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Breastfeeding – Introduction

 

How to start breastfeeding?

Making the decision to breastfeed is a personal matter. Although doctors strongly recommend breastfeeding, the decision is up to “you and to your body’s ability to do it”.* I have some tips for you to start breastfeeding.

What Are the ABCs of Breastfeeding?

A = Awareness. Watch for your baby’s signs of hunger, and breastfeed whenever your baby is hungry. This is called “on demand” feeding.

B = Be patient. Breastfeed as long as your baby wants to nurse each time. Infants typically breastfeed for 15 minutes on each breast.

C = Comfort. This is key. Relax while breastfeeding, and your milk is more likely to “let down” and flow. Get yourself comfortable with pillows as needed to support you begin to breastfeed. Wear wide clothes, put your hair up, listen to music, make sure nothing is bothering you while you feed, and so on.

 

The first time you hold your newborn is a great time to start nursing. You can be in a sitting/semi-sitting position.

At the beginning, your body will produce very small amounts of a special milk called colostrum. It will be enough for your baby to fill up, so don’t worry about the amounts just yet. Now, let’s get started

  1. Position yourself comfortably. There are several feeding positions that you can choose from. If you’re in the sitting position: have proper back support, place a pillow on your lap to help you keep your back straight and arms resting on it. Support your feet by a footrest if you like. Remember: having an arched back or tense chest muscles may reduce the milk flow. So, relax!
  1. Position baby close to you, chest to chest, tummy to tummy, so that he does not have to turn his head or extend it too far to reach your breast. His mouth and nose should be facing your nipple.
  1. Support your breast using a C-hold: fingers underneath, thumb on top – all well away from the areola.
  1. Attach or latch baby onto your breast. Use your nipple to tickle the center of your baby’s bottom lip. This will encourage him to open his mouth wide. Aim your nipple slightly towards the roof of his mouth, bringing the baby to you chin first and pull him close by supporting his back, so that his chin drives into your breast. His nose will be touching your breast. Your hand forms a “second neck” for your baby. Good latch-on checkpoints for your baby include:

– his nose is nearly touching your breast

– his lips are flanged

– His mouth is covering a big part of the areola below the nipple, and your nipple should be far back in your baby’s mouth.

  1. Check if there’s pain! If the latch is uncomfortable or painful, gently place your finger in the baby’s mouth, between his gums, to detach him and try again.
  1. While feeding, keep drinking. It will help you produce more milk.
  1. After your baby finishes or if you notice that he’s suffering from his tummy (pulls up an starts crying), it’s burping time! Burping frees up room in your baby’s tummy so he can settle in and feed longer. It can also be beneficial for babies who spit up often. Don’t bother burping your baby if she seems content or falls asleep during or after a feeding.

 

How to burp your baby:

There are different burping methods you can try. Before trying either burping position, put a cloth over your shoulder (and even down your back) to protect your clothes from spit-up.

  1. On the chest or shoulder:

Hold your baby against your chest so his chin is resting on your shoulder. Support him with one hand and gently pat or rub his back with the other.

  1. Sitting on your lap:

Sit your baby on your lap facing away from you. Use one hand to support his body, the palm of your hand supporting his chest while your fingers gently support his chin and jaw. (Make sure you’re not putting your fingers around his throat.) Lean your baby slightly forward and gently pat or rub his back with your other hand.

  1. Face down across your lap:

Lay your baby face down on your legs so she’s lying across your knees, perpendicular to your body. Support her chin and jaw with one hand. Make sure your baby’s head isn’t lower than the rest of her body. Pat or rub her back with the other hand.

 

Let someone help you the first few times with holding the baby’s head facing the breast. Don’t panic if your newborn seems to have trouble finding or staying on your nipple – breastfeeding requires lots of practice.

 

If you have a premature baby, you may not be able to nurse right away, but you should start pumping your milk. Your baby will receive this milk through a tube or a bottle until she’s strong enough to nurse. Once your baby latches on properly, she’ll do the rest.

 

So, how often should you nurse? Frequently. The more you nurse, the more milk you’ll produce. Nursing eight to 12 times every 24 hours would be the best. Also, discuss supplementation of both iron and vitamin D with your pediatrician.

 

How to know that the baby is having enough milk? If your baby is gaining weight and seems contented after most breastfeeds; he’s fine! Also, keep an eye on your baby’s diapers. In the first couple of days after birth, your baby should wet several nappies a day. He’ll also pass one or more poos (meconium) a day.

 

Over the next few days, your baby’s poos will turn from dark and sticky to yellow and soft. He should have at least six wet nappies every 24 hours – once he’s more than five days old. If your baby has dry-ish nappies, and doesn’t poo often, it can be a sign that he’s not getting enough fluid.

 

If you’re at worried that your baby isn’t getting enough milk, try these steps:

– Feed more often.

– Watch for cues that your baby is hungry: making sucking noises, or turning his head towards you with an open mouth (rooting).

– Let your baby stay on one breast for as long as he seems to want to, before switching to the other breast. This allows him to get the filling fat-rich milk that comes at the end of the feed.

 

Wishing you and your family the best of health.

Preparing for Surgery Part1

Facing surgery can be a frightening experience. You may be having questions, fears, and doubts. Research suggests that people who prepare mentally and physically for surgery have fewer complications, less pain and recover more quickly than others.
This episode is to guide you through the preparation process for surgery.

While emotional preparation is a necessary, preparing physically is also important for a successful surgical outcome. In the 2 weeks before your surgery, you should:
Stop smoking and alcohol drinking.
Eat a healthy diet.
Avoid aspirin, vitamin E, multivitamins, or other medications that interfere with blood clotting for a week before your surgery. Discuss it with your health care provider before stopping any medication.
Exercise regularly.

Some days before surgery, you’ll be asked to attend a pre-operative assessment, which may be an appointment with a nurse or doctor. You’ll be asked questions about your health, and some medical tests will be carried out.
Make sure that you inform your doctor about all the medications, vitamins and herbal supplements you take.
You’ll be given clear information on:
whether you need to stop eating and drinking in the hours before your operation
whether you should stop taking your usual medications before going into hospital
what to bring with you into hospital
how long you’ll be statying at the hospital
If your doctor has instructed you to fast before the operation, it’s really important that you don’t eat or drink anything – this includes light snacks, sweets and water. You need an empty stomach during surgery, so you don’t vomit while you’re under anaesthetic.
If you take insulin because of diabetes you’ll still need to avoid eating and drinking before surgery, but make sure your medical team is aware of your condition.

You’ll need to remove all body piercings, make-up and nail polish before your operation. This can help to reduce unwanted bacteria being brought into the hospital. Also, the doctors will need to see your skin and nails to make sure your blood circulation is healthy during the opeartion.

If you’re staying in hospital, you may wish to pack a hospital bag.

You may want to check with your hospital about their policy on the use of electronic devices during your hospital stay.

Let your surgeon know if you develop a cough, cold or fever a few days before surgery. They’ll advise whether your operation can go ahead.

You should avoid certain foods and dietary supplements before surgery.
having food in your system may cause nausea and vomiting, which can be dangerous. Some foods may complicate intestinal surgeries or cause diarrhea. In addition to this, Your doctor or surgeon will give you diet advice prior to surgery.
The night before your surgery, you should only drink beverages you can see through. Your body will digest these drinks quickly so your digestive system is cleared for surgery. Avoid juice with pulp, coffee with cream, cola and milk.
While fibrous foods are normally healthy for your body, you should not consume them prior to surgery. Fiber takes a longer period of time for your body to break down and your bowels need to be cleared out before surgery. Avoid high-fiber foods such as whole-wheat pasta, oatmeal, whole-grain bread, beans and lentils, artichokes, peas and broccoli, raspberries, pears, apples and oranges.
Your doctor may recommend that you stop taking any supplements one week before surgery.