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Beginning Breastfeeding 2.0

Edits by BDR to KBH prezi
by

B Reid

on 13 May 2015

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Transcript of Beginning Breastfeeding 2.0

commitment.
(just kidding)
success.
knowledge.
Not that cup size!
Fact or Fiction?
until your milk "comes in," your baby will need something else to keep him full
perfect. liquid gold.
Colostrum
baby's first milk
rich in antibodies
gentle laxative effect
breaks up mucus
concentrated nutrition
who's hungry now?
A Little Riddle
a grape
a strawberry
an egg
5-7mL
.75 - 1 oz.
1.5 - 2.5 oz.
day 1
day 3-5
day 7-10
while women have individual storage capacities (unrelated to cup size), their supply is thoretically unlimited
drink all you want, mom will make more
confidence.
Baby's Little
Instruction Book?
Fact or Fiction
a mother is born knowing how to breastfeed
while baby is quite well-versed in breastfeeding (or at least, well-prepared), mom's skills may not be so ingrained.
how, then, do we learn?
breastfeeding is a
socially-learned skill
Fact or Fiction
it is normal for a woman's nipples to hurt
in the first week(s) of breastfeeding
the secret's in the latch
lips wide and uncurled
asymmetrical areola
tongue forward
chin forward
head back
pictures are great...but what does it really look like?
Breastfeeding should NOT be...
TOE CURLING,
WHITE KNUCKLE,
TEETH CLENCHING
PAINFUL...
but some tenderness early on is not unusual.
is this how you do it, mommy?
"Confident Commitment"
a key factor in sustained breastfeeding
1 Birth. 2009 Jun;36(2):141-8. Confident commitment is a key factor for sustained breastfeeding. Avery A, Zimmermann K, Underwood PW, Magnus JH.
Fact or Fiction?
your breasts and nipples need
to be prepared for breastfeeding
Step One?
don't know much about history.
don't know much biology.
don't know much about a science book.
but I do know I love you....
(and I know how to breastfeed)
skin-to-skin
we love it
...is more likely to breastfeed
...breastfeeds longer
...stays warmer
...cries less
...maintains better blood sugars
baby...
when mom and baby get together,
something magical happens
Hormones
milk let-down
milk production
love and affection
"mama bear" instinct
my mom's
a genius
there's just one little catch
keeping stress at bay is not only a smart thing to do, it's the right thing to do to optimize breastfeeding
...and your point?
Hormonal Genius
adrenaline::oxytocin
tums::stomach acid
any given mother has a given milk-making capacity –
some moms will always make more milk than others, and vice versa
Party On!
ice out
milk out

NO ice out
NO milk out
Fact or Fiction?
baby-led, instinctive, or laid-back
football or clutch
cross-cradle
side-lying
cradle
once you learn the basic skills,
the sky's the limit!
feed me!
mouthing and sucking
rapid eye movements
soft calling sounds
restlessness
hands to mouth
"rooting" - searching for nipple
crying is a late feeding cue
not on a schedule
follow baby's cues
8-10-12 times in 24 hours
wake to nurse until back to birth weight
once weight is up, you may "never wake a sleeping baby"
A: babies don't come with
When...
do I feed my baby?
trying to schedule
breastfeeding sometimes
leads to one thing:
Fact or Fiction
frequent feedings are a sign of inadequate milk supply
How Long...
should I feed my baby?
15 minutes each breast
20 minutes each breast
10 minutes on only one breast
10 minutes on each breast
10 minutes on one breast, 5 minutes on the other
sometimes 5 minutes, sometimes 10 minutes
never the same time twice
tick tock, don't watch the clock
any time, all the time
sometimes one breast
sometimes both breasts
offer fullest breast first
when baby slows down, give a "jump start"
offer second breast, but follow baby's lead
-- he will tell you when he's out of gas!
Remember: Your tank(s) will "Refuel" when "Empty"
just give me some hard
and fast rules, alright?!?
just three
poops and pees
gaining weight
baby seems satisfied and content *
All you "type a" folk are screaming:
what about crying?
your baby bird
Fact or Fiction
if a mother breastfeeds,
there's not much her partner can do to help
or bond with the baby
Fact or Fiction?
a breastfeeding mother should avoid
gassy or spicy foods.
go on...variety is the spice of life!
awww...the same stuff again?!?
garlic and cabbage and onions, oh my!
support
is key
Research indicates that dad's “emotional, practical and physical supports were identified as important factors to promote successful breastfeeding and to enrich the experience for the mother "
and...the father
(emphasis added)
1. Int Breastfeed J. 2009 Nov 29;4:15.Dads make a difference: an exploratory study of paternal support for breastfeeding in Perth, Western Australia.Tohotoa J, Maycock B, Hauck YL, Howat P, Burns S, Binns CW.
Scout's honor
talk to baby
wear baby
bathe baby
soothe baby
hold your baby
snuggle with mom and baby while they nurse
walk with baby
sing to baby
spend alone time with your baby
massage baby
read sports page to baby
tickle baby with your 5'oclock shadow
cheer for your team with baby
Fact or Fiction
it is best to begin pumping and bottle-feeding right away
be patient. wait...
...until baby is nursing easily
...until milk supply is established
...about 4 weeks have passed
...for both bottles and pacifiers
a pump primer
hospital grade
double electric
hand pump
occasional use
heavy use
(full time work)
exclusive use
(establish or increase supply)
booby traps
old ideas and practices that serve us poorly
false!
^
the earth is flat, and...
infants can be spoiled
he's "only" using your breast as a pacifier
formula will make him sleep better and longer
a "good" baby is a scheduled baby
a productive mom is a mom on the go! go! go!
boobs are for the bedroom
the doctor (pediatrician or obstetrician) knows best or (grand)mom knows best
after a few weeks (or months), it's just "not right" to nurse the baby
it's ok...you were formula fed and you turned out alright!
(yet neither have ever breastfed!!)
well behaved women seldom make history
aap recommends...
exclusive breastfeeding for six months
continued breastfeeding for a year...
...and beyond, as long as mutually desired
(w.h.o
recommends
two!)
sore nipples
plugged ducts and mastitis
baby always falls asleep at the breast
slow weight gain
baby refuses breast
baby is fussy at breast
what's a nursing mother to do?
skin-to-skin
"laid back" position
say NO to scabs
24-hour cure
re-latch
get "hands-on"
.
pick up the phone
a friend who nursed successfully

la leche league
nursing mothers of raleigh
wakemed breastfeeding support groups

lactation consultant (IBCLC)
me :-)
six weeks
It's good for mom
It's good for everybody
It's good for baby
breastmilk is easier to digest than formula
fewer ear infections in baby
baby gets fewer stomach viruses
fewer respiratory infections in baby
(lifelong) reduced risk of diabetes (types I & II)
(lifelong) reduced risk of obesity
reduced risk of childhood leukemia
reduced risk of SIDS
higher intelligence
why?
open wide and say "aahhh"
not?
painful
time consuming
didn't produce "enough"
embarrassed
restrictive
had to go back to work
didn't want breasts to sag
wanted baby to sleep "better"
cultural norms
that lead mom
to wean early
many times these reasons are due to a lack of :
`
why
maternal weight loss
reduced risk of type II diabetes
lower risk of ovarian and
breast cancers
saves families thousands of dollars each year
life-saving during emergencies or natural disasters
baby's stool smells better!
convenient
contributes to a cleaner environment
saves healthcare costs
beginning breastfeeding:
bonny reid, msw, lcce, ibclc
breid@wakemed.org | 919-279-3777 | bonnydays@yahoo.com
let's get this party started!
speaking of cabbage...
nurse frequently
pump to relieve pressure
apply ice packs
ibuprophen
cabbage leaves
engorgement
knowledge and understanding of the process of breastfeeding
confidence in the decision and skills needed to breastfeed
commitment to making breastfeeding work despite challenges
needed to take a medication
for an illness or infection
1. "if mama ain't comfy..."

3. gravity works!
giggle with baby
2. tummy to tummy & ears, shoulders, hips
we are...
mammal-y!!
ice in
milk in

NO ice in
NO milk in
breast softens
mom thirsty, warm, sleepy during feed
you can hear/see baby swallowing/drinking
*periods of cluster-feeding excepted
Q: so, that's every 2-3 hours, right?
clock
~ AND ~
pop Quiz!!
name 3 things that newborns do...
PS: If I can do it, so can YOU!
"reverse pressure softening"
decreases risk of
postpartum hemorrhage
lower risk for osteoporosis
reduced risk of heart disease
support from others
As she breastfeeds the baby, I promise to...

praise her for the decision to breastfeed
say only positive things about breastfeeding
encourage her and get help if she's having difficulty
be armed with accurate information
protect her from society's “booby traps”
remind her of what a great mom she is for giving baby the best!
to some degree,

Express yourself
breast massage
hand expression
hands-on pumping
knowledge
support
confidence
Full transcript