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Breastfeeding Education. The Best Start for your baby Now is the time to get the facts so you can make a decision on how to feed your baby. Breastfeeding is best for baby. Ideal nutrition to help baby grow Less ear infections and respiratory infections
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Breastfeeding Education The Best Start for your baby Now is the time to get the facts so you can make a decision on how to feed your baby
Breastfeeding is best for baby • Ideal nutrition to help baby grow • Less ear infections and respiratory infections • Less gastrointestinal infections and diarrhea • Less Sudden Infant Death Syndrome (SIDS) • Less childhood obesity which means less chance of diabetes and other illnesses later in life • Less allergies • Higher IQ • Formula provides NO protection against infection or illness
Breastfeeding has benefits for mom, too • Less ovarian and breast cancer • Get back to pre-pregnancy weight quicker • Easier • No bottles and nipples • No formula to prepare • Saves money • Breastfeeding is free! • WIC only covers part of formula cost • Breastfeeding mothers get larger food packages from WIC than mothers who are formula feeding • Breastfeeding hormones help mothers feel calm
Skin-to-skin • Should start in the delivery room and as often as possible during your hospital stay • For maximum benefit, first skin-to-skin in the delivery room will be at least 60 minutes • Baby is dressed in hat and diaper and is placed next to your bare chest • Most babies will breastfeed while skin-to-skin in the delivery room • ALL babies benefit from skin-to-skin • Helps steady baby’s heartbeat and breathing • Helps keep baby warm • Helps calm baby • Calms mom,too • Improves bonding between you and your baby • Gets breastfeeding off to a good start • After the first skin-to-skin in the delivery room, anyone can do skin-to-skin including dads We do skin-to-skin at Tampa General
Wait! Hold off on that bath! • What is vernix? • White protective material that is present on a newborn’s skin at birth • Absorbs into baby’s skin in about 24 hrs • Vernix should NOT be washed off • Benefits of vernix • Moisturizes skin – less cracking and peeling • Helps prevent infections • Other benefits of not bathing • Baby stays warmer • Blood sugars more stable • Longer skin-to-skin • More successful breastfeeding • Less stressful for baby
Rooming-in • Rooming-in is when your baby stays with you in your hospital room all the time • More chances to bond with your baby • More chances to learn how to care for your baby • More chances to practice breastfeeding • Recognize when your baby is hungry so you can feed them when they are hungry instead of on a strict schedule. • This is called “on demand” feeding We encourage 24 hour rooming-in at Tampa General
Feeding “on cue” • Feeding cues are signs a baby shows when they are hungry • Feeding “on cue” means feeding your baby when your baby is hungry • Feeding on cue prevents breastfeeding complications and helps your milk come in • Feeding on cue keeps baby happy • Feeding cues are: • Moving hands to mouth • Rooting (heads moves from side to side with mouth open) • Sticking out tongue and mouth movements • Crying is a late sign – it’s better to feed before baby starts crying • Pacifiers cover up feeding cues. Your baby prefers you over a pacifier!
A good latch • A good latch is important • Ensures you make enough milk • Ensures baby gets enough breast milk • Prevents sore nipples • How to get a good latch • Hold baby close with tummy and face facing you • Use one hand to support your breast and the other to support baby’s head. Tilt baby’s head back slightly. • Tickle baby’s upper lip with nipple • When mouth opens wide, bring baby to breast chin first • Lips should be flared out and chin should be pressed against your breast
Breastfeeding Positions • Why it’s important: • Helps with good latch • Prevents sore nipples • Helps you make enough milk and helps baby get enough milk • Tips to get started: • Get comfortable • Use pillows to bring baby up to chest level • Baby’s ear, hip, and shoulder should be in a straight line • Bring baby to you. Don’t bend forward • Side-lying • Lie on your side and place the baby on her side facing you • This is a great position after a C-section • Cradle hold • Your forearm supports the baby’s back and your hand supports the baby’s bottom. • Hand opposite the breast baby is nursing can support the breast Side-lying Cradle hold
Breastfeeding Positions • Cross cradle • Hold baby across your lap using the arm opposite the breast the baby is nursing on to support baby. Use the hand on the same side to support your breast. • Works well for small babies or when baby is having a hard time latching on • Football hold • Tuck baby under the arm of the side you are nursing on. Baby’s feet are facing your back and support the head as you bring baby to your breast. • Works well for C-sections and if you have large breasts Cross cradle Football hold
Breastfeeding in the hospital • How often should I breastfeed? • When baby show signs of hunger • Your baby can breastfeed as often as he wants, but at least 8 -12 times in 24hrs which could be every 1-3 hours • You may need to wake baby up for feedings if he doesn’t feed at least 8 times in 24 hours • How long should he nurse? • Let him feed as long as he is actively sucking and swallowing • Why exclusive breastfeeding in the hospital? • Baby gets all the good colostrum • Giving a bottle may make it hard for baby to breastfeed correctly and baby may be less interested in breastfeeding • Helps your milk come in better
How do I know my baby is getting enough breast milk at first? • He feeds 8-12 times in 24 hours with a good latch • You can hear him swallowing during feeds • He has 1-2 loose stools and at least 1-2 wet diapers per day in the hospital • Seems calm and satisfied between feeds • His stomach is very small at first • Cherry – day 1 • Walnut – day 2 • Ping pong ball – day 3 • The amount of colostrum (first milk) you make is the perfect amount for his small stomach
Breastfeeding for 6 months • The more breast milk your baby gets, the more they benefit – less infections and illness • Your baby may be less interested in breastfeeding if you give them formula, water or other types of food • Breast milk is all the nutrition your baby needs for 6 months • When you breastfeed less often, your breast milk supply will decrease • American Academy of Pediatrics recommends exclusively breastfeeding for 6 months and longer if you want • WIC provides electric breast pumps for mothers who are exclusively breastfeeding • Insurance companies help with breast pump purchase also
Breastfeeding after 6 months • You can still continue breastfeeding after 6 months when your baby starts to eat other food • Breast milk still contains important nutrition and helps fight infection • It is up to you and your baby to decide when to stop breastfeeding
How we can help • You will have plenty of help at Tampa General if you have questions about breastfeeding • All nurses and doctors working in Prenatal Care offices, Labor & Delivery, Postpartum, and Nursery have had special training to help mothers breastfeed • Tampa General also has nurses with extra training called lactation consultants • The staff at Tampa General will be supportive of your choice on how you want to feed your baby