Ob/Peds- Exam 1- Breastfeeding

Studies have shown what benefits to breastfeeding

Infants 50% less to develop acute otitis media

Halves the risks of SIDS

Less likely to develop asthma, GI issues, Respiratory Inf., and eczema

All major pediatric organizations recommended exclusive breastfeeding for how long

First 6 months of life

After the first 6 months of exclusive breastfeeding for the baby, what should happen

Follow with another 6-18 months supplemented with age-appropriate solids

Maternal benefits of breastfeeding

Decreases risks of the following:

-post partum depression

-breast cancer

-ovarian cancer

-type 2 diabetes

-hypertension

-myocardial infarction

What are the different types of breast milk

Colostrum

Transitional milk

Mature milk

What milk is initially after birth

Colostrum

What does colostrum do for the baby

Establishes healthy bowl flora for digestion

What milk contains high levels of protein for rapid growth in the first few days and has mothers antibodies

Colostrum

What does transitional milk form

Days 7-14

What milk has increasing levels of lactose

Transitional milk

When does mature milk come into play

After day 14

Why are rates of breastfeeding low

Loss of time

Pain

Problems with latching

Inability to produce

Some mothers chose to not do it

What stimulates tissue growth and milk production

Prolactin

What is related when infants starts sucking and stimulates "let down"

Oxytocin

What do stress hormones do with breast milk production

Epinephrine and cortisol inhibit secretion of prolactin

-leads to less production and creates more stress... bad cycle then begins

What is a common, short term emotional response experienced by new mothers

Baby blues

Baby blues affects what percent of new mothers

Up to 80%

How longs does baby blues last

Few days after childbirth and lasts up to 2 week

Emotional symptoms of baby blues

Mood swings

Anxiety

Irritability

Feeling overwhelmed

Sadness

Crying spell

Physical symptoms of baby blues

Fatigue

Trouble sleeping (even when baby is sleeping)

Appetite changes

What is a more severe, long lasting form of depression that occurs after childbirth

Postpartum depression (PPD)

What percent of new mothers are affected by postpartum depression (PPD)

10-15%

Duration of postpartum depression (PPD)

Begin a time within the first year after childbirth and last for several months

Emotional symptoms of postpartum depression

Persistent sadness

Severe mood swings

Excessive crying

Feelings of worthlessness or guilt

Loss of interest in activities

Difficulty bonding with the baby

Physical symptoms of postpartum depression

Insomnia or excessive sleeping

Changes in appetites (too much or too little eating)

Fatigue and lack of energy

Physical aches and pains