Category: breast feeding

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.

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Getting Started With Breast Feeding

When you hold your baby for the first time in the
delivery room, you should put his lips to your
breast. Although your mature milk hasn’t developed
yet, your breasts are still producing a substance
known as colostrum that helps to protect your baby
from infections.

If your baby has trouble finding or staying on
your nipple, you shouldn’t panic. Breast feeding is
an art that will require a lot of patience and a
lot of practice. No one expects you to be an
expert when you first start, so you shouldn’t
hesitate to ask for advice or have a nurse show you
what you need to do.

Once you start, keep in mind that nursing shouldn’t
be painful. When your baby latches on, pay attention
to how your breasts feel. If the latching on
hurts, break the suction then try again.

You should nurse quite frequently, as the more
you nurse the more quickly your mature milk will
come in and the more milk you’ll produce. Breast
feeding for 10 – 15 minutes per breast 8 – 10 times
every 24 hours is an ideal target. Crying is a
sign of hunger, which means you should actually
feed your baby before he starts crying.

During the first few days, you may have to wake
your baby to begin breast feeding, and he may end
up falling asleep during feeding. To ensure that
your baby is eating often enough, you should wake
him up if it has been four hours since the last
time he has been fed.

Getting comfortable
Feedings can take 40 minutes or longer, therefore
you’ll want a cozy spot. You don’t want to be
sitting somewhere where you will be bothered, as it
can make the process very hard.

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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.

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How Breast Milk Is Made

If you’ve every been pregnant or if you are pregnant
now, you’ve probably noticed a metamorphisis in your
bra cups. The physical changes (tender, swollen
breasts) may be one of the earliest clues that you
have conceived. Many experts believe that the color
change in the areola may also be helpful when it
comes to breast feeding.

What’s going on
Perhaps what’s even more remarkable than visible
changes is the extensive changes that are taking
place inside of your breasts. The developing
placenta stimulates the release of estrogen and
progesterone, which will in turn stimulate the
complex biological system that helps to make lactation
possible.

Before you get pregnant, a combination of supportive
tissue, milk glands, and fat make up the larger
portions of your breats. The fact is, your newly
swollen breasts have been preparing for your
pregnancy since you were in your mother’s womb!

When you were born, your main milk ducts had already
formed. Your mammary glands stayed quiet until
you reached puberty, when a flood of the female
hormone estrogen caused them to grow and also to
swell. During pregnancy, those glands will kick
into high gear.

Before your baby arrives, glandular tissue has
replaced a majority of the fat cells and accounts
for your bigger than before breasts. Each breast
may actually get as much as 1 1/2 pounds heavier
than before!

Nestled among the fatty cells and glandular tissue
is an intricate network of channels or canals known
as the milk ducts. The pregnancy hormones will
cause these ducts to increase in both number and
size, with the ducts branching off into smaller
canals near the chest wall known as ductules.

At the end of each duct is a cluster of smaller
sacs known as alveoli. The cluster of alveoli is
known as a lobule, while a cluster of lobule is
known as a lobe. Each breast will contain around
15 – 20 lobes, with one milk duct for every lobe.

The milk is produced inside of the alveoli, which
is surrounded by tiny muscles that squeeze the
glands and help to push the milk out into the
ductules. Those ductules will lead to a bigger
duct that widens into a milk pool directly below
the areola.

The milk pools will act as resevoirs that hold the
milk until your baby sucks it through the tiny
openings in your nipples.

Mother Nature is so smart that your milk duct
system will become fully developed around the time
of your second trimester, so you can properly
breast feed your baby even if he or she arrives
earlier than you are anticipating.

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Your Nursing Area

Once you’ve reached the third trimester, you’ll
probably start stocking up on nursing bras, breast
pads, and loose button down shirts for the coming
months ahead. While getting ready to breast feed,
you can also create your personal area, a custom
designed breast feeding area for yourself.

Your nursing area should reflect your personality.
If you like a loud, yet friendly surrounding, you
should consider setting in a corner of the living
room or family room. Keep an extra chair or two
near you so family members or even friends can keep
you company.

If you prefer peace and quiet, a cozy study or
empty guest room would be ideal. You can close
the door, dim the lights down, then take a few
deep, calming breaths while you breast feed.

Your own chair
No matter if it’s a glider, overstuffed recliner,
or desk chair with wheels, you should make sure
your nursing chair is very comfortable. You’ll
be sitting in the chair for hours each day, so
you’ll want it to be very comfortable. You should
always look for one that offers back and shoulder
support, along with arm rests.

Support underfoot
You can use a footstool, low coffee table or a
stack of pillows to elevate your feet as you breast
feed. If you raise your legs and feet to bring
your baby to your breast, you’ll avoid possible
backache.

Pillows and more pillows
Your neck, arms, feet, and back will need as
much support as you can give, so don’t hesitate
to surround your body with pillows. If you lay
a pillow across your lap for your baby to lay on,
he’ll be very comfortable and that much closer to
your nipple. For extra comfort, you can even
purchase a specially made nursing pillow that
will encircle your waist.

Table for one
You should always keep a small table or stand
within arm’s length of your breast feeding chair.
What you use should be big enough to hold a
coaster and glass of liquid. Some women prefer
to drink through a straw, while others prefer to
drink from the glass.

You’ll also want to keep healthy snacks on hand
as well, such as fresh fruit, nuts, or crackers
and peanut butter to help you replace the
energy you use while you breast feed.

Distractions
If your baby is a slow eater or has a really big
appetite, you may want to keep yourself busy
while he feeds. You can fill the shelves of a
nearby cupboard or bookcase with your favorite
books or crossword puzzles to occupy yourself
until your baby is full. You should also keep
a phone nearby as well so that you can talk to
family or friends to pass the time.

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Other Foods While Breast Feeding

Breast milk is actually the only food your baby
will need until 4 months of age, although most
babies do well on breast milk alone for 6 months
or better. There is really no advantage to
adding other foods or milks before 4 – 6 months,
except under unusual circumstances.

Water
Breast milk is over 90% water. Even in the
hottest days of summer, a baby won’t require any
extra water. If a baby isn’t feeding well, they
still don’t require any extra water – although
they will need the breast feeding problems to
be fixed.

Vitamin D
Although breast milk doesn’t contain much vitamin
D, it does have a little. The baby will store up
vitamin D during pregnancy, and remain healthy
without any vitamin D supplementation, unless you
yourself had a problem with vitamin D deficiency
when pregnant.

Exposure to the outside will give your baby
vitamin D, even in winter and when the sky is
covered. An hour or more exposure during the
week will give your baby more than enough vitamin
D.

Iron
Breast milk contains less iron than formulas do,
especially those that are iron enriched. Iron
will give the baby added protection against
infections, as many bacteria need iron in order
to multiply.

The iron found in breast milk is utilized well
by the baby, while not being available to
bacteria. The introduction of iron should
never be delayed beyond the age of 6 months.

Breast milk is the best that your can feed
your baby, as it provides everything he will
need for probably the first 6 months. After
the first 6 months, you can introduce solid
foods to your baby if he is taking an interest
to them.

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Breast Feeding In Public

Babies that are breast fed are very portable and
easy to comfort no matter where your schedule has
you going. Many women however, worry about
breast feeding in public. The worry of nursing
in a public place is normally worse than the
actual experience and often times the only people
who notice you feeding are the other mothers who
are doing the same thing.

Many women find ways to breast feed discreetly.
You can ask your partner or even a friend to
stand in front of you while you lift your shirt
from the waist. When you breast feed, the baby’s
body will cover most of your upper body and you
can pull your shirt down to her face to cover
the tops of your breast. Some mothers prefer to
put a light blanket over their shoulders as a
type of cover.

When you are visiting someone else’s home, you
may feel more comfortable either leaving the
room or turning away from people when you first
put the baby to your breast. If you would like
more privacy, breast feed in an empty room, car,
or public restroom.

A lot of restrooms are becoming more baby
friendly and they even have a seperate are with
a changing table and a chair. Several shopping
malls now offer special mother’s rooms where
the mom can breast feed her baby in privacy,
which will help sensitive babies who are too
distracted by feeding to nurse well in public.
It won’t take long at all though, before your
baby will learn to breast feed without any fuss
at all.

An alternative way is expressing or pumping
your milk at home and then offer it in a bottle
while in public. Keep in mind, offering
bottles with artificial nipples in the first
few weeks can and probably will interfere with
breast feeding.

When breast feeding in public, you should always
use what works best for you. During the first
few weeks, it will take some getting used to,
as it will be as new for you as it is for the
baby. With some time, you’ll have no problems
at all.

If you don’t feel comfortable breast feeding in
a certain location, then you shouldn’t. You
should feel a certain level of comfort when you
feed, as the baby can tell when you aren’t
comfortable doing something. If you show your
baby that you aren’t nervous – you and your
baby will be just fine.

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The First Six Weeks

Breast milk is the best food you can give to your
baby. Breast milk is a complete food source,
containing all the nutrients your baby need – at
least 400 of them to be exact, including hormones
and disease fighting compounds that aren’t found
in formula.

The nutritional makeup in breast milk will adjust
to your baby’s needs as he or she grows and
develops. Aside from the brain building, infection
fighting benefits of breast milk, which no formula
can match, nursing will also help to build a special
bond between you and your baby. When nursing,
your child thrives on the contact, cuddling, and
holding – which you will as well.

Since breast feedings can take up to 40 minutes or
more, you should pick a cozy spot for nursing. The
atmosphere is very important, even more so in the
early days of breast feeding when you’re still
trying to get the hang of it. If you get easily
distracted by noise, go somewhere quiet.

You should always hold your baby in a position
that won’t leave your arms or back sore. It works
the best to support the back of your baby’s head
with your hand, although which position you choose
depends on what’s more comfortable to you.

When supporting your baby, a nursing pillow can
sometimes be a big help. You should never feed
until both you and your baby are comfortable. Pay
attention to how your breasts feel when your baby
latches on, as his mouth should cover most of the
areola below the nipple, and the nipple should be
far back into your baby’s mouth.

While some women adjust to breast feeding easily,
other moms find it hard to learn. If you feel
discouraged, always know that you aren’t the only
one. Everyone feels different when starting, it
all depends on the mother and the situation.

Breast feeding will take practice. Therefore, you
should give yourself as much time as you need to
get it down to second nature. Always take it one
feeding at a time. If you are having a bad day,
tell yourself that it’ll get better. Keep in mind
that any problems are temporary, as you’ll be
nursing like a pro by your six week postpartum
checkup.

The first six weeks will be both an adventure and
training. You can’t expect to know everything when
you begin, which is where training and practice will
really help you excel. The more you breast feed,
the more you’ll learn. You’ll also build a bond
with your baby – which is something you’ll always
have for the rest of your lives.

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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.

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Avoiding Foods While Breast Feeding

Many women find that they can eat whatever they may
like during breast feeding. Even though it’s true
that some stongly favored foods can change the
taste of your milk, many babies seem to enjoy the
varieties of breast milk flavors. Occasionally,
your baby may get cranky at the breast after you
eat certain foods. If you notice this happening,
simply avoid that particular food.

The most common offenders duing breast feeding
include chocolate, spices, citrus fruits, garlic,
chili, lime, gassy vegetables, and fruits with
laxative type effects, such as prunes and cherries.

You can have a cup or two of coffee a day, although
too much caffeine can interfere with your baby’s
sleep and even make him or her cranky. Keep in
mind, caffeine is found in many soda’s, tea, and
even over the counter type medicine as well.

It’s okay to have an alcoholic beverage every now
and the, although having more than one drink can
increase your blood alcohol level, putting the
alcohol into your breast milk.

If you are planning to have more than one drink
at a time, it’s best to wait two hours or more
per drink before you resume any type of nursing
or breast feeding. There is no need to pump
and dump unless your breasts are full and its
time to feed your baby. While breast feeding,
any type of heavy drinking should be avoided.

Before you actually omit any foods from your
diet, you should talk to your doctor. If you
avoid certain foods and it causes a nutritional
imbalance, you may need to see a nutritionist
for advice on taking other foods or getting
nutritional supplements.

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