Breast feeding 101
-MER
👶Both moms with big or small breasts can produce the same amount of milk. Bigger breasts can store more milk than smaller breasts.
👶Prolactin, Oxytocin (cramping comes with breast feeding for only a couple days)
👶Diet: don't eat Marlin, swordfish, shark, Ahi (tuna) rarely*
Babies after a month will be gassy regardless of what diet you eat.
Only need 500 more calories (pre-pregnancy) while breast feeding
Handle food small portions 6 times a day
Breast feeding does come in flavors
👶Average weight-loss is 1lb a week
Losing fat not muscle 💪
👶Medications
Over 90% of antibiotics are safe for breast feeding
Pump and dump? Call a Lactation Consultant and ask to make sure if medication is really unsafe!
👶Steps for breast feeding
1-2 hours after birth will be intense sucking
Skin to skin helps babies to "self regulate" and adaptation to outside of the womb environment. Heart rate becomes regular. Boosts immune system. 👫 Daddy's can do skin to skin with baby.
👶IV and Epi can affect breast feeding and can make the baby sleepy... CAN* but not always!
Babies who do instant skin to skin are able to crawl to your breast from the stomach
Babies who were gone for 20 mins for check up are not as efficient
👶Feeding Cue:
-Sucking on thumb
-Stick tongue out
-Smack their lips
-Crying is a late sign of hunger (10-15 minutes ago)
Babies eat 8-12 times every 24 hours (every 3 hours)
Don't have baby on a schedule
Keep baby on one breast as long as they are active and it doesn't hurt.
When flow slows down, baby slowly eats and naps.. Move them to the other breast.
There's no time limit.
First day and two days after, the feeding will be all over the map.
When the arms are relaxed, hands open then baby has taken a full feed.
👶Newborn sleeping pattern
Birth-2 hours: (missed this info)
2-20 hours: (missed this info)
Get baby skin to skin, gentle stimulation to wake
20-24 hours: cluster feeding for 2, 3, maybe 4 hours of massive feeding. They will sleep anywhere three to five hours
👶Infant behaviors
The "barracuda" aggressive feeder
The "excited and effective" too excited to latch. Calm down by sucking by sucking on your finger for a minute and their body will relax,.
The "rester" relaxed baby. Skin to skin, stimulate to wake, hand expressions
The "gourmet" baby. Drink for a long time... Need to be a bit more active
The "procrastinator" knows how to eat, just lazy.
👶Hand expression steps
Squeeze your boob to nipple to get drops of teaspoons of milk
Gentle massage with does, baby brush or a warm towel. Place index fingers and thumb an inch from nips. Pressured inward towards the breast. Don't tighten up the skin around the nipple. Don't tighten or stretch the area. You gently pinch, push in and relax. (Video would help)
👶How much is enough
Birth: 1 teaspoon (8 times a day at one week do 10-15 mins)
3 days old: ping bong ball, 20 mls (8 times a day)
10 days old: 45mls, an ounce and a half (plastic Easter egg-- 8 times a day)
👶Colostrum
Comes after birth
Highest concentration if vitamins
6 months old is when baby has kicked in their own immune system
Breast feeding babies grow up to be lean healthy people.
👶Rule of 4's
Day one, at least one pee and poop
Day two, two of each
Day three, three of each
Day four, four of each
👶Meconium stool
Looks like tar... To green, to yellow looking 설사.
Daddy can apply on baby bottom with breast lansinoh for easier baby booty clean up
👶How to Breast feed
Body, head and hip should be in line to lay on side.
Baby's hand underneath the boob (& out of the way)
Point nipple to roof of baby's mouth (Baby's mouth needs to be widely open)
Brown part around the nipple should of disappeared
Chin and nose indent the breast
Milk flow means sucking is a slow continuous matter
After time it'll happen automatically (baby will know what to do)
To be Successful: 🌟lots of skin to skin. Breast feed often and early. Watch for swallowing and a baby who comes off the breast in a "milk drunk coma". Remember the Rule of 4's. Seek assistance.
Signs of poorly positioned breast feeding
Lip is pushed back, lower lip is tucked in, cheeks suction is off
👶Breast feeding properly (TRY them all)
Always need a pillow on mom's back
🏈Football hold
❌The cross over (laying across the breast)
〰The cradle (on bed side by side)
👵Ancient position (baby reflexes to push up and face down on nipple)
👶Breast feeding "boo-boo's"
Compress the breast to encourage milk flow
Shape the nipple at an angle whatever the baby's mouth is positioned
Begin on the least tender side first so milk flows easier
Use a soft, wet cloth to soothe and dab away saliva after nursing
Express a drop of fresh milk and dab on nipple and areola and let it dry
Apply nipple cream
Definitely take your pain meds (Motrin, kills 2 birds with one stone by helping with pain and swelling... or Tylenol)
Plugged duct
Thrush (white patches on the mouth and won't come off after washing it off. It's yeast, mom and baby have to be treated). Keep hands clean. Wash hands.
Mastitis
👶Engorgement management
Baby will help you to drain and keep breasts soft
Hand expression helps
Warm a couple of mins before nursing (20 mins, take a break, do another 20 mins)
Cold packs after nursing (majority of the time)
"Comfort pumping" no more than five mins of pumping (for stay at home moms)
72 hours is when it'll tone down... Then taper away from pumping
Working moms: pump after feeding 4 to 5 hours to produce production
☝🌟4 to 6 weeks you can introduce the bottle... Let daddy introduce.
Too late is when they are 6 months.
👶If baby can't latch
Birth: Hand express
Day two: hand express by spoon feed or finger feed... Baby needs to eat. When you give syringe then it's good. Bottle sucks too much milk and builds unrealistic expectations.
Bottle feed at the breast. Daddy's stick baby in a football hold and bottle feed.
👶Breast milk storage
In the middle of the fridge, not in the door.
Room temp: 6 days
Fridge:
Freeze: gobbles up the good bacteria.. Thawing milk: only good for 1 hour