NS 132 SQ 20 - Breastfeeding: Study Questions Synopsis:...

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Breastfeeding: Study Questions Synopsis : Continuing w/ “Diet in the life cycle” - this lecture focuses on infant nutrition, starting w/ breastfeeding. The benefits ō breastfeeding for an infant are examined, as are the common barriers a new mother may encounter. A food plan for women who want to breastfeed is described as well. Textbook readings: Chapter 13 I. Incidence ō breastfeeding a. Increasing i. Up 14% from 1989, to 60% in 1995 ii. 19% increase at 6 mos., to 22% iii. Low-income less likely than higher income iv. Knowing someone who has breastfed is best predictor b. Ability to breast feed i. Learned technique ii. Most problems due to lack ō coaching c. Producing human milk i. ii. Milk production stimulated by sucking iii. Production reflects infant demand d. Let-down reflex i. Oxytocin from brain allows milk to be released from stores ii. W/o reflex, no milk available iii. Inhibited by nervous tension, fatigue, lack ō confidence iv. Standards for comparison e. Supplemental feedings i. Useful if mom must be away (work, baby-sitter) ii. Cautions f. Growth i. breast-fed infants may be slower than formula-fed, initially ii. Catch up by age 2 however g. Composition ō human milk i. Colostrum produced for a few days after birth ii. Mature milk after several days iii. No cow’s milk during first yr. ō life Incidence- increasing h. Increasing i. Up 14% from 1989, to 60% in 1995 ii. 19% increase at 6 mos., to 22% iii. Low-income less likely than higher income iv. Knowing someone who has breastfed is best predictor Lesson: >50% infants breastfed at birth Minority successfully breastfeeding (60% → 22%, 1 st 10 days 6 mos.) Are low-income people more or less likely to breastfeed? Low-income mothers are less likely to breastfeed than higher income. What is the best predictor ō breastfeeding behavior?
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Knowing someone who has breastfed (successfully) best predictor ō breastfeeding behavior. Ability to breastfeed Is breastfeeding a learned technique? What is the role ō coaching? Yes , ability to breastfeed is learned technique. Role ō good coaching by lactation consultant prevents problems/failures (in 1 st 10 days) . Producing human milk What stimulates milk production? How does production reflect infant demand? Nursing stimulates milk production . Milk production completely reflects infant demand. - milk proteins made in breast tissue from protein (AAs) circulating in blood Let-down reflex What is the let-down reflex? let-down reflex
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NS 132 SQ 20 - Breastfeeding: Study Questions Synopsis:...

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