Why is it important for all women to receive information about the BENEFITS of breastfeeding?
To ensure fully-informed decision making
Why is it important for all women to receive information about the MANAGEMENT of breastfeeding?
2 answers
- So they are prepared to succeed with breastfeeding.
- We want to make sure they meet their goals.
Please tell me some reasons why SKIN-TO-SKIN care is important.
(3+ reasons) total of 6
- Regulates newborn temperature / thermoregulation
- Facilitates early initiation of breastfeeding
- Encourages bonding
- Calms mother and baby
- Regulates heart and respiration rates
- Prevents hypoglycemia
When should skin-to-skin care be initiated?
- Immediately after birth
- Immediately or as soon as mom is able to respond to baby (Cesarean Birth)
Why is important to avoid giving routine supplements of formula to a breastfed baby?
- less eagerness to breastfeed»_space; reduced milk supply
- reduces mother’s confidence in breastfeeding
- potential for allergic sensitization of the baby
- increases chance of infection
- leads to “FLOW PREFERENCE” if fed by bottle
- involves unnecessary expense
Why is it important to avoid artificial nipples (bottles/pacifiers) during the establishment of breastfeeding?
(2+ needed)
- May make it more difficult for the baby to attach to the breast (nipple preference/confusion)
- May mask feeding cues, causing missed feeding opportunities resulting in decreased milk supply
What is the major cause of sore nipples?
poor attachment (baby not taking enough of breast into mouth)
What is the most common cause of low milk supply / delayed onset of milk supply?
(1+ needed)
3 answers
- poor attachment (baby not taking enough of the breast into mouth)
- not enough effective breastfeeding (ineffective milk removal / milk transfer)
- not feeding on-demand / baby-led feeding
Why is demand feeding / feeding on cue important for successful breastfeeding?
(2+ needed/ 3 answers)
- ensures a good milk supply
- prevents engorgement
- reduces crying & temptation to supplement
Why is rooming-in important?
(2+ needed) total of 5
- mother learns to handle & comfort baby
- enables demand feeding (mom learns feeding cues)
- baby learns to recognize mother
- baby sleeps better
- baby exposed to less infections
What training and orientation have you received about breastfeeding support?
3 hours of training on breastfeeding and evidence-based management
For how long should skin to skin continue after birth?
- At least through the first breastfeeding
- For couplets that are exclusively formula feeding, it should be at least one hour
- Once those important milestones have been met, as long as mother is comfortable
Why is it recommended that all breastfeeding mothers are taught how to hand express?
5 answers
- Helps baby to attach
- Relieves engorgement
- Deals with blocked ducts
- Better for expression colostrum
- Maintain milk supply if she and the baby are separated
Why is it important to advise mother with babies in Special Care / NICU to express their milk as soon as possible after delivery, and at least within 6 hours?
2 answers
- Provide colostrum to infant via alternate feeding method.
- Establish milk supply
How frequently should mothers with babies in NICU be advised to express their milk?
At least 8x – 10x/ 24 hours, making sure to include nights
How frequently should mothers with healthy babies be advised to offer the breast/feed their babies?
- Feed by cue, which means feeding as often and for as long as the baby wants
- At least 8 – 12x /24 hours
What should be discussed with a woman if she indicated that she is considering supplementing her baby?
3 answers
- Her reasons/motivations/concerns!
Listen and respond to her issues - Importance of breastfeeding
- Risks of supplementing
- Discuss alternate feeding methods (spoon, cup, syringe)
Why is it important not to give free formula samples, coupons or advertisements?
4 answers
- It is prohibited by WHO Code
- It discourages breastfeeding
- It makes mother think facility recommends formula
- Implies the facility endorses a certain brand
Why is it important to ensure that all women understand correct positioning and attachment for breastfeeding?
3 answers
- To ensure effective milk transfer
- To establish her milk supply
- To prevent soreness and pain
Do you teach mothers how to position and attach their babies for breastfeeding?
NO, I DONT…
Nurse and Lactation Consultant
or
YES, I DO
Mothers should be comfortable
Baby should be held close, facing the breast
Baby‘s head and body should be in a straight line
Baby should be supported at the head, shoulders & body as well, if newborn
Baby‘s mouth should be wide open, lower lip turned out; chin touching breast
More areola should by visible above than above than below the baby‘s mouth
Cheeks should be full, with slow deep sucking and swallowing sounds
Do you teach women who are using formula how to prepare their feeds for their infants?
NO, I DONT…
Nurse and Lactation Consultant
or
YES, I DO
Place demonstrate how you teach mothers how to safely prepare, feed and store formula
Safe storage & handling
Appropriate reconstitution / accuracy of measurement of ingredients
Using boiling water to kill the bacteria in the formula
Cleaning utensils and equipment
Appropriate feeding methods (cup, spoon, syringe for supplementation; pacing the feeding; watching cues
What advice do you give parents about the appropriate time to introduce a pacifier with their baby?
2 answers
- Pacifier use in the breastfed infant should be delayed until breastfeeding is well established
- Usually around 3 – 4 weeks of life
What would you teach a mother about the signs that breastfeeding is well established?
5 answers
- Milk supply has increased
(infant is breastfeeding 8-12 times in 24 hours) - Infant is satisfied after feedings
- Infant is gaining weight
- Mother can hear baby swallowing during feedings
- Adequate voiding and stooling according to expected norms
What is the process of Reverse Pressure Softening?
- Place 2 fingers on opposite sides of the base of the nipple, press steadily for 60 seconds
- Move fingers to the top & bottom of the base of the nipple and repeat covering all areas about the base of the nipple until edema is reduced
- Latch baby for breastfeeding or hand express until comfortable and engorgement is relieved / breast is emptied
