Our first semester is drawing to a close. This experiment has proven to be a big success. This semester of the Lactation College ran for four months, January 1 - April 30, 2021. Over those 4 months we posted on 61 topics. The Lactation College has 1,730 subscribers and, by the month of April, 2500 views per post.
I plan to take a one-month break and use that time to figure out what is next. I really hope The College will be back June 1st, 2021 for another semester, even bigger and better - to help the candidates testing in September. I will keep the archive of all the college posts up for a while. I thank our two generous donors (who both wish to remain anonymous). As with many things, this is about funding!
It is my sincere hope that this has been helpful. From your emails I think it has been! New moms need your help with breastfeeding - especially now, as we are in such an isolating time. And we need to make this IBCLC credentialing process less expensive!
No messing around! Pass this test so you can help them.
I have collected a few of the pearls along the way - mnemonics and other fun ways to remember facts. Of what is posted below - about 80% are Lactation College-isms and the other 20% are tips from the internet.
This has been fun.
I send you all the best of luck on the exam.
You got this.
Bobbi Philipp, Boston MA, USA
That’s me on the right and my colleague, Sig, on the left.
Species specific: the milk of each mammal species is perfectly designed to supply its offspring with what is needed for optimal growth and survival
Exclusive breastfeeding is defined as no other food or drink, not even water, except breast milk (including milk expressed or from a wet nurse) for 6 months of life, but allows the infant to receive oral rehydration solution (ORS), drops and syrups (vitamins, minerals and medicines). World Health Organization
For how long? The World Health Organization recommends that infants start breastfeeding within one hour of life, are exclusively breastfed for six months, with timely introduction of adequate, safe and properly fed complementary foods while continuing breastfeeding for up to two years of age or beyond.
What’s in colostrum? LLLAMAS Pee Green
A – secretory IgA
A – Vitamin A
Protein - lots of whey (90:10 whey to casein ratio)
Colostrum is a salty, protein milkshake. (For this to work, you need to know that salt is composed of sodium and chloride.)
Colostrum, compared to mature milk, has
Higher concentrations of protein, sodium, chloride, vitamins A and E
Lower concentrations of lactose and fat
What do HMOs do? P-I-D-E-N (kind of like BIDEN)
P-I-D-E-N prebiotic, long term immune health, decoy receptor, Einstein (brain), NEC protect
Fat soluble: ADEK
Water soluble: 8 B’s and 1 C
Innocenti Declaration — 10LCCs are better than 1
National Committee and Coordinator
The main immunoglobulin in human milk —> Sing it! For secretory IgA
MALT = GALT + BALT
Mucosal associated lymphoid tissue = gastric + bronchus associated lymphoid tissue
HAMLET = Human Alpha-lactalbumin Made LEthal to Tumors.
HAMLET is found in whey, the protein component of human milk, and it kills cancer cells
Qualitative research – l- lovely – words
Quantitative research – quant - amount
INDE MAN – independent variable is the one that is manipulated
MISfeasance - mistake
MALfeasance – illegal (mal – bad)
Autonomy – the capacity of a rational individual to make an informed, un-coerced decision
Beneficence – the duty to do good
Where is prolactin secreted from?
Prolactin Anterior Pituitary
Where is oxytocin secreted from?
OPP – opposite of PAP
Oxytocin Posterior Pituitary
Stroma - supports breast structures /// Parenchyma - functional parts
How to remember the 12 cranial nerves (from the internet)
On ole Olympus towering top, a Finn and German viewed a hop.
How to remember the functions of each cranial nerve - Sensory, Motor or Both (from the internet)
Some Say Marry Money – But My Brother Says Big Boobs Matter Most
5: Trigeminal – tri means 3, it has 3 branches – sensory of jaw, muscles of mastication (chewing)
7: Facial – Muscles of facial expression, taste anterior 2/3rds of tongue
9: Glossopharyngeal – G gag, taste posterior 1/3 of tongue
10: Vagus - 5 organs and 5 letters in vagus – larynx, pharynx, gallbladder, lungs, heart, gag
11: Accessory - motor movement of neck muscles - you wear accessories on your neck
12: Hypoglossal - motor movement of tongue muscles, glossal means tongue
Classification according to gestational age:
Preterm: <37 weeks
Late preterm: 34.0 – 36.6 weeks
Full term: 37-42 weeks
Post term: >42 weeks
Classification according to weight:
Average birth weight: 2500-4200 grams
Low birth weight (LBW): <2500 grams
Very low birth weight (VLBW): <1500 grams
Extremely low birth weight (ELBW): <1000 grams
Weight, plotted on the growth curve:
Appropriate for gestational age (AGA): 10%-90%
Small for gestational age (SGA): <10%
At risk for hypothermia, hypoglycemia, feeding difficulties
· Large for gestational age (LGA): >90%
At risk for hypoglycemia
Gross Motor Milestones
Roll – sit- crawl - walk
Milk line ridges: 4-5 weeks
Colostrum begins: 16 weeks
Calories in human milk: Mature milk has about 20 calories per 30 cc
DOL Per feed Per 24 hours
Day 1 7-14 mL per feed 37 mL
Day 3 27 mL per feed 408 mL
Day 5 57 mL per feed 705 mL
Composition of human milk
About 7% Lactose (Carbohydrate)
About .8-1% Protein
About 4% Fat (but this is highly variable)
In human milk, % of calories (or energy) from
Most abundant components in human milk
Mother’s milk comes in:
Range 38-98 hours
Average 50-59 hours
Human milk whey: casein ratio
Colostrum 90:10 (remember that colostrum has way more whey)
Mature milk 60:40