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health workers for advice regarding breastfeeding. Colostrum, the early milk, is tailored to meet the baby's needs good parents. house brand). When it comes to breastfeeding a newborn at the hospital, fathers aren't Remember Robert De Niro's manary gland in "Meet the Fockers"?. Breastfeeding, Supplemental feeding, Formula-Feeding, Fed is Best . practice should be continued at home until breastfeeding meets the.

What to Do in the Hospital Don't wait to get help. If your doctor says your baby is not gaining enough weight, call. If your nipple is injured, call. If your gut says something isn't right, speak up. You can save yourself weeks and weeks of pain and trouble. It may seem like you're producing very little at first -- maybe just a few drops of colostrum -- but a 1- or 2-day-old baby's stomach is only the size of a marble.

Jen's Guide to Breastfeeding Enlist Dad. Dads can be good problem-solvers, and you may find yourself feeling so overwhelmed and sleep-deprived that it will be hard for you to process information. It makes them feel more secure. Any formula that's not medically necessary can affect your milk supply.

And point your nipple at her nose, not at her mouth, so she'll lift her head up, open her mouth wide, and latch on deeply. Press between his shoulders firmly to bring him to you, while you support your breast.

Your nipple will fill the roof of his mouth. If it still hurts after the first few sucks, de-latch and reposition. Instead, put your hands at the nape of your baby's neck, and bring him swiftly to your breast. It's typical for some babies to take one breast at some feedings and both breasts at some. After that, offering a pacifier shouldn't hurt.

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Jones Lie on your side. Put a pillow between your knees and your arm under your head, and bring the baby in facing you. Have someone help you at first. When I watch a mother use one, I can see right away on her face how much more comfortable she is. Have someone other than you give the first one -- and get out of the house so you're not tempted to help out.

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Jones Don't buy a whole nursing wardrobe. If you wear a blouse over a camisole, you'll have a lot of coverage. If you received a lot of IV fluids during labor, your baby could be artificially 'heavier' at birth. If he has low weight gain, but he's smiling, his linear growth and head circumference and neurological development are notably okay, I'd get a second opinion before giving formula. By about 1 month, a baby has established how much breast milk she'll need and you don't have to keep increasing how much she eats as she grows.

But a lot of moms and docs are still applying formula rules to breast milk-fed babies. If you'll be pumping for the next day's feedings when you go back to work, all you really have to do is maintain your current supply. Jones Feed the baby, not the freezer. You may end up with clogged ducts, mastitis, letdown that's too fast, and exhaustion. You need only a small reserve. If the standard shields that come with your pump are too tight or too big, you won't pump as much milk and you could even cause damage.

A lactation consultant can help you choose the right ones. Instead, buy a sports bra that's snug, cut little slits in it, and stick the breast shields in there. Breastfeeding from the Public Health Perspective Mothers and Their Families Mothers who are knowledgeable about the numerous health benefits of breastfeeding are more likely to breastfeed. Although having information about the health advantages of breastfeeding is important, knowing how to breastfeed is crucial.

Mothers who do not know how to initiate and continue breastfeeding after a child is born may fear that it will always be painful or that they will be unable to produce enough milk to fully feed the baby. As a result, they may decide to formula feed the child. Expectant mothers who believe that breastfeeding is difficult or painful identify the fear of discomfort as a major negative influence on their desire to initiate breastfeeding, 6874 and mothers often expect that breastfeeding will be difficult during the first couple of months.

However, pregnant women may not be aware of where classes on breastfeeding are offered, or even that they exist. Thus, clinicians have an important responsibility to help their patients find a breastfeeding class in which they can participate before their babies are born.

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If clinicians do not readily provide information about such classes, mothers can ask their clinicians for assistance and advice about how they can find a class. In addition, women can turn to other mothers for information and help with breastfeeding. These women could include other breastfeeding mothers in their communities, whether they are family, friends, or mothers they have met through mother-to-mother support groups, as well as women who are knowledgeable and have previous experience with breastfeeding.

Women should be encouraged to discuss with others their desire and plans to breastfeed, whether such persons are clinicians, family and friends, employers, or child care providers.

When a woman has decided she wants to breastfeed, discussing her plans with her clinician during prenatal care and again when she is in the hospital or birth center for childbirth will enable her clinician to give her the type of information and assistance she needs to be successful.

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Inhalf of all mothers with children under the age of one year were employed, and thus supportive child care is essential for breastfeeding mothers. Before the child is born, parents can visit child care facilities to determine whether the staff and facility can provide the type of child care that helps a mother to provide breast milk to her baby even if she is separated from the baby because of work.

By telling these important people she wants to breastfeed and by discussing ways they can be supportive, an expectant mother is taking a proactive role in ensuring that she and her baby have an environment that gives breastfeeding the best possible start.

Despite the best planning, however, problems or challenges may arise, and when they do, mothers deserve help in solving them. Many sources of assistance are available, such as certified lactation consultants and other clinicians, WIC staff, and peer counselors.

Even after childbirth, a mother can ask for referrals to community-based or other types of support, including telephone support. The important thing for mothers to remember is that they should be able to receive help, but they may have to ask for it.

As noted previously, fathers can have a tremendous influence on breastfeeding. Prenatal classes on breastfeeding are valuable, and mothers should discuss with a variety of other people their interest in breastfeeding.

Talking to their clinicians about their intention to breastfeed is important, as is asking about the provisions for breastfeeding or expressing milk where they work.

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Mothers deserve help with this important decision. Ina variety of items, including larger amounts of fruits and vegetables, was added to the food package for women who breastfeed to provide enhanced support for them.

Additionally, the new food package provided higher quantities of complementary foods to be given to breastfed babies who are at least six months old. Before their babies are born, WIC clients receive education and counseling about breastfeeding and are followed up soon after the birth.

Many breastfeeding mothers in WIC receive breast pumps and other items to support the continuation of breastfeeding. The USDA uses a social marketing approach to encourage and support breastfeeding that began with the campaign Loving Support Makes Breastfeeding Work, as well as a research-based, culturally sensitive set of social marketing resources known as Breastfeeding: A Magical Bond of Love, which is specifically for Hispanic participants.

When a mother is discharged from a maternity facility after childbirth, she may need continued breastfeeding support, not only from her family but also from professionals affiliated with the maternity facility. Professional post-discharge breastfeeding support of mothers can take many forms, including planned follow-up visits at the maternity facility, telephone follow-ups initiated by the maternity facility, referrals to community-based support groups and organizations, and home visits.

The Affordable Care Act passed in includes a provision to expand home visitation programs for pregnant women and children from birth through kindergarten entry. They reinforce breastfeeding recommendations in a socially and culturally appropriate context.

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Peer counselors may be effective in part because they are seen as role models and also because they often provide assistance through phone calls or home visits. Beyond advocating for community support for breastfeeding, these organizations and groups provide peer support focused on women of color and provide culturally tailored breastfeeding support that may not be available or sought after from other support groups.

These new groups and organizations, however, may have limited membership rolls and thus very small budgets. Financial assistance from foundations and government may be needed early on to firmly establish and support these organizations, which strive to meet the needs of communities that are typically underserved in terms of health and social services. In a review of 34 trials that included more than 29, mother-infant pairs across 14 countries, professional and lay support together were found to increase the duration of any breastfeeding, as well as the duration of exclusive breastfeeding.

The WHO International Code of Marketing of Breast-milk Substitutes declares that substitutes for breast milk should not be marketed in ways that can interfere with breastfeeding. Research indicates that the marketing of substitutes for breast milk has a negative effect on breastfeeding practices.

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In recent years, advertising and social marketing have been used more frequently to promote and support breastfeeding. The USDA national breastfeeding promotion campaign mentioned earlier, Loving Support Makes Breastfeeding Work, was launched in to promote breastfeeding to WIC participants and their families by using social marketing techniques, including mass media and educational materials, and through staff training.

This campaign emphasizes the concept that the support of family and friends, the health care system, and the community are all essential for a breastfeeding mother to be successful.

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The percentage of mothers continuing to breastfeed at six months postpartum also increased, from Awareness of the breastfeeding campaign increased from 28 percent to 38 percent a year after it was started.

Evidence points to increasing reliance on the Internet for health information, particularly among those aged 18—49 years. In a report of findings from the Pew Internet and American Life Project Survey of more than 2, adults, when asked what sources they turned to for health or medical information, 86 percent reported asking a health professional, such as a physician, 68 percent asked a friend or family member, and 57 percent said they used the Internet.

As more people become regular users of various types of electronic communication such as social networking sites and mobile messaging, new strategies will be needed for conducting outreach and for communicating health information to families. It may be important for community-based groups to include them in education and support programs for breastfeeding. Postpartum support from maternity facilities is an important part of helping mothers to continue breastfeeding after discharge.

Community-based support groups, organizations, and programs, as well as the efforts of peer counselors, expand on the support that women obtain in the hospital and provide a continuity of care that can help extend the duration of breastfeeding.

  • This dad was the first to 'breastfeed' his newborn because his wife couldn't
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In addition, public health efforts such as the — national breastfeeding awareness campaign may influence women to initiate and continue breastfeeding by helping to improve their knowledge and understanding of the reduced health risks and other positive outcomes associated with breastfeeding. The sources from which these messages are communicated, however, may need to evolve as more people use Web-based technologies to search for health and other types of information.

In summary, a multifaceted approach to promoting and supporting breastfeeding is needed at the community level. Health Care The U. Similarly, the American Academy of Family Physicians 27 and the American College of Nurse-Midwives 29 call for the consistent provision of breastfeeding education and counseling services.

Yet many clinicians are not adequately prepared to support mothers who wish to breastfeed. The USPSTF concluded that promotion and support of breastfeeding are likely to be most effective when integrated into systems of care that include training of clinicians and other health team members, policy development, and support from senior leadership. Moreover, the task force noted that many successful multicomponent programs that support pregnant women and mothers of young children include the provision of lay support or referral to community-based organizations.

The task force also noted that breastfeeding interventions, like all other health care interventions designed to encourage healthy behaviors, should strive to empower individuals to make informed choices supported by the best available evidence. As with interventions to achieve a healthy weight or to quit smoking, the task force calls for breastfeeding interventions to be designed and implemented in ways that do not make women feel guilty when they make an informed choice not to breastfeed.