Breastfeeding Resource Guide Congratulations on the Decision to Breastfeed Your Baby Or Provide Supplementing a Breastfed Newborn
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Breastfeeding Resource Guide Congratulations on the decision to breastfeed your baby or provide Supplementing a Breastfed Newborn .....................15 6 Frequently Asked Questions ...................32 milk by pumping your breasts. Your milk is best for your baby. And The Fussy Baby .........................................16 Mother Issues .............................................16 7 Individualized Care Plans ......................35 for the baby who is ready, willing and able, breastfeeding is the best Sore Nipples ...........................................16 1-Breastfeeding the Healthy, Full-Term Newborn .............35 delivery system for getting your milk into your baby. Flat or Inverted Nipples. 17 2-The Full-Term Baby Who is Not Yet Breastfeeding Well ......36 Breast Engorgement ....................................17 3-Breastfeeding the Late Preterm Baby (34 to 37 Weeks) ......36 Plugged Milk Ducts and Mastitis . .18 4-Breastfeeding the Tongue-Tied Infant .....................37 This booklet was written to help you understand the The staff nurses at TriHealth have had training to help Breast Surgery or Injury .................................18 5-Breastfeeding with a Nipple Shield ........................38 basics of breastfeeding, such as how to: mothers start breastfeeding, and international board 6-Baby’s Intake and Output Record of Feedings and Diaper certified lactation consultants (IBCLC) or breastfeeding 4 Expressing and Storing Mother’s Milk ...........19 Changes . .39 • Know that you are making enough milk and support technicians (BST) also see breastfeeding Reasons for Expressing Milk . .19 7-Manual (Hand) Expression of Milk ........................ 40 whether your baby is getting enough of it mothers during their stay in the hospital. Once you Expressing Milk by Hand ...................................19 8-Establishing Milk Production with a Hospital-Grade Electric Expressing Milk with a Breast Pump .........................19 • Position your baby for feeding and your baby are home, the IBCLCs and BSTs are Breast Pump . 40 still available to answer breastfeeding questions or Types of Breast Pumps .....................................20 9-Storing Breast Milk for a Baby in the NICU/SCN .............41 • Deal with common breastfeeding concerns concerns. Private consultation also is available. To Personal Pumps ........................................20 10-Breast Pump Issues .....................................41 contact TriHealth Breastfeeding and Lactation Support Rental Pumps ..........................................20 11-Supporting Breastfeeding if a Newborn is Supplemented by • Remove (pump) and store your milk for later use Services, call our Warmline at 513-862-PUMP (7867). Pumping for a Newborn Baby ..............................20 Bottle . .42 • Find sources of breastfeeding information, Returning to Work .........................................20 12-Weaning from a Breast Pump . .43 support and help. Storage of Breast Milk .....................................21 13-Pumping Record . .45 Weaning from a Breast Pump. 21 14-Breast Engorgement ...................................46 TriHealth Lactation Consultants • 513 862 7867 15-Sore or Damaged Nipples . .46 5 Breastfeeding and Mother’s Milk for the Premature 16-Flat or Inverted Nipples. 47 © Copyright 2012 by TriHealth, Inc. No part of this publication may be reproduced or transmitted or Sick Newborn. 23 17-Plugged Milk Ducts and Mastitis ........................ 48 in any form or by any means without written permission from TriHealth. All rights reserved. Mother’s Milk in NICU/SCN .................................23 18-Overproduction and Overactive Letdown. 48 Begin Pumping Soon After Baby’s Birth . .23 How to Pump ..........................................24 8 Resources ....................................50 Where to Pump at the Hospital . .24 Breastfeeding Support: Groups and Phone Information .......50 Special Program: The Gift of Donor Milk .....................24 Medela® Breast Pump Rental and Sales in Greater Cincinnati. .50 CONTENTS Preparing for Discharge from the Hospital ...................24 Medela® Maternity/Nursing Bra Dealers .....................51 Will the Breast Pump I Have Work as Well as the Hospital Selected Reading. 51 Pump? ...............................................25 Internet Breastfeeding Help ................................53 Breastfeeding Your Baby . 4 Mother’s Comfort .........................................10 1 Does Health Care Insurance, Medicaid or WIC Cover Pump Baby’s Intake and Output Record of Feedings and Diaper Why Breastfeed? ...........................................4 Cramping . .10 Rental Fees?. .25 Changes . .54 Making Mother’s Milk .......................................4 Baby’s Latch and Mother’s Nipples. .10 Before Discharge. .25 Pumping Record ..........................................55 Time to Eat ...............................................11 How Breastfeeding Works . 5 Pumping at Home . .25 How Often .............................................11 How Breasts Make Milk ...................................5 Where to Pump .........................................25 How Long. 11 How to Make Enough Milk ................................5 When to Pump . .26 Putting it Together . 11 The Letdown Reflex ......................................5 How to Establish, Maintain or Increase Good Milk Is Baby Getting Enough? .................................12 How a Baby Gets Milk Out of the Breasts ...................5 Production. .26 Cluster Feeding and Growth Spurts. .12 Take Care of Yourself ....................................26 Developing a Support Team. .12 2 The Basics of Breastfeeding ..................... 7 If Milk Production is Low .................................27 First Breastfeeding .........................................7 Help — I Want to Stop Pumping! . .28 Baby-Led Latch/Attachment to Breast .....................7 3 Common Questions and Concerns .............14 Baby Steps to Breastfeeding . .28 Watching for Feeding Cues ...............................7 Breastfeeding is a Learned Art ..............................14 Learning Baby’s Cues . .29 Settling Down to Breastfeed. 7 Baby Issues ...............................................14 Levels in Breastfeeding Progress ............................29 Getting into Position . 7 The Sleepy Baby ........................................14 Preparing for Each Level of Breastfeeding .................30 Breastfeeding Positions ..................................8 Other Reasons for a Sleepy Baby .........................15 Baby Latches to the Breast. .9 When a Nipple Shield is Suggested .......................15 2 3 1. Breastfeeding Your Baby Organization (WHO) recommend exclusive although it may sometimes seem to be tinged with demand for mother’s milk, which tells the breasts how breastfeeding for a baby’s first six months. The another color. Sometimes a mother’s milk may have much milk to produce. When milk builds up in the Why Breastfeed? AAP then recommends continued breastfeeding at a bluish or greenish tint. lumen, a chemical is sent into the milk-making cells least until a baby’s first birthday as solid foods are telling them to slow milk production. Only a mother’s own milk contains many different gradually added. Because of a toddler’s immature How Breastfeeding Works kinds of disease-fighting factors to protect a baby immune system, the WHO recommends continued It is not unusual for one breast to produce more milk How Breasts Make Milk from all kinds of illnesses. Breastfed babies are much breastfeeding at least until a baby’s second birthday. than the other. Such differences in milk production Breasts come in all shapes and sizes. Whether large less likely to suffer from infections that cause diarrhea, A mother’s milk continues to provide important are common and rarely cause a problem for a baby or small, most breasts can do a good job of making earache, colds and stuffy noses, and other symptoms. nutrients, illness protection and a good way to or mother. When a mother lets her baby breastfeed enough milk. And most can make plenty of milk for Sudden Infant Death Syndrome (SIDS) also occurs less comfort a toddler, so breastfeeding should continue whenever the baby acts hungry, and she also alternates one, two and even three or four babies! often for breastfed babies. Because a mother’s own as long as a mother and her baby continue to enjoy which breast is used from one feeding to the next, she is milk is created for her baby, it contains just the right most likely to make the amount of milk a baby needs for its benefits. A change in the breasts or breast tenderness is often balance of nutrients in the most digestible form. This good growth and development. the first physical sign of pregnancy. As pregnancy means a baby’s body and brain can grow and develop Making Mother’s Milk continues, the breasts grow larger as they prepare for For mothers who depend on breast pumping to remove just as nature intended. Breastfed babies also are less breastfeeding. The breasts begin to make milk by the milk, see section 4 for more information. And if your likely to develop diabetes or be extremely overweight During the second half of pregnancy and the first few 20th week, about halfway through pregnancy. Some baby is in the Neonatal Intensive Care Unit (NICU) or obese during childhood. days after baby’s birth, the milk a woman produces is called colostrum. Colostrum is all that most full- women find a bit of milk leaks from the breasts during or Special