The baby’s reflexes are important for appropriate breastfeeding. The main reflexes are rooting, suckling and swallowing. When something touches a baby’s lips or cheek, the baby turns to find the stimulus, and opens his or her mouth, putting his or her tongue down and forward. This is the rooting reflex and is present from about the 32nd week of pregnancy. When something touches a baby’s palate, he or she starts to suck it. This is the sucking reflex. When the baby’s mouth fills with milk, he or she swallows. This is the swallowing reflex. Preterm infants can grasp the nipple from about 28 weeks gestational age, and they can suckle and remove some milk from about 31 weeks. Coordination of suckling, swallowing and breathing appears between 32 and 35 weeks of pregnancy. Infants can only suckle for a short time at that age, but they can take supplementary feeds by cup. A majority of infants can breastfeed fully at a gestational age of 36 weeks. When supporting a mother and baby to initiate and establish exclusive breastfeeding, it is important to know about these reflexes, as their level of maturation will guide whether an infant can breastfeed directly or temporarily requires another feeding method.” (WHO, 2009, S. 12-13)
Decide if the statements about the rooting reflex are true or false.
true
false
The reflex is triggered by touching the child's lips / cheeks.
The reflex causes the baby to cry.
The reflex causes a turning of the head.
The reflex causes the baby to open its mouth.
The reflex is triggered by gently touching the baby's nose.
The reflex includes the movement of the tongue down and forward.
Aufgabe 2 von 4
If they were born in the 35th week of the pregnancy, which skills would neonates have to have to able to be breastfed?
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They would have to be able to see the nipple.
They would have to be able to take additional feeds with a cup.
The would have to have the ability to turn the head.
They would have to have a coordination of suckling, swallowing and breathing.
Aufgabe 3 von 4
Which reflexes are mentioned in the text?
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rooting reflex
suckling reflex
swallowing reflex
gag reflex
Aufgabe 4 von 4
RECOMMENDATIONS. INTRAPARTUM CARE FOR POSITIVE CHILDBIRTH EXPERIENCE
In 2018, the WHO (World Health Organization) published scientific-based recommendations for care during childbirth. They criticize the growing rate of medical interventions during childbirth and demands more rights of self-determination for women giving birth. According to the WHO, medical interventions during childbirth are in many cases unnecessary.
Two of their recommendations are:
“Respectful maternity care – which refers to care organized for and provided to all women in a manner that maintains their dignity, privacy and confidentiality, ensures freedom from harm and mistreatment, and enables informed choice and continuous support during labour and childbirth – is recommended.” (WHO, 2018, S. 3)
“A companion of choice is recommended for all women throughout labour and childbirth.” (WHO, 2018, S. 3)
Which of the following statements could, according to your opinion, also be recommended by the WHO? Tick the boxes.
richtig
falsch
Midwife-led continuity-of-care models, in which a known midwife or small group of known midwives supports a woman throughout the antenatal, intrapartum and postnatal continuum, are recommended for pregnant women in settings with well-functioning midwifery programmes.
"Midwife-led continuity-of-care models, in which a known midwife or small group of known midwives supports a woman throughout the antenatal, intrapartum and postnatal continuum, are recommended for pregnant women in settings with well-functioning midwifery programmes." (WHO, 2018, S. 3)
Labour may not naturally accelerate until a cervical dilatation threshold of 5 cm is reached. Therefore, the use of medical interventions to accelerate labour and birth (such as oxytocin augmentation or caesarean section) before this threshold is recommended, provided foetal and maternal conditions are reassuring.
“Labour may not naturally accelerate until a cervical dilatation threshold of 5 cm is reached. Therefore, the use of medical interventions to accelerate labour and birth (such as oxytocin augmentation or caesarean section) before this threshold is not recommended, provided foetal and maternal conditions are reassuring.” (WHO, 2018, S. 3; Hervorh. durch die Aufgabenerstellerin)
Continuous cardiotocography is recommended for assessment of foetal well-being in healthy pregnant women undergoing spontaneous labour.
“Continuous cardiotocography is not recommended for assessment of foetal well-being in healthy pregnant women undergoing spontaneous labour.” (WHO, 2018, S. 4; Hervorh. durch die Aufgabenerstellerin)
Relaxation techniques, including progressive muscle relaxation, breathing, music, mindfulness and other techniques, are recommended for healthy pregnant women requesting pain relief during labour, depending on a woman’s preferences.
"Relaxation techniques, including progressive muscle relaxation, breathing, music, mindfulness and other techniques, are recommended for healthy pregnant women requesting pain relief during labour, depending on a woman’s preferences." (WHO, 2018, S. 4)
Bathing should be delayed until 24 hours after birth. If this is not possible due to cultural reasons, bathing should be delayed for at least six hours. Appropriate clothing of the baby for ambient temperature is recommended. This means one to two layers of clothes more than adults, and use of hats/caps. The mother and baby should not be separated and should stay in the same room 24 hours a day.
"Bathing should be delayed until 24 hours after birth. If this is not possible due to cultural reasons, bathing should be delayed for at least six hours. Appropriate clothing of the baby for ambient temperature is recommended. This means one to two layers of clothes more than adults, and use of hats/caps. The mother and baby should not be separated and should stay in the same room 24 hours a day." (WHO, 2018, S. 6)
In neonates born through clear amniotic fluid who start breathing on their own after birth, suctioning of the mouth and nose should be performed.
“In neonates born through clear amniotic fluid who start breathing on their own after birth, suctioning of the mouth and nose should not be performed.c” (WHO, 2018, S. 6; Hervorh. durch die Aufgabenerstellerin)
