10-25-2007, 09:24 AM
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
-B or C?
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
-B or C?