Ch. 23- Infant Feeding (8)

Vitamins in Breastmilk

A, E, K, B1, B2,B6, and C

• NOT Vitamin D, Yes Sun Exposure

• vegan moms may need B12 and Iron supplements

Hormones FOR Breastmilk

Prolactin

Oxytocin

Types of Formula

• Unmodified Cow’s Milk

NOT recommended for infants under 12 months

Types of Formula

• Soy Milk

May give infant galactosemia

• genetic disorder causing lack of ability to break down galactose

Not recommended for Preterm (less than 1800g) and Colic

Types of Formula

• PKU patients

Low phenylalanine

Preterm baby Formula Considerations

Need more concentrated with more calories and less fluids

Engorgement

• Causes

Congestion and Increased Vascularity

edema from obstruction of Lymphatic drainage

Accumulation of milk as Lactation is Established

• Day 3-5 is when production increases

Engorgement

• Issues

painful for mom to breastfeed, furthering the engorgement

baby cannot get a good latch, furthering engorgement

Engorgement

• Prevention and treatment

Start feeding early, frequently and with hunger cues

the breast need to be emptied regularly

Hunger Cues

• Licking or Sucking movements

• Lip Smacking

• Rooting

• Hand-to-Mouth movements

• Sucking of Hands

• Increased Activity

• Crying is a LATE SIGN

Nipple Pain

The first few minutes of breastfeeding because tissue is being stretched and suction ducts are being messed with

• CRACKS, BLEEDING, BLISTERS Are NOT Normal

Breastfeeding

• Contraindications

Infants with Galactosemia

HIV

Breastmilk Storage

In Clean Glass or Polypropylene with a Tight Cap

• nipple is NOT used to cover container during storage

Fresh milk→ within 4 hours

Refrigerated→ at 39F or below for up to 4 days

Frozen→ Up to 12 months

Breastfeeding Assistance

• Interventions

With the First feeding, have baby in Skin to Skin and start feeding when the infant shows hunger cues to help success

• infant should be alert and receptive

• as early as possible to stimulate milk production