Maternity Nursing Q 209

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The following are nursing measures to stimulate lactation, except:

  

     A. Frequent regular breastfeeding

     B. Breast pumping

     C. Breast massage

     D. Application of cold compress on the breast

    

    

Correct Answer: D. Application of cold compress on the breast

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To stimulate lactation, a warm compress is applied to the breast. A cold application will cause vasoconstriction thus reducing the blood supply consequently the production of milk.

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Option A: Make sure that the baby is latching on to the breast correctly. Latching the baby on properly is the most efficient way to increase the supply. A poor latch is often the main reason a mother’s supply of breast milk isn’t as abundant as it can be. Without a proper latch, the baby cannot remove the milk from the breast well.

Option B: Use a breast pump or a hand expression technique to continue to stimulate the breasts after finishing breastfeeding the baby. The extra stimulation will tell the woman’s body that she needs more breast milk.

Option C: Starting about two months before the date the baby is expected to join the family, if time permits, introducing a routine of stimulus and expression for the breasts can help with milk production. Gently massage the breasts by hand for a few minutes, then use a hospital-grade (multi-user) double electric breast pump for about 10 minutes more. Do this after waking, before going to sleep, and several times throughout the day for the body to begin reacting to the implied “demand” for breast milk. Drops of milk usually appear, on average, about a month or so after starting this routine, and milk supply typically builds over time.

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