optimal breastfeeding duration by WHO/AAP
exclusive breastfeeding for 6months and continued breastfeeding for a year or longer
feeding requirements for preterm infant
have fewer reserves and are vulnerable to complications
- hypoglycemia
- low weight gain
large or small for gestational age feeding requirements
require careful observation of feeding
Signs of good feeding
- mothers breasts soften
- infant is satisfied after suckling
newborn feeds
ensure 8-12 good feedings in 24 hours
Jaundice
breastfed babies
- appear jaundiced in 3rd or 4th week of life
Bili levels dec. as endocrine and digestive systems mature
May be a result of
- inadequate fluid intake
- complicated conditions
- infrequent BM -> bili reabsorbtion
Poor latch
positioning strategies
shallow latch -> pain and poor let down
Breast engorgement
3-4 day PP 1st time moms, earlier in women with previous births
- feed infant 8-12 times a day
- icepacks between feedings
- hot packs right before feeding
delayed let down
stress pain alcohol Can be enhanced by: - thoughts of infant - breast massage - relaxation
low milk production
assessed for - physiologic - psychological - social support variables Usually results from - inadequate sucking and breast emptying - low prolactin levels - inadequate mammary glandular tissue - delayed or inadequate lactogenesis - undetermined
Low infant wt gain
loss of 8% or more from birth wt require close monitoring. - feeding well - 4 or more stools a day - 6 wet diapers per day Strategies to help - pumping to inc. supply - increased feeding freq. - arouse sleeping infants
Cracked nipples
usually caused by attachment or latch-on problems
mastitis
cellulitis of the interlobular connective tissue of the breast - marker of breastfeeding problems s/s - fever - generalized malaise - influenza-like s/s - local erythema - breast warmth and tenderness
mastitis tx
application of warm packs
frequent feeding or pumping
antibiotics
weaning
physically and emotionally less painful when done gradually
- if before 1 year of age baby should use formula
-
Module 1 Primary care11
-
module 2 sensitivity and specificity17
-
Module 316
-
module 4 complementary and alternative therapies20
-
Module 5 cultural responsiveness25
-
module 6 communication22
-
Module 7 USPSTF screening recommendations middle aged19
-
Module 7 USPSTF C/D screening recommendations middle aged adults18
-
Module 7 breast cancer11
-
Module 7 prostate cancer4
-
Module 7 common health concerns middle aged man24
-
Module 7 menopause19
-
Module 7 adult oral care23
-
Module 7 Integrated perspective: wellness12
-
Module 7 genital tract cancers23
-
Module 7 sexual dysfunction in women8
-
Module 9 common changes to geriatric18
-
module 9 assessment of the older adult17
-
Module 9 common concerns of older adult25
-
module 9 common concern of older adult 224
-
module 9 common concerns 322
-
Module 9 common older adult oral concerns8
-
module 10 assessment of the young adult14
-
module 10 adolescent and young adult sexual health17
-
module 10 LGBTAIQ+21
-
module 10 testicular disorders31
-
module 11 preconception counseling17
-
module 12 prenatal care25
-
Module 13 risk assessment in preg28
-
module 13 pregnancy care22
-
Module 13 lactation14
-
abnormal paps14
-
Module 8 emergency preparedness20
-
Module 14 Palliative care22
-
Module 15 early childhood development21
-
Module 15 breastfeeding16
-
module 15 common breastfeeding problems25
-
Module 15 newborn and infant nutrition7
-
Module 16 developmental milestones Bright Futures37
-
Module 16 developmental management of children16
-
Module 16 infant development and red flags15
-
Module 16 common concerns for the newborn25
-
Module 16 infant and school aged vaccinations13
-
Module 17 viral infections for the toddler14
-
Module 17 common issues with toddlers29
-
Module 18 developmental red flags 6-12 years old6
-
module 18 common disorders with school-aged children16
-
Module 19 adolescent risk assessment and developmental red flags15
-
Module 19 physical activity17
-
Module 19 behavior/mental health childhood disorders25
-
module 19 teens common concerns14
-
Module 19 sexual health32
-
Anticipatory guidance17
