PCE Certified Breastfeeding Counselor Exam
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Certified Breastfeeding Counselor C... Certified Breastfeeding Counselor P... EMT Basic Exam Med
Teacher 119 terms 96 terms 30 terms
Kelsey_Welding Preview Rosa_Karanja2 Preview Preview
Embryogenesis: mammary gland devo while 5 wk embryo
Mammogenesis: @ puberty, estrogen influences growth of ducts
Different stages of breast
and buds
development
Lactogenesis 1: completion of mammary development from
- Embryogenesis
placenta stimulation; ducts stimulated + colostrum secretion at 16
- Mammogensis
wks
- Lactogenesis 1
Lactogenesis 2: Secretory activation when placenta out --> decr
- Lactogenesis 2
progesterone --> inc prolactin --> inc milk supply
- Lactogenesis 3
Lactogenesis 3: Milk removal --> mature milk prod; Infant
sucking= ^ oxytocin= let down.
Estrogen - ^ during pregnancy; stim
growth in ductile system
Progesterone - ^ during pregnancy;
Estrogen stim alveoli and lobes
Progesterone Prolactin - frm ant pituitary gland;
Prolactin lands on prolactin receptor sites to
Oxytocin start milk prod
TSH Oxytocin - from post pituitary gland;
cause LETDOWN
TSH - ^ responsiveness of mammary
cells
Tail of spence: What is it, Mammary gland tissue that extends to axillary area, connected to
symptoms milk ducts --> can cause swollen armpits & mastitis
Accessory tissue: Where are Diagonal line from axilla to groin area
they found? Can they lactate? - can lactate & undergo malignant change
Flat - remains flat after stimulation or retract with compression
Flat nipples
(short shank) --> diff w/ latch
Pseudo inverted nipple
Pseudo - seems inverted but erect upon stimulation
Retracted nipple
Retracted - retracts upon stimulation
Inverted nipple
Inverted - retracted at rest &s stimulation
- possible issues, short shank,
solutions
Nipple shield may help.
Underdevelopment, insufficient glandular tissue --> can lead to
Hypoplasia, what is it?
insufficient milk
, Active let down Myoepitheal cells encase the aveoli, contract in response to
- How is milk ejected into ducts oxytocin. In response to sucking oxytocin increases
from alveoli? aka let down
- signs of let down Tingling, warmth, fullness, dripping, contractions
- postions that are helpful for let
down helpful in australian/saddle
- Fats: most variable, help brain devo, hi in evenings
-Protein: Casein- allows for iron to be absorbed, mature milk.
Whey- hi in colostrum, contains IGA; has lysozyme that kills
bacteria
What is breast milk composed Carbs: creates acidic environment in gut & has lactose that reg
of? milk vol
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's that influenced by
mom.
Minerals: calcium, phosphorus, magnesium, not affected by diet.
+ 88% water
Implants
- compress milk ducts --> impede milk flow --> compromise
reaching max milk vol
Impact of breast surgery on
lactation
Hyaluronic acid injections
- Implants
- no risk of being absorbed in baby's GI tract
- hyaluronic acid injections
- breast reduction
Reduction
- BF might not be possible after
- BF early + stim bm early
Signs of milk transfer Swallowing, air from nose, ca sound, movement seen
24-48hr --- > Cluster feeding (feed freq over short amt of time) ,
Feeding patterns 24-48 hrs & 48 must stimulate breast
and further
48 and further --> on demand (cue based feeding) ; offer q 3 hrs
Black to green to yellow (by end of first week). Watery and seedy
How does poop transform? at first
Normal urine output Urine output --> 1 diaper per day of life (e.g: 2 day old infant min
of 2 wet diapers)
LATCH tool
Nutrition 1. 1800-2700. 500 for milk production.
1. How many calories should a 2. b12
lactating mom intake? 3. Normal foods. Eat when hungry, drink when thirsty. 50% carb,
2. What type of supplementation 15% protein, 20-30 fats
should vegans and bariatric 4. 400/day. Supplement if mom is deficient.
patients use?
3. What kinda diet should moms
be on?
4. How much vitamin D does a
baby need? When to
supplement
Save
Students also studied
Flashcard sets Study guides
Certified Breastfeeding Counselor C... Certified Breastfeeding Counselor P... EMT Basic Exam Med
Teacher 119 terms 96 terms 30 terms
Kelsey_Welding Preview Rosa_Karanja2 Preview Preview
Embryogenesis: mammary gland devo while 5 wk embryo
Mammogenesis: @ puberty, estrogen influences growth of ducts
Different stages of breast
and buds
development
Lactogenesis 1: completion of mammary development from
- Embryogenesis
placenta stimulation; ducts stimulated + colostrum secretion at 16
- Mammogensis
wks
- Lactogenesis 1
Lactogenesis 2: Secretory activation when placenta out --> decr
- Lactogenesis 2
progesterone --> inc prolactin --> inc milk supply
- Lactogenesis 3
Lactogenesis 3: Milk removal --> mature milk prod; Infant
sucking= ^ oxytocin= let down.
Estrogen - ^ during pregnancy; stim
growth in ductile system
Progesterone - ^ during pregnancy;
Estrogen stim alveoli and lobes
Progesterone Prolactin - frm ant pituitary gland;
Prolactin lands on prolactin receptor sites to
Oxytocin start milk prod
TSH Oxytocin - from post pituitary gland;
cause LETDOWN
TSH - ^ responsiveness of mammary
cells
Tail of spence: What is it, Mammary gland tissue that extends to axillary area, connected to
symptoms milk ducts --> can cause swollen armpits & mastitis
Accessory tissue: Where are Diagonal line from axilla to groin area
they found? Can they lactate? - can lactate & undergo malignant change
Flat - remains flat after stimulation or retract with compression
Flat nipples
(short shank) --> diff w/ latch
Pseudo inverted nipple
Pseudo - seems inverted but erect upon stimulation
Retracted nipple
Retracted - retracts upon stimulation
Inverted nipple
Inverted - retracted at rest &s stimulation
- possible issues, short shank,
solutions
Nipple shield may help.
Underdevelopment, insufficient glandular tissue --> can lead to
Hypoplasia, what is it?
insufficient milk
, Active let down Myoepitheal cells encase the aveoli, contract in response to
- How is milk ejected into ducts oxytocin. In response to sucking oxytocin increases
from alveoli? aka let down
- signs of let down Tingling, warmth, fullness, dripping, contractions
- postions that are helpful for let
down helpful in australian/saddle
- Fats: most variable, help brain devo, hi in evenings
-Protein: Casein- allows for iron to be absorbed, mature milk.
Whey- hi in colostrum, contains IGA; has lysozyme that kills
bacteria
What is breast milk composed Carbs: creates acidic environment in gut & has lactose that reg
of? milk vol
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's that influenced by
mom.
Minerals: calcium, phosphorus, magnesium, not affected by diet.
+ 88% water
Implants
- compress milk ducts --> impede milk flow --> compromise
reaching max milk vol
Impact of breast surgery on
lactation
Hyaluronic acid injections
- Implants
- no risk of being absorbed in baby's GI tract
- hyaluronic acid injections
- breast reduction
Reduction
- BF might not be possible after
- BF early + stim bm early
Signs of milk transfer Swallowing, air from nose, ca sound, movement seen
24-48hr --- > Cluster feeding (feed freq over short amt of time) ,
Feeding patterns 24-48 hrs & 48 must stimulate breast
and further
48 and further --> on demand (cue based feeding) ; offer q 3 hrs
Black to green to yellow (by end of first week). Watery and seedy
How does poop transform? at first
Normal urine output Urine output --> 1 diaper per day of life (e.g: 2 day old infant min
of 2 wet diapers)
LATCH tool
Nutrition 1. 1800-2700. 500 for milk production.
1. How many calories should a 2. b12
lactating mom intake? 3. Normal foods. Eat when hungry, drink when thirsty. 50% carb,
2. What type of supplementation 15% protein, 20-30 fats
should vegans and bariatric 4. 400/day. Supplement if mom is deficient.
patients use?
3. What kinda diet should moms
be on?
4. How much vitamin D does a
baby need? When to
supplement
