Krause\'s Food & the Nutrition Care Process 14th edition Chapter 15 Case Study #
ID: 82413 • Letter: K
Question
Krause's Food & the Nutrition Care Process 14th edition Chapter 15 Case Study #2
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
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?
Explanation / Answer
1) It is very normal to gain weight during weight. But after delivery losing weight instantly is not good option. Cecilia should forget about dieting for few weeks of postpartum and focus on eating a healthy diet. Because she might be sleep-deprived, tired, and lack the energy to exercise, prepare healthy meals, and most importantly a healthy diet for breastfeeding.
2) The mother when breastfeeding needs to fulfill nutritional requirements of the baby. So high calorie diet is must. Cecilia will need to consume about 2000-2500 calories each day.
3) Consuming proteins is a very important part of breastfeeding. A lactating mother should atleast consume 65-70 gms of protein daily. It will help the mother to remain healthy.
4) As a lactating mother Cecilia needs about 500 calories extra compared to normal females. It will help them get energy.
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