Centre For Pregnancy & Childbirth Education
WHAT: A yellow tint to the skin and eyes that is usually harmless and temporary; requires treatment in some cases. WHO: Some degree of jaundice occurs in 95 percent of newborns. Those at risk of a serious case include: preemies, infants who aren't eating enough or who have siblings who had serious jaundice, and babies who were jaundiced within the first 24 hours. Breastfed infants are also at a higher risk, particularly if nursing is not going well.
A PUBLIC INTERACTIVE FORUM WITH GYNAECOLOGIST/ OBSTETRICIAN...Read More
Though you should maintain a healthy diet throughout your pregnancy, nutrition is especially important during the third trimester. In your last months of pregnancy, nutrition should be a consideration at every meal. Right now, as your baby is preparing to live outside of your body, she's developing at a rapid pace: Her lungs and kidneys are growing stronger so that they can take over the functions that yours are now performing, and her brain is quickly maturing. At the same time, your body is preparing to produce milk, so you can continue to nurture your baby when breastfeeding in the coming months. The food choices you make now will help ensure a healthy start for your baby and positive eating habits for your growing family....Read More
WAYS TO BOOST YOUR MILK SUPPLY ?Make sure that baby is nursing efficiently. This is the “remove more milk” part of increasing milk production. If milk is not effectively removed from the breast, then mom’s milk supply decreases. If positioning and latch are “off” then baby is probably not transferring milk efficiently. A sleepy baby, use of nipple shields or various health or anatomical problems in baby can also interfere with baby’s ability to transfer milk. For a baby who is not nursing efficiently, trying to adequately empty milk from the breast is like trying to empty a swimming pool through a drinking straw – it can take forever. Inefficient milk transfer can lead to baby not getting enough milk or needing to nurse almost constantly to get enough milk. If baby is not transferring milk well, then it is important for mom to express milk after and/or between nursings to maintain milk supply while the breastfeeding problems are being addressed. ?Nurse frequently, and for as long as your baby is actively nursing. Remember – you want to remove more milk from the breasts and do this frequently. If baby is having weight gain problems, aim to nurse at least every 1.5-2 hours during the day and at least every 3 hours at night. ?Take a nursing vacation. Take baby to bed with you for 2-3 days, and do nothing but nurse (frequently!) and rest (well, you can eat too!). ?Offer both sides at each feeding. Let baby finish the first side, then offer the second side. ?Switch nurse. Switch sides 3 or more times during each feeding, every time that baby falls asleep, switches to “comfort” sucking, or loses interest. Use each side at least twice per feeding. Use breast compression to keep baby feeding longer. For good instructions on how to do this, see Dr. Jack Newman’s Protocol to manage breastmilk intake. This can be particularly helpful for sleepy or distractible babies. ?Avoid pacifiers and bottles. All of baby’s sucking needs should be met at the breast (see above). If a temporary supplement is medically required, it can be given with a nursing supplementer or by spoon, cup or dropper (see Alternative Feeding Methods). ?Give baby only breastmilk. Avoid all solids, water, and formula if baby is younger than six months, and consider decreasing solids if baby is older. If you are using more than a few ounces of formula per day, wean from the supplements gradually to “challenge” your breasts to produce more milk. ?Take care of mom. Rest. Sleep when baby sleeps. Relax. Drink liquids to thirst (don’t force liquids – drinking extra water does not increase supply), and eat a reasonably well-balanced diet. ?Consider pumping. Adding pumping sessions after or between nursing sessions can be very helpful – pumping is very important when baby is not nursing efficiently or frequently enough, and can speed things up in all situations. Your aim in pumping is to remove more milk from the breasts and/or to increase frequency of breast emptying. When pumping to increase milk supply, to ensure that the pump removes an optimum amount of milk from the breast, keep pumping for 2-5 minutes after the last drops of milk. However, adding even a short pumping session (increasing frequency but perhaps not removing milk thoroughly) is helpful. ...Read More
These things can cause or contribute to a low milk supply: •Supplementing. Nursing is a supply & demand process. Milk is produced as your baby nurses, and the amount that she nurses lets your body know how much milk is required. Every bottle (of formula, juice or water) that your baby gets means that your body gets the signal to produce that much less milk. •Nipple confusion. A bottle requires a different type of sucking than nursing, and it is easier for your baby to extract milk from a bottle. As a result, giving a bottle can either cause your baby to have problems sucking properly at the breast, or can result in baby preferring the constant faster flow of the bottle. •Pacifiers. Pacifiers can cause nipple confusion. They can also significantly reduce the amount of time your baby spends at the breast, which may cause your milk supply to drop. •Nipple shields can lead to nipple confusion. They can also reduce the stimulation to your nipple or interfere with milk transfer, which can interfere with the supply-demand cycle. •Scheduled feedings interfere with the supply & demand cycle of milk production and can lead to a reduced supply, sometimes several months later rather than immediately. Nurse your baby whenever she is hungry. •Sleepy baby. For the first few weeks, some babies are very sleepy and only demand to nurse infrequently and for short periods. Until baby wakes up and begins to demand regular nursing, nurse baby at least every two hours during the day and at least every 4 hours at night to establish your milk supply. •Cutting short the length of nursings. Stopping a feeding before your baby ends the feeding herself can interfere with the supply-demand cycle. Also, your milk increases in fat content later into a feeding, which helps baby gain weight and last longer between feedings. •Offering only one breast per feeding. This is fine if your milk supply is well-established and your baby is gaining weight well. If you’re trying to increase your milk supply, let baby finish the first side, then offer the second side. •Health or anatomical problems with baby can prevent baby from removing milk adequately from the breast, thus decreasing milk supply. •Mom’s health (uncontrolled anemia or hypothyroidism, retained placenta, postpartum hemorrhage…), previous breast surgery/injury, hormonal problems (e.g. PCOS), anatomical problems, medications she is taking (hormonal birth control, sudafed…), or smoking also have the potential to affect milk supply. ...Read More