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Who collects the most comprehensive bf stats in the US?
CDC
What does prolactin do?
Cause milk to be made
What does oxytocin do?
Cause contractions which move the milk
What causes oxytocin to be released
Frequent feeding and milk removal
Lactogensis III requires what to succeed
Frequent milk removal and nipple stimulation
The fat content of milk suckled by the baby is determined by
The speed in which the Baby removes the milk
What is the most effective at increasing gastrin and cck
Feeding with species specific milk
Studies on childhood obesity demonstrate that
Breastfed babies are less likely to be obese
When undernourished moms were supplemented with extra energy in their diet they
Responded to their infant appropriately
Harmful bacteria have difficulty growing in breastfed baby's gut because the composition of milk
Fosters the growth of good bacteria that crowd out other organisms.
Alveolar cells are the
Milk making cells
Myoepithelial cells are the
Smooth muscle cells that move the milk
The two pathways that control lactation are
Prolactin and oxytocin
Prolactin is dependent upon
Nipple stimulation
Associated with obesity in formula fed infants
Hyperinsulemia
GI hormone that causes fullness
Cholecystokinin
Myoepithelial cells
Muscle cells around the alveolus
The last part of feeding
Hindmilk
Period when baby is not at breast
Interbout period
Nothing other than human milk
Exclusive bf
Paracellular pathway
Elevated prolactin levels close this
oxytocin releasing mechanism
Baby hand massage
Produced by hormones of pregnancy
Colostrum
Conducts systematic reviews
Cochrane collaboration
Cellular lock for a chemical key
Receptor site
Anabolism
Storing energy for growth
Carb found only in mammal milk
Lactose
Cholecystokinin helps babies feel a sense of
Satiety
Glands that secrete lactation hormones
Pituitary
A cluster of milk making cells
Alveoli
Stage that begins with the delivery of the placenta
Lactogenesis II
Newborn milk
Colostrum
Hormone responsible for milk ejection
Oxytocin
Breastmilk is low in this nutrient but it's almost all bioavailabile
Iron
Nerves that empty the breast
Thoracic
The number one reason that mothers stop breastfeeding is concern about low
Milk supply
Hormone that increases with frequent nipple stimulation
Prolactin
Hormone secreted by the placenta
Progesterone
Promotes the release of gastrin
Touch
Smoking moms may wean early because
prolactin levels are low
Pacifier use by tube fed babies who were born prematurely may
Increase their weight gain
The FDA reports
There's no consistent pattern of who does and doesn't make formula safely.
Pituitary function may be impaired permanently with
Sheehan's syndrome
Cows milk allergy is associated with about how many cases of reflux
50%
Formula contamination is greater in what type formula
Powdered
Formula fed babies are more likely to get
SIDS
Third in the hierarchy of infant feeding
Donor breast milk
Reduction in risk of hypertension
Breastfeeding benefit >1 year
Physiological reason for low milk supply
hypothyroidism
Believes all authorities tell the truth
Receivers of knowledge
Buying milk on the internet
Risky behavior
Can make enough milk for two or more babies
Mothers of multiples
May alter pattern of postpartum bleeding
Retained placental fragments
Not bf increases the risk of these cancers
Breast and ovarian
Best technique for dealing with engorgement
Prevention
Mother contraindication of bf
HIV infection
May delay lactogensis 2
Maternal obesity
Only infant contraindication
Galactosemia
Type 2 inverted nipples do or don't retain projection
Don't
Behavior that may lead to low milk supply
Smoking
Formula contaminant
Cronobacter sakazakii
Most often associated with milk insufficiency
Periareolar incision
Frequently used inappropriately
Nipple shields
Affects up to 20% of post partum women
Anemia
Women who use these are at greater risk of early weaning
Shields
Knowers who seek information from a variety of sources
Procedural
In lactogensis 3 this can reduce supply
Pressure
May reduce breast storage capacity
Implants
It's best to use few words with these knowers
Women in silence
Secretory immunoglobulin A
SIGA
Mothers who formula feed need to prepare it
Safely
"final rule" on formula spring 2014
FDA
Can be classified in 3 grades
Inverted nipples
May be prevented or delayed with longer bf periods
Diabetes
Concerns especially if powdered
Formula
May be prevented with frequent effective feedings
Engorgement
This depression is associated with early weaning
Postpartum
Can result in Sheehan syndrome
Hemorrhage
May be an indicator of sore nipples
Pacifiers
May cause lower rise in prolactin
Smoking
These nipples easily drawn out by baby
Flat
Allows for nipple stretch and oxytocin release
Nipple In Top of mouth
Increases exclusive breast milk feeding
The joint commission perinatal core measure outcome
Associated with latch difficulty
Epidural anesthesia
Provides perinatal support
Doula
Creates changes in breast appearance
Pregnancy
This latch allows room for the nipple to stretch
Asymmetric
The baby's chin digs into the moms breast in this back and forth motion
Rocker
Nose should be where to start the latch process
Opposite the nipple
Women learn a lot about bf by
Observing
Preferred style of counseling
Hands off
Promotes correct suckling
Self attachment
May impact the baby's ability to orient to the breast
Medications
Tummy to mommy, nose to lips
Flex the hips
Helps babies transition to extrauterine life safely
Skin to skin
What suggests milk is being transferred?
Irregular suck to swallow
Sucking and skin contact lead to increases in
Gastrin
Act through gi tract leading to release of gi hormones
Vagal nerves
More will bf if they consider it the
Norm
Act through the adrenal glands. Causes catabolism
Splanchnic nerves (sympathetic)