with solutions
What are the leading causes of death for children under 5? - Answer Pneumonia and diarrhea
When did the US start recognizing breastfeeding as a public health priority - Answer NOT until
the 1990s
Topical climates recognized it in the 1930s
How much would it cost to increase breastfeeding care and interventions worldwide? - Answer
$6 billion
US and Europe spend $17 billion on pet food a year
How many deaths does suboptimal breastfeeding account for? - Answer 3,340 (80%=maternal)
What are the risks for mothers who do not breastfeed - Answer Myocardial infarcation
Hypertension, diabetes, hyperlipidemia, CVD (breastfeeding decreases risk of these by 10-15%)
Metabolic syndrome
Stroke
Breast, endometrial and ovarian cancer
What are the 3 initiatives set out by the WHO and UNICEF to increase breastfeeding initiation
and duration? - Answer Breastfeeding Promotion
Breastfeeding Protection
Breastfeeding Support
What is focus of breastfeeding Promotion? - Answer advantages of BF on personal, community,
country or global level
What is the focus of breastfeeding Protection? - Answer Government, manufacturer and social
responsibility to assure BF's ability to "compete with commercial interests"
Addressing improper practices as described in "International Code"
EX: hospitals can't give out free formula samples, BF in public, employment issues, etc.
What is the focus of breastfeeding Support? - Answer Interaction of "helpers" with family, and
program development/implementation
Support increases rates of exclusive BF
What forms the basis of the Baby-Friendly Hospital Initiative? - Answer The Ten Steps to
Successful Breastfeeding
, What is the "International Code of Marketing of Breastmilk Substitutes (the Code)"? - Answer an
international health policy to regulate the marketing of breastmilk substitutes to protect BF.
Also sets standards for labelling and quality of products
Was published in WHO in 1981
Created because infant feeding industry was promoted over BF--which was leading to higher
infant death rates
What is the World Breastfeeding Trends Initiative? - Answer is intended to track, assess, and
monitor the implementation of the "Global Strategy" at the country and sub-country level.
What are ways to support exclusive BF? - Answer Increase hospital and health system capacity
to add in Baby-Friendly Hospital Initiative
Provide community-based strategies
Strengthen the monitoring and enforcement related to "the Code"
Enact 6 months of Maternity leave
Invest in training and capacity to promote BF
What are the Healthy People 2020 Goals? - Answer Ever Breastfed: 81.9%
Breastfed@ 6months: 60.6%
Breastfed@ 12 months: 34.1%
Exclusively through 3months: 46.2%
Exclusively at 6 months: 25.5%
Increase proportion of employers w/ worksite lactation programs to 38$=%
Where is the U.S. on the report of the Innocenti Declaration on how we are doing with BF? -
Answer 5th from the bottom
What are the first layer of cells that help make milk? How many layers? What is their job? -
Answer Alveolar cells-help make milk (milk fills up in cell and makes breast hard),
Single layer
What is the 2nd layer of cells? What is their job? - Answer Myoepithelial cells, wrap around
alveolar cells, help squeeze milk out of space into the ducts
What is the 3rd layer of around the cells? - Answer Capillaries, surround myoepithelial, build up
over pregnancy and help bring hormones and nutrient needed to make milk
Describe the order of milk cells in the organization of the Alveolus and how milk comes out -
Answer Receptor sites on the outside of the alveolus (how components of blood are delivered to
milk cells)
Next layer on inside of receptor sits lumen (is the space in the middle of the cell where the milk
collects), then milk goes into ducts to go down to the nipple
Milk cells are secretory cells