drk1980
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A 17-year-old girl brings her 4-day-old neonate to the health center 1 day after discharge from the hospital. She says, "I don't think my baby is getting enough milk. He wants to nurse every 2 hours and my nipples are sore and cracked. I feel miserable." The neonate was born via vaginal delivery without complications, following a normal pregnancy. His birth weight was 3317 g (7 lb 5 oz). Physical examination shows a vigorous, active neonate with a strong sucking reflex. He has a wet diaper on arrival and has had two stools since this morning. There is jaundice of the face. In order to support this new mother during this early stage of breast-feeding, which of the following is the most appropriate advice to the patient?
A) Feed the neonate on only one breast at each feeding to ensure complete emptying of the breast
B) Insert as much of the areola as possible into the neonate's mouth to improve latching
C) Not feed the neonate more than every 3 hours to allow for better milk production
D) Offer formula after each feeding to ensure that the neonate is getting enough milk
E) Switch to formula for 5 days to assist with healing of her nipples
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| Dr.Luck
Forum Senior
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c
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| snowdrops
Forum Senior
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b
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| nadiabarati
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what do we do for cracks?
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| snowdrops
Forum Senior
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I can tell you guys don't have baby yet.
OK, when new mom has crack, you need help the baby suck by holding big area of the areola, like B described.
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| drk1980
Forum Guru
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snowdrops, makes sense to me.
nadiabarati, if i rmber correctly, u tell the mom to keep her nipples clean (to prevent infection) with warm water and mild soap; to dry it well after which to apply an emollient.
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| Justice
Forum Fanatic
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After having two babies (thanks to my wife, love you) , I can tell that (B) is the major issue... Young moms always need to be taught on HOW to breastfeed...
Edited by Justice on 04/14/07 - 01:50 PM
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