Jan Ellen Brown
*BS, IBCLC
*LactSpeak Official Professional Speaker
*Charlotte Pediatric Clinic Lactation Consultant
*Co-author with Kathleen Huggins
25 Things Every Breastfeeding Mother Needs to Know *Blog meister at Hygeia.com, a dynamic new breastfeeding and breast pump company
This is a reprint of her Hygeia blog of the 10 list of breastfeeding tips for expectant mothers:
Education before lactation. Get a good primer on breastfeeding. “The Nursing Mother’s Companion” by Kathleen Huggins has guided mothers from pregnancy to weaning for over 25 years. It is updated, sequential, succinct and practical. If you still have time left, enroll in a breastfeeding class with your partner. Attend a La Leche League meeting, a must, IMHO. Have a look at www.kellymom.com.
Build your team. Like anything else, planning is key. Identify your support people from labor to homecoming. Surrounding yourself with individuals who know you and your personality and respect your mothering style makes a huge difference. Consider hiring a doula for labor and/or post-partum. Have the phone number of a lactation consultant on your speed-dial.
Early and often. This LLL adage says it all. Offer your breast soon after delivery and do it often thereafter. Babies are alert and ready after birth and later will slip in to a longer sleep, so take advantage of the magical first hours. Your first milk, colostrum, builds your baby’s immune system and stimulates meconium stool passage (you’ll see!) Plus the oxytocin released will contract your uterus (like crunches!), minimizing bleeding. Early, frequent nursing tells your body to step up and start the process. If early latch is not an option, have your nurse or LC teach hand expression or pumping ASAP; research suggests a lag in breast stimulation can slow and hamper milk production.
Skin to skin. STS is the buzzword you will hear once baby is born. We have known for years that babies do best in their parent’s arms but STS is mainstream now….holding your newborn to your bare chest enhances baby’s temperature, respiratory , heart and arousal rate. And you are flooded with hormones for maternal well-being and milk-making. But the biggest STS advantage is your baby can give subtle cues for breastfeeding readiness and is right in the ‘breastaurant,’ not swaddled up in a bassinet.
Help in the hospital. When you are birthing at a hospital or birthing center, your stay will usually be 2-3 days. These are the crucial days to get nursing know-how. Fortunately, many hospitals are getting on board and prioritizing breastfeeding. Be a squeaky wheel and ask for repeated help with latch and positioning. Try to sit in a chair and simulate how you will be sitting or lying down at home.
Rooming in 24/7. Avoid sending the baby “down to the nursery” so you can “get some rest.” Studies show this is not the case anyway. Kick visitors out so you can rest and recover and focus on your baby. There are tons of interruptions and your retention will be limited; ask your partner or a family member to advocate on your behalf when needed. Set up an appointment now with your baby’s doctor and/or a lactation consultant after discharge.
Learn the latch. While babies are born to breastfeed, it takes some practice to latch with comfort and efficacy! If you are experiencing pain or poor feedings, get help fast. Remember the ‘early and often’ part…if your baby is not latching well or you are separated, express or pump your milk. You can use this milk to give to baby, avoid formula and initiate/protect your supply in the meantime.
Home sweet home? Most mothers arrive home just as adrenaline wears off and sleep deprivation and hormones kick in. Ask a friend or family member to spruce up before your return and limit or discourage an onslaught of visitors and houseguests as you transition (unless they clean, cook and cater to you!) Baby’s first night home can be a real deal-breaker….frequent feedings, resisting sleep, gas, sneezes and hiccups…all normal and necessary. NAP WHEN BABY NAPS! No one seems to heed this, but it makes a huge difference.
Schedule, what schedule? Are you a Type A, organized, detail-oriented, multi-tasking gal? Well, fasten your seatbelt because a baby can blow all that to bits, except for the multi-tasking part. The sooner you surrender to your baby’s early needs, the less conflicted you will be. Many babies do adopt an eventual ‘schedule’ of sorts but do not expect this or impose a ‘feeding program’ with a newborn. Expect feedings clustered together and sketchy sleeping. They are not “using you as a pacifier” but instead prompting milk supply and enjoying the closeness and comfort nursing affords. Delegate and vegetate so you can rest and enjoy your random newborn.
Seek professional help Launch a preemptive strike to breastfeeding issues. Addressing early issues will make you more comfortable and offset long-term problems in many cases. If nursing is painful or not going well for you and baby then find a lactation professional to assess and guide you. You will be surprised how a few tweaks can help with positioning. Identification of what might be causing poor latch, weight loss or pain can get you on track. I have never heard a mother say “this has been a waste of time” (at least not to my face!) after a lactation consultation.
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