The first few weeks of breastfeeding can feel quite overwhelming. It’s a learning time for both you and your baby, each of you getting a feel for each other. Your baby is slowly discovering how to breastfeed and find comfort outside the security of your womb. You are learning how to communicate with your baby and offer comfort and nourishment. Be patient with yourself and your baby; it will get easier, particularly once your milk supply becomes established. Having questions is normal. Trust your instincts, but also try to prepare yourself by understanding what to expect in the first few weeks. Below we’ve compiled some breastfeeding basics and tips from Day 1 to Week 6. What to Expect Your milk production grows from about 1 ounce (30 mL) to about 30 ounces (900 mL) between Days 1 and 40. Most mothers start to make noticeably more milk starting around Day 3 or 4. Your baby should be back to birth weight by 2 weeks. You can then expect baby to gain about 7 ounces (210 g) per week or 2 lbs (900 g) per month. Most babies feed 8-12 times per day, but not at set times. They may bunch feedings close together for part of the day (cluster feed). Your baby may want to feed again soon after breastfeeding. This is normal in the beginning. By Day 3-5, baby’s black stools (meconium) turn first green, then yellow. You can then expect 3 or more yellow stools every day. Also, expect 5-6 or more wet diapers a day by Day 5. If your breasts feel very full, breastfeed more or express milk. This will make you feel better, not worse. Most babies sleep for one 4-5 hour stretch each day. This may not happen at night, unfortunately. Fun Facts A baby’s stomach stretches from the size of a shooter marble on Day 1 to a chicken egg by Day 10. Babies may take one breast at a feeding, or they may need to feed on both breasts. Let your baby decide. Drained breasts make milk faster. Full breasts make milk slower. Breastfeed only if possible. Avoid pacifiers and any other liquids General Breastfeeding Tips Breastfeed whenever your baby wants to. You’ll know it’s time when your baby’s head turns from side to side with an open mouth. Or when she puts her hand to her mouth. Ideally, don’t wait until your baby fusses or cries. When upset, it’s harder to feed well. Use a position that feels good for you and your baby. Learn to sleep while you breastfeed. Practice during the day. If breastfeeding hurts, get help. A small change in how your baby takes the breast may be all you need to feel better. Find a mother’s group near you and spend time with other breastfeeding mothers. We are stronger together! You Know You Have Plenty of Milk When Baby is gaining weight well on breast milk alone. 0-4 months: 7 ounces (210 g) a week or 2 lbs. (900g) a month When to Seek Help If breastfeeding hurts. If your baby loses more than 10% of birth weight or after Day 4, gains weight too slowly. Even when breastfeeding is going well, you may experience some of the following: Your baby has fussy times – Most babies do. She wants to feed again soon after breastfeeding -Most babies do. She wants to feed more often – This adjusts your milk production Your breasts no longer feel full – Usually at about 3-4 weeks She wants to feed less often or for a shorter time – Babies get faster with practice Frequent night feedings – Babies need to do this to get enough milk She will take a bottle after breastfeeding – Babies like to suck, this might not be related to milk supply You can’t express much milk – This skill takes practice One thing that we can not stress enough is, be patient with yourself. Breastfeeding is natural but it’s also a skill, and like all skills there is a learning curve involved. You are not expected to know it all and there is no shame in asking for help and reaching out. Seek out the support you need. Nancy Mohrbacher, IBCLC, FILCA, Lactation Consultant, Ameda Breastfeeding ProductsCoauthor of Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers
Simple Steps to Keep Your Ameda Breast Pump Clean Keeping your breast pump clean is not time consuming. But there are a few things you can do to simplify your pump care — so you can spend more time with your new baby. Sanitize Your Ameda parts Before the First Use Always follow the manufacturer’s instructions. If your pump kit package is not marked « sterile, » put all the pieces that come into contact with your milk in a pot, cover them with water, and boil for 20 minutes before using the pump for the first time. It is best to let the parts air dry so make sure you have a bit of time for this. With an Ameda pump that would be the bottle, flange (part that goes on your breast), clear valve, and silicone diaphragm. All Ameda pumps use the same kits so this will apply to any personal use pump or rental/hospital pump. Unless your doctor or hospital has told you otherwise, there is no need to do this again. Everyday Cleaning of Your Ameda Breast Pump With an Ameda pump, you don’t need to boil, microwave or wipe your pump pieces with disinfecting wipes on a regular basis. After every use, rinse the pieces that come in contact with your milk with cool water then wash them in warm, soapy water (using mild detergent), rinse with clear, warm water, and air dry. You can also clean pump parts in the dishwasher. You may want to get one or more extra pump kits and wash them all once at the end of the day. That way you don’t need to wash your parts every time you pump. To clean your pump motor or bag, just wipe it with a clean, damp cloth. This is also a good way to clean the outside of your pump tubing if milk drips onto it. No Tubing Care For mothers using a pump with tubing, any moisture in the tubing can contaminate their expressed milk with bacteria, mold and viruses. That’s why Ameda breast pumps have Proven Airlock Protection™. During pumping, Ameda’s diaphragm keeps the air from your pump from coming in contact with your milk. For mothers using a breast pump without a barrier at the flange there is a chance to get moisture in the tubing. Any moisture in the tubing can contaminate expressed milk with bacteria, mold and viruses Ameda has the world’s only breast pump with a proven protective barrier. Adapted from Nancy Mohrbacher, IBCLC, FILCA, Lactation Consultant, Ameda Breastfeeding ProductsCoauthor of Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers
Bridgeport Hospital Increases Breastfeeding Rates and Prevents Infant Falls with Joeyband Hospital also sees an increase in patient satisfaction TORONTO (PRWEB) JUNE 20, 2018 Bridgeport Hospital, part of the Yale New Haven Health network, and Joeyband by S2S Innovations, have joined forces to improve breastfeeding rates, patient satisfaction, and eliminate infant falls; Joeyband, an easy-to-use skin-to-skin support system, aims to improve both quality and safety for new mothers and their infants in hospital and at home. Following the Plan, Study, Do, Act quality improvement protocol, Bridgeport Hospital was able to track data related to the implementation, which took place over a 5-month period. Over the course of the study, Bridgeport saw an improvement of 8.2% in exclusive breastfeeding rates, a 7% increase in the number of babies breastfed within the first 60 minutes of birth, and zero infant falls during the course of the study. In addition, Bridgeport’s Press Ganey Satisfaction score, a metric system to measure patient satisfaction, rose 2.1 points, resulting in a 26% increase in Press Ganey percentage rank, as compared to the large Press Ganey database. “Joeyband helps facilitate safe skin-to-skin contact during the most precious golden hour after birth – for our C-Section and Vaginal delivery Moms. All of our Moms may use the Joeyband in their postpartum room to facilitate that bond necessary for breastfeeding success, with the added benefit of infant fall prevention.”, says Kelley Reddington, MSN, RN, RNC-EFM-OB, CNML, Nurse Manager for Bridgeport Hospital, “We provide support to all our Moms to meet their needs and expectations, and the Joeyband has shown to help us achieve that goal.” “Bridgeport is helping to elevate the standard of care for newborns,“ said Hayley Mullins, Inventor of Joeyband. “Not only are they (Bridgeport) educating Moms on the safest option for skin-to-skin, but they are encouraging continued skin-to-skin upon discharge by sending Joeyband home with patients and their families.” ABOUT JOEYBAND, a product of S2S INNOVATIONS, INC. Joeyband, the patented, clinical product of S2S Innovations Inc, is the exclusive skin-to-skin product of La Leche League International, a 2017 AWHONN (Association of Women’s Health, Obstetrics, and Neonatal Nurses) “Trusted Leader,” and the premier product designed to support skin-to-skin and prevent infant falls across the continuum of care – in the Operating Room, Labor/Delivery, Neonatal Intensive Care Unit, and at home. Joeyband will be exhibiting at AWHONN 2018 in Tampa, FL, June 24-26 – come visit us at booth #301. ABOUT BRIDGEPORT HOSPITAL Bridgeport Hospital is a private, not-for-profit acute care hospital located in Connecticut’s most populous city, primarily serving patients from Fairfield and New Haven Counties. Bridgeport Hospital is a member of the Yale New Haven Health System.