Chapter 15 Case Study 1- What would you tell Cecilia about losing her baby weigh

Question

Chapter 15 Case Study

1- What would you tell Cecilia about losing her baby weight?

2- How many calories will Cecilia need each day (minimum)?

3- How much protein will Cecilia need?

4- How many extra calories per day does Cecilia need for lactation?

5- How does Cecilia know her baby is getting enough breast milk?

6- What might help her baby’s fussiness and inadequate weight gain?

7- Cecilia sometimes pumps her breast milk and freezes it, how long is it safe to store her breast milk in her home freezer?

8- Cecilia want to take Milk Thistle because she has heard will help her milk supply, what can you tell her?

9- What recommendations would you give Cecilia to maintain proper breast milk supply?

10- Cecilia wants to know if she needs to clean her nipples before and after breastfeeding, what can you tell her?

Cecilia is 3 months postpartum after a normal labor and full-term delivery. She tells you that she is exclusively breastfeeding her baby about eight times a day but is very tired and is not getting much sleep because her baby always seems fussy between feedings-day and night. She has been determined to lose her "baby weight" and for the past 6 weeks, she has been restricting her caloric intake to around 1200 calories/day, including approximately six diet drinks every day. She reports that the pediatrician told her that the baby's weight gain has slowed over the past month and she would like her to begin supplementing the baby with formula. She is hesitant to do this because her goal is to continue breast- feeding exclusively until the baby is 6 months old, and then possibly continue until at least the baby's first birthday. Nutrition Diagnostic Statement Difficulty breastfeeding related to poor maternal dietary intake as evidenced by mother's report of inappropriate diet and baby's poor weight gain

Explanation / Answer

1. I would you tell Cecilia about losing her baby weight by restricting the calorie intake in her diet is not natural. This will affect the growth and development of the baby. The baby may turn malnourished and show a delay in developmental milestones. Supplements should necessarily be given in this situation.

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