Lactation 101

lactation

by Alicia Kenny

New baby? Lactation, or breastfeeding, is not only a natural, healthy way to provide the perfect mix of nutrients, hormones and proteins for your newborn, but it also creates an invaluable opportunity for mother and child to bond and develop emotional intimacy. Here are the basics:

  1. Establish breastfeeding within the first week of your baby’s birth and remember that the breasts work by “supply and demand” so you don’t have to wait for the milk to come before starting. (And colostrum, the yellowy substance secreted by the breast in the very beginning, gives your baby protection against disease!)
  2. Do your best to stay relaxed and comfortable while breastfeeding, giving Baby plenty of comforting skin contact and soft words. If necessary, help open Baby’s mouth with your finger and gently guide his or her mouth to the breast.
  3. Let Baby suck on one breast until it feels empty or for about 10-15 minutes, then offer the other one. Don’t be afraid to breastfeed whenever Baby is hungry which will probably be eight or more times per day, and unless your doctor tells you otherwise, give your baby nothing other than breast milk for the first six months. The American Dietetic Association says that, “Exclusive breastfeeding for 6 months and breastfeeding with complementary foods for at least 12 months is the ideal feeding pattern for infants.”

Besides the emotional and psychological benefits of lactation for both you and your little one, there are numerous positive physical effects for the two of you as well. For one thing, breast milk, which has been called the “gold standard of infant nutrition,” contains fatty acids essential to healthy cognitive development and visual acuity. Breastfed babies have a decreased likelihood of developing intestinal infection, eczema, allergies and dental problems. Mother’s milk contains antibodies that help protect the baby from illness and in the case of premature and critically ill babies, it is extremely important not only for the infant’s nutrition but also for the child’s very survival. Breastfeeding may also help prevent childhood obesity!

Lactation is of great value to mothers also. Postpartum hemorrhage is prevented and uterine involution (the return to a non-pregnant state) is promoted. Breastfeeding mothers also have a decreased risk of developing breast cancer, ovarian cancer, uterine cancer, heart disease and iron-deficiency anemia. Breastfeeding will help prevent another pregnancy from occurring within the first six months after his or her birth ensuring that the mother will have plenty of time to recover physically before her next pregnancy. Finally, as milk production uses an average 200-500 calories per day, breastfeeding can contribute to the loss of excess weight gained during pregnancy, a boon that has given many new moms something else to smile about! If you do make the choice to breastfeed, be sure to discuss your decision with your pediatrician or lactation consultant. Also, be aware of organizations and consultants that exist to help you with questions or problems that may arise. Two such resources are:

  1. La Leche League International – (800) LALECHE
  2. International Lactation Consultant Association – (919) 861-5577

Nursing Moms, the Let-Down Reflex and Milk Supply

Breastfeeding_mom

New moms may have the best intentions in wanting to breastfeed their newborns; but sometimes, nursing the baby doesn’t happen so effortlessly. This can lead both mom and infant to feel discouraged and want to give up trying.

But don’t give up! Your breast milk carries in it a large assortment of vital, life-sustaining nutrients, germ-fighting immunity cells, hormones, and many strains of beneficial bacteria that will colonize your baby’s gastrointestinal tract and aid digestion, as well as prevent allergies later on.

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Mother breast feeding her baby girl

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As a new mom, it’s very natural to worry about all aspects of your newborn’s health, and feedings are no exception.

How can you tell if your baby is getting enough milk? There are a number of clues that can answer this question, beginning with the cues that your little one gives you.

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Breastfeeding_2

A new study found that babies who were bottle-fed were more than twice as likely to develop hypertrophic pyloric stenosis than babies who were breastfed. This condition involves a narrowing (stenosis) of the place where the bottom part of the stomach ends and the first part of the small intestine, the duodenum, begins. It is caused by an enlargement (hypertrophy) of the smooth muscle that surrounds this passageway, the pylorus (from the Greek pyloros or gatekeeper).

As the pylorus gets thicker, food has increasing difficulty emptying from the stomach into the small intestine. This results in babies experiencing what is referred to as “projectile vomiting,” where vomit comes out forcefully and often, sometimes at an arch.

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Once mother and baby get past the initial stages of breastfeeding, which can be tricky and uncomfortable, the act becomes so easy and natural that giving it up might seem unappealing. Breastfeeding is quick and easy, while bottles and, later, solid food come with learning curves and many unique difficulties. Yet weaning has to happen sooner or later. When exactly it should happen is up to each family, though, and it is a major decision that warrants careful consideration. Many things enter into the decision of when to wean, but what should be kept at the forefront is Read More

4 Common Nursing Problems, Plus Solutions

By Eirian Hallinan

Nursing a newborn is not as simple as it may seem. Veteran moms are usually able to make it look easy by the time they get to their third or fourth child, but for new mothers, the simple fact is that breastfeeding can be challenging in numerous ways. Remember, it is not just the mother who is learning this new feeding method; it is also new to the baby, who of course cannot read books or take instructions from lactation consultants. This makes learning doubly difficult. But it is important to remember that most new mothers experience difficulties initially, and most soon get the hang of it.

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