Nutrition During Lactation-2

In developing countries fewer acute illnesses gi

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Unformatted text preview: fidus factor Lactoferrin Transferrin Vitamin B12-binding protein Corticoid-binding protein, Enzymes • Lysozyme • Lipoprotein lipase • Leukocyte enzymes Taste of Human Milk Taste of Human Milk • Flavor of foods in mother’s diet influences taste of breast milk • Exposure to a variety of flavors may contribute to infant’s interest & acceptance of new flavors in solid foods Benefits of Breastfeeding Benefits of Breastfeeding for Women • Hormonal benefits – Oxytocin • Physical benefits – Delay in monthly ovulation • Psychosocial benefits • Increased energy needs may promote weight loss Outcomes for Breastfed Infants • • Lower infant mortality in developing countries Fewer acute illnesses – – – – • GI infections Ear infections Coughing and wheezing Vomiting Reduction in chronic illness – – – – Celiac Inflammatory bowel disease Neuroblastoma Allergies and asthma • Child overweight – Inconclusive evidence • Cognitive benefits – Directly related to duration of breastfeeding – Important for SGA infants • Socioeconomic – Fewer sick care visits – Fewer maternal absenteeism from work Breast Milk Supply Breast Milk Supply and Demand • Can women make enough milk? • Does the size of the breast limit a woman’s ability to nurse? • Is feeding frequency related to the amount of milk a woman makes? • Pumping or expressing milk • Can women breastfeed after breast reduction/augmentation? • Does silicone from breast implants leach into the milk? Milk Production: Supply and Demand • • • Typical production – 600 ml in 1st month postpartum – 750-800 ml/d by 4-5 months postpartum – 450-1200 ml/d by 6 months Increased production to meet needs of twins and triplets Production meets demand! – Increases or decreases as infant needs The Breastfeeding Infant The Breastfeeding Infant • Optimal duration of breastfeeding – – AAP 1 year or longer U.S. Surgeon General exclusively for 6 months & best to breastfeed for 12 months Breastfeeding: Breastfeeding: Infant Reflexes • Gag reflex—prevents infant from taking things into lungs • Oral search reflex—infant opens mouth wide when close to breast & thrusts tongue forward • Rooting reflex—infant turns to side when stimulated on that side The Breastfeeding Infant The Breastfeeding Infant • Breastfeeding positioning Positions for breastfeeding ­ proper positioning of infant is important...
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This document was uploaded on 04/04/2014.

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