copyright © 2003, rev 2005 american academy of pediatrics
TRANSCRIPT
![Page 1: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/1.jpg)
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 2: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/2.jpg)
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 3: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/3.jpg)
Infant suckles at the breast.
Stimulation ofnerve endings
in mother’snipple/areola sends signalto mother’s
hypothalamus/pituitary.
Pituitary releases prolactin and oxytocin.
Hormones travel via bloodstream
to mammary gland to stimulate milk production and
milk ejectionreflex (let-down).
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 4: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/4.jpg)
Maternal Factors That Support Optimal Lactation Normal breast anatomy Intact neuroendocrine reflex Good general health and
nutritional status Effective support system
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 5: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/5.jpg)
Nutrition During Lactation Generally healthy diet Drink fluids to thirst Adequate protein and
calories Calcium Multivitamin supplement
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 6: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/6.jpg)
Maternal Medications Most are
compatible with breastfeeding.
Medication use in pregnancy is not the same as medication use in lactation.
Weigh benefits against risks.
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 7: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/7.jpg)
Maternal Medications Choose the safest drug
available. Prescribe medications for the
shortest length of time appropriate.
Use short-acting formulations. Administer just after
breastfeeding. Monitor infant for side effects. Report adverse effects to
the proper authorities.
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 8: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/8.jpg)
References AAP Committee on Drugs Hale: Medications and
Mothers’ Milk Lawrence and Lawrence:
Breastfeeding: A Guide for the Medical Profession
Briggs, Freeman, and Yaffe: Drugs in Pregnancy and Lactation
Lactation Study Center Drug Data Bank, University of Rochester, NY
Maternal Medications
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 9: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/9.jpg)
Advise moderation in caffeine intake
Avoid alcohol Encourage smoking cessation
or limited use
Breastfeeding Counseling
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 10: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/10.jpg)
Human Milk Colostrum
Present in small volume before delivery and in first days after delivery
High in host defense proteins and immunoglobulins
Transitional milk
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 11: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/11.jpg)
Human Milk Colostrum
Present in small volume before delivery and in first days after delivery
High in host defenseproteins andimmunoglobulins
Transitional milk Mature breastmilk
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 12: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/12.jpg)
Twins
breastfeedingPremature infant
breastfeeding
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Photo © Nancy Wight, MD, FAAP
Photo © Ruth A. Lawrence, MD, FAAP
![Page 13: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/13.jpg)
BreastfeedingPositions Mother
comfortable Infant head in
straight line with body
Tummy-to-tummy or chest-to-chest
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Photo © Ruth A. Lawrence, MD, FAAP
![Page 14: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/14.jpg)
Cradle Position
Copyright © 2003, Rev 2005 American Academy of Pediatrics
![Page 15: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/15.jpg)
Cross-cradle or Transitional Position
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Photo © La Leche League International
![Page 16: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/16.jpg)
Side-lying Position
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Photo © Roni M. Chastain, RN
![Page 17: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/17.jpg)
Clutch orFootball Position
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Photo © Lori Feldman-Winter, MD, MPH, FAAP
![Page 18: Copyright © 2003, Rev 2005 American Academy of Pediatrics](https://reader030.vdocuments.net/reader030/viewer/2022020716/5518d5a155034638098b52ae/html5/thumbnails/18.jpg)
Latch Stimulate
rooting reflex. Take sufficient
areola into mouth.
Flange lips around the breast—“fish lips.”
Have wide angle at corner of mouth.
Copyright © 2003, Rev 2005 American Academy of Pediatrics
Illustration by Tony LeTourneau