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Baby Care – Breast Feeding
Breastfeeding the baby. In the first two or three days after birth, the mother’s breasts produce a substance called colostrum. Colostrum resembles melted butter, is rich in protein and contains antibodies that protect the baby. It helps clear the intestines easily of meconium, a substance found in the intestines of all newborn babies. There is no artificial substitute for colostrum.
Mother’s milk Breast milk is easily processed by the baby’s digestive system and helps prevent allergies. Unlike cow’s milk, breast milk leaves an acidic residue in the gut and prevents the growth of harmful bacteria. Breastfed babies are usually not constipated as long as there is an adequate supply of milk. During the first few weeks, bowel movements may be frequent, but may decrease to two dirty diapers a day.
Although some women may experience discomfort initially, most women find breastfeeding a pleasure once it is established. Emotionally, it ensures a closer bond with the baby; physically, it helps the uterus return to its normal size more quickly. Breastfeeding success depends on the mother’s attitude; prenatal preparation of the breasts and nipples and their postnatal care; a good, balanced diet with plenty of liquid; rest; and patience
Prenatal Breast Care. A well-fitting bra should be worn both day and night from the seventh month of pregnancy. From then on, the nipples should be washed well every day and gently rubbed with a towel after the bath. Some doctors advise applying a mild ointment.
Flat nipples should be pulled and rolled between thumb and forefinger. Around the eighth month, the breasts should be gently massaged and a little colostrum pressed from each nipple. This helps open the milk ducts.
Women with inverted nipples can wear devices popularly known as “shells” inside their bras during the last three months of pregnancy. If no improvement occurs, a natural nursing nipple shield is helpful when breastfeeding.
Breastfeeding Before putting the baby to the breast, clean the breast with a cotton swab dipped in warm water to remove any ointment. Start each feed on the opposite side of the last.
After feeding, clean the nipples with cotton dipped in warm water and apply an ointment or spray. Try to avoid using plastic pads that retain milk inside the bra because they can cause sore nipples.
The First Week Patience and perseverance are needed during the first week of breastfeeding when difficulties may arise. Nursing mothers should be aware that it may take a few weeks to establish a steady milk supply.
In the first two or three days the baby sucks colostrum. At this stage the mother does not experience much change in her breasts. Usually between the third and fifth day the milk comes in and, as the breasts increase, there may be some discomfort or even pain. If the milk comes in hastily, the baby should be allowed to nurse frequently; this will prevent engorged breasts. Different babies have different needs, and you’ll have to work out the best schedule for your baby through trial and error.
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