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Lactation and Infancy Case Study Fall 2022

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Lactation and Infancy Case Study 100 points Amy is a 23 y/o women who is 36 weeks gestation with her first baby. She has been a WIC participant due iron deficiency anemia and being underweight. She was prescribe iron supplements and received nutrition education on high iron diet. She has had trouble gaining the recommended weight and has currently gained 18 lbs. At her follow up visit with the WIC nutritionist, Amy reports that she is not sure if she will breastfeed because she has heard she can get free formula from WIC and her friend told her it is very painful. She also expresses concern that her boyfriend does not want her to breastfeed because of comments he made about a women he saw breastfeeding in public. 1. How would you address Amy thoughts and concerns about breastfeeding? Consider how you would explain the benefits and challenges of breastfeeding for her and her baby. (5 points) I would tell Amy to take into consideration the benefits of breastfeeding for her but also for her child, I would tell her that just like the WIC formula breastfeeding is also free and convenient it Promotes close mother-child contact and can delay the period. For the child it brings many benefits such as it is Nutritionally superior and Bacteriologically safe and fresh. It is the Least allergenic infant food and Promotes good jaw and tooth development. The child is also less likely to be overfed and then suffer from obesity if they are breastfed. At 39 weeks gestation Amy gives birth to a baby girl, named Emma. The delivery was uncomplicated and her daughter is healthy. Emma receives routine care, a Vitamin K injection is given, hearing test completed, and is weighed and measured. She is 18.25 inches and 6 lbs 1 oz. her head circumference is 32.5 cm. Amy anxiously tries to breastfeed Emma a few hours after delivery. She finds it difficult and is unsure if she is doing the right thing. Amy is concerned that her baby is not getting any milk. The nurses tell her “don’t worry your milk will come in tomorrow and she should feed the baby every 2 hours”. They offer some tips for how to position the baby to make it more comfortable for her. On day 2 Emma’s weight is 5 lbs. 8 oz, she is eating every 3-4 hours, has 4-5 diapers per day and is passing meconium once a day. Amy is feeling tired and finds breastfeeding rewarding but painful. She assumes this is just how it is supposed to be and she does not ask questions. 1. What percentile is Emma for Length, weight and head circumference at birth? (3 points) At birth she was at the 10th percentile for weight and head circumference and 2nd percentile for length 2. Is she considered SGA, AGA or LGA. How did you determine this? (2 point) She is AGA ( appropriate for gestational age) because her weight is at the 10th percentile and in order to be SGA the weight must be below the 10th percentile and for the baby to be LGA the weight must be ab

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