Benefits of breast feeding for mom
Helps her move through PPT Period
Helps with contraction of uterus/speeding recovery
Recreation of equilibrium/wt loss
More calorie expenditure (activates metabolism)
Closeness too baby + fulfillment
Skin to skin responsiveness
Can potentially delay menses (NOT a reliable form of birth control)
Types of milk
Colostrum
- First
- Liquid gold
- Yellowish to clear
- Easy to digest
- Natural laxative (sterile guts, helps expel meconium “plug.”)
- High in protein, antibodies and immunoglobulins
- Everything an immature gut needs
Mature milk
- Greater amounts and increases with bab’s wt and appetite
- Changes from foremilk - high in H2O and lactose
- to hind milk - high in fat and calories
- Contains water, fat, carbs, protein, vitamins, and minerals, amino acids, enzymes, and white cells
What type of milk is produced in a single feeds
Full breast feed has both foremilk and hind milk at the beginning and end of the breast feed
Mom’s that want to BF
should not delay because if breast milk isn’t used then it won’t pick up afterward
First feed
Place newborn skin to skin, ideally within first hour of birth (try to BF within 30 minutes of birth)
Feeding cues
Crying is a late cue - this means other feeding cues have been missed
Feeding cues
-Hands, mouthm rooting (moving head looking for nipples)
- Mouth opening
- lick lipping
- sucking
- clenching fingers and fists over chest and tummy, bending arms and legs and fussiness
Crying is a late cue - this means other feeding cues have been missed
Cradle position
Not a lot of control over neonate
Lack of dexterity in elboq
Modified cradle (cross cradle)
1-3 pillows on lap (supports baby)
Opposite arm to side of breastfeeding across body
Hold breast with same side arm
More dexterity
Laid back position
Helpful for mom because she is reclined, more comfortable
Mimics position after birth
relaxes mom, more positive breast feeding experience
Football hold
Same hand, same breast
For larger pendulous breasts
Don’t have to support breast
Could be helpful for C-section moms, don’t have to put baby on incision site
Side lying position
If mom can;t sit upright
Laying down
Latch on lower breast
Challenging to see what’s going on
Not good for brand new mom because no healthy routine established
Latching
Tummy to mummy
Nose to nipple
Baby to breast
Nipple is drawn back beyound hard palate, elongated and floating in the mouth
Good latch = good seal, no sucking sound, no air flow
Pinching is NOT good, causes sore nipples and cracking
Can be some discomfort or pain during the learning process
Signs of a good latch for baby
Flared lips (both lips visible on top and below the nipple)
Relaxed not chomping
Tongue extends over the lower jaqw and cups the teat
Swallowing sound - short ahh or “ca” no clicking/ smacking
Baby’s ears are moving up and down (suck and swallow)
Round cheecks, chin on breast, nose slightly away
Signs of a good latch for mom
Nipple pain free once latched tugging sensation, nipple round and elongated when baby done
How big is a babies stomach on day one and 2
5-7 mL
How many pees or poos in first 24 hours
1 wet diaper
at least 1 black poop
Size of babies stomach from days 3-7
22-27 mL (Ping pong ball)
How often feeding baby
8 or more times per day ((every 1-3 hours_ including 2-3 night time feeds
Size of baby stomach after 2 weeks
Size of an egg
Poop color within first week
Brown/black, green, yellow
Formula fed baby poop colour
Anything but white
BF baby poop smell
Not smelly, not much waste
Normal labour
Regular progression of uterine contractions
Longer, stronger, closer together
Effacement & progressive dilation of the cervix
Progress in the descent of the presenting parts
- Cervix needs to thin out
Woman who are not pregnant cervix
Closed
