Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 6, Problem 1.4CS
Summary Introduction
To explain: The resources that would be available for the help and support for breastfeeding mothers in her community.
Introduction: Breast feeding is an important phase in the life of both the mother and the infant. Breast milk provides the necessary nutrients, immunological functions and psychological support to the growing infant in his early stages of development. It also has several benefits to the mother like burning of the calories gained during pregnancy and also relaxation of the body by the release of oxytocin hormone.
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Maha is a 24-year-old office manager and part-time aerobics instructor who has delivered vaginally, without complications, a healthy, full-term son, Rani. With a birthweight of 3200 grams (7 lb), Rani is the first child for Maha and her husband. Maha is 162 cm(5 ft 4 in) tall with a prepregancy weight of 56.8 kg (125 lb). She gained 25 kg (55 lb) during her uncomplicated pregnancy and has been a lacto-ovo vegetarian for 5 years. After a 12-hour stay in a birthing center, Maha and her husband bring Rani home. At 4 days postpartum, Maha, her husband, and her mother-in-law bring the baby to the health care center for his first follow-up visit. Maha and her husband are very concerned about whether their son is getting adequate nourishment, so the dietitian is called to see the family. During nutrition assessment, the following information is documented. Rani weighs 3,000 grams (6 lb 6 oz). The parents report that Rani nurses vigorously about every 1½ to 2 hours and never sleeps for more…
Case Study: Premature Birth in an At-Risk Family
Erica is a former 27-week female, birthweight 1.14 kg, and birth length 38.0 cm; her weight, length, and head circumference measurements were appropriate for age. She was born to a 32-year-old woman with hypercholesterolemia and a pre-pregnant BMI of 18. This was her second pregnancy; she and her husband also have an 20-month-old daughter.
Respiratory support and parenteral feeds of amino acids and dextrose were initiated on the day of delivery. The day after birth, small volumes of mother’s own breast milk were introduced via orogastric tube but were discontinued because of suspected intolerance. Breast milk was reintroduced three days later and Erica’s mother had a very good milk supply.
There were multiple occurrences of abdominal distension and periods when enteral feeds were put on hold. Erica’s tolerance to fortified breast milk feeds slowly improved, and fortified feeds of breast milk were initiated at 18 days of age. Erica…
195 words for the question.
Case Study: Getting Enough Milk?
History/Description:
Jackie calls you at Public Health requesting your assistance with breastfeeding.She tells you she is worried about her milk supply and is not sure if she has enough.Mary was born vaginally 3 weeks ago at 40 weeks gestation after a long labour requiring instrumental delivery using vacuum. She weighed 3,317g (7lbs 5ozs) at birth, at discharge she weighed 2,976g (6lbs 9ozs) and at her doctor's appointment this week she weighed 3,232g (7lbs 2ozs).Jackie tells you Mary was sleepy in hospital and had some jaundice. She got off to a "slow start" but is now nursing better and is feeding every 2 hours around the clock.Despite great family support mom is exhausted and worried about her baby.
Discussion Points:
1. What questions do you need to ask the mother to assess her milk supply?Baby
Chapter 6 Solutions
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