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Wednesday, December 28, 2016
Basic Principles for Successful Breastfeeding in Newborns
Start breastfeeding as soon as possible after birth
As soon as the baby is born, it should be milked within 30 minutes to 1 hour. I am fully educated about breastfeeding at the prenatal period and receive active help from the hospital. Cesarean section, it is often difficult to get breast milk for at least 2 or 3 days until the condition of the mother is recovered.
The child feeds whenever he wants.
One to two months after birth, you should breastfeed whenever your baby is hungry. It is an expression of hungry that a well-woken child wakes up and shows his movements or mouths open and sucks. You should breastfeed immediately. When the child starts to cry, it is late. If you want to feed and feed your child very often, it is good to have a maternity leave immediately after giving birth.
Feed at least 8 to 12 times a day
Newborns usually need to feed at intervals of one to three hours. This is an important step in promoting the early secretion of breast milk, which is necessary for the nutrition of the child. Breastfeeding increases when a child sucks milk frequently. If the newborn sleeps more than four hours, it should be eaten even if it wakes up. This is the same at night.
Feed one side with milk for 10-15 minutes, both sides
When feeding once, feed one side of milk for 10 ~ 15 minutes until it empties sufficiently and feed the other side for 10 ~ 15 minutes. Next, when breastfeeding, the first milk that has been bitten is first fried, and alternately, both milk are sucked in alternately so that the amount of milk is increased at the same time. If the children are asleep, induce them to eat both milk so that they are awake and awake.
Breastfeeding only
Breastfeeding comes as much as a child sucks, so it is very important how often you breastfeed early. On the first day, colostrum does not come out at 50cc, but when milk is sucked hardly, it increases to 500 ~ 700cc per day after 5 ~ 7 days. Therefore, if you are feeding less than the first breast feed, you will lose more milk and less milk. Even if you eat only a small amount of mother's milk for a few days after birth, you do not have to worry because it is enough for your child. Unless medically necessary, milk powder, water, sugar water, barley tea, etc. are not fed.
Do not use a bottle or pacifier.
For medical reasons, cups, spoons, syringes, etc. are used instead of feeding bottles when you inevitably need to feed formula. The nipple of the bottle and the nipple structure of the mother are different, so the children may feel confused. Soothe nipples are the same.
Breast-feeding or breastfeeding even if the mother is ill
Breastfeeding is possible in most hospitals, even after feeding at the hospital or clinic. As a rule, if you breastfeed frequently, your breastfeeding will increase enough and your child will adjust to breastfeeding. Except in very exceptional cases, most mothers have sickness and breastfeeding is possible even while taking medication. Medical precautions to prevent breastfeeding include HIV infection, early CMV infection, early HBV infection, sepsis, active tuberculosis, typhoid, breast cancer, and malaria. When you do not know, it is best to keep breastfeeding so that you can talk to your doctor, not stop breastfeeding at will.
Breastfeeding precautions
Do not feed and feed newborn babies
If you can not breastfeed yourself for medical reasons, you can breastfeed for a short period of time. However, basically, when you feed it, it does not increase the amount of breast milk, and it takes much time to sow, making feeding of milk much more difficult. In the end, breastfeeding itself is more likely to fail, so if you have no special reason, you should breastfeed yourself.
It does not feed powder, sugar or barley tea.
Some people should be dazzled by what they claim to avoid feeding the baby to the newborn. Feeding grain before four months of age can not only cause problems with digestion, but can also lead to allergies. There is no need for sugar water, nor do you need to feed barley tea before you have a baby food.
Be careful about cutting off the milk because of jaundice.
Most newborns have jaundice, which can be caused by breast-feeding and / or prolonged jaundice. When jaundice is not severe, it is improved naturally. In severe cases, breast milk is stopped for 2 ~ 3 days for the purpose of treatment and diagnosis. This decision must be followed by your doctor, and even if you stop breastfeeding, you should try to keep the milk and keep the milk dry.
Even if you have diarrhea, you will not break the milk.
Even if your child has diarrhea caused by enteritis, he does not break the milk. To avoid dehydration, I usually breastfeed as usual and get the necessary care from the hospital.
Hepatitis B holders also breast-feed
Even if your mother has a hepatitis B vaccine, if you have your baby first vaccinated with Hepabic (hepatitis B immunoglobulin) and hepatitis B immediately after birth, there is no problem starting breastfeeding. Hepatitis, whether active or inactive, is possible. It is usually managed by the obstetrics gynecology department, so breastfeeding can be carried out comfortably for the mother who is a hepatitis B holder.
Do not feed milk when milk is not enough or at night.
Mothers in postpartum care centers sometimes take milk powder at night. However, if you do not breast feed at night, breast milk does not grow properly, and breast congestion can occur. Even if it is difficult, early breastfeeding should not be stopped. Also, it is not recommended to feed the milk powder unconditionally because the milk is not enough or the weight is small. If the amount of milk is really small, try actively trying to increase your breastfeeding, but if necessary, consult an expert and supplement your formula with the proper amount. It is not desirable to give up too early and switch to formula feeding.
Proper posture and method of breastfeeding
Feeding position
Cradle posture
Most mothers can be comfortable with the most common breastfeeding position. Put your child's head in the back of your elbow and let your nipples touch your mouth. Support the back of the child with the hand of the child's head, and cover the child's butt with the other hand. The child's face is shoulder to shoulder and the hips are horizontal.
Soccer ball catching posture
It is suitable for a mother who is born with a cesarean section and can not hold a child to the abdomen, and a mother with a large or flat breast. I put a child on my mother's side, wrapped the whole child on my arms, and support my cushion under my arm. The face of the child is facing the nipple and the child body is attached to the mother. You should hold your child's head, neck and shoulders firmly with your hands and relax with your elbow supporting your child's hips so that your child's body is horizontal.
Lying posture
It is the attitude that I usually take when my mother gets tired or sleeps at night. When the mother is lying sideways, she supports her child in the arm of the breast that wants to breast feed, and laid the child at an angle to the nipple. A child is comfortable if you support a child with a towel or a pillow.
Cross-over cradle posture
A child who suffers from being wet, a child who can not clench his neck, and a good posture when she is not used to supporting a child's head. Supports the baby's body with the milk to feed and the other arm, and supports the head, neck and shoulders of the child by hand. Hold your child's whole body in close contact with your mother and let your child's mouth and nipple come into contact. Bite's hand on the breast supports the breasts and helps the baby get wet.
Nursing order
1. I put a towel around my mother's arm that the child's head touches.
2. Bite the milk. The mother's hand catches the upper part of the breast in a C-shape and makes it easy for the child to sweat. If you touch your lips with your nipples, your child will open your mouth or your mother will say "ah," and then open your mouth. At this time, push the nipple deeply so that the tongue of the child fully encloses the oil ring. When the child sucks the milk properly, the child 's jaw opens wide and pushes the breast, and the nose touches slightly on the mother' s milk. If it is not deeply bitten, the baby's nipple is not placed on the tongue of the child, so feeding is not easy, and the nipple is sucked so badly that it can cause scarring and pain.
3. Weak the milk. The mouth of the child sucking milk is close to a vacuum, so push your fingers into the edge of the child's mouth to let air into the mouth, remove the negative pressure, and then remove the child's head to the side. Be careful because when you are breastfeeding, you may get a scratch on your nipple with reflexes.
4. Trim. Children are sucking the milk and swallowing the air as well, so they should be trimmed after feeding to reduce digestion and vomiting. Hold the child straight up and hold your head against your mother's shoulder and gently wipe your back or knock it gently. Or you can sit on your lap and hold your head with one hand and sweep your back. If you do not trim, do not overdo it. Do not overdo it.
5. Eat the remaining milk. If the child has enough but still has the milk, it is better to squeeze it. If milk is left, the amount of new milk is reduced, and the milk that has accumulated may cause breast congestion or mastitis.
6. Wipe your chest and dry it. After feeding, lightly rinse with lukewarm water and dry to prevent water from remaining. Later on, it will be possible to prevent contamination of the milking pad by leaking milk.
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