N344 - Breastfeeding
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| Assessing effectiveness of breastfeeding | Wet diapers: 1 per day of life after day 5: 6-8 every 24 hours
Breasts feel softer after feedings
Baby is content & has audible swallowing
Feeds 8-12 times every 24 hours and gains (4-7 oz per week after 2 weeks)
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| Sore nipple intervention | Check: positioning, latch
Apply: purified lanolin (Lansinoh or Purelan) after each feeding
ROtate the positions of baby (cross-cradle, football, stat on the least - sore side)
*If chronic, assess for possible thrush
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| Engorgement | Milk increase 3-5 day after delivery
- breast heavy and warm
- firm
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| Interventions for Engorgement | - Apply heat for comfort before and ice after
- Feed baby frequently
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| Mastitis | - Breast infection
- Painful lump redness and breast pain
- Fever over 100.4F or fever more than 24 hours - call Dr
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| Mastitis - interventions | - Continue breastfeeding, apply heat and massage
- Mom may need antibiotics, but can continue breastfeeding
- If too painful to breastfeed, use pump then give to baby
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| Signs of poor latch | - sore nipples
- bruising
- blisters
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| What does LATCH acronym mean? | L - Latch
A - Audbile swallowing
T - Type of Nipple
C - Comfort (breast/nipple)
H - Hold
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| Infant feeding Cues | Flexing arms and legs (eyes may not be open)
Licking lips
Sticking tongue out
Smacking sounds
Hand to mouth
Generalized body movements
**Feed baby before last hunger cue**
Crying
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| Breastfeeding Basics | - feed baby early & often
- initiate breastfeeding in 1st hour
- cluster feeding not unusual
- wake baby if it has been 3 hours since last feeding
- feeding at night is normal and needed
- avoid pacifiers, supplements, and artificial nipples unless n
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| How to get baby latched | 1. Position baby at breast height
2. Roll baby "belly to belly"
3. Line baby up "nose to nipple"
4. Hold baby's head behind the ears
5. Notice straight line from ear to hip
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| Indications of good latch | - Grasps breast
- Tongue down
- Lips flanged
- Rhythmical sucking
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| Indications of good swallowing | - Spontaneous and intermittent (< 24 hour old)
- Spontaneous and frequent (>24 hours old)
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