Showing posts with label breastfeeding. Show all posts
Showing posts with label breastfeeding. Show all posts

Thursday, July 8, 2010

Breastfeeding H.E.L.P.S.

This is a great "cheat sheet" about what to remember in the early days of nursing. I found this at http://www.mountnittany.org/departments/maternity-services/tips-and-support, but I thought it was so good, I wanted to repost it, and modify the Support section a bit.

BREASTFEEDING H.E.L.P.S.

H: Hunger Cues

  • Awakening
  • Soft sounds
  • Mouthing (licking lips, sticking out tongue)
  • Rooting (turning head and opening mouth)
  • Hand moving towards mouth
  • Cries that get louder and louder (last sign!)

E: Expectations (Minimum)

  • 8 to 12 feedings/24 hours
  • Day 1: 1 wet diaper; 1 soiled diaper
  • Day 2: 2 wet diapers; 2 soiled diapers
  • Day 3: 3 wet diapers; 2 soiled diapers
  • Day 4: 4 wet diapers; 3 soiled diapers
  • Day 5: 5 wet diapers; 3 soiled diapers
  • Day 6: 6 wet diapers; 4 soiled diapers
  • Day 7 and thereafter: same as Day 6

L: Latch-On

  • Hold breast in shape to match angle of baby's face
  • Tickle baby's lips with nipple
  • WAIT until baby's mouth opens WIDE
  • Move baby to breast, leading with the chin (not the nose)
  • Break suction gently if needed

P: Positioning (Mom & Baby Comfortable!)

  • Mom and baby well-supported
  • Baby's ear, shoulder and hip in straight line
  • Baby's face isn't turned
  • If in cradle or cross-cradle holds, place "tummy to tummy"
  • Bring baby to breast, not breast to baby!

S: Support

Friday, January 1, 2010

Sour Milk?

If you are breastfeeding, and your pumped milk tastes bad (can range from soapy to rancid) and your nursling will not drink it, even when you've followed good storage procedures, the problem is likely excess lipase in your milk. This is not a problem when baby nurses "from the tap" or with freshly pumped milk, but after a short time at room temperature, or in the fridge or freezer, the lipase starts breaking down the fat in your expressed breast milk (EBM) and it changes the flavor. If your baby will drink it, it's not a problem, but if your baby refuses the milk, you can scald the milk stop this from happening.

More info on excess lipase from Kellymom:
http://www.kellymom.com/bf/pumping/lipase-expressedmilk.html

I dealt with excess lipase on the rare occasions that I pumped milk. (The Little Missy would never drink EBM, no matter how fresh or how many times I tried.) Here's what I found about how to scald the milk easily, and it worked well for me when I did it. I pumped into a standard bottle, then put the bottle in a Munchkin bottle warmer and use a little extra water than the instructions said so that it would get extra hot (I used almost 1/4 cup) . I bought a digital meat thermometer that I used to make sure the milk would get up to 180 degrees (or 165 degrees for a full 15 seconds), which wasn't difficult. Then I put the bottle in a cup of ice water to cool it down quickly. Just don't do this with glass bottles or they can break. (I used the BPA free "breastmilk storage bottles" from Evenflo, and I know the Medela ones are BPA free too.)

Here is a very long thread on the LaLeche League forums about various ways of dealing with excess lipase. (This is where I found the tip about using a bottle warmer.)
http://forums.llli.org/showthread.php?t=297

Wednesday, December 16, 2009

Improving Night-time Sleep

Little Missy is 20 months and still nurses at least once overnight, so take this with a grain of salt, but she's never been a great sleeper, so we've had to do a lot to get her sleeping for longer stretches over the past year and a half or so...

Friday, August 28, 2009

Introducing straw cups and sippy cups to breastfed babies

Since I'm a SAHM, we never really had a need to introduce bottles to the Little Missy. We took a few bottles when I went to a wedding when she was 6 weeks old, but then by the next time we tried to offer one, she had decided she only liked her milk from the tap. I tried every bottle out there, but she was too smart for my tricks.