womens health day lynne welsh

BREASTFEEDING Lynne Welsh, BA, BSc (hons), RN, IBCLC

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Benefits and risks 

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BF - 10% nutrition, 90% protection Specifically developed for individual baby Cow has 4 stomachs, a very small brain and feeds twice daily Public health concerns – obesity, diabetes, heart conditions, ^cholesterol

BF and Medications   

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www.springerpub.com US$59.95 + $12 post Lactmed https://toxnet.nlm.nih. gov/newtoxnet/lactme d.htm Taken in pregnancy – most likely safe Molecular weight >500 Half life

Slow weight gains      

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Consider: How often baby feeds How long One or both breasts How is the latch Sleep overnight, general behaviour Output Skin–to–skin contact Breast compressions WHO Growth Chart

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Domperidone Last resort http://www.breastfeedi nginc.ca Long QT or liver Off licence prescription 10mg TDS – can take up to 3 weeks, suggest 6 weeks script Dose may be increased (as much as 40mg QDS)

Mastitis? Treatment plan • • •

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Engorgement Blocked duct Mastitis – inflammatory or infected Temperature Treatment? Hot or cold? Preferred antibiotic Other reason?

Tongue Tie • Not all evident frenulum need cut • Not all tongue ties are evident • Function more important than appearance

Tongue Tie

Source: Smith, L. J. (2007) Comprehensive Lactation Consultant Exam Review

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