Pediatrics
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show | diarrhea, resp illnesses, OM, bacteremia, bacterial meningitis, necrotizing enterocolitis; poss less allergic sx/eczema
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Breastfeeding confers which antibodies? | show 🗑
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show | postpartum hemorrhage, ovarian/ premenopausal BrCa; possibly osteoporosis
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Breastfeeding results in a longer interval of: | show 🗑
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Primary lactation failure is: | show 🗑
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Breast milk composition | show 🗑
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show | infant's voiding/ stooling patterns; well-hydrated infant voids 6-8 / day
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show | at least 4 times/day
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show | higher bili in BF infants; bili level inversely related to feeding frequency
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Condition in infants w/ insufficient milk intake & poor wt gain => increase in unconjugated bili 2/2 exaggerated enteropathic circulation of bilirubin: | show 🗑
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show | Breast milk jaundice; dx of exclusion
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In exclusively breastfed infants, supplement diet with: | show 🗑
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Mom with fever, chills, and malaise = | show 🗑
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Mastitis tx | show 🗑
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Chronic illness: effect on BF | show 🗑
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show | HIV. Active TB. Mom on meds: radioactive iodine, antimetabolites, lithium, tetracycline, antithyroid drugs, recreational drugs
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Drugs that are allowed when breastfeeding | show 🗑
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Decision to breastfeed is usually made when? | show 🗑
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show | stimulates ductal system to grow; levels drop at delivery
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show | Increase in pregnancy; growth and size of alveoli/lobes; drop at delivery/triggers milk
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Function of Human Placental Lactogen: | show 🗑
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Function of Prolactin: | show 🗑
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Function of Oxytocin: | show 🗑
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show | Colostrum (precursor; pro & Ab rich): 5-10 mL/ feeding; milk: 750ml–1000 ml/24 hrs by 10-14 days pp
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Lactation: timing | show 🗑
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show | colostrum to milk by day 3-4
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Foremilk & hindmilk | show 🗑
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show | Football or crosslap holds
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4 breastfeeding positions: | show 🗑
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Breast milk for premature infant | show 🗑
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show | Gradual onset, immediately pp; bilateral; general heat, swelling, pain; mom temp <38.4;
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show | Heat prior to feeding; ice after; cabbage leaves?
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Mastitis sx | show 🗑
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Pinkish-red appearance with shiny nipples/areola; white plaques on nipples; persistently sore; think: | show 🗑
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show | Plugged duct; tx: heat/ massage/ nurse; infant's chin pointed toward plugged duct; lecithin?
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show | surgical technique used; potential for nerve disruption/ pressure from implant; f/u & observe for engorgement
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