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Showing posts from 2011

Breast Milk Production

Knowing your breastfed baby is getting enough is key to the new moms breastfeeding success.  What goes in must come out so counting wet and poopy diapers initially is essential to keeping breastfeeding on the right track.  When the baby comes home from the hospital poop is like tar and very sporadic so start by counting wet diapers.  A newborn from day 1-5 should have the number of wet diapers as days they are old.  For example a one day old will have at least one wet diaper, two day old will have two, etc.  After day 6, your baby should have six to eight wet diapers per day and at least three two four poopy diaper per day.  If you can't tell if a diaper is wet, hold a new one in one hand and the old one in the other.  You will be able to feel a weight difference if the diaper is wet.  Poop diapers should only be counted if the poop is silver dollar size or larger, not just a stain.  So as I said before, what goes in must come out.  If you baby is nursing well and getting enough m…

Exclusive Pumping: Keeping Up Breast Milk Production While Pumping

I often get moms who want to exclusively pump instead of breast feed directly.  If you choose to pump exclusively, it is very important that stimulation starts in the hospital within 1 hour of the baby's birth.  Moms should double pump with a hospital or professional quality pump like the Ameda, Medela or Hygeia hospital grade rental pumps or a brand new (not used) professional quality pump like the Ameda Purely YoursHygeia EnJoye Breast Pump or Spectra S2 Breast Pump
 To initiate milk supply, pump every 2-3 hours with a 5 hour stretch at night for a total of at least 8 times per day of 10-15 minute double pumping sessions.  Many pumping moms get discouraged during the first 3-5 days as it is hard to see much going into the bottles as colostrum comes in teaspoons, not ounces.  Do not let this dissuade you, but draw this liquid gold up in a syringe and give it to the baby as it is chalked full of antibodies.  This schedule goes on for the first six months for the most part, …

Post Holiday Breastfeeding Blues

The holidays are over and many babies have been sleeping too long on trips to Grandma's or otherwise thrown off their normal schedule.   These interrupted feedings can lead to plugged or clogged milk ducts.
Plugged milk ducts feel like a pebble or a pea under the skin or areola. They are best treated with hot compresses, breast massage during feeding , and pumping after the feeding. Place the baby's chin toward the plug if possible, massage from behind the plug towards the nipple, and pump for ten minutes after each nursing until resolved. Make sure you are not wearing a nursing bra that is too tight or that has an under wire pushing into your milk ducts.  Babies who are under 6 months should still be feeding at least 8 times per day and for 6-12 month old babies at least 5 times per day.  Make sure the feeding of solids hasn't impeded effective nursing and contributed to the plugged ducts.  If a baby nurses before solids, they will empty the breast more effectively than w…