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Breast feeding: It’s a Natural!

Great Resource: La Leche League: http://www.llli.org/. Breast feeding: It’s a Natural!. Breast feeding techniques. There is a technique!. 2-3 cms of areola in infants mouth Bottom lip out No dimpling in cheeks Nutritive Sucking Audible swallowing Mother will feel “tugging” but not pain

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Breast feeding: It’s a Natural!

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  1. Great Resource: La Leche League: http://www.llli.org/ Breast feeding: It’s a Natural!

  2. Breast feeding techniques

  3. There is a technique! • 2-3 cms of areola in infants mouth • Bottom lip out • No dimpling in cheeks • Nutritive Sucking • Audible swallowing • Mother will feel “tugging” but not pain • Breasts are softer after nursing

  4. LATCH Score • L: Latch on: 0-2 • A: Audible swallowing 0-2 • T: nipple Type (inverted (0), flat (1), nl (2) • C: mother’s Comfort level: 0-2 • H: Hold (how much help mom needs (0-2) • Total: 7-10 is good!

  5. Lactation Physiology: Warning!! Doesn’t come with ounce marks!

  6. Breast Feeding Positioning

  7. Contents of Breast Milk • Has 200 constituents • Whey protein, lactose, easy to digest fat (esp. hindmilk), vitamins, enough Fe for 1st six months, antibodies, IgA • But also: HIV, drugs, alcohol, tobacco or other teratogens the mother ingests

  8. What do BrM and formula have in common? • Fluid: 20 ounces (2-3 ounces/lb) • Calories: 50cal/lb. Br milk. & Formula: 20 cal/oz. • Protein: 1 gm/lb • Fat: 2-4 gm/lb. Formula: corn oil and most have added fatty acids. BrM: Fatty acids • Vitamins: BF babies need Vit D added at 2 months • Minerals: BF infants need iron by 3-6 months. (BrM iron better absorbed though)

  9. Storing Breast Milk Room temperature (66-72°F, 19-22°C) for up to 10 hours in a refrigerator (32-39°F, 0-4°C) for up to 8 days Freezer compartmentinside a refrigerator (variable temperature due to the door opening frequently) for up to 2 weeks Freezer compartment with a separate door (variable temperature due to the door opening frequently) for up to 3 to 4 months. Separate deep freezer (0°F, -19°C) for up to 6 months or longer. From:La Leche League http://www.llli.org/FAQ/milkstorage.html

  10. How to Warm Breast Milk • Thaw and/or heat under warm, running water. • Do not bring temperature of milk to boiling point. • Gently swirl milk before testing the temperature. Swirling will also redistribute the cream into the milk (it’s not homogenized!) • Do not use a microwave oven to heat human milk. • Thawed Milk • If milk has been frozen and thawed, it can be refrigerated for up to 24 hours for later use. It should not be refrozen. It is not known whether milk that is left in the bottle after a feeding can be safely kept until the next feeding or if it should be discarded. From: La Leche League http://www.llli.org/FAQ/milkstorage.html

  11. What To Do About Engorgement • Warm, wet towels to breast or hot showers • Manual expression before nursing to soften up breast  • However Do NOT express a lot of milk. It is a “supply and demand” system! • Raw, frozen cabbage leaves on breasts • Wear a good supporting bra • Remind her it goes away in1-2 days

  12. What to do about sore nipples • Do not wash nipples between feeding • Instead: rub in a small amount of expressed breast milk or pure lanolin (not on the end of the nipple though!) • Keep nipples dry between feedings

  13. Bottle Feeding: Cost of formula and cost of equipment

  14. Healthy Bottle feeding is an art too! Guess which one is healthy!

  15. How often should newborns be fed? • When they are hungry • Parents may need to learn cues • Demand feeding • BF: about 8 times in 24 hours • Bottle: 6-8 times/ 2-5 ounces each time • Gaining weight? • Okay urine output ( 6 wet diapers/day) • Seems satisfied

  16. SAFE FORMULA FEEDING TIPS • Use before the expiration date on the label • Use refrigerated, opened, ready-to-feed and prepared formula within 48 hours. • Don't leave bottles of formula out of the refrigerator for more than two hours. • Throw away the formula left in the bottle after a feeding, since germs from baby's saliva will multiply in the warm formula. • Refrigerate any formula saved from one day to the next. • Be very careful if you are using a microwave oven to warm formula. It's better not to microwave. Because of uneven heating, hot spots develop. If you do use the microwave, shake the bottle well before testing the temperature on your wrist. • Avoid bottle propping, and don't let a baby fall asleep holding his own bottle. He could choke or aspirate the formula into his lungs. Also needs human contact! • Don’t force feed: Babies stop when they are full! From: Ask Dr.Sears.com: http://www.askdrsears.com/

  17. Stopping Breast Milk Production • Wear a tight bra or binder day and night for several days • Don’t let warm water run on the breasts • Limit fluid intake • Use ice bags on the breast for 15‑20 minutes 4 times a day • Use NSAIDs for inflammation and pain • It may take several days to “dry up”

  18. However… The take away message is.. • There are lots of ways to be a “good” parent • Feeding is just one part of parenting • Building a parent’s self confidence is key! • Help parents make informed choices.. Trust their instincts!

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