What should you do if you are a mom going back to work after pregnancy, while still breastfeeding?

1. "Back to Work but Still Feeding"

2. Objectives Understand Let’s Move! Child Care Goal and best practices for infant feeding Know the benefits of supporting breastfeeding moms and babies Learn about the resources and tips • • •

3. Before Your Baby Arrives Ensure attendance in a antenatal workshop to be aware of the following: – Importance and benefits of breast feeding – Colostrum – Golden hour feeding – Here’s something to explain the importance of breastfeeding: https://www.youtube.com/watch?v=b3oPb4WdycE •

4. Knowledge Check

5. Knowledge Check

6. What is exclusive breastfeeding? An “exclusively breastfed” baby is given only breast milk (no formula, cereal, juice, water, or baby food). • “Exclusive breastfeeding” for the first 6 months • Continued breastfeeding for at least 24 months • There is no ‘age limit’ , AAP recommends breastfeeding continue for as long as mother and baby desire • Add Complimentary food along with breastmilk – to avoid allergies. Don’t stop breastfeeding abruptly.

7. Formula vs breast milk Drop of formula vs. Drop of breast milk White blood cells protect against infection. Fat globules help eyes and brain grow faster.

8. Mother’s milk is best for babies Protects the baby from infections and illnesses- diabetes, asthma, obesity, ear infections etc. and hence reduces hospitalization cost also. Provides the baby with exactly what is needed to grow and thrive, and changes over time to keep up with baby’s changing needs. Even when a mother’s own diet is poor, her milk is still perfect for her baby. Helps protect babies against Sudden Infant Death Syndrome (SIDS) • • • •

9. Benefits to mothers Protects against breast and ovarian cancers and type 2 diabetes Prevents post partum depression Makes bonding easier and helps mothers stay closely bonded to their babies after going back to work Helps mothers be able to be at work instead of taking time off to care for a sick baby • • • •

10. Getting organized at home Plan your feasibility to join work , as per your organization/extending holiday/LOP/work at home, etc. Arrange for care takers before you go for work as per your convenience. Select a care provider who supports your commitment to breastfeeding. Arrange breaks at regular intervals. During your day in order to have time to pump. Try to do a “trial run” the week before you return to work. Before leaving for office, nurse your baby even if he is half asleep. Connect with other working mothers to share information and ideas. Be your own advocate • • • • • • • •

11. Getting organized at work •Intimate the organization the time joining and requirement for facility to pump and store breastmilk.

12. Tips to deal with leaking • Cross your arms across your chest • Choose dresses of bright or dark coloured prints • Wear loose jacket or blazer to throw over your blouse. • Wear cloths that are loose and comfortable • Keep an extra shirt at work.

13. Selecting a Breast pump • Should choose standard breast pump. • Select appropriate pump which will empty your breast quickly and efficiently. • Select a pump with good double pump. • Use appropriate pump to avoid breast tissue damage.

14. Knowledge Check Expressed milk is a hazardous body fluid that requires extra precautions for storage and handling to prevent infection. TRUE FALSE

15. Knowledge Check Expressed milk is a hazardous body fluid that requires extra precautions for storage and handling to prevent infection. TRUE FALSE The answer is FALSE. • Expressed milk is not a hazardous substance, it is a food. • “Universal precautions” do not apply to expressed milk. • Expressed milk should be stored in refrigerators and freezers appropriate for food storage. • Expressed milk may be stored along with any other foods and beverages.

16. Appropriate Procedures for Storing, Handling, and Feeding Expressed Milk Storage: Label all containers (child’s name, date) Organize containers (group by child, newest milk in back). Freshly expressed milk • 4-8 hrs. – Room temperature. • 24 hrs. - @ 15degree C- Insulated Bag • 6 Months -Deep freeze @18 degree C – Refrigerator Handling Since it is non infectious body fluid, not necessary to use gloves while handling the milk. Expressed milk, infant formula, and baby food should never be heated in a microwave oven, instead they should be heated in their containers with warm or hot tap water running over them in a sink.

17. Using expressed breast milk • Stored refrigerated milk should be taken 1 hour before to bring it down to room temperature. • If the milk is kept in the freezer, bring it out of freezer compartment 24 hours before. This would help in Thawing. • Once refrigerated milk is brought out should not be stored back to refrigerator. • Left over milk could be kept for 3 hours in room temperature and then should be discarded if not used.

18. Looking after yourself • Hydrate well – Drink plenty of water • Positive thinking – milk secretion • Nutrition - Eat well balanced diet • Hygiene

19. If you decide to wean • Plan to wean the baby after 6 month with complimentary food. • Continue expressed milk during working hours and direct breastfeed during available time till 1 year. • After 1 year of age continue nitght feeding till completion of 2 years. (approx. 2 feeds/24 hours to maintain lactation).

20. Thank You Our Locations BENGALURU CHENNAI MUMBAI PUNE GURGAON Lactation Department - Cloudnine Bangalore 20