Has bluish color and is thinHas all the calories the infant needsoTypes of HoldsFootball holdCradlingLying downCross cradleoSigns of Successful FeedingsBreasts feel full before and soft after feedingsLet down reflex occursTingling sensationDripping of milkNurses 10--15 minutes/breast 8--10 times per daySwallowing is heardSeems relaxed after feedings6--8 wet diapers a dayStools several times a dayoStorage of Breast MilkBreast milk left out at room temperature over 4 hours can become contaminatedKeep in glass or hard plastic containerIf frozen, thaw by sitting in refrigerator for 24 hours, or run under lukewarm water until defrostedBreast milk can be frozen for up to three monthsYou can store breast milk in fridge for 24 hoursoWeaningThe breastfed baby should ideally be weaned graduallyOmit one feeding at a time, waiting several days until the next feeding is omittedUsually best to not wean the last feeding of the dayThese are the feedings the baby associates with calming the mostThe usual time to begin weaning is about six monthsAs solid food is being introduced into the dietIf for some reason the mother needs to wean suddenly, she is likely to become engorgedoFormula FeedingThere are many different typesSome are specific for potential or actual allergies or intolerances the babyhas
PreparationFormulas come in either ready to feed, concentrated liquid which is diluted or powdered form, add water to itSterilization is not required unless the water supply quality is in questionBecause formula is digested slower than breast milk, babies feed about every 3--5 hoursThe mother can warm the milk, room temperature is also fineKeep baby in a semi-upright position, tilt bottle so the nipple is full, and feedBurp about every 0.5--1 oz. ingested, and at the end of the feedingWatch for too much milk flow, the nipple hole may be too bigDiscard unused formula and never prop a bottleWhen laying an infant down after feeding, place on right lateral side on a flat mattressPrevent aspiration and aids in stomach emptyingDealing with Newborn Common ConcernsTransient Tachypnea of the Newborn (TTN)oExperienced soon after birthoOccurs when fluid is retained in the lungsoNeonate may have retractions, expiratory grunting, or cyanosisoRelieved by low-dose oxygen (blow by)Physiologic JaundiceoVery common in newbornsoResults from the deposition of unconjugated bilirubin pigment in the skinoJaundice meter (JM) reading, heel stick to confirmoPhysiological JaundiceOccurs 24 hours after birth and during the first weekExamplesBreastfeedingGestational age 35--38 weeksMacrosomiaDelayed cord clampingRh incompatibilityoPathological JaundiceVarious disorders exacerbate the physiological processSerum bilirubin levels keep increasing per dayoTreatmentTreatment begins when bilirubin reaches 12--15 mg/dLInfant is placed under the bililights (aka phototherapy)Baby wears only a diaperEyes must be shielded to prevent retinal damage
You've reached the end of your free preview.
Want to read all 26 pages?
- Spring '17