Hi, my name is Regina Kincaid. I am an international board certified lactation consultant, and a mom of three. My fourth baby is due in two days. Today, I would like us to really focus on the early days of breastfeeding, as they are crucial to get breastfeeding off to a good start. First of all, let's briefly look at how mid production works. Most moms will be able to produce milk regardless of the size of their breasts.
They're only a few moms who have pre existing challenges such as hormonal issues, or insufficient breast tissue. It is important for those moms to speak to their health care provider or lactation consultant during pregnancy to prepare for lactation in advance during pregnant See your body is already preparing for lactation, your breasts are changing. They might feel fuller, more sensitive to touch the area whether the area around your nipple is getting darker and the veins on your breasts are becoming more prominent colostrum, your first myth, which is a yellow oily substance, it started to be produced from around 16 weeks of pregnancy. leakage of colostrum and technically does not determine your milk supply later. milk production works on a supply and demand basis. Once your placenta the afterbirth is delivered, the mythmaking says in your breasts up being switch On.
So you can imagine your mythmaking cells in your breasts a bit like a sockets. So, if that was the milk making cell and that is the receptor of the mythmaking cell. You could imagine that once your placenta is delivered and you get a surge of the milk making hormones, this cell is being switched on. Just like a light on see that well, but this cell once it connects with the milk Making Home Run, it's being switched on from it production. And this setup is going to make myth if the cell is not being switched on. Then after some time, those receptors Well close and this cell will not produce milk.
So it is very important to get a lot of stimulation so that those cell mythmaking cells can be switched on. Frequent removal of myth and breast stimulation will tell your body to further fill up your breasts to meet the growing demands. So, how do you achieve early frequent Meg removal and breast stimulation? The number one rule is to keep your baby close preferably in skin to skin contact to give her unrestricted access to the best. Holding your baby and skin contact were released prolactin and oxytocin the hormones important for myth making a myth release There's no medical problem. Place your baby directly skin to skin after giving birth.
Not only will this calm your baby and help to regulate her breathing and temperature after being born. Babies are also very alert after delivery and start to seek the breast actively. For safe skin to skin contact. It is advisable that your partner is with you, especially if you're exhausted and tired. He can keep an eye on both of you. If you feel you're going to fall asleep, perhaps because you had sedation during labor, hand your baby over to your partner.
Six slightly propped up and place your baby in the middle of your chest slightly above the level of your breasts with her head turns towards one side. So her airways afraid for breathing. Monitor her skin color Her breathing, you can place a cellular blanket over her back to keep her warm but allow for sufficient ventilation. If left uninterrupted babies will go through the so called breast crawl a set sequence of nine stages in order to self attached to the best, usually within one hour of birth. However, this also depends on the type of delivery and medication you had, as well as your hospitals routine. This may mean that some babies will need a little help and encouragement to latch on.
Either way, it is crucial for your baby GMO production that this first feed takes place. Do not worry. If baby's first feed did not happen in skin to skin contact, you can practice and benefit from skin to skin contact at any time during the postnatal period. This allows you to observe your baby for early hunger cues. Rather than watching the clock. Early hunger choose could mean baby starting to wake looking around, opening their mouth, smacking their lips, putting their fingers towards and fist towards the mouth and starting to suck on the face and turning their head towards one side.
Generally speaking, watching the clock, and the time between feeds comes from the practice of Formula feeding. In contrast formula Breast milk is more easily digested, and breasts are comparable to soap sponges. Even if you feel your breasts are drained after feed, and your baby wants to feed again only half an hour later after the breast, as there will always be some milk left in the breast. Remember, the more milk is removed from the breast, the more is refilled. If however, you are a person who is used to functioning on to do lists, charts and modern technology, it might reassure you to note the number of seats and the diary or use a breastfeeding app on your phone. Aim for at least eight feets and 24 hours.
Newborn babies need to feed later on often. On day one her stomach is only the size of a cherry and went home. On average about five to seven milliliters of colostrum per feed, which is this amount. So you can see here five minutes, it's very little and the baby's stomach hasn't really got the ability to stretch a lot on day one. It's equivalent to about one to two teaspoons for. This will increase quickly to about one ounce.
On day three today, five when your mood comes in, and baby stomach has now the ability to stretch to warm up sighs so from the size of a cherry to the size of a walnut within three to five days. By day 10 her stomach will be stretching to the size of an apricot and with frequent removal of milk. You will now make about two ounces, which is 60 minutes of breast milk per feed. If your baby's very sleepy in the early days, because she went through a long labor, or perhaps because she was born before 39 weeks, be sure to wake her full feats, bring her near the breasts in skin contact, talk to her and stimulate her. It is very important for her to consume your colostrum. colostrum works as a laxative and helps pass the meconium This is her first black sticky stone, and the quicker she removes that meconium out of her system, the less likely she is to become jaundiced, offer both breasts with each feet as this will help stimulate my production.
Let your baby take her main meal from the first sight alone Babies detach themselves when they're done or fall asleep. Observe your baby when she's drinking. On the breast. Babies usually exhibit a specific sucking pattern. Initially, when she comes on to the breast she will suck up quite fast to create a milk flow. When the milk close, she will usually suck and swallow at a ratio of one to one or two to one.
You want to observe or hear her swallows to be sure your baby takes admit and it's not just nibbling on the breast. And you can hear him swallow listen Here he goes. It is more effective if your baby drinks actively for 10 to 15 minutes, then a baby nibbling for 30 minutes I'm transferring little milk only. Feeds can last anything from 15 minutes to 60 minutes or longer in the early days, but it is more important that you watch and observe babies go through that specific sucking pattern. Towards the end of the feet sucking will slow down. Once she detaches and falls asleep.
Then bring her up wind her and offer her the second breast as a dessert. Some nursing bras nowadays come with a little ribbon to attach to the site you finished with and this will be the site you offer. First of The next feed, you can also use a hair band on your wrist. But with time you will feel automatically which side is for that and you first offer your breasts in different positions so not just the cradle hold in the early days also feature in the rock the hole because this will allow your baby to access all the milk ducts in the breast and stimulate the breast most effectively from all around and show your latches correct and comfortable so that your baby can transfer milk. This topic is very crucial to success for breastfeeding, which is why there will be a separate detailed presentation on correct attachment and positioning.
Be sure you get to know your breasts and how they work, especially in the early days. It can be helpful to palpate your breasts daily for any lumps or bumps and notice that changes as your milk comes in. Hand express a bit of milk daily to monitor the change in color from colostrum to white milk. Around day three today, five estimate comes in. This will also help assess your milk flow. Whether you make drips out on hand expressing or whether it's quite hard to hand Express, and why is this is not a very clear indication of milk supply.
It does give you an idea. also monitor baby snappies. What goes in must come out again. This will also give you an idea of whether your baby is taking in enough milk. Why does it is normal for babies to have only one to two wet nappies on day one you expect Turn to wet six to eight enough peace once you make is in from around day five, and they should feel like heavy, wet, heavy soak nafeez not just a little bit of concentrated urine. very concentrated urine can be a sign of dehydration.
Most modern not peace come with a witness indicator. A witness indicator is a line on the nappy that turns from yellow to blue, letting you know when it may be time for change. The first Deuce your baby passes are cold meconium these are blackberry and sticky and are not made from your milk. They were in your baby's intestines before birth. Fortunately, colostrum has a laxative effect, which causes meconium to pass very naturally during normal breastfeeding. When your babies breastfeeding Well, your baby stools should begin to change from black to greenish color transitioners tools by day three or four.
If your baby is still passing meconium stools after a day for, it's time to take your baby for a week check. By day five, your baby's stools should turn yellow. In a nutshell, if breastfeeding is going normally, at a minimum, you should see the following day one, one blacks two, day two, two blacks two, day three, three black or greener stools, day four, three to four greenish or yellowish students. Rather than being formed the normal stools of a breastfed baby a very loose they may look seedy or completely watry both are normal and was all the above gives you Good guidance on whether breastfeeding is going well. Checking your baby suede is a more objective measure. All babies will lose some weight after being born.
As they start to pass urine and stools and lose the excess water from floating in amniotic fluid. It is normal to lose around 7% of the initial birth weight. Once your mate comes in, your baby starts really gaining weight and will usually be back to birth rate by two weeks postpartum. From then on, babies gain on average 150 to 200 grams per week if breastfeeding is going where there will also have growth spurts. You can recognize the signs of the growth spurt when your baby gets a bit fussy for about two to three days and wants to breastfeed more frequently. This is also called cluster feeding, cluster Feeding will help to increase your milk production through the supply and demand principle.
Remember, frequently empty breasts will make more milk, full breasts which are left full and are not being frequently emptied. Will you reduce that production. By viewing the material of this online course, you're agreeing to accept all parts of the terms and conditions and medical disclaimer. In brief. This online course is not intended to be a substitute for the professional medical advice, diagnosis or treatment provided by your own medical provider. The information provided is for educational and informational purposes only, and not to be regarded as individual medical advice.
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