Lactation Management Techniques Flashcards

What is the purpose of breast compressions during breastfeeding?

Answer: To maintain milk flow and encourage continued active sucking when the infant's suck pattern has slowed

Breast compressions apply gentle pressure to maintain milk flow during pauses in active sucking.

A mother is exclusively pumping for her NICU infant. What is the minimum number of pumping sessions per 24 hours recommended to establish milk supply?

Answer: 8-12 times per day including at least once at night

8-12 pumping sessions per 24 hours including nighttime pumping is recommended to mimic normal newborn feeding patterns.

Which breastfeeding position takes advantage of gravity and the infant's innate feeding reflexes?

Answer: Laid-back breastfeeding (biological nurturing)

Laid-back breastfeeding positions the mother semi-reclined with the infant prone on her chest, activating primitive neonatal reflexes.

A mother has been advised to pump and dump after moderate alcohol consumption. What does current evidence recommend?

Answer: Pumping and dumping does not accelerate alcohol clearance from milk; waiting approximately 2 hours per standard drink is sufficient

Alcohol clears from breast milk at the same rate as from blood. Pumping and dumping does not speed this process.

What is the purpose of the flipple technique when latching an infant to the breast?

Answer: To achieve a deeper, asymmetric latch by flipping the nipple upward into the infant's mouth

The flipple technique involves pointing the nipple toward the infant's nose and flipping it upward into the mouth to achieve an asymmetric, deep latch.

A mother with oversupply and forceful let-down is experiencing infant choking and fussiness during feeding. What management strategy should be recommended?

Answer: Use block feeding, nursing from only one breast for a set block of time before switching

Block feeding restricts one breast's stimulation for defined time periods, allowing FIL to reduce production.