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Maternity Pregnancy & Breastfeeding with HealthShare Insurance

Induced Lactation: Protocols for Adoptive Breastfeeding Mothers

Motivation as in anything is extremely important in breastfeeding and even more important is tenacity when inducing lactation.  The success rate for the following protocols according to Nemba in the 1994 Journal of Trop Pediatrics was 89%.  In this study 33 of the 37 women nursed their babies for 9 months or longer. These mothers began with a 100 mg single priming dose of medroxyprogesterone (Depo Provera).  After 7 days, they began 25 mg of chlorpromazine 4 times daily or 10 mg of metoclopramide (Reglan) 4 times daily until adequate lactation was established.  Frequent pumping before infant's arrival and/or frequent suckling afterward is encouraged.  A supplemental feeding device is necessary until adequate lactation is established.  Inducing lactation is a gift of time and love! Breastfeeding an adoptive baby is more than about breastmilk.  It is about bonding.  Skin to skin contact is essential.  Use a lactation aide to feed donor milk...

Engorgement: Bowling Ball Breasts

If you are experiencing difficulty with breast pain or latch-on 3 to 5 days postpartum, it is probably due to engorgement. Your breasts can feel as hard as bowling balls making it difficult for your baby to get a good latch.  Most of the time severe engorgement can be prevented by nursing the baby immediately upon delivery and putting the baby to breast every 2-3 hours.  If your baby is sleepy or there is a delay in breastfeeding, engorment can set in heavily.  Advil is safe for breastfeeding and contains an anti-inflammatory that may reduce some swelling and discomfort. Your best friend during this time is a hot compress. Turn the tap water and let it run until hot. Take two disposable baby diaper and swipe it under the tap three or four times. Mold the diapers around your breast. Repeat this procedure before each feeding. Commercial hot packs are also available, but the diapers work just as well so you may want to save your money for a good breast pump. If the areola is...

Milk Intake: Your Breastfed Baby at 12-36 months

As a Lactation Consultant, my main clients are mothers whose babies are under 12 months of age, so when looking for information for my daughter-in-law, I found it hard to find anything on milk intake for babies older than 12 months.  After doing some research, I have come to the following conclusion that I thought I would share with all moms. Babies who are 12-24 months of age and weigh 20 lbs or more should take in 16-20 oz of milk; more if they are underweight. Normal weight gain during this period is 2 oz per week. A typical schedule would be nursing or feeding expressed milk 4 x daily, feeding solids 3 x daily with one or two healthy snacks in between. If you are weaning to cows milk, it should be whole milk unless advised otherwise by your pediatrician.  For toddlers 2-3 years or age, typical milk intake is 3 servings or nursings per day. After 24 months, most pediatricians recommend switching to 2% milk if you have weaned from breast ...

Weaning: Gradual & Partial

There are many considerations when deciding to wean your baby. The American Academy of Pediatrics recommends breastfeeding for at least one year. If you choose to wean before one year, first make sure your baby tolerates other foods well. Next absolutely, positively, do not wean cold turkey. Before you wean, consider your alternatives such as pumping at work or partial weaning. Partial weaning works well when a baby is older than 4 months. Moms can choose to use formula during the day while at work and still nurse in the morning and at night. This only works after milk supply is well established which is why you should wait until at least 4 months of age before employing this method and always follow the same schedule seven days per week. You cannot put the baby to the breast in the middle of the day, if you have weaned that feeding. Whether you choose to partially wean of fully wean, drop one feeding every three to five days. For example, if you are nursing 8 times per day, drop one f...

Cup Size Confusion: DD, E, DDD, F

One of the most common questions I get as a professional bra fitter is where do I find a DDD?  There are several reasons moms are having such a hard time finding their bra, even after they have been measured. 1.  They don't understand the cup size equivalents. 2.  They haven't been properly measured. Let me address the measurements first.  If your bra fitter did not take three measurements, she has been trained to fit you into certain brands of bras.  Many companies do not offer cup sizes larger than a DD so they use two measurements and add 4 or 5 inches to make up the difference.  Another problem with fitting is when moms measure themselves, the assume the size under the bust is equal to the band size.  Here is the scoop on bra fittings: 1) Make sure you get three measurements . 2) Understand whether you are buying a full figure bra or a standard bra. Not all bra companies use standard equivalents.  Most brands like Bravado Nurs...