Negative influences on milk production - ANS long spaces between feedings
long, slow feedings
excessing pressure on breast (third spacing, IVs)
Normal fullness in breast - ANS soft to touch
temp normal
mom feels well
breasts may be hot
baby can grasp nipple
Engorgement in breasts - ANS hard
temp +
feels discomfort
breast hot and shiny
nipple difficult to grasp/baby can't latch
Engorgement symptoms occur most commonly between days ___ and ___, but mothers
who had IV fluids in labor and PP have higher levels of swelling up to day ___ - ANS 3,
5, 9
C/S births experience peak engorgement - ANS 24-48 hours later
More time spent BF in the first _____ hours is associated with ____ engorgement - ANS
48, less
Concerns with surgery. Damage to ___ and ___ - ANS nerves, ducts
Counseling implications after breast surgery - ANS likelihood of full BF is unknown
hormonal exposure of pregnancy and lactation may mitigate some effects
assessment and close follow up are keys
assure adequate nutrition for infant
Suboptimal breast anatomy - ANS absence of breast changes
no PP fullness
hypo plastic breasts
discrepant breast size
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