5.2 Lactation - Terrell

BF benefits for the mom:

decreased _______

post partum blood loss

risk of breast and ovarian cancer

risk of osteoporosis

BF benefits for the mom:

more rapid _______

uterine involuation

BF benefits for the mom:

earlier return to _____

pre-pregnancy weight

BF benefits for the infant:
decreased incidence and severity of ______

infections like otitis media, UTIs, and RTIs

BF benefits for the baby:

possible decreased risk of _______

obesity

IBS
celiac disease

BF benefits for the baby:

decreased risk of _________

SIDS

prolactin levels ____ throughout pregnancy

a. increase

b. decrease

a

high estrogen and progesterone levels_______ milk secretion

a. induce

b. inhibit

b

why do high levels of estrogen and progesterone inhibit milk secretion?

by blocking the effect of prolactin on the breast

a _____ in progesterone triggers lactogenesis for the first 3 days after delivery

decrease

a decrease in _________triggers lactogenesis for the first 3 days after delivery

progesterone

breast maturation during pregnancy is due all of the following except…

a. progesterone

b. cortisol

c. oxytocin

d. prolactin

c

where is prolactin released from and what does it do?

the anterior pituitary

stimulates production and secretion of milk

what stimulates prolactin release?

nipple stimulation (suckling)

where is oxytocin released from and what does it do?

posterior pituitary, stimulates milk ejection (let down reflex) by contracting myeoepithelial cells

basically it allows the nipple to release the milk

what activates/ stimulates oxytocin release?

multiple sensory pathways

milk production is regulated by _____. if the milk is not removed from the mother, what occurs to lactation?

infant demand

lactation stops

What are galactagogues?

substances that help in breastfeeding

what is fenugreek?

galactagogue (milk production stimulant)

fenugreek

1. dose during lactation

2. ADE

1. 2-3 capsules TID

2. maple syrup odor of body fluids

BF complications

sore or cracked nipples

engorgement

blocked milk ducts

mastitis