How long have you been a neonatal nurse?

Did you take the previous survey in March?

Did you attend the May Nursing Update?

Benefits of breastfeeding for the infant include:
(Check all that apply)

When compared to term milk, milk of mothers of premature infants has significantly higher concentrations of:
(Check all that apply)

Normal transition from colostrum to breastmilk (“milk coming in”) begins between 3-5 days postpartum but may be as late at day 8.

Transition occurs even the mother does not nurse or pump.

Pumping should be initiated in the first 72 hours post-partum for the highest long-term supply.

Breasts should be pumped for 10-15 minutes every 2-3 hours for a minimum of 8 times in 24 hours, ideally 10-12 times a day. Both breasts should be pumped at the same time.

Pumping mothers should sleep 8-10 hours overnight without pumping so they can get their rest.

Instructions for use of the breast pumps are in the breast pump kits and on the Scope under “lactation resource guide”

If the pump has decreased suction, check that the connections of kit and breastpump are secure, be sure membrane is lying flat against valve head, and make sure the hard yellow ends of the tubing fit securely into breastshield connectors and the other ends into the ports on the pump connector/membrane caps.

Typical expected milk volume is 10 ounces in the first few days to 1 week. Volume should slowly increase to >1000mL (over 30 ounces) per 24 hours by day 10-14.

It is not common to have decreases in supply 4-6 weeks after delivery with a change in maternal hormones as well as with periods of fatigue and stress.

Ways to increase milk supply are:
(Check all that apply)

Signs of poor “let down” include:
(Check all that apply)

Techniques that can help with “let down” are:
(Check all that apply)

Questions to ask if the nipples become sore include:
(Check all that apply)

If the mother develops a hard, tender lump in her breast, it may be a blocked duct or the beginnings of mastitis. She should pump frequently, massaging the area and use warm compresses and ibuprofen. If it does not resolve within 24 hours or she develops and fever or flu-like symptoms, she should contact her physician.

Engorgement is described as a sensation of full, firm, warm and tender breasts when the breasts become over-full.

Engorgement should be treated by:
(Check all that apply)

Following the May Nursing Update, how do you feel about lactation initiation and pumping?

Following the May Nursing Update, have you provided lactogenesis/pumping information to a mother?

If yes, did you feel comfortable giving advice?

Following the May Nursing Update, have you helped a mother put together a pump?

If yes, did you feel comfortable doing that?

What could have been done better?

What do you still have questions about?
(pumping, lactogenesis, nursing, latch, etc.)