Showing posts with label Breastfeeding Advice. Show all posts
Showing posts with label Breastfeeding Advice. Show all posts

Monday, January 10, 2011

The Best Advice For Breastfeeding Your Baby

The trick to breastfeeding is getting your baby to latch on to your breast well, this takes time and patience. Remember breastfeeding is a new learning experience for you and your baby. The more you practice the better you'll become. A baby who latches on well, gets milk well. A baby who latches on poorly will have difficulty getting milk, especially if the milk supply is low; which is more than likely if your baby has a poor latch. If the latch is not corrected you may start to get sore nipples from excessive sucking from your baby. A poor latch is similar to giving a baby a bottle with a nipple hole that is too small-the bottle is full of milk, but your baby will not get much. This can cause both mother and baby to get frustrated, which is not a good combination. A poor latch is one of the biggest contributing factors in mothers quitting breastfeeding. When your baby doesn't get full they need to feed more frequently which will result is sore nipples and endless hours of feedings.
Here are some tips to help make breastfeeding a little smoother.
Start breastfeeding your baby immediately after birth, most newborn's can start feeding within 15 minutes. This is when you start bonding with your baby; your first feed should be skin-to-skin contact. The warmth from your skin will keep your baby warm enough, you can still have a blanket draped around you both to help. Mothers that say they are too tired to breastfeed after giving birth are using an excess. This is the most important time between yourself and your baby. I was in labor for 40 hours without any drugs for assistance and the first thing I did after kissing my husband and new baby girl was start breastfeeding.
It is imperative that mother and baby be kept in the same room. Mothers and babies learn how to sleep in the same rhythm from the very beginning. When your baby starts waking for a feed you will also start to wake up naturally. Your baby will give you signs before they start to cry that they are ready for a feed. These signs may include some or all of the following. Breathing sounds may change, they may start to stretch or squirm. Mothers hear all! Your milk may start to flow and your calm baby will be content to nurse. A baby that has been crying for some time may be too tried on the breast this may result in them refusing to take it. Mothers and babies should be encouraged to sleep side by side in the hospital. This is a great way for mothers to rest while the baby nurses. Breastfeeding should be relaxing, not tiring. You can even bring this method home with you. Having your baby in your room for the first little while will help you get to know the signs of when they are hungry.
Do not restrict the length or frequency of feedings. A baby who feeds well will not be on the breast for hours at a time. If this is happening it is usually because they are not latching on well and not getting the milk. Get help to fix the baby's latch, and use compression to get your baby more milk. Your baby will tell you when they need a feed.
Do not supplement your baby with water, sugar water, or formula unless other wise directed by your physician. Your baby will get everything they need from your breast milk. If your baby is losing weight or not eliminating enough waste this could be due to a poor latch. Ask for a lactation consultant to come in and view a feeding with your baby. Bottles are not recommended within the first 4-6 weeks of life. Introducing a bottle too soon may give your baby nipple confusion, this may affect your babies breastfeeding and make it difficult to feed.
The key to breastfeeding is the proper latch. How do know if your baby has a good latch? Your nipples should not be sore, they may be a bit tender but they should not be sore. There should be a tight seal between your baby's mouth and your areola. Much of the areola (at least a one-inch radius) is inside baby's mouth. Your baby's tongue should be between the lower gum and your breast. Your baby's ears should be wiggling. During active sucking and swallowing the muscles in front of baby's ears move, indicating a strong and efficient suck that uses the entire lower jaw. You should hear your baby swallowing. During the first few days after birth, your baby may suck 5 to 10 times before you hear a swallow. That's because your colostrum comes in small amounts. You may have to listen carefully to notice the swallows. You should not hear any clicking sounds, this indicates that your baby does not have his tongue positioned correctly and is latched on incorrectly.
Under some circumstances, it may be impossible to start breastfeeding early. Premature babies can start breastfeeding much, much earlier than they do in many health facilities. In fact, studies are now quite definite that it is less stressful for a premature baby to breastfeed than to bottle feed. Unfortunately, too many health professionals dealing with premature babies do not seem to be aware of this.

Sunday, January 9, 2011

Incorrect Breastfeeding Advice Results In Fussy, Uncomfortable Babies

This past month, I have had quite a few frantic calls from stressed out moms who have fussy babies and are hoping that The Calm Baby Cookbook could help. After a short conversation, their problem was easily diagnosed over the phone. These women were experiencing problems with breastfeeding because of well meaning, but totally incorrect advice from prenatal instructors and support people in their lives.
The problematic advice is one that many of us have heard already. "You must feed the baby for 10 minutes on one side and then switch to the other side and feed for another 10 minutes." This advice is absolutely incorrect and contributes to so many breastfeeding problems for new moms. The result is a gassy, fussy baby who cannot be easily comforted. The underlying problem is what is called a foremilk/hindmilk imbalance.
Many people (health care practitioners and prenatal instructors included!) do not know that breastmilk changes throughout the breastfeeding session. For the first part of a feed, breastmilk contains more water and more sugar. It rehydrates the baby quickly and helps to fill the baby's stomach. Towards the end of a feed, breastmilk changes to contain more fat. The fatty part of the milk is very important as it helps a baby to digest breastmilk more easily and it helps a baby to feel full and satisfied at the end of the feed. The fatty part of breastmilk offers so many benefits to a baby: it contributes to nerve and brain development, it acts as a laxative and so much more.
If a woman switches sides before the baby is able to get the hindmilk, the result is a fussy, gassy baby who has green, explosive, frothy stools. This baby has lots of cramping and is so uncomfortable that she cries soon after a feed and cannot be consoled. The closest way for an adult to understand this discomfort is that it mimics quite well the feelings of lactose intolerance.
A baby who is able to feed on one side until the breast completely drains will usually fall asleep at the end of the feed and will slide off the breast, full and completely satisfied. It can be quite difficult to wake a baby after she is able to get her hindmilk from the feeding session and most babies are simply put to bed. Getting to the hindmilk is like having rich cheesecake at the end of a good meal. You feel relaxed and ready to go to bed. The same is for a baby after a good feed off of one breast.
If you have been breastfeeding your baby and switching breasts often, you can certainly change the way that you feed your baby so that she can get the hindmilk. It will take a few days (possibly up to a week) for your breasts to become used to this new feeding pattern, so you'll need to be patient. Breastmilk is produced from direct stimulation to nerve endings in your areola as your baby feeds. Because your breasts are being stimulated with each feed, they are accustomed to making lots of milk (possibly too much milk).
If your breasts are making lots and lots of milk, you will need to feed on one breast for many complete feeds to help your baby get a good feed on your hindmilk (anywhere from 2 to 5 feeds). Your breast should be soft at the end of the feed. If it still feels full, have the baby feed on that breast again. As you are feeding from the same breast often, the unused breast will become full of milk. Simply pump the side that is full FOR COMFORT ONLY: just enough so that you can feel comfortable without draining the breast. Again, breast milk is produced from direct sucking at the breast, whether from your baby or a breast pump. If you completely drain the second breast by pumping, you will make too much milk and it will be harder for your baby to get to the hindmilk. Your breasts will not be able to adapt to this new method of breastfeeding, and you will continue to have feeding difficulties.
Once the first breast has been drained, start with the second breast. You may have to feed for quite a few (2-5) complete feedings on the second side as well until the baby can drain the breast and it feels soft at the end of the feed. You may need to pump the first breast for comfort as well. Eventually, you will have one breast ready for a feed, the baby will be able to drain it completely, and fall off the breast fast asleep, full and completely satisfied.
Once your milk starts to regulate, you'll notice that:
o The breast that feeds the baby will be soft at the end of the feed.
o Your second breast will be slightly full and preparing itself for the next feed.
o Your baby will be satisfied at the end of the feed. She will start to sleep better - deeper and longer.
If you and your baby are experiencing a foremilk/hindmilk imbalance, relax and know that this can be remedied easily over time. Many medical professionals who do not know or understand what a foremilk/hindmilk imbalance is, will tell you that "you are not producing good milk" or that "you are not producing the right kind of milk" or that "your baby is allergic to your milk." And then they will ask you to feed your baby a hypo-allergenic formula "to let everything settle down." Most women give up on breastfeeding at that point, especially since they have just been told that their body is incapable of feeding their child.
I am constantly amazed at how quick some professionals are to dismiss a woman's body as being inferior instead of recognizing that she has been given incorrect information on how to feed her child. Please know that many health care professionals or prenatal instructors do not understand breastfeeding or how it works and that you cannot assume that they do. Ask them about their breastfeeding training and experience. If they have not taken courses in breastfeeding, they are not qualified to offer advice or help you with your problems. Medical doctors are not taught about breastfeeding, or if they are, it is for 2 hours at some point in their school curriculum.
If you need help, see a lactation consultant as soon as you are having problems with your latch. You can also contact someone in La Leche League - an organization of breastfeeding mothers who are more than willing to help you with your breastfeeding difficulties as they are personally experienced in feeding their own children. (You can find them listed in your local white pages or you can visit http://www.lalecheleague.org to find help close to you.) The La Leche League has a wonderful book called The Womanly Art of Breastfeeding. You will find it in any bookstore. You can also contact your local midwife; she will know of qualified people in your community who can help.
After your breastmilk regulates, if your baby is still fussy, especially between 5:30 and 11:30 at night, you may want to look at the foods that you are eating. Some foods that breastfeeding mother eat can irritate a baby's digestive system and cause fussiness and crying. You can find out more by visiting http://www.drmelaniebee.org

Friday, December 31, 2010

Incorrect Breastfeeding Advice Results In Fussy, Uncomfortable Babie

This past month, I have had quite a few frantic calls from stressed out moms who have fussy babies and are hoping that The Calm Baby Cookbook could help. After a short conversation, their problem was easily diagnosed over the phone. These women were experiencing problems with breastfeeding because of well meaning, but totally incorrect advice from prenatal instructors and support people in their lives.
The problematic advice is one that many of us have heard already. "You must feed the baby for 10 minutes on one side and then switch to the other side and feed for another 10 minutes." This advice is absolutely incorrect and contributes to so many breastfeeding problems for new moms. The result is a gassy, fussy baby who cannot be easily comforted. The underlying problem is what is called a foremilk/hindmilk imbalance.
Many people (health care practitioners and prenatal instructors included!) do not know that breastmilk changes throughout the breastfeeding session. For the first part of a feed, breastmilk contains more water and more sugar. It rehydrates the baby quickly and helps to fill the baby's stomach. Towards the end of a feed, breastmilk changes to contain more fat. The fatty part of the milk is very important as it helps a baby to digest breastmilk more easily and it helps a baby to feel full and satisfied at the end of the feed. The fatty part of breastmilk offers so many benefits to a baby: it contributes to nerve and brain development, it acts as a laxative and so much more.
If a woman switches sides before the baby is able to get the hindmilk, the result is a fussy, gassy baby who has green, explosive, frothy stools. This baby has lots of cramping and is so uncomfortable that she cries soon after a feed and cannot be consoled. The closest way for an adult to understand this discomfort is that it mimics quite well the feelings of lactose intolerance.
A baby who is able to feed on one side until the breast completely drains will usually fall asleep at the end of the feed and will slide off the breast, full and completely satisfied. It can be quite difficult to wake a baby after she is able to get her hindmilk from the feeding session and most babies are simply put to bed. Getting to the hindmilk is like having rich cheesecake at the end of a good meal. You feel relaxed and ready to go to bed. The same is for a baby after a good feed off of one breast.
If you have been breastfeeding your baby and switching breasts often, you can certainly change the way that you feed your baby so that she can get the hindmilk. It will take a few days (possibly up to a week) for your breasts to become used to this new feeding pattern, so you'll need to be patient. Breastmilk is produced from direct stimulation to nerve endings in your areola as your baby feeds. Because your breasts are being stimulated with each feed, they are accustomed to making lots of milk (possibly too much milk).
If your breasts are making lots and lots of milk, you will need to feed on one breast for many complete feeds to help your baby get a good feed on your hindmilk (anywhere from 2 to 5 feeds). Your breast should be soft at the end of the feed. If it still feels full, have the baby feed on that breast again. As you are feeding from the same breast often, the unused breast will become full of milk. Simply pump the side that is full FOR COMFORT ONLY: just enough so that you can feel comfortable without draining the breast. Again, breast milk is produced from direct sucking at the breast, whether from your baby or a breast pump. If you completely drain the second breast by pumping, you will make too much milk and it will be harder for your baby to get to the hindmilk. Your breasts will not be able to adapt to this new method of breastfeeding, and you will continue to have feeding difficulties.
Once the first breast has been drained, start with the second breast. You may have to feed for quite a few (2-5) complete feedings on the second side as well until the baby can drain the breast and it feels soft at the end of the feed. You may need to pump the first breast for comfort as well. Eventually, you will have one breast ready for a feed, the baby will be able to drain it completely, and fall off the breast fast asleep, full and completely satisfied.
Once your milk starts to regulate, you'll notice that:
o The breast that feeds the baby will be soft at the end of the feed.
o Your second breast will be slightly full and preparing itself for the next feed.
o Your baby will be satisfied at the end of the feed. She will start to sleep better - deeper and longer.
If you and your baby are experiencing a foremilk/hindmilk imbalance, relax and know that this can be remedied easily over time. Many medical professionals who do not know or understand what a foremilk/hindmilk imbalance is, will tell you that "you are not producing good milk" or that "you are not producing the right kind of milk" or that "your baby is allergic to your milk." And then they will ask you to feed your baby a hypo-allergenic formula "to let everything settle down." Most women give up on breastfeeding at that point, especially since they have just been told that their body is incapable of feeding their child.
I am constantly amazed at how quick some professionals are to dismiss a woman's body as being inferior instead of recognizing that she has been given incorrect information on how to feed her child. Please know that many health care professionals or prenatal instructors do not understand breastfeeding or how it works and that you cannot assume that they do. Ask them about their breastfeeding training and experience. If they have not taken courses in breastfeeding, they are not qualified to offer advice or help you with your problems. Medical doctors are not taught about breastfeeding, or if they are, it is for 2 hours at some point in their school curriculum.
If you need help, see a lactation consultant as soon as you are having problems with your latch. You can also contact someone in La Leche League - an organization of breastfeeding mothers who are more than willing to help you with your breastfeeding difficulties as they are personally experienced in feeding their own children. The La Leche League has a wonderful book called The Womanly Art of Breastfeeding. You will find it in any bookstore. You can also contact your local midwife; she will know of qualified people in your community who can help.
After your breastmilk regulates, if your baby is still fussy, especially between 5:30 and 11:30 at night, you may want to look at the foods that you are eating