Newborn_nutrition_and_feeding.ppt - Newborn nutrition and feeding Nutrition Breast feeding recommended by American Academy of Pediatrics*exclusively for

Newborn_nutrition_and_feeding.ppt - Newborn nutrition and...

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Newborn nutrition and feeding
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Nutrition Breast feeding recommended by American Academy of Pediatrics *exclusively for 6 months *12 months total Benefits to baby *enhances maturation of GI tract *breast milk contains immune factors
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Benefits of breast feeding Lower number of diarrheal illnesses Contains specific antibodies *protect against certain viruses and illnesses Lower incidence of allergies Lower incidence of SIDS May enhance cognitive development
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Benefits of breast feeding to mother Decreased incidence of CA *breast *ovarian *uterine Promotes uterine involution Protects against osteoporosis Tend to return to prepregnant weight sooner
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Lactation At birth estrogen and progesterone levels fall *triggers release of prolactin from pituitary -prolactin prepares breast to secrete milk -prolactin produced in response to infant sucking
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Milk production Supply meets demand system *as milk is removed, more is produced Oxytocin *also has role in lactation *nipple stimulation prompts hypothalamus to produce oxytocin *responsible for millk let-down reflex
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Let-down reflex Can also be triggered by *thoughts *odors *sounds
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Breast milk composition Antibodies *secretory IgA major antibody Colostrum *rich in immunoglobulins *gradually changes to mature milk -3-4 days postpartum By 10 days milk reaches final stage of lactogenesis
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Feedings Initial period *white foremilk -mostly contains lactose, protein and water-soluable vitamins End of feeding *hindmilk released -cream -10-20 minutes into feeding
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Assisting with breast feeding Infant readiness affected by *maturity *birth experience *alertness Elimination patterns *within 24 hours – 3-4 wet diapers 1-2 stools
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Breast feeding Weight loss *<10 % *by 10-14 days birth weight regained Mother *assess physical and psychological readiness *needs practice sessions in hospital
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Initial feedings Within 1 hour after birth ideal Comfortable position *best that facilitates latch-on *football-hold good for C-Section *side-lying with perineal pain Cradle position most common Pillows for comfort
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Latching-on Express colostrum into nipple Thumb on top of nipple, finger underneath Compress breast Touch lips of baby – stimulates him to open mouth Bring baby to breast
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Latching-on Baby’s mouth should cover 2-3cms of areola Sucking should elicit firm tugging To remove from breast *insert finger side of babys’ mouth until released
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Feeding frequency 24 hour period *8 – 12 feedings *need to awaken baby to feed every 3 – 4 hours Strict schedule not recommended
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Feeding cues Hand- to- mouth movements Mouth or tongue movements Crying (late sign)
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  • Summer '09
  • Carole Plante
  • Breast milk, Lactation, Breast engorgement

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