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Breastfeeding

Breastfeeding Help

Breastfeeding is often a decision that a mother/parents make before the baby is born.  Inform your OB-GYB doctor of your decision.  Your doctor will help you prepare by examining the mother’s breasts to ensure a good beginning for you and your baby.

Also, be sure to let the staff at the hospital know your decision to breastfeed your baby.   Request that hospital staff allow baby to stay with mom for at least one hour after delivery.  The baby is often alert after delivery and breastfeeding is an instinctive drive in the first hours after birth.  This often is a successful beginning to a great breastfeeding experience.

If you receive a lot of pain medication during your labor you may need 2 hours or more with the baby after delivery.  The medication can cause a slower  instinctive latch-on by the baby.

If you have a C-section and plan to breastfeed, ask hospital staff to place baby at the breast during recovery time.  Even though you, as the mother, may be sedated, the baby can have a successful first breastfeeding experience during the time period when the instinctive drive to breastfeed is strong.

Benchmarks of a successful beginning

If you and your baby have two successful nursing episodes in the first 12 hours of life most mothers and babies continue to do well with breast feeding after leaving the hospital.

If by the 12th hour after birth the baby is not breastfeeding well mom should begin using a breast pump every 2 hours to help establish the milk supply. Otherwise, a delay in the breast milk “coming in” may occur.

Research has shown that babies who spend more time skin-to-skin with their moms nurse better than babies who spend most of their time in the nursery.  The baby’s heart beat is regulated by the mother’s heart.  The baby’s body heat is stabilized by the mother’s warmth.  Both mother and baby experience a hormonal contentment by the close contact.

New mothers should instruct hospital staff  that they DO NOT want their babies to have water, formula, or a pacifier in the nursery.  Instead, rooming in, and feeding the baby on cue (not on the nursery’s schedule) are keys to early breast feeding success.

For more information and breastfeeding help, call our office.  Our nurses are happy to help you make breastfeeding a rewarding experience for both of you.

Breastfeeding at home

Sometimes breastfeeding a newborn can be a very frustrating and lonely experience.  You are not alone!

Please call our office if you have any questions or concerns about your breastfeeding experience.  The nurses at Genesis Pediatrics LLC have experience with helping new moms breastfeed successfully, as well a personal experiences with the frustration and difficulties with the first few days.

Most newborns will breastfeed every 2 to 3 hours.  A baby’s stomach is about the size of its fist – not very big – and needs frequent refilling. 

It is also true that babies nurse best at their best times.   Watch your baby for signs of hunger:  making smacking noises, mouthing hands, early waking and stretching.  Offering the baby the breast at these times is often a successful feeding time – before the baby is too frustrated and hungry.

Some tips for latch-on

Make sure the nipple is pointed at baby’s nose - appears a little off-center. This places the bottom portion of areola in the baby’s mouth.  This increases milk production.  The baby’s mouth will move UP to the breast.  Baby’s head should TILT, making the mouth gape open.
Another way to make the baby’s mouth gape open is by moving baby to and then away from breast, drawing baby quickly in when mouth opens.  This takes PATIENCE!!
Make sure that the baby is place with its tummy turned towards mom.
Tuck the buttocks in towards mom to clear baby’s nose.  The baby always breathes through its nose.
“Flex the hips to open the lips”.
Mom should hold her breast with her hand shaped  like a “C”.
Studies have found that offering the left breast first can be helpful, perhaps because the baby hears the mom’s heart beat.

Reasons to call for help

If you find it takes 40 minutes to nurse your baby it make indicate the baby is not latching on well.
 If your nipples are sore, cracked, or bleeding the baby may be latching on incorrectly.
 If your baby is consistently sleeping more than 4 hours between feedings.
If your baby is very fussy.
If you are not seeing bright yellow stools or wet diapers.

Selected Reading

A (partial) list of favorite parenting books read by our doctors, nurse practitioners, and nurses. Check frequently for new additions!

Baby & Child Care 
by Focus on the Family Physicians Research Council
Highly recommended by Dr. Goodfellow - this is the large book found in each exam room and is an excellent resource on health & parenting topics.

How To Really Love Your Child 
by Dr. Ross Campbell  

A small but great book that demonstrates a step by step way to establish a loving relationship with your child. Chris RN suggests that if you can’t find it at your public library ask at your church library or Christian bookstore.
  

How to Make your Child Mind Without Loosing Yours 
by Kevin Lehman
An amusing and astute writer that gives a wealth of parenting help with that difficult area:  getting your children to obey. Highly recommended by Rick Maniace, PNP nurses Karin, and Linda.  

How to Talk so Kids will Listen and Listen so Kids will Talk 
by Adele Faber and Elaine Mazlish  
A wonderful, wonderful book that is full of practical ways that help YOU interact with your child in positive ways. Recomended by nurse practitioner Theresa Agostinelli and nurse Chris, who both found it a helpful resource.  


A New Number Could Save Your Child's Life

1-800-222-1222

The American Association of Poison Control Centers has launched a NEW national hotline number that is toll-free.

No matter where in the United States you are, whether at home here in Rochester or visiting grandma in Florida, and your little one ingests an unknown substance, calling 1-800-222-1222 automatically connects you to the local poison control treatment line.  

Specially trained nurses, pharmacists and physicians will provide immediate emergency help to callers. If necessary, the poison center will call an ambulance and will provide advice to the EMT’s when they arrive.

All services are available for free. Your call is confidential. The hearing impaired and non-English speakers will receive help specific to their needs.  Callers may also call the hotline any time for advice about preventing poisoning. Experts are available to answer questions about poisonous plants, how to poison-proof your home, and how to use pesticides safely.  

Remember: just one number, anywhere in the US 1-800-222-1222

Submitted with information from Rose Ann G. Soloway, R.N. Associate Director, American Association of Poison Control Centers

DISCLAIMER: The medical information provided in this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. Always consult your physician or healthcare provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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