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The World Health Organization and UNICEF have identified three strategies necessary
to promote breastfeeding initiation and duration in all countries. What are the 3
strategies? - ANSWER Breastfeeding Promotion
Breastfeeding Protection
Breastfeeding Support
Emphasizes the benefits of breastfeeding at an individual (personal connection),
community, country (dollars spent on health care), or world (trash generated from
formula & formula products)
Emphasizes the positive "benefits" of breastfeeding - ANSWER Breastfeeding
Promotion
Focuses on government, manufacturer, and social responsibility to ensure that
breastfeeding is able to compete with commercial interests.
Includes coverage of improper marketing practices
Coverage of breastfeeding in public, at work, jury duty, family law, mothers in prison,
etc. - ANSWER Breastfeeding Protection
Focuses on the interaction of "helpers" with family as well as program development and
implementation - ANSWER Breastfeeding Support
Women who do not breastfeed are at an increased risk for what diseases? - ANSWER
Myocardial infarction
Metabolic syndrome
Coronary artery disease
Stroke
,DMII
HTN
Hyperlipidemia
Cardiovascular disease
Breast, endometrial, and ovarian cancer
Reason #1 why women do not exclusively breastfeed - ANSWER Unrealistic
expectations from society about motherhood. Along with lack of preparation for what
the newborn period would be like.
Reason #2 why women only partially breastfeed - ANSWER Lack of timely
interventions. Mother's problems at 3-7 days posed the greatest risk for stopping which
is when they are home from the hospital and alone with no support. Fastest drop-off is
within the first 10 days after discharge from the hospital
The International Code of Marketing of Breast milk Substitutions - ANSWER An
international health policy framework to regulate the marketing of breast milk
substitutes in order to protect breastfeeding. It was written in response to the marketing
activities of the infant feeding industry that were actually promoting formula feeding
over breastfeeding, which in turn was causing a large rise in maternal and infant
morbidity and mortality.
What does "The Code" do? - ANSWER Regulates the marketing of breast milk
substitutes which includes infant formulas and any other food or drink, together with
feeding bottles, and teats, intended for babies and young children. Sets standards for
the labeling and quality of products and for how the law should be implemented and
monitored within countries. It aims to ensure that parental choices about feeding are
based on full, independent information rather than misleading, inaccurate, or biased
marketing claims.
The Global Strategy for Infant & Young Child Feeding - ANSWER It is intended as a guide
for action; it identifies interventions with a proven positive impact, it emphasizes
providing mothers and families the support they need to carry out their crucial roles,
and it explicitly defines the obligations and responsibilities in this regard of
governments, international organizations, and other concerned parties.
,What are the factors that contribute to low rates of exclusive breastfeeding globally? -
ANSWER Caregiver and societal beliefs favoring mixed feedings (believing that breast
milk is not enough or that babies actions/issues are related to the breast
milk/breastfeeding)
Hospital and healthcare practices and policies that are not supportive of breastfeeding
Lack of adequate skilled support
Aggressive promotion of infant formula and other breast milk substitutes rather than
promoting support for breastfeeding
Inadequate legislation regarding maternity and paternity leave in the workplace
The person's unawareness of what is at risk through not practicing exclusive
breastfeeding and adequate knowledge of breastfeeding
Ways to enhance exclusive breastfeeding
ANSWER: Strengthening hospital and health system capacity: revitalizing, expanding,
and institutionalizing the baby-friendly hospital initiative in health systems
Community-based interventions: which would include communication campaigns
tailored to local contexts
Strengthen monitoring, implementation, and legislations on "The Code" and subsequent
resolutions.
Establish at least 6 months paid maternity leave
Capacity building in protection, promotion, and support of breastfeeding
What does the pituitary glade do in making milk? - ANSWER Messages from some
stimulation are transmitted through the breast to the pituitary gland which in turn
triggers it to produce prolactin and oxytocin two hormones needed for milk production
How is prolactin produced? - ANSWER Breast stimulation
Nipple stimulation (makes the most)
What is the first way oxytocin can be triggered? - ANSWER Conditioned
response/Conditioned Milk Ejection Reflex (Let down). Automatic response that comes
with the association of smell, touch, sounds of baby at the breast. Also occurs on babies
, end with knowing what to do when placed at the breast.
What is the second way oxytocin can be triggered? - ANSWER Nipple stretching that
occurs with a proper latch
What is a third way oxytocin can be triggered? - ANSWER Baby hand massage
What does prolactin do? - ANSWER Enters receptor sites in the milk making cells and
helps produce breastmilk
What does oxytocin do? - ANSWER Allows for the milk to move from the milk making
cells and through the nipple with "contractions" that squeeze the cells and the ducts.
Preterm milk - ANSWER Appears to have different composition for the first 5-7 weeks
after delivery independent of gestational age
Preterm milk appears to be higher in protein, fat, and electrolytes than mature milk
This is determined by being preterm not just having a small baby therefor it does not
matter if the baby is SGA or LGA only dependent of gestational age
1+ year of lactation - ANSWER After one year of lactation the milk expressed has
significantly increased fat and energy contents, compared with milk expressed by
women who have been lactation for a shorter time.
The volume of milk does not have to change as the baby gets older/bigger because the
composition of the milk changes
Breast milk composition changes. - ANSWER Over the course of lactation
There are changes during the day of composition of milk
There are varieties of changes
With its course during which it has made,
Even between feedings
Concentration of fat in the breastmilk- LONGER spacing apart the feeding period is
associated with LOWER content, meanwhile, higher content can be said to be attached