A side: The back of A side lines
Transcription
A side: The back of A side lines
A side: Cut along solid line. The back of A side lines up with front of B side. BABY’S AGE AVG. FEEDING SIZE Day 1 Day 3 1 week 2 weeks 1 month 5-7 mls 1oz. (30ml) 1.5oz. (45ml) 2-2.5oz. (60-75ml) ml) 3-4oz. (90ml) Day 1 Day 3 2 weeks B/C WEIGHT GAIN PATTERN: First few days lose less than 7 percent of BW No more wt loss after day 3 Gaining about 1 ounce/day or 28gm/day Regain BW by 10 days to 2 weeks 4-6 months gaining 4-5 ounces/week or 113-142 gm/week 6-12 months gaining 2-4 ounces/week or 57-113 gm/week SORE NIPPLES? CORRECT THE LATCH. Signs of Poor Latch: Wedge-shaped nipples: Shallow latch, tongue is pressing nipple against the hard palate - odd shape, like new tube of lipstick Compression Stripe: Shallow latch, feeding after feeding, that leads to cracked and bleeding nipples acke Nipple: If latch not improved, risk of infection Cracked ng di ee stf rea “B ro vi de rs ,S pr ing 200 8 MAKE LATCH EASIER: Open: Wide open mouth Angle: Nose to nipple, head slightly tilted back, chin first, shoulders and hips closely pulled in to your body Oomph: gentle push on baby’s shoulder at latch on to help move nipple into the comfort zone A W he el” De ve lop ed Designed by S. Bay by Mi na B ing ay a nd Iv tfeed s a e r ette Mu sso: Douglas College B P re a C lth a e rH o f rse Cou D B side: Cut along solid line. B side is to be printed double sided with C side. A B/C D Sore Nipples Aro us u gh M i lk ? ea p En La tch in g On • O •Com ften oc curs mon m a e n ting during pproxim infre • Ca ately •C n q u a l o e n e com lead to ad to a nt feed n day 3 -5 ings dec mo ma n r •Bre at nigh stitis if ease in or supp not mil leastf t (e brea eed 8-1 g. not w treated k supply s 2 • Mo a t t k i s •Exp first bef mes/da ing up to fe t y r e • s E s mi ore offe ring mpty o ed) lk t ef f o e ne th c s t com ive latc often ar e other eo h p incr ress righ •Use w la for e ar t a com se flow before m feed p • r A e s (fro ses bet pply co w z l e n peas een fee d , cab ds • Ibu leaves) bage prof en help may be ful En g o r ge me n t u , outh in to m h fists pproac ng, ta s ger e ooti n es: r king •B n of hu ell c g cu w ig edin lip sma g last s ported ast e fe , sup h bre yin r serv ents k • Ob movem state •C air, bac derneat tincch ins un ue lert tong iet & a fortable ggling ead in “ pen nu le •H m qu eo h by s d co wid p t •Fin ition ba e to nip ait for east wi s nos o br lower ” •W •Po t n n y o g i •Ali e posit elp bab lips & asth ed re tiv th & lang of b mou first •F n more latch es i chin ical yes k r e a t t e jaw symm infants ses a A see ncre le to ch i •Ab rect lat uction d w r •Co ilk pro swallo m use- latch, t k-pa •suc correc h & n •If i ak latc bre art rest lp! t he •Ge d t e g g ta r Du S / c ts ork k to W E ar ly Ma Bac s s t it i by •Baby d ifficultly coping w th c h i okes & s w s ith milk t putters-g flow-gulp mp breas aining m gassy & u l s, o w re than 2 l a f te l h ry t a o e x i p lbs/mon lo e s m iv w b e re s g s th, a tools •O st at a fe a y r ffer only eding-ge t o drain suall lu” o g ra o ts d n p u e m f a u lly decre ore hind s milk & ase milk er poor east like ding d n r s s th u e y p l e unused p - te d b of b fee stfe breast? D ly •Fullness of •Relieve uct ause tion is- “ brea eding • on’t exp d ress te c t a nsion-de e t fe ti ed crease ri mastitis gg an be lamm mas ntinu reast breas u s •F k l e of f eding ag • P ver c s- in ns of • Co ary b s of upple feeding ainst gra ly a e titi t v e s in g V it f e g y, r i a down, fe no Mas r • S seve ide • all ar gs or st he eding w baby is n e i s h • n e o n t fully aw fev en & cted drain feedi y mo ngs • express ake, or d ffe l i th d e o p d n y feed wh p e n su n a ns t slows do en flow o itio kip a s • A ore fe ssure wn may g ef e s ot s r n help bab d o i p e b p d r y e n e s f a cope Do ent fe resse ircul reast you c m omp tle •B fter ar e a es n c Ge assag ately at •W est i e m ed h h g •R r t m im at wi othin ian fo e cl ysic & r t se loo ee ph iotics s • S antib gesic l ana Ba ply ee ck g & ba stfeedin ons •Find dem •Sk ge brea i opti n a s mana to n er work regiver mother Consid bon d pro skin •Many ndly ca fully • m d f success astfeeding-frie of expressed bec ing •E otes b irst h to work ly ou re o tive bre ilk a ek supp r e suppor l 3-4 we eas mes m rly pr astfe r afte toring m ing & s & store i ore acti edin r bi express •Build th ng ork for r s h w t e p e ractice l f g, n th m or e ments a ilk •Allow milk •P bet ore mone ntifu or ba orma & on arrange our m m b l l •Make • s y • te • h i u T A l toring y C we o 0-15min ing & s los en 8 k sup he m ctiva until ealth express tes /session: 1 minutes & ore tes mil pl trum to 1 ply 5 u k 2 e n 20 min ump & tif : Av X d • Ba baby milk le b ouble p u a a y fe l i i rse cyc l e l • using d im ”Gol usual able t y(or to fee eds, p •”Rev e breastq3 m ly clean-u de il d rag ” encou pro uniza n dro in fir l milk -4h) en nursing ften wh t t st 3 p i e mo o s c more o n ” t by qua ive p : As & F days re feeding e & ba ir lo r r at hom n o s a t • e m R togethe igh ities pertie ded w t more ti ( t s 3 spends it f • 0 g while sto or bab -100 Smal h sleepin m m l eds l d & ne axa ach y’s sm l) •H separate essed t as all pr h ive e e less ex me lps ex ffect milk c p o e dec nium l rea & j s a u ndi es ce O ver Sup Sl y o •Breastfeeding should not be painful • Any tenderness should diminish over the first 2 weeks of •Yo ly ten u ar h •Remember correct positioning & latching baby e or need n nc i t nipples h sore fo prevent to crucial is breast on s u t n a r b h te da n 10 r lo o w the off baby of l to /24 en taking before a suction n •Break y g s a & m , F per er ke a X r ev g •To first 2 r breast sore 3 least the c •Offer a t & breast n im sl e -4 l lo ; no 8-1 ft o ch jau go ling nt, N e i eep speed healing use ultra-purified Lanolin ed all age l, so mu ds yb f: o a e n o ch d s o ee stf sm er ul an dice siz leep t reg Firs aby cream •Clean with warm water only ea ach d av ss f g to ’s n in b t g e d r a a t f d a le kin by ga th •If skin broken clean with soap OD c by ing d •Ar dir t th ined ew o fe y b m ee ou ty e b B da ed oo & ab s sto r •f feel ma o ba wt. row i a b m s p l •Avoid plastic liners against e r d t by •G es W y r m s hy y’ th ast ge d an clot ake er, S e by iape east by s los ore d/o h, alt •Bab toge bre lon late ugh pers nur k nipples •Avoid introduction to , : t r e k e L R ye in U s, e 10 m •H ys ngs eks no regu eno dia aby mil 3 artificial nipples/pacifiers as ba r fee ub con -to- ndre Or b ss t -14 ore h da edi we ince ly ing rty y, b ild 2b s b s t a t int y’s , Ex aby act kin sin by an may lead to ineffective di rar bu s at is fe -12 ty s upp ett ere lip pr ’s , U , T g o o g r s y o & t 6 a u b lat st • mp lk by et p s b e r sucking •Consult LC or ch ed s• K ss m ack se d lk to e mi Ba t w tem ime occ If ba ing u a , , B by ee • un ts- t t ten e • ain yo m i physician for skin h C p lk a p a r f g o po hang urpi : Im bab ont nds •c Spu ten ly o f ag not feel ilk problems, itchy or n p s o y f m e o g r i o pp ks or ou se t b ov c tio n burning su ee ing r y rea sul Sw om ns, ursin aby e p w os ht o inc on ian B g , itc re sensations or l ig o h n ssi reas - C ysic ! t G e y o t infections et urs n, w eed ppl ph elp He in n su or t H lp! g • e C G L & Pl C side: Cut along circle. C side is to be printed double sided with B side. fe st Be n rB ab y Br ea g it s Decreases incidence/severity: Gastrointestinal illness, Respiratory illness Urinary tract infections Ear infection Allergies especially Eczema Asthma Diabetes Crohn’s disease Colitis Bacterial Infection: Bacteremia, Meningitis Obesity Childhood cancer Hospital visits “H e a l t h Can m lo p d i t e ed s as fo ng h rt s tf e ow gr o te sb re a n ha pro m ve de ada Less stress & calming for baby Benefits both preterm & term infants Infections or duration & intensity of illness reduced Optimum jaw, teeth and speech development Increase visual acuity Supports cognitive development; higher IQ Colostrum- ”First immunization” Potentiates vaccinations e be st m et ho do "Mar "M M ia Mar i Lac Lac actanis". th f fe ed in g infa n ts a s it provide s” din • Stimulates Epithelial maturation to develop own defense • Kills pathogenic organisms or modifies their growth • Lines the intestinal mucosa with a barrier Easier weight loss Helps child spacing: Supports family planning Mother is forced to get rest while breastfeeding Relaxing through oxytocin release: Calming effect Less stressful once established & gets accustomed to Economical advantages- savings in health care costs No need for formula & bottle costs Pride: Knowing providing best for baby Empowerment Helps with bonding between mother & baby infa n t fee Breastmilk offers babies protection by: Helps stabilize maternal endometriosis Reduce insulin requirements for diabetic mothers Helps with Uterine Contractions, tones uterus: Prevents hemorrhaging Helps with emotional health: Decreasing incidence of postpartum depression of e nt ast D fo Offers protection against: Osteoporosis Breast cancer Ovarian cancer Endometrial cancer Polycystic Ovary Syndrome Osteoporosis Anemia ed in it Bre m B/C ef g Be f ne o sf o rM A s o p ti m a l n u tr itional, im m uno l o gi ca l an d em o ti on a lb en e fit D side: Cut along the solid line. The back of D side lines up with front of C side. Line up all center circles and put together with fastener. A B/C D COMMUNITY RESOURCES: Health Units *see Blue pages for Health Authorities for Health units not listed Tri-cities 604-949-7200 • Port-Coquitlam 604-777-8700 • Vancouver 604-736-2033 Doula Services for Birth and Postpartum 604-515-5588 BC Nurse line (Registered Nurse available 24 hours/day; Pharmacist 5-9pm everyday) 604-215-4700 or 1-866-215-4700; Deaf/hearing impaired 1-866-889-4700 200 8 Safe Start Program at BC Children’s hospital 604-875-3273 ng di ee stf rea “B W he el” BREASTFEEDING RESOURCES: La Leche League- breastfeeding support/meetings in your area www.lllc.ca Dial-a-Dietician 604-732-9191 (M-F 9am- 4pm) ro vi de rs ,S pr ing www.bcchildrens.ca/KidsTeensFam/ChildSafety/SafeStart/default.htm P re a C www.kellymom.com De lth ve a e lop www.breastfeedingmadesimple.com rH ed o f by se www.askdr.sears.com Mi our na B C g ay a din nd Iv stfee a e r ette Mu B sso: Douglas College www.drjacknewman.com All information in this wheel has been adapted from the following references: Breastfeeding Committee for Canada, (2002). “Breastfeeding Statement of the Breastfeeding Committee for Canada” Breastfeeding Canada Website. Retrieved on April 18, 2008 from www.breastfeedingcanada.ca/html/webdoc5.html Bonyata, K. (1998). “Cluster Feeding and Fussy Evenings” www.kellymom.com Revised: May, 2006; April 18, 2008, www.kellymom.com/babyconcerns/fussy-evenings.html Bonyata, K. , (2004). “Growth Spurts” Kelly Mom Website. Revised: May 2006; Retrieved on April 18, 2008 from www.kellymom.com/bf/normal/growth-spurt.html Bonyata, K. ,(1998). “Increasing Low Milk Supply” Kelly Mom Website (2008). Revised: May, 2007. Retrieved on April 18, 2008 from www.kellymom.com/bf/supply/low-supply.html Bonyata, K. ,(2003). “My Breast Feel Empty! Has my milk supply decreased?” Kelly Mom Website (2008). Revised: October, 2005. Retrieved on April 18, 2008 from www.kellymom.com/bf/suppply/breast-fullness.html Douglas College Breast Feeding course for Health Care Providers: Student Notes, spring, (2008) class. September, 1994; Revised February 2008 Health Canada, (2004). “Exclusive Breastfeeding Duration -2004 Health Canada Recommendation” Health Canada Website (2008). Revised: January 2008; May 8, 2008, www.hc-sc.gc.ca/fn-an/nutrition/child-enfant/infant-nourisson/excl_bf_dur-dur_am_excl_e.html Mohrbacher, N. , & Kendall-Tackett, K. , (2005). Breastfeeding made simple; Seven Natural Laws for Nursing Mothers. Oakland: New Harbinger Publications Inc. Mohrbacher, N. , & Stock, J. , (2003). The Breastfeeding Answer Book, (3rd ed. ). Illinois: La Leche League International, 2003. Newman, J. , (1995). “How Breast milk Protects Newborns,” Scientific American, December, 1995; 273(6), p. 76-79. Retrieved on May 8, 2008 from www.promom.org/bf_info/sci_am.html Newman, J. , (2003). “Is my Baby Getting Enough Milk” Breastfeeding Online website (2008). Revised: Jan. 2003. Retrieved on April 18, 2008 from www.breastfeedingonline.com/newman.shtml Newman, J. , (2005). “Sore Nipples” Kelly Mom Website (2008). Revised: January, 2005. Retrieved on April 18, 2008 from www.kellymom.com/newman/03a-sore-nipples.html World Health Organization, (2005).. World Health Organization Website (2008). Retrieved on April 28, 2008 from http://www.who.int/features/qa/21/en/index.html