Monday, September 28, 2009

Breast Compression

The sole purpose of breast compression is to continue
the flow of milk to the baby once the baby no longer
drinks on his own. Compression will also stimulate
a let down reflex and often causes a natural let
down reflex to occur. This technique may also be
useful for the following:
1. Poor weight gain in the baby.
2. Colic in the breast fed baby.
3. Frequent feedings or long feedings.
4. Sore nipples for the mother.
5. Recurrent blocked ducts
6. Feeding the baby who falls asleep quick.

If everything is going well, breast compression may
not be necessary. When all is well, the mother should
allow the baby to finish feeding on the first side,
then if the baby wants more - offer the other side.

How to use breast compression
1. Hold the baby with one arm.
2. Hold the breast with the other arm, thumb
on one side of your breast, your finger on the other
far back from the nipple
3. Keep an eye out for the baby's drinking,
although there is no need to be obsessive about
catching every suck. The baby will get more milk when
drinking with an open pause type of suck.
4. When the baby is nibbling or no longer
drinking, compress the breast, not so hard that it
hurts though. With the breast compression, the baby
should begin drinking again.
5. Keep up the pressure until the baby no
longer drinks with the compression, then release the
pressure. If the baby doesn't stop sucking with the
release of compression, wait a bit before compressing
again.
6. The reason for releasing pressure is to
allow your hand to rest, and allow the milk to begin
flowing to the baby again. If the baby stops sucking
when you release the pressure, he'll start again
once he tastes milk.
7. When the baby starts to suck again, he
may drink. If not, simply compress again.
8. Continue feeding on the first side until
the baby no longer drinks with compression. You
should allow him time to stay on that side until he
starts drinking again, on his own.
9. If the baby is no longer drinking, allow
to come off the breast or take him off.
10. If the baby still wants more, offer the
other side and repeat the process as above.
11. Unless you have sore nipples, you may
want to switch sides like this several times.
12. Always work to improve the baby's latch.

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Breast Feeding And Positioning

For some people, the process of breast feeding
seems to come natural, although there's a level
of skill required for successful feeding and a
correct technique to use. Incorrect positioning
is one of the biggest reasons for unsuccessful
feeding and it can even injure the nipple or
breast quite easily.

By stroking the baby's cheek with the nipple, the
baby will open its mouth towards the nipple, which
should then be pushed in so that the baby will
get a mouthful of nipple and areola. This
position is known as latching on. A lot of women
prefer to wear a nursing bra to allow easier access
to the breast than other normal bras.

The length of feeding time will vary. Regardless
of the duration of feeding time, it's important
for mothers to be comfortable. The following are
positions you can use:
1. Upright - The sitting position where
the back is straight.
2. Mobile - Mobile is where the mother
carries her baby in a sling or carrier while breast
feeding. Doing this allows the mother to breast
feed in the work of everyday life.
3. Lying down - This is good for night feeds
or for those who have had a caesarean section.
4. On her back - The mother is sitting
slightly upright, also a useful position for tandem
breast feeding.
5. On her side - The mother and baby both
lie on their sides.
6. Hands and knees - In this feeding position
the mother is on all fours with the baby underneath
her. Keep in mind, this position isn't normally
recommended.

Anytime you don't feel comfortable with a feeding
position, always stop and switch to a different
position. Each position is different, while some
mothers prefer one position, other's may like a
totally different position. All you need to do is
experiment and see which position is best for you.

Breast Feeding Toddlers

Because more and more women are choosing to breast
feed their babies, more and more are also finding
that they enjoy it enough to continue longer than
the first few months they planned on. Breast
feeding to 3 - 4 years of age is common in much
of the world recently, and is still common in
many societies for toddlers to be breast fed.

Because mothers and babies often enjoy to breast
feed, you shouldn't stop it. After six months,
many think that breast milk loses it's value -
which isn't true. Even after six months, it
still contains protein, fat, and other important
nutrients which babies and children need.

The fact is, immune factors in breast milk will
protect the baby against infections. Breast
milk also contains factors that will help the
immune system mature, and other organs to develop
and mature as well.

It's been shown and proven in the past that
children in daycare who are still breast feeding
have far less severe infections than the
children that aren't breast feeding. The mother
will lose less work time if she chooses to
continue nursing her baby once she is back to
work.

If you have thought about breast feeding your
baby once he gets passed 6 months of age, you
have made a wise decision. Although many feel
that it isn't necessary, breast milk will always
help babies and toddlers. Breast milk is the
best milk you can give to your baby.

No matter what others may tell you, breast feeding
only needs to be stopped when you and the baby
agree on it. You don't have to stop when someone
else wants you to - you should only stop when
you feel that it's the right time.

Health And Diet

The nutritional requirements for the baby will rely
soley on the breast milk, and therefore the mother will
need to maintain a healthy diet. If the baby is
large and grows fast, the fat stores gained by the
mother during pregnancy can be depleted quickly,
meaning that she may have trouble eating good enough
to maintain and develop sufficient amounts of milk.

This type of diet normally involves a high calorie,
high nutrition diet which follows on from that in
pregnancy. Even though mothers in famine conditions
can produce milk with nutritional content, a mother
that is malnourished may produce milk with lacking
levels of vitamins A, D, B6, and B12.

If they smoke, breast feeding mothers must use
extreme caution. More than 20 cigarettes a day has
been shown to reduce the milk supply and cause vomiting,
diarrhoea, rapid heart rate, and restlessness in
the infants. SIDS (Sudden Infant Death Syndrome) is
more common in babies that are exposed to smoke.

Heavy drinking is also known to harm the imfant, as
well as yourself. If you are breast feeding, you
should avoid alcohol or consume very small amounts at
a time.

The excessive consumption of alcohol by the mother can
result in irritability, sleeplessness, and increased
feeding in the infant. Moderate use, normally 1 - 2
cups a day normally produces no effect. Therefore,
mothers that are breast feeding are advised to avoid
caffeine or restrict intake of it.

By following a healthy diet and limiting your intake
of the above, you'll ensure that your baby gets the
right nutrients during your time of breast feeding.
This stage of life is very important - as you don't
want anything to happen to your baby.

How To Use A Breast Pump

Just like breast feeding, pumping is a skill that you
learn. When first trying a breast pump, most mothers
are only able to express a few drops of milk. With
the proper practice and knowledge, the mother will
be more efficient at pumping.

Preparing the breast pump
1. Read all the instructions in the kit
very carefully.
2. Every part of the breast pump will need
to be sterilized before you begin using it.
3. After use, all the parts of the pump will
need to be washed in warm, soapy water, then rinsed
with hot water and drained on a clean towel. The
plastic tubing doesn't need to be cleaned unless
you get milk into it. If you do wash it, it should
be hung to allow time to dry and drain thoroughly.
4. If your doctor feels the need, the
entire kit can be sterilized every day.
5. When you first start with an electric
pump, the suction level should be on the lowest
possible setting.

Getting started
- Warm compresses, gentle massages of the
breast and gentle nipple stimulation will help to
stimulate a quick let down.
- You should always relax while doing
breast massages during pumping. Some mothers prefer
to close their eyes then think about nursing the
baby, imagining the baby in their arms. The more
relaxed a mother is, the better let down she'll
have and the more milk will be dispensed.
- Your first attempts at pumping should be
considered practice sessions with learning to use
the breast pump as the goal, not how much milk is
actually dispensed.
- When you use a hand pump, quick, short
pumps at the start is stimulating and will imitate
more closely the way a baby breast feeds. Once
the let down occurs and milk starts to flow freely,
long, steadier strokes are more effective and
less tiring.
- When you learn to pump, you should
practice for 5 minutes on a side at least once or
twice a day. Always pick the least stressful part
of your day for pumping.

Relaxing and realizing that the pump is your
friend is the single most important thing that a
mother can do. There are several things that a
mother can do to help herself relax, such as
putting a picture of the baby on the pump, playing
cards or a game with friends, watching television,
read books, or talk on the phone. Simply watching
the collection bottle is not helpful and will
probably put more stress on you than you actually
need.

Poor Milk Supply

Almost all women don't have a problem with producing
enough milk to breast feed. The ideal way to make
sure that your baby is getting enough milk is to be
sure that he's well positioned, attached to the
breast, and feed him as often as he gets hungry.

Some mom's that are breast feeding will stop before
they want to, simply because they don't think they
have enough breast milk.

There are signs that might make you believe your baby
isn't getting enough milk. If your baby seems hungry
or unsettled after feeding, or if he wants to feed
often with short pauses between feedings, you may
think he isn't getting enough milk - which are often
times not the case.

There are however, two reliable signs that let you
know your baby isn't getting enough milk. If your
baby has poor or really slow weight gain, or is
passing small amounts of concentrated urine, he's
not getting enough milk.

All babies will lose weight within the first few
days after birth. Babies are born with supplies of
fat and fluids, which will help them keep going for
the first several days.

Once your baby regains birth weight, he should begin
putting on around 200g for the first four months or
so. To get back to their birth weight, it normally
takes a few weeks.

If the weight gain for your baby seems to be slow,
don't hesitate to ask your doctor or nurse to observe
you breast feeding. This way, they can make sure
that your technique is right and if they think your
baby is breast feeding often enough.

To help you with your breast feeding, here are some
ways that you can increase your supply of milk:
1. Be sure that your baby is positioned
correctly and attached to your breast.
2. Let your baby feed for as long and often
as he wants.
3. If you feel that your baby isn't breast
feeding enough, offer him more breast feeds.
4. During each breast feed, make sure you
feed from both breasts.
5. If your baby has been using a dummy,
make sure you stop him.
6. Some babies may be sleepy and reluctant
to feed, which may be the cause of problems with
milk supply.

By following the above tips, you'll do your part in
making sure you have enough milk when it comes time
to breast feed. If you are uncertain or have other
questions, be sure to ask your doctor, as he can
answer any type of question you may have.

Returning To Work

Once you return to work, you can continue to breast
feed. If you live close to work or have an on site
daycare, you may be able to breast feed during
your breaks. If that isn't possible, you have 2
choices:
1. Keep your milk supply by using a high
quality automatic electric breast pump to express
milk during the day. Save your milk that you
collect for your baby sitter.
2. If you don't want to or can't pump at
work, you can gradually replace daytime feedings
with formula while your at home but still continue
to nurse at night and in the morning. The milk
your body produces may not be enough to keep your
baby satisfied, even if you only need enough for
2 feedings.

Advantages of pumping at work
Pumping at work will help stimulate your production
of milk, so you'll have plenty available when it
comes time to feed. You can also collect the
milk you pump, so your baby will have the health
and nutritional benefits of breast milk even
when you aren't there. To make things better,
pumping can be an ideal way to feel a connection
to your baby during the work day.

Although it can seem like a hassle, many mothers
find that the benefits of breast pumping far
outweight the inconvenience.

To manage pumping at work, you'll need to have
the following:
1. Breast pump, preferably a fully
automatic electric pump with a double collection
kit so you can pump both breasts simultaneously.
2. Bottles or bags for collecting and
storing the milk.
3. Access to a refrigerator or cooler
to keep the milk cold until you return home.
4. Breast pads to help protect your
clothes if you start to leak.

Make sure that you get used to pumping before
you return to work, so you'll know what to expect
and how it feels. You'll be much more confident
with pumping at work if you already know that
you can produce enough milk.

At work, you'll want to have somewhere that's
away from everyone else when you pump, such as
an empty office or empty room. This way, you'll
be away from everyone else and you can have the
quiet tranquility you need to pump. In most
offices, this shouldn't be a problem.

For the time frame, you'll want to pump every
2 - 3 hours if possible. If you can't, every
4 hours or so will have to suffice. After you
have finished pumping, store the milk in the
bags or bottles, clean yourself up, then go
back to work. When you return home, you can
feed the milk to your growing baby.