Postnatal Maternity Nurse Care

POSTNATAL MATERNITY NURSE
CARE

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
Q 1: Preventative measures to reduce risk of Sudden Infant Death Syndrome (SIDS)..............1
Q2: Need to start good sleeping routine......................................................................................2
Q3: Relevance of infant birth development to sleep training theory..........................................3
Q4: Comparison of common sleep theories................................................................................3
TASK 2............................................................................................................................................4
Q1: Difference between colic and Reflux...................................................................................4
TASK 3............................................................................................................................................4
Q1: Breastfeeding CHIN acronym..............................................................................................4
TASK 4............................................................................................................................................6
Q1: Factors which develop and maintain a good milk supply....................................................6
Q2: Practices may decrease milk production..............................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Maternity nurses provide quality care to pregnant ladies and give them suggestion
through which women can care their babies. Medical professionals provide them advice related
to feeding, bathing, sleeping, and clothing (Knight and et.al, 2014). Present study will discuss
prevention measures to reduce risks of Sudden Infant Death Syndrome. It will compare various
common sleep theories. Furthermore, study will describe about breastfeeding CHIN acronym.
TASK 1
Q 1: Preventative measures to reduce risk of Sudden Infant Death Syndrome (SIDS)
SIDS is an unexplained death of child during sleep. Smoking, suffocation, etc. are several
causes of Sudden Infant Death Syndrome among newborn babies (Knight and et.al, 2015). There
are several preventative measures that can reduce risk of death in newborn babies. These are
discussed as below:
Protective measure Effectiveness in reducing risk of SIDS
Back to sleep One of the major causes of SIDS is that baby
sleep on their stomach side. If mothers place
baby in back side then this risk can easily be
reduced. Babies less than 1 year need to be
placed on their back side during naps (Downe
and et.al, 2017).
Breastfeed It is the most effective preventive method to
minimize SIDS among babies. Through
breastfeeding babies can get appropriate
nutrition. This improves health of newborn.
Mothers generally feed their kids till 12
months which reduces risk of SIDS (Koblinsky
and et.al, 2016).
No smoking It is another kind of prevention method in
which parents have to keep their children away
from smoking environment. If child is taking
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breath in smoking areas then it can be
dangerous for their health. Thus, by creating
healthy surrounding and keeping baby away
from smoking areas parents can minimize risk
of SIDS (Feldman-Winter and Ustianov,
2016).
Not too hot Parents have to take care of temperatures. They
have to keep room temperature cool so that
baby can feel comfortable. Dress-up of baby
needs to be done in proper manner; it should
not be more than one year of clothes otherwise
baby may feel too hot (Josif and et.al,2014).
Q2: Need to start good sleeping routine
a)
It is very important for parent and baby to implement good sleeping routine. Newborn
baby requires approx 16 hours sleep in a day. Sufficient sleeping helps child in accepting
unexpected changes and feeling relaxed. By this way parents and babies can feel fresh. It is
helpful for maturation of infant’s brain. If mother takes proper sleep then it makes them feel
refresh (Huang and et.al, 2015). By this, mother can give more attention to their kids. Sufficient
sleep improves mood of children and parents as well. If babies are sleeping for 16 hours then
these kids feel secure, confident, and less irritable. Improper sleeping affect growth of babies
thus, sleeping is very important for both parents and kids as well.
b)
Maternity nurses can suggest parents to implement this routine. Medical professionals
have to make correct schedule for mothers and they have to suggest them benefit of following
this routine. Doctors have to suggest family members regarding following this routine, it would
be better for baby and mother both as well. By this way ladies can implement this routine
properly (Liao and et.al, 2014).
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Q3: Relevance of infant birth development to sleep training theory
a)
Healthy babies emerge from womb with 100 billion neurons. This supports in the brain
development of kids. Human brain is the network of specialized network cells (Baby Sleep
Training: The Weissbluth Method, 2017). These cells are called neurons. Baby survives for 9
months in the womb of mother and brain of bay gets all kind of signals from this womb. That is
why babies are born with neurons they need.
b)
Synapse is a complex process that is done through appropriate projections of axon. The
formation of synapse is also known as synaptogenesis. In this process, axons recognise specific
postsynaptic targets. It occurs during early childhood. Ach (AScetylcholine) releases growth
cones detected and then this growth cone makes contact with myotube surface. Ach reaches to
acetylcholine receptors on plasma membrane.
For correct synapse formation, correct receptors are required to be expressed. It is
essential that synapse place at correct location (Reflux, details for parents who want to
understand what their doctor was talking about, 2018). Receptors need to be matched to
appropriate terminal type. There should be absence of stress hormone cortisol.
c)
“Crying it out” is the approach that describes let the baby cry. Because by this way, a kid
feels tired and can sleep early. However, it impacts negative on their brain development. It
enhances stress in babies which damage children capacity. Sometimes crying for longer duration
can create illness among kids (How to Build a Strong Supply of Breast Milk, 2017). Excessive
crying can create physical stressed in children that impacts on their brain development. In such
condition there are high chances that baby gets suffer from behavioural problems. Prolonged
crying results lower IQ of kids.
Q4: Comparison of common sleep theories
Tracy Hogg has given theory in which individual has described that all babies are
different from each others (Knight and et.al, 2014). This theory explains that infants can fit into
different temperamental types: Angel, textbook, touchy, spirited and grumpy. It is essential to
follow correct routine of sleeping so that baby can remain healthy and fit. Individual has
described that EASY (E= eating, A= activity, S=sleep, Y= you) routine is the best method to
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sleep. It is about understanding cues from baby and adopt predictable daily pattern (Downe and
et.al, 2017).
The pickup put down method is another sleeping theory in which parents can put babies
in their crib and can teach them to sleep alone. Ferber and Weissbluth have given a theory of
sleeping for babies. This theory explains that ferberizing is the best method that explains let the
baby cry and check them at intervals. Weissbluth explained that healthy sleeping habits,
happyness are considered as essential factors that can help in sleeping modes of kids.
TASK 2
Q1: Difference between colic and Reflux
a)
Colic can be defined as issues of crying too much in a day, kids between 1 to 6 months
face this issue. Gastroesophageal reflux disease (GERD) it is a long-term condition. It is also
known as infant reflux in which stomach contents leak backward into esophagus (Huang and
et.al, 2015). This is not vomiting because there is no food element. It is a physiological process
that can occur many times in a day. Physiologic reflux causes by relaxation of muscles.
b)
Symptoms of colic and GERD are poor weight gain, refusal to drink milk, Persistent
forceful vomiting, and disturbance in sleeping. Babies can feel irritated and they failed to gain
weight. In such condition, overall development of kids get affected (Baby Sleep Training: The
Weissbluth Method, 2017).
TASK 3
Q1 Breastfeeding CHIN acronym
a) & b)
It is essential to take care of correct position and attachment while feeding babies.
Column 1 Column 2
C Close Baby needs to be placed near
to mother. By this, baby will
be able to feed comfortably.
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At the time of feeding, mothers
must ensure that their chin
touches breast so that they can
feed properly (How to Build a
Strong Supply of Breast Milk,
2017).
H Head free Head free is another position
in which mothers have to free
their head so that they can
move neck. Mothers have to
place their hand at the back of
baby (Reflux, details for
parents who want to
understand what their doctor
was talking about, 2018).
I In line In line is the most important
part while breastfeeding
babies. Their chin needs to be
touched with breast. If bay is
in line then suck become
slower. By this way, baby will
be able to take milk slowly
(Huang and et.al, 2015).
N Nose to nipple Their nose needs to be close to
nipple by this way child will
be able to take milk properly
and it will not cause any strain
(Downe and et.al, 2017).
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TASK 4
Q1: Factors which develops and maintains a good milk supply
There are various factors that helps in maintaining and developing milk supply in women
while pregnancy. These are described as below:
Frequent Early Feeding
Frequency of eating food is the main factor that can help in developing and maintaining a
good milk supply. If mother is feeding their babies frequently then it will help in developing
milk in breasts (Knight and et.al, 2014).
Unrestricted Feeding
There should not be any restriction in feeding. If there is unrestricted feeding then it will
maintain good milk supply.
Complete Breast Drainage
It is another factor that can help in maintaining breast drainage. If the mother has breast
cyst drainage then medical professionals injects medicines in breast area. This helps in increasing
milk supply and mother can fulfil the needs of infant (Huang and et.al, 2015).
Effective feeding is the way through which supply of milk can be increased. If mother is
taking healthy diet and proper nutrition then it can help in improving milk supply in their breast.
Furthermore, mothers have to ensure that baby is latching well. Switching baby from one breast
to other is another way to enhance milk supply. Drinking sufficient water and taking healthy diet
are good options to enhance milk supply (Josif and et.al,2014).
Q2: Practices may decrease milk production
There are various practices that create issue of lower milk production. Infrequent feeding
is one of the major causes due to which milk production gets slow in the mother's body. Apart
from this, if there is wrong position of baby during feeding then it may decreases milk
production in lady (Feldman-Winter and Ustianov, 2016). Breastfeeding CHIN method helps in
ensuring correct position of child while feeding (How to Build a Strong Supply of Breast Milk,
2017).
CONCLUSION
From the above study, it can be concluded that maternity care is essential for lady and
baby both. If medical professionals provide quality care to women and baby then it may support
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in overall growth of kid. Breastfeeding CHIN describes correct position of baby while feeding.
This helps in enhancing milk supply in women during this period.
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REFERENCES
Books and Journals
Downe, S. and et.al., 2017. Factors that influence the provision of good-quality routine antenatal
services: a qualitative evidence synthesis of the views and experiences of maternity care
providers [Protocol]. Cochrane Database of Systematic Reviews.
Feldman-Winter, L. and Ustianov, J., 2016. Lessons learned from hospital leaders who
participated in a national effort to improve maternity care practices and breastfeeding.
Breastfeeding Medicine. 11(4). pp.166-172.
Huang, C. C. and et.al., 2015. The impact of rotating night shifts on the breast milk collection
volume among employed breastfeeding mothers. Journal of occupational health. 57(1).
pp.81-86.
Josif, C. M. and et.al.,2014. ‘No more strangers’: investigating the experiences of women,
midwives and others during the establishment of a new model of maternity care for remote
dwelling aboriginal women in northern Australia. Midwifery. 30(3). pp.317-323.
Knight, M. and et.al., 2014. Saving Lives, Improving Mothers’ Care Lessons learned to inform
future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths
and Morbidity 2009-2012.
Knight, M. and et.al., 2015. Saving lives, improving mothers' care: Surveillance of maternal
deaths in the UK 2011-13 and lessons learned to inform maternity care from the UK and
Ireland. Confidential enquiries into maternal deaths and morbidity 2009-13.
Koblinsky, M. and et.al., 2016. Quality maternity care for every woman, everywhere: a call to
action. The Lancet. 388(10057). pp.2307-2320.
Liao, S. L. and et.al., 2014. Exclusive breastfeeding is associated with reduced cow's milk
sensitization in early childhood. Pediatric Allergy and Immunology. 25(5). pp.456-461.
Online
Baby Sleep Training: The Weissbluth Method. 2017. [Online]. Available through
<https://www.education.com/magazine/article/weissbluth-method/>
How to Build a Strong Supply of Breast Milk. 2017. [Online]. Available through
<https://www.babble.com/baby/build-supply-breast-milk/>
Reflux, details for parents who want to understand what their doctor was talking about. 2018.
[Online]. Available through
<https://www.coliccalm.com/baby_infant_newborn_articles/infant-reflux.htm >
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