1 / 17

Breastfeeding or Breast Milk Feeding?

Breastfeeding or Breast Milk Feeding?. Rebecca B. Saenz, MD, IBCLC, FABM Mississippi Breastfeeding Medicine Clinic, PLLC Madison, MS. Everyone, please get a drink for this talk!. Exclusive Pumping – Why?. NICU graduate Early challenges (soreness, jaundice etc.)

xue
Télécharger la présentation

Breastfeeding or Breast Milk Feeding?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Breastfeeding or Breast Milk Feeding? Rebecca B. Saenz, MD, IBCLC, FABM Mississippi Breastfeeding Medicine Clinic, PLLC Madison, MS

  2. Everyone, please get a drink for this talk!

  3. Exclusive Pumping – Why? • NICU graduate • Early challenges (soreness, jaundice etc.) • Desire to “know how much he’s getting” • Better “scheduling” • History of sexual abuse • Underlying assumption: It’s all about the milk.

  4. Breastfeeding vs Breast Milk Feeding • Milk composition (fresh on tap) • Changes over • Course of feeding • Course of day • Age-dependent changes happen in sync with baby • Milk composition (freshly pumped) • Similar 24-hour totals for most nutrients • Same from beginning to end of any particular feeding • May or may not change over course of the day • Oversupply may cause fractionated collections • Age-dependent changes may be delayed

  5. Breastfeeding vs Breast Milk Feeding • Milk composition (fresh on tap) • Changes over • Course of feeding • Course of day • Age-dependent changes happen in sync with baby • Milk composition (frozen > thawed) • Nutrients may be very different depending on lengths of time stored and at what temp. • Age-dependent changes may be very delayed

  6. Breastfeeding vs Breast Milk Feeding • Immunities are current • Immunities may be to last week’s germs or to mom’s office germs

  7. Breastfeeding vs Breast Milk Feeding • Milk production regulated by baby • Good latch • Good milk transfer • Growth spurts > increased hunger > sooner feeds, better emptying, etc. > increased production • Milk production regulated by pump • Flange size • Speed, suction, etc. • Pumps don’t grow • Growth spurts can be simulated by changing pumping routine

  8. Breastfeeding vs Breast Milk Feeding • Delivery System = Breast • Dental arch formation in a “U” • Flat hard palate • Oral musculature suckles • Coordinated breathing • Delivery System = Bottle and Artificial Nipple • Dental arch formation in a “V” • High-arched hard palate • Oral musculature suck some • Breath-holding

  9. Breastfeeding vs Breast Milk Feeding • Breast • Gravity less a factor • Stops flowing when baby stops suckling • Posture matters less • Side-lying ok • Bottle • Gravity a factor • Keeps flowing even when baby stops, unless • Baby sitting upright to feed • Bottle horizontal

  10. Breastfeeding vs Breast Milk Feeding • Feeding style – baby regulated • Hunger cues • Timing varies feeding to feeding – more physiologic • Amounts vary also • Less reflux • Feeding style – parent regulated • Hungry crying baby has to wait? • Timed? • Pressure to finish specific amount • Prone to reflux

  11. Breastfeeding vs Breast Milk Feeding • Close Relationship • Holding often • Mom does most of the feeding herself • Eye contact • Communication • Skin-to-skin contact • Oxytocin and Prolactin rise • Different Relationship • Mom doing double-duty > tired! • May be feeding on cue • Pumping on schedule • Others often doing the actual feeding • Can do STS contact • Pumping causes hormones to rise, but not as much

  12. Supporting Moms Who (Chose to ?) Exclusively Pump • ? Offer latch assistance • May depend on reasons for pumping • Discuss physiology of lactation “Milk out = Milk made” • Flange size • Pumping routine • Hands-On pumping technique (Morton) • Simulating Growth spurts

  13. Supporting Moms Who Chose to Exclusively Pump • Discuss milk storage times • Fresh > room temp > refrigerated > frozen • retain nutrients better • Discuss handling of human milk • Cleaning pump • Thawing (oldest milk first) • Warming

  14. Supporting Moms Who Chose to Exclusively Pump Discuss ways to normalize bottle feedings-- • Skin-to-skin contact • Switching sides • Eye contact • Verbal communication • Paced feeding

  15. Supporting Moms Who Chose to Exclusively Pump Keep in mind: This mom is doing the best she can in her particular situation.

  16. Supporting Moms Who Chose to Exclusively Pump Keep in mind: Bottled breast milk Is better than No breast milk!

  17. Mississippi Breastfeeding Medicine Clinic, PLLC Rebecca B. Saenz, MD, IBCLC, FABM 111-A Depot Drive Madison, MS 39110 601-898-7979 Fax 601-898-7989 Find us on Facebook! Follow us on Twitter: @litldoc

More Related