Breastfeeding

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Breastfeeding

• Anna Mae Smith, MPAS, PA-C

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• "What helps reduce the incidence of ear and
  respiratory infections, intestinal disease,
  pneumonia, meningitis, Crohn's disease, colitis,
  diabetes, childhood cancers, allergies,
  constipation, urinary tract infections, tooth
  decay and obesity? It also increases intelligence
  and reduces the incidence of breast cancer for
  the mother."

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Reduces risk of...

• breastfeeding reduces ovarian and cervical
  cancer, juvenile rheumatoid arthritis, bacterial
  and viral infections of all types and increases
  visual acuity, optimal neurological and social
  and oral development, as well as saves money for
  health care providers and families.

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Advantages

• Contracts the uterus
• Always ready
• Right temperature
• Easily digested
• Cheaper
• Feed while sleeping

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Disadvantages

• Feed more often
• More poopy diapers
• Babe stuck to chest all the time!!!
• Sore breasts
• Contraindications Drugs
  Breast reduction
  TB Breast cancer

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Bottle

• First feed sterile water
• Glucose water
• Then formula
• Feed every 3-4 hours
• Should eat at least 4 oz every 4hours
• Burp em

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Breast is best

• Prepare breast late in pregnancy
• Put to breast as soon after birth as possible
• Colostrum-first milk, may start to come out prior
  to birth high in protein,vit A,
  immunoglobulins, but lower in CHO, fat, K than
  mature breast milk!

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MILK comes in

• Usually about 3-5 days after birth
• Heavy breasts
• At first nurse at each breast for 5 minutes
• May feed every 2 hours!!! Usually settle down to
  every 3-4 hours

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How do I do This??

• Get breast started
• How do I hold the kid?
• Root reflex
• Get areola into mouth!!!
• He wont let go!!!!

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Poor Latching
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How do I know baby is getting enough???

• Diapers - First 2-3 days should have at least 2
  pee-pee diapers
• Once milk has come in, should have at least 5-6
  wet diapers per 24 hour period

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• Inverted Nipples
• Sore nipples
• Mastitis
• How do I stop??