Term
| What can affect prolactin during feeding? |
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Definition
More milk synthesized and secreted with more suckling
Less milk synthesized and secreted with poor suckling |
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Term
| What does prolactin do during suckling? |
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Definition
| Stimulates gland cells in alveoli to produce milk, resulting in milk synthesis and secretion for next feed |
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Term
| What is stimulated by the action of suckling? |
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Definition
| Hypothalamus then pituitary glad releases prolactin and oxytocin |
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Term
| Composition of hind milk? |
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Definition
Resembles cream
~ 66% fat
28% CHO
6% protein
Makes up last 5% of the volume
Released 10-20 minutes into feed |
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Term
| Composition of fore milk? |
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Definition
Resembles skim milk
~ 17% fat
~ 74% CHO
9% protein
60% of the total volume |
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Term
| Three types and stages of breast milk? |
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Definition
0-3 days colustrum (immunoprotective)
3-7 days Transitional
7+ days Mature (easy to digest proteins) |
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Term
| Benefits of breastfeeding for the mother? |
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Definition
Less risk of ovarian and breast cancer
Less PND incidence
Delayed ovulation
Increased weightloss
Higher MD = less hip fractur
Psychosocial/bonding |
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Term
| A breast milk baby has less risk of? |
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Definition
Mortality in 1st year
SIDS
Respiratory tract infections
Diarrhoea and vomiting
Allergies
UTI's |
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Term
| What is improved for the infant from breastmilk? |
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Definition
Response to immunisation
Development of brain and retina |
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Term
| Benefits of breastmilk for baby in later life? |
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Definition
LESS - Childhood cancers
CVD
Obesity
MORE - Cognitive ability
Educational attainment
Language and coordination skills |
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Term
| Benefits for the baby from the act of feeding? |
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Definition
Less ear infections
Less dental caries
Clearer speech
Bonding |
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Term
| Advice for mothers diet during feeding? |
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Definition
In Uk met by increasing normal diet
Eat regularly - varied foods
Don't try to lose weight
Plenty of fluid |
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Term
| Extra requirements in mothers diet during feeding? |
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Definition
+11g protein/day BUT uk diet sufficient
Extra 330kcal/day BUT 1st 6 months breastfeeding and only exclusive. |
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Term
| What can oxytocin affect during feeding? |
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Definition
'Let down' increased with sight/sound of baby
Harder to feed with anxiety, pain, doubt |
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Term
| What does oxytocin do during feeding? |
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Definition
| Stimulates muscle cells around alveoli to contract causing milk 'let down' |
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