1. The International Code: addresses improper marketing practices ex
hospital giving out discharge packages with formula
2. Milking Stool- 3 legs: Protect, promote & Support-want all to be equal
3. Levels of evidence based pyramid:
top - bottom: 1. Metanalysis &systemic reviews 2. Single randomized
controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case
Studies
4. When is greatest risk of stopping breastfeeding?:
3-7 days (after going home from hospital)
5. Top reasons people stop breastfeeding: baby won't latch, breast
pain/soreness, work/school
6. Russ Labs Marketing Survey: survey 1965-2001 formula company
tracking breastfeeding goals
7. Races in Order most likely to BF: Spanish speaking-Hispanic, white,
Hispanic, black
8. Global Strategy for Infant and young feeding: WHO and UNICEF
developed this global strategy to focus world attention on impact of feeding
practices on the nutritional status, growth, development and health and thus
the survival of infants and young children.
,9. World Breastfeeding trends initiative: help track how they are doing
on global outcomes
10. Innocenti ospitale -Florence:
BF orphan babies increased rate of survival-today UNICEF child resource
nutrition center
11. Path of messages to make milk: message to breast-to nervous
system -to brain- to hormones to travel to breast- then to blood stream
12. what cells make milk: alveolar cells
13. alveolar cells are what? What are they surrounded by:
layer of cells with milk inside, surrounded by myoepithelial cells
14. Myoepithelial cells will contract when what hits them:
Oxytocin
15. Are the ducts in breast evenly spaced?: No varies woman to woman
16. How many nipple pores each breast?:3-5
17. Milk is ____ &_____ from sebaceous gland:
antimicrobial and sticky
18. what are the two major hormone of lactation? Where are they
secreted from?:
Oxytocin and prolactin, pituitary gland
, 19. Prolactin is the hormone responsible for?:
Milk production
20. What is the passage of prolactin being produced:
Baby suckles- message to nervous system tells brain to secrete prolactin in
blood- then transverse into mother body into milk cells where milk is
produced
21. When does humans have prolactin in them:
all the time (non-pregnant, non-lactating breast and nipples increase level of
prolactin when touched)
22. Prolactin levels go _____ in between nursing and _____ during
nursing.:
down, rise
23. _______ nursing leads to lower levels of prolactin and less rise
with same amount of contact.:
Infrequent
24. If infants do no have frequent times at breast first few days
prolactin will be _____ and sites will ____ be primed and receptor sites
will start to _____________.:
low, not, start shutting down
25. What is in receptor site during pregnancy?:
Progesterone
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