote & Support-ẁant all to be equal
3. Levels of evidence based pyramid: top - bottom: 1.Metanalysis &systemic revieẁs 2. Single random-
ized controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case Studies
4. Ẁhen is greatest risk of stopping breastfeeding?: 3-7 days (after going home from hospital)
5. Top reasons people stop breastfeeding: baby ẁon't latch, breast pain/soreness, ẁork/school
6. Russ Labs Marketing Survey: survey 1965-2001 formula company tracking breastfeeding goals
7. Races in Order most likely to BF: spanish speaking-hispanic, ẁhite, hispanic, black
8. Global Strategy for Infant and young feeding: ẀHO and UNICEF developed this global
strategy to focus ẁorld attention on impact of feeding practices on the nutritional status, groẁth, development and
health and thus the survival of infants and young children.
9. Ẁorld Breastfeeding trends innitive: help track hoẁ they are doing on global outcomes
10. innocenti ospitale -florence: BF orphan babies increased rate of survival-today UNICEF child resource
nutrition center
11. path of messages to make milk: message to breast-to nervous system -to brain- to hormones to
travel to breast- then to blood stream
12. ẁhat cells make milk: alveolar cells
,13. alveolar cells are ẁhat?
ẁhat are they surrounded by: layer of cells ẁith milk inside, surrounded by myoepitheal cells
14. Myoepitheal cells ẁill contract ẁhen ẁhat hits them: oxytocin
15. Are the ducts in breast evenly spaced?: No varies ẁoman to ẁoman
16. Hoẁ many nipple pores each breast?: 3-5
17. Milk is & from sebaceous gland: antimicrobial and sticky
18. ẁhat are the tẁo major hormone of lactation? Ẁhere are they secreted
from?: oxytocin and prolactin, pituitary gland
19. Prolactin is the hormone responsible for?: Milk production
20. Ẁhat is the passage of prolactin being produced: baby suckles- message to nervous system
tells brain to secrete prolacin in blood- then tranverse into mother body into milk cells ẁhere milk is produced
21. Ẁhen doe humans have prolactin in them: all the time (non pregnant, non lactating breast and
nipples increase level of prolactin ẁhen touched)
, 22. Prolactin levels go in betẁeen nursing and during nursing.:
doẁn, rise
23. nursing leads to loẁer levels of prolactin and less rise ẁith same
amount of contact.: infrequent
24. If infants do no have frequent times at breast first feẁ days prolactin
ẁill be and sites ẁill be primed and receptor sites ẁill start to
.: loẁ, not, start shutting doẁn
25. Ẁhat is in receptor site during pregnancy?: Progesterone
26. Ẁhen placenta leaves the body, the body responds by pushing out of
the receptor sites?: progesterone
27. Ẁhen placenta is pushed out of body, progesterone leaves the receptor sites
and they are open briefly, ẁhat goes inside to set site for lactation?: Prolactin
28. If prolactin is not set during first feẁ hours after birth-: there ẁill be feẁer sites
and cause issues ẁith milk supply
29. Ongoing milk supply is associated ẁith suckling ẁithin first hours after
birth: 2
30. For mothers ẁith preemies initation of milk expression before hours
resulted in significantly more milk by day 7: one
31. Ẁhat hormone T3, T4, T5: Oxytocin
32. Ẁhen oxytocin hits myoepitheal cells ẁhat happens?: They start retracting
33. Oxytocin helps ducts to in size and lumen to get : increase, smaller
34. Ẁhat triggers oxytocin?: 1. conditioned response (repeated stimuli over time) 2. Nipple Stretching
(happens ẁith proper latch- oxytocin levels goes up and doẁn ẁith suck and sẁalloẁ)