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Liz Libby

on 10 April 2017

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Transcript of Breastfeeding

Breastfeeding 101

What are you coming in with? What do you already know about breastfeeding? What have you heard?

What are your expectations?
Breast tenderness is often one of the first signs of pregnancy.
Your body starts making colostrum about halfway through your pregnancy
Just as your body is preparing to breastfeed, its helpful to prepare yourself and know what to expect.
Your body is already preparing....
There are two main hormones in charge of breastfeeding:
Prolactin is in charge of Production
Oxytocin gets the milk Out.
How to make milk
Prolactin is released with nipple stimulation
That means that more frequent milk removal = more milk production
Your body slows milk production
when the breast is full

About Milk T/F game
True or false: Foremilk, the milk at the beginning of a feeding, is more watery like skim milk. Hindmilk, the milk at the end of a feeding, is creamier and fattier, like heavy cream.
FALSE. Your milk's fat content will vary throughout the course of the day as well as throughout a feeding. On average, fat content increases as a feeding goes on, but not always. There is no moment in a feeding where it 'switches over'.
True or false: Lactation is based on a communication loop, with your baby sending your body messages and your body tailoring your milk to exactly what your baby needs.
Avoid bottles in the early days if you can
Remember: you have everything your baby needs. There are risks to introducing unnecessary formula, so in the absence of a medical necessity, it's better to avoid it if possible.
The AAP recommends waiting 4 weeks to introduce artificial nipples.

Babies learn to breastfeed by breastfeeding.
Your body knows what to do!
After your baby is born, your breasts won't feel any different at first; this is normal!
Remember, you already have colostrum, so your baby will have enough to eat.
Your body will change over to mature milk on day 3-5
TRUE. As your baby is exposed to germs in her environment, she communicates it to your body. You begin making antibodies and passing them to her. Your baby will also let your body know what she needs in terms of quantity of milk and also fat content.
FALSE. Aside from those, breastmilk has hundreds of other bioactive components, including stem cells, immune cells, probiotics, prebiotics, and self-digesting fats. Science is still discovering all of the amazing things in breastmilk.
True or false: Mom's milk has a mild laxative effect, particularly in the first few days, to encourage baby to pass their stool.
TRUE. Colostrum in particular helps babies to pass their first stool (meconium), which helps to prevent jaundice.
Human babies are made to be carried close to their mamas and fed frequently. Human milk is designed right along with this. Wearing your baby in a carrier is a great way to meet his needs!
Human milk is not made for nesting
Why Breastfeed?
It's biologically normal. Mothers' milk is made especially for human babies and has everything they need to grow strong and healthy!
Why it's great for babies
Your milk has exactly what your baby needs as she grows
Lowers risk of many infections.
Lowers risk of allergies, asthma, childhood cancers, obesity, diabetes, and SIDS
Helps to develop baby's immune system and gut flora.
Improved speech and dental development
Why it's great for moms
Helps flatten your stomach and lessen bleeding after birth
Reduces risk of some cancers
It's free! Have you priced formula lately?
Totally green!
Helps moms lose pregnancy weight
Never gets recalled! No worries about contamination.
It's a superpower!
This triggers your milk ejection reflex, otherwise known as a letdown
Most mothers will have multiple letdowns during each feeding, but they may only notice the first one

True or false: human milk has only a few ingredients: water, lactose (milk sugar), protein, and fat.
Skin to Skin
Skin to skin contact is so important for babies, both in the first hour of life and also throughout infancy. It also triggers baby's natural instincts to feed and facilitates nursing.
Oxytocin is released with nipple stretching
Getting comfortable with nursing
There is no right or wrong way to breastfeed. The right position is the one that works for you in the moment. Don't be afraid to change it up and experiment to see what works!
Cradle hold
In any position, baby should be tummy to tummy with mom and have hands free.
Cross cradle hold
This is a great one for newborns!
Football hold
Side lying
When should I nurse my baby?
Whenever the baby wants it!
Don't wait until the baby cries
This can make feeding more difficult. Calm baby and then offer the breast again.
Newborns are nocturnal
Cluster feeding
Babies will sometimes feed very frequently for a stretch of time. This is normal. Newborns often do it overnight, and older babies will sometimes cluster feed in the evenings ("the evening crankies")
Comfort nursing
Babies don't only nurse for hunger. "Non-nutritive sucking" is hugely beneficial in terms of building a good milk supply and meeting your baby's needs in a healthy way.
Usually every 1-3 hours, on average.

Night time feedings are important!
Babies take in about 30% of their calories overnight. They are smart and know that moms have more milk overnight.
The American Academy of Pediatrics recommends waiting a month before introducing any artificial nipples, as they can interfere with breastfeeding
Pacifier use can cause missed feedings due to missed feeding cues. This can impact baby's weight gain and mom's milk supply.
After one month of age, AAP recommends them only when sleeping for SIDS prevention.
Getting a good latch
A nice deep latch is key for mom's comfort and also for baby's milk intake.
How do I know everything is going well?
Baby is gaining weight well (or not losing too much, in the first few days)
Baby is having plenty of wet and dirty diapers (6-8 wets per day after the first week)
Nursing is comfortable for mom
Breasts are softer after nursing (after day 3 or 4)
For the first week, keep track of feedings and diapers
Do I have to eat a special diet?
Not really. Eat what you love.
Try to eat healthy so you have plenty of energy to care for yourself and your baby
Roughly 500 extra calories daily
Caffeine is all right in moderation for most babies
"We have a wedding to go to......"
keep it to no more than 1 drink per hour
No need to pump and dump!
Baby may not like the taste of the milk
Use common sense; if you feel drunk, you may want to wait to feed your baby
Shopping for a nursing bra
Easy to open and close
For the early weeks, buy one or two soft, stretchy, supportive bras; your breasts will change size frequently in the early days
Not a great idea to buy several nursing bras before baby
Washable and supportive
Stay away from underwires
What about a pump?
The first weeks should be focused on baby to breast. Before buying a pump, contact your insurance company; they will probably cover one!
Mature Milk
Adjustment period for both mom and baby
Not everyone gets engorged
Nurse frequently
Use heat/cold
Ibuprofen or tylenol
Do I need a nursing pillow?
You can just use regular pillows if you prefer, although many moms like to use a nursing pillow, especially in the early days. There are a lot of choices if you decide you would like one.
Common Concerns
Partner feels left out
There are lots of other things to do with baby besides feeding!
Baby won't latch
Watch those feeding cues, get help from an LC
If you are having pain, it means you need some extra support. Don't be afraid to get it!
Remember: Problems have solutions!
"I don't have enough milk" or "my baby isn't getting enough"
Are you nursing frequently enough?
Breastfeeding/diaper log
Weight checks prior to feed and then after
Lots of LC support
Trust your bodies; you were made to do this!
#1 Reason moms stop breastfeeding:
In person:
Outer Cape Moms' Group
Hospital breastfeeding groups
Liz and Lindsay
Local WIC office
nbci.ca (Dr. Jack Newman's website)
Infantrisk.org (medications and breastfeeding)
Feel free to email me as long as it's not an urgent question!
Thank you for giving your baby the very best start!
Get comfortable:
Pick a comfortable spot
and make a 'nursing nest'
for yourself:
remotes and phones
water bottle
ameda video
Full transcript