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Keep It Simple! Make It Real Amy Spangler, MN, RN, IBCLC How long will you 2 Questions… breastfeed? § How long will you § Will not breastfeed? § Unsure § Baby decides § Why have you stopped? § Morning and night only § 6 weeks § 12 weeks § 4-6 months § 1 year What does the Why have you stopped? evidence tell us? § Insufficient milk § Insufficient milk § Pain - Perceived insufficient milk is nothing new § Return to work / school - Reflects a lack of _________ § Baby prefers bottle § Baby has teeth § Pregnant 1 What does the evidence tell us? § Pain __ out of 5 mothers report pain. What does the evidence tell us? § Return to work / school ____ percent of women with children under 3 years of age work outside the home. What does the evidence tell us? § Baby prefers bottle There is ___ evidence for nipple preference / confusion. 2 What does the evidence tell us? § Baby has teeth Babies are unlikely to ___ the ___ that feeds them! What does the evidence tell us? § Pregnant women ___ breastfeed. § Breastfeeding women ___ get pregnant. If breastfeeding is normal… Why is it so hard? 3 Unrealistic expectations How do normal breastfed babies behave? What parents NEED to know or NOT 4 FACTS • All babies poop, pee, eat, sleep, cry, and grow. 2 Questions § How often? § What color? POOP / PEE EAT 4 Questions § How often will my baby breastfeed? § How long will a feeding last? § How much breast milk does my baby take at a feeding? § When should I introduce solid foods? 5 HUNGER CUES SLEEP 3 Questions § When will my baby sleep through the night? § Do I need to wake my baby to breastfeed? § Can I sleep with my baby? Cry 3 Questions § Why? – Hungry, fussy, wet or dirty diaper, hot, cold, sick § What to do? – Feed, hold, change, unwrap, wrap, call doctor § Can’t cope? – Keep baby safe 6 3 Questions § How much weight should my Toss Out The baby lose in the first days of life? Rule Book § When should my baby be back to birth weight? § How much weight should my baby gain in the first weeks/ months of life? Rule #1 Feed the baby! 7 Rule #2 See Rule #1 Neonate vs. Infant Essential Ingredients § Breast Milk production § Neonate: birth 1 month § Infant: 1 month 1 year § Brain Milk release § Baby Milk transfer Location, Location, Location! Breastfeeding Atlas [email protected] 8 Breastfeeding Atlas Breastfeeding Atlas [email protected] [email protected] Science is a Guide Create a Safe Space Not a Prescription § Early and often § Ask questions § Position well § Answer questions § Signs milk transfer § Pacifiers / supplements § Not working / Get help Include VIPs § A knowledgeable, supportive partner § A knowledgeable, supportive professional 9 Wave Red Flags • No sign of milk transfer • Continued weight loss • Weight loss > 7 percent • Black stools on day 4 • Green stools on day 5 • Below birth weight at 2 weeks • “Something doesn’t seem right.” Health Care Provider Role? • How to parent? • Or the skills to parent well? 10 [email protected] www.babygooroo.com 11 .

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