Feeding Guidelines
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GETTING BREASTFEEDING STARTED DOYLESTOWN HOSPITAL, DOYLESTOWN PA Keep your baby with you day and night to learn and respond to your baby’s feeding behavior Watch your baby & not the clock!! STIMULATING YOUR BABY FOR FEEDINGS □ Burp your baby before, between and after feedings □ Place your baby skin to skin on mother or father □ Express colostrum onto your baby’s lips □ Massage and compress your breast during feeding NIPPLE TENDERNESS BREAST CARE □ Apply small amount of lanolin to your nipple after the feeding. □ Express colostrum or milk and massage into your nipple Keep the breasts exposed to the air as much as possible after feeding to keep nipple skin healthy – air dry before □ Wear breast shells inside your bra between feeds to provide replacing clothing air circulation FEEDING GUIDELINES □ If nipple skin is cracked, apply saline soaks for 15-20 minutes □ Watch your baby for signs of hunger – rapid eye in a nursing pad before applying lanolin. movement (REM), wriggling, bringing hands to the face, ENGORGEMENT sucking sounds or motions. □ Massage and apply moist warm compresses, for a few □ Feed on your baby’s cue or every 1-3 hours – minimum minutes of 8 feeds per 24 hours □ Apply ice packs or cool compresses after the feed to relieve □ **Place no restrictions on frequency or duration discomfort and inflammation. □ Try to nurse at least 20-30 minutes on the first breast; □ Use a breast pump for a few minutes to form the nipple then offer the second breast □ If your baby did not remove enough milk to relieve fullness, □ Your baby may cluster feed every 1-2 hours with longer pump only for comfort sleep periods, this is normal especially on nights 2&3 after birth NUTRITION □ □ Colostrum transitions to mature milk on day 3-4; full Follow a healthy diet; prenatal guidelines do not apply to production is established at 3 weeks breastfeeding. □ □ Breastfeed exclusively for 6 months with no water or May consume moderate amounts of caffeine in the morning – other supplements; continue to breastfeed to 12 months watch your baby for signs of sensitivity or as long as mom and baby desire. □ Limit Albacore Tuna to 6 ounces in 1 week POSITIONING AND LATCH □ Wait 2-3 hours after each alcoholic drink or until you no □ Practice all positions: football, cross cradle, side lying longer feel the effects of the alcohol before breastfeeding and cradle and laidback. WHY WE SUGGEST YOU AVOID BOTTLES AND PACIFIERS □ Form a breast sandwich to help baby latch. Finger and □ Wait 3 weeks to introduce a bottle, and 4 weeks for a pacifier thumb located where baby’s nose & chin are. until breastfeeding is established □ Wait for a wide open mouth and then bring your baby to □ Frequent breastfeeding stimulates milk production your breast quickly □ Pacifiers and bottles decrease time at the breast and may □ Watch for more of the baby’s mouth toward the bottom lead to low milk production of the areola, chin touching the breast, and lips flared □ Pacifiers and bottles teach a baby how to suck differently and Signs of Effective Feeds may lead to sore nipples □ Pattern of suck, swallow, breathe during feeds EXPRESSING AND SAVING MILK □ Audible swallowing with high volume of milk □ Store in glass bottles, BPA-free hard plastic bottles or □ Baby is satisfied and content after feeds specially designed breast milk storage bags. □ Breastmilk storage guidelines: □ Starting on Day 5: 6 wet and 3 soiled diapers per day Room temperature at 77°F or 25°C Up to4-6 hours □ Baby gains 5-7 ounces (142-198 grams) per week after Refrigerator (fresh expressed) at 39°F or Up to 4-6 days full milk production is established. 4°C Insulated cooler with frozen gel packs Up to 24 hours (transported milk) at 59°F or 15°C Completely thawed & placed in Up to 24 hours The more you nurse, the more milk you make. refrigerator at 39°F or 4°C Freezer compartment of 2-door □ Warm only to body temperature (37°C/98.6°F) Up to 3-6 months refrigerator (not in door) at 23°F or -5°C □ Warm only the amount that will be fed to the baby and discard Deep freezer at -4°F or -20°C Up to 6-12 months any milk that was warmed and not used □ Thaw either in refrigerator overnight, in a pan of □ Do not microwave Breastmilk lukewarm water, or directly under faucet in stream of warm water RESOURCES WE RECOMMEND YOU HAVE A GOOD BOOK ON BREASTFEEDING Breastfeeding: A Parent’s Guide, Amy Spangler, RN, IBCLC — Available at Doylestown Hospital The Nursing Mother’s Companion, Kathleen Huggins, RN, IBCLC So That’s What They’re For! Breastfeeding Basics, Janet Tamaro The Womanly Art Of Breastfeeding, La Leche League Nursing Mother, Working Mother, Gale Pryor SUPPORT GROUPS WITH VOLUNTEER COUNSELORS TO HELP YOU (No Charge) 215-572-8044 – Nursing Mothers Advisory Council – Hotline and to locate a local counselor 1-877-452-5324– La Leche League Help Line 610-584-4013 – North Penn Nursing Mothers PRIVATE PRACTICE LACTATION CONSULTANTS (Outpatient Consults for a fee) 215-534-3439 -- Cindy Jarret, RNC, IBCLC, Best for Babies- Doylestown, PA 215-837-6664 -- Jean Krauss, RN, BSN, RLC, Best for Babies- Doylestown, PA 215-385-4657 – Hope Allyson Dwiggins, IBCLC, RLC – Horsham, PA 215-346-6177 – Amy Goldberg, RN, CCE, CIMI, IBCLC, RLC Warrington, PA 610-584-6111 – Judy Crouthamel, RNC, BSN, IBCLC – Skippack, PA 19474 215-491-0502 – Cathy LaTorre, RDN, IBCLC – Warrington, PA 18976 267-231-9442 – Susan Slear, RN, IBCLC, CCE – Langhorne, PA 19047 215-679-4028 – Phyllis Young, RNC, IBCLC – Pennsburg, PA 18073 215-886-2433 – Breastfeeding Resource Center – 1355 Old York Rd Ste 101&102 Abington, PA 19001 BREASTFEEDING SUPPLIES 215-345-2200 – Doylestown Hospital Breastfeeding Supplies – Extension 4637 (Medela) 215-886-2433 – Breastfeeding Resource Center – 1355 Old York Rd Ste 101&102 Abington, PA (Medela, Ameda) Doylestown Hospital Website - www.dh.org Provides breast feeding information along with feeding and diaper records to download HELPFUL WEBSITES www.ilca.org - Find a Lactation Consultant www.nursingmoms.net / www.laleche.org / www.workandpump.com FORM # 637-014 pink stock 1.2016 www.kellymom.com / www.Breastfeedingusa.org FORM # 637-014 pink stock 1.2016 .