Posts Tagged ‘breastfeeding’

Dads and breastfeeding

Wednesday, December 13th, 2017

A breastfeeding relationship is often viewed as one that is between mom and baby. It’s easy for dads to feel left out. But dads are an important part of breastfeeding, its true! As a dad, there are many ways you can assist your partner with feeding and bond with your baby at the same time.

There are a lot of moving parts to breastfeeding. Moms needs to get situated and comfortable to feed. This is a good time for dads to play with your baby while mom gets ready. Be sure to bring your partner any extra pillows, pieces of equipment, such as a nipple shield or other items that she may need.

While your baby is breastfeeding, bring your partner a snack and glass of water. As she finishes up, be ready to burp your baby, wipe up any extra milk around her mouth or change her diaper as needed.

Before and after feeding, practice skin-to-skin care with your baby by holding her on your bare chest. Be in charge of cuddles and bathing your baby for extra bonding time.

Breastfeeding can also come with many discomforts and problems. The more you know about breastfeeding, the more you can help your partner and your baby. If your partner mentions a discomfort, offer to research the issue or call her Lactation Consultant to ask questions or schedule an appointment. Bring her warm compresses for her engorgement or ointment for cracked nipples, if she needs them.

Dads may not be able to breastfeed, but there are many other helpful things you can do to assist your partner and bond with your baby. And studies show that the more supportive you are, the longer your partner will breastfeed and the more confident she will feel about her ability to do so.  So go ahead and jump right in – both you and your baby will be happy you did.

Have questions? Email us at AskUs@marchofdimes.org

Breastfeeding your baby in the NICU can be challenging

Monday, November 27th, 2017

Many babies, even those born very premature can learn to breastfeed. Breast milk provides many health benefits for all newborns, but especially for premature or sick babies in the NICU. Feeding a premature baby may be much different than what you had planned. If you must pump, you may feel disappointed that you are not able to feed your warm baby on your breast. But, providing breast milk for your preemie is something special and beneficial that you can give him.

Here are tips to help you breastfeed your premature baby while in the NICU.

If your baby is unable to feed or latch:

• Start pumping as soon as you can to establish your milk supply. Ask a nurse for a pump and assistance.

• If your baby is tube feeding, your baby’s nurse can show you how to give your baby his feedings.

• Pump frequently, 8 to 12 times during a 24 hour span of time.

• Practice skin to skin or kangaroo care if your nurse says it is ok. Both are beneficial, even if your baby is connected to machines and tubes.

If your baby is able to suckle:

• Ask to feed him in a quiet, darkened room, away from the beeping machines and bright lights.

• Many mothers find the cross cradle position very helpful for feedings. Start with kangaroo care. Then position the baby across your lap, turned in towards you, chest to chest. Use a pillow to bring him to the level of your breast if you need to.

• Babies born early need many opportunities at the breast to develop feeding skills regardless of gestational age. This requires practice and patience.

• You may need increased support to breastfeed your premature baby. Look for support from your nurses, the hospital’s lactation consultant, friends or family.

Not every tip will work for every mom. Try to find the feeding methods and solutions that work best for you and your baby. More information on how to feed your baby in the NICU can be found here.

If you have questions about how to feed your baby, email us at AskUs@marchofdimes.org.

Changes in prescription drug labeling offer new safety information about pregnancy and breastfeeding

Wednesday, October 18th, 2017

Today’s guest post is written by Leyla Sahin, MD, U.S. Food and Drug Administration Division of Pediatric and Maternal Health.

Thank you for inviting me to talk with you about FDA’s new prescription medicine labeling system which provides information on the benefits and risks of using medicines during pregnancy and breastfeeding.  This new system is one way that FDA works to support healthy pregnancies.

Why has the FDA decided to change their system of labeling prescription medications for use during pregnancy and breastfeeding?

FDA wants women and their health care providers to have useful and up-to-date information to help them make decisions about the benefits and risks of using prescription medicines during pregnancy and breastfeeding. The decision to change the labeling was based on several years of careful consideration and listening to healthcare providers, organizations and the general public about the pros and cons of the old system. We learned that the old system was somewhat confusing and not used consistently. The new Pregnancy & Lactation Labeling for prescription medicines will include more helpful information about a medication’s risks to pregnant women, the developing baby, and babies that are breastfed. Over-the-counter (also called, OTC) medicines that you get without a prescription are not affected by the new labeling rules.

How is the new labeling system different from the older system? What new information will I see on my prescription labels?

The biggest change for the new labeling system is that the letter categories are being phased out. The old system used five-letters (A, B, C, D and X) to categorize what is known about the risks of taking a medicine.  Instead of the letters, the new labeling will have a description of the known risks in sentence format.  The new labeling will also include information about the background risks of having a birth defect or miscarriage. Background risks  are risks that every woman starts out with, even if she does not take any medication.  Information about the risks of the medical condition on the pregnancy will be included, if known. In addition, there will be information on dose adjustments that may be needed in pregnancy.

FDA decided to eliminate the pregnancy letter categories because they were often misinterpreted as a grading system. Medications could have the same letter categories but have very different risks. People sometimes focused so much on the letters and did not focus on what the risk data actually said.

Will the new labels tell me if the medication will affect fertility?

The new labeling format includes a subsection called “Females and Males of Reproductive Potential”. This new section will include recommendations about birth control and pregnancy testing, if it’s a medication that should not be used in pregnancy because of a known or suspected risk. It will also include information about what is known about a medication’s effects on fertility if this information is available.

Some medications are more dangerous at certain times in pregnancy. Will the new labeling provide specific information for each trimester of pregnancy?

If there is information about effects in a specific trimester, it will be included in the labeling. The labeling will also include medical and disease factors that should be considered.

I’m breastfeeding. How can I find out if the medication I’m taking will be found in my breastmilk and if it will affect my baby?

The “Lactation” subsection will provide information, when it is known, about the amount of medication that is transferred into breastmilk and potential effects on the breastfeeding infant.

Will it be clear when a medication should be completely avoided during pregnancy or breastfeeding?

If a medicine should not be used during pregnancy or breastfeeding, this information will be clearly stated in the labeling.  If there are ways to minimize exposure to the breastfed infant, this information will be included as well.

When can I expect to see these changes?

The changes have already started. The new prescription labeling system went into effect on June 30, 2015.  New prescription medications approved on or after that date will immediately have the new format. For products approved on or after 2001, but prior to 2015, the changes will occur over the next several years.  Some products are not required to change to this new format but all prescription medications will be required to remove the pregnancy letter category.

The risk information included in drug labeling often comes from research. How can I participate in research?

The new labeling will include information about pregnancy exposure registries. A pregnancy exposure registry is a study that collects health information from women who take prescription medications or receive vaccines when they are pregnant. There are registries for a number of medications and vaccines. By signing up for a pregnancy exposure registry, you can help other pregnant women and prescribers find out more about the safety of medicines used during pregnancy.

If there is a pregnancy exposure registry available for a medication, you will see contact information in the medication labeling. FDA’s Office of Women’s Health keeps a web listing of registries that you can search by medication name or medical condition. Here’s the link: www.fda.gov/pregnancyregistries

In addition to the research information that will be included in the prescription medication labeling, FDA has information on the participation of women in clinical trials. FDA is also participating in a multi-Agency task force to address the participation of pregnant and lactating women in research.

Breastfeeding basics

Wednesday, September 27th, 2017

Today’s post is from Nancy Hurst, director of Women’s Support Services at Texas Children’s Pavilion for Women, who will be discussing #Breastfeeding101 with us on Twitter on September 28, 2017 at 1pm EST / 12pm CST.

Here is a brief preview of the breastfeeding insight she will be providing in our #Breastfeeding101 chat.

As a board certified lactation consultant at Texas Children’s Hospital, I have heard it all! No breastfeeding experience looks the same and moms, whether it’s their first or last child, generally have many questions. Here is a look at what to expect:

The first few hours:

It’s important for new moms, when they are able, to attempt breastfeeding as quickly as possible after their baby is born. It is in this first round of feeding that babies get colostrum, a valuable, immune-boosting fluid.

While most babies are eager to latch onto their mother’s nipple, some infants need a little help the first few times. Moms, if your baby isn’t latching right away, don’t worry! It will happen.

You can help encourage latching by giving your newborn the best opportunity with extended skin-to-skin contact. This contact helps your baby relax and, eventually, you will begin to see signs that he or she is ready to feed. These signs can include: light fussing, increased alertness or changes in facial expression, rooting (opening their mouth and searching to suck on contact).

Positioning the baby is also key. Mothers should make sure to hold the baby in a position that has them facing your breast with your nipple near their mouth. Once you see a wide, open mouth, pull your baby in close and they are likely to latch on.

The first few days:

In the first few days, many moms may wonder if their baby is getting enough milk.

Remember the old saying, “What goes in, must come out?” The easiest way to figure out if your newborn is getting enough milk is to keep count of their wet and poopy diapers each day. If you have a smartphone, there are many apps that can help track this.

In the first few days of life, the number of diapers should equal about how many days old your baby is. Then, by the end of the first week, moms can expect at least six wet diapers and several poopy ones a day that are yellow and seedy.

Some moms may find themselves unable to breastfeed. In these cases, I cannot stress enough how valuable your support team is! This includes your obstetrician, pediatrician, lactation consultant, hospital staff, and your friends and family.

If a mom finds herself unable to breastfeed for any reason, there are now more resources than ever to still provide breastmilk to babies, such as pasteurized donor milk from a milk bank.

My one note of caution for moms turning to donor breast milk is to use only donor milk. Without thorough screenings of both the donor mother and the milk, you may be exposing your newborn to risks such as bacteria or viruses.

The first few weeks:

After the first few weeks, moms may begin to plan their return to work – this is where pumping comes in!

I routinely recommend that mothers wait to introduce a bottle for four to six weeks until breastfeeding is well established. Ideally, moms would have another person introduce the bottle to get baby used to food coming from someone else.

In order to get the best results, moms should aim to start pumping right after the first morning feeding.

Finally, I recommend the following three pieces of advice to breastfeeding moms:

  1. Be informed. Learn about the importance of establishing milk production and the health benefits of breastfeeding for both the baby and mother.
  2. Build your support network. Don’t be afraid to ask for help from any and all resources available to you.
  3. Have confidence in yourself and your body! Use this time to enjoy this special relationship with your baby. Remember that it is not unusual to feel some discomfort. You can always turn to your lactation consultant for advice and to answer your questions.

Have questions? Email us at AskUs@marchofdimes.org.

Breastfeeding is beneficial for moms and babies

Wednesday, August 30th, 2017

In the United States, most new moms (about 80%) breastfeed their babies. And about half of these moms breastfeed for at least 6 months. You may know that breastfeeding is best for your baby, but did you know that you can benefit as well? Here is some information about why breastfeeding is good for both you and your baby.

For your baby, breast milk:

  • Has the right amount of protein, sugar, fat and most vitamins to help your baby grow and develop.
  • Contains antibodies that help protect your baby. In general, breastfed babies have fewer health problems than babies who aren’t breastfed.
  • Has fatty acids, like DHA (docosahexaenoic acid), that may help your baby’s brain and eyes develop. It also may lower the chances of sudden infant death syndrome (SIDS).
  • Is easy for your baby to digest. A breastfed baby may have less gas and belly pain than a baby who is given formula.
  • Changes as your baby grows, so he gets exactly what he needs at the right time. For the first few days after your baby is born, your breasts make colostrum. This is a thick, yellowish form of breast milk. Colostrum has nutrients and antibodies that your baby needs in the first few days of life. In 3-4 days the colostrum will gradually change to breast milk.

For you, breastfeeding:

  • Increases the amount of a hormone in your body called oxytocin. Oxytocin causes the uterus to contract. These contractions help your uterus to go back to the size it was before pregnancy and help you to stop bleeding.
  • Helps to reduce stress. Oxytocin is often referred to as the “anti-stress” hormone. It is associated with a decrease in blood pressure and cortisol levels (the hormone released in response to stress). Oxytocin also increases relaxation, sleepiness, blood flow, digestion and healing. Studies have shown that moms who breastfeed have a lower response to stress and pain.
  • Burns extra calories (up to 500 a day). This can help you return to your pre-pregnancy weight in a gradual and healthy way.

Want more information about breastfeeding? Check out Breastfeeding 101.

Have questions? Email us at AskUs@marchofdimes.org.

 

Breastfeeding and support: two peas in a pod

Wednesday, August 2nd, 2017

sg_breastfeeding1You may have heard that breastfeeding is natural. That doesn’t mean it’s easy. That’s why breastfeeding women need support. Support can come in many different forms and from different people. Studies show that with a supportive partner, women breastfeed longer and feel more confident about their ability to breastfeed. Whether you are a partner, friend, or family member, there are many things you can do to help support mom while she breastfeeds her little one.

How can you provide support?

  • If mom is experiencing a breastfeeding problem, offer to research the issue online to see if you can learn about solutions to relieve any discomfort.
  • Does mom need to schedule a visit with a Lactation Consultant or her health care provider? Find one in your area and offer to bring the phone, a notebook and pen and the phone numbers to her.
  • Be available to greet guests, run errands or bring mom items she may need such as water, snacks or pillows.
  • Before feedings, bring baby to mom and soothe her until mom is ready to feed. After feedings, offer to burp her.
  • Offer to cuddle baby with skin-to-skin, bathe, or read to her while mom relaxes.

Let the breastfeeding mom in your life know you are there to support her and help give her baby the best start.

Read about other helpful tips in our Breastfeeding 101 series.

What causes gas in breastfed babies?

Friday, March 17th, 2017

Dad calming babyEveryone has gas, adults and babies alike. Gas is a result of both swallowing air and the digestion process. If your baby has a lot of gas though, you probably have concerns about the cause and more importantly, how to fix the problem.

So what can cause gas in your baby?

  • Anything that could cause your baby to swallow air: This includes crying, sucking a pacifier and eating from either the breast or a bottle.
  • A forceful letdown: If you’re nursing and have an oversupply of milk, your baby may take in too much milk at one time and swallow air. Changing positions, nursing frequently or expressing some of your milk before latching can help.  Reach out to a Lactation Consultant for assistance.
  • An intolerance to proteins in your diet: Most breastfed babies do not have allergic reactions to their mom’s milk. However, if food allergies run in your family, you should discuss this with your lactation consultant. The proteins from foods such as cow’s milk and peanuts pass through breast milk.  Also, be sure to watch your baby for any allergic reactions such as green, mucus-like stools with signs of blood.

What can help your baby’s gas?

  • Change your position while feeding: Tilt your baby up so her head is higher than her stomach. This will allow air to come up and out and milk to go down more smoothly.
  • Burping more often: Try burping during as well as after a feeding. If you are switching breasts, try burping before moving your baby over to your other side.
  • The bicycle: Lay your baby on her back and move her legs in a bicycle motion. Tummy time can also help put pressure on your baby’s stomach to relieve gas.
  • There are over-the-counter medications that may help relieve your baby’s gas. Ask your baby’s provider for a recommendation.

If your baby has excessive gas, there may be other reasons why it is happening. Reach out to your baby’s provider or your Lactation Consultant for an evaluation.

Have questions? Send them to AskUs@marchofdimes.org.

Is breastfeeding a preemie different than a full term baby?

Friday, February 3rd, 2017

preemieThe answer is yes.

You’ve probably spent the last few months anxiously getting ready for your baby’s arrival. You’ve probably also thought about and decided how you are going to feed your baby after birth. Unfortunately, your breastfeeding plans may need to change in order to accommodate your baby, if you gave birth prematurely (before 37 weeks of pregnancy).

Breastfeeding in the NICU

If your baby is in the NICU, you may need to start pumping to establish your milk supply. Although you won’t have your warm baby at your breast, give your baby any expressed colostrum or milk you produce. Breast milk provides many health benefits for all newborns, but especially for premature or sick babies in the NICU.

Read our tips and tricks to breastfeeding your baby in the NICU.

Late preterm babies

If your baby was born late preterm, between 34 weeks and 0 days and 36 weeks and 6 days of pregnancy,  the good news is that she may not need to spend any time in the NICU. The bad news is that breastfeeding a near-term baby can be very difficult. Late preemies are often very sleepy and lack the energy they need to latch, suck and swallow. Also, late preterm babies are vulnerable to hypothermia (low body temperature), hypoglycemia (low blood sugar), weight loss, slow weight gain and jaundice among other conditions, which may interrupt your breastfeeding progress.

Full term babies

Breastfeeding a full term baby has its challenges, too. But, compared to a preterm or late preterm baby, there are more opportunities to be successful with breastfeeding from the start, due to fewer health obstacles.

Stay positive

If your baby is spending time in the NICU or having trouble breastfeeding, the breast milk you provide your baby through expression or pumping is very beneficial to his growth and protection from illness and infection. Seek help when you need it through a Lactation Consultant, a nurse or your health care provider. If you are in the hospital, ask your nurse if they have a support group where you can connect and share with other moms going through the same situation.

Learn more in Breastfeeding 101.

Have questions? Text or email us at AskUs@marchofdimes.org.

 

Breastfeeding after a natural disaster

Monday, September 5th, 2016

Every year nearly 850,000 people in the US are affected by a natural disaster. When a disaster strikes, power can go out, water supplies can become contaminated and food supplies may become limited. But continuing to breastfeed can give your baby protection against illnesses, which is especially important following a natural disaster.

How does breastfeeding help your baby?

  • Protects her from the contaminated water supply
  • Protects against illnesses such as diarrhea
  • Helps comfort and soothe
  • Reduces stress for both mom and baby
  • Your breast milk is ready when your baby needs it

Is my milk safe?

According to the experts at Mother To Baby, substances enter breast milk in very small amounts, so they are not likely to harm a breastfeeding baby. The benefits you are providing your baby through your breast milk usually outweigh risk from an exposure.

Some infections are common after a natural disaster, such as West Nile virus, hepatitis A virus and hepatitis B virus. Most of the time, mothers who have an infection can continue to breastfeed. However if you notice anything different about the way you are feeling, or you are concerned, reach out to your health care provider. If you need medication, be sure to ask your provider if your prescription is safe to take while breastfeeding.  For more information about breastfeeding after a natural disaster, please see Mother-to-Baby’s fact sheet.

Can I feed my baby formula?

If you need to feed your baby formula, use single serving ready-to-feed formula, if possible. Ready-to-feed formula does not need to be mixed with water so you won’t run the risk of contamination. It also does not need to be refrigerated, so you do not need to worry about electricity. Be sure to discard unused formula from an unfinished bottle after one hour of feeding. If you need to use powdered or concentrated formula, mix it with bottled water. If neither option is available, use boiled water. Just be sure you do not use water treated with iodine or chlorine tablets to prepare your baby’s formula unless you do not have bottled water and cannot boil your water.

How to breastfeed after a disaster

Feed your baby when she is hungry or expressing feeding cues. Keep in mind, breastfeeding is not only for nutrition; your baby may also nurse for comfort. And it’s good for you too – nursing will allow the release of hormones which can help reduce your stress.

Breastfeeding and your diet

Monday, August 29th, 2016

mom breastfeedingWe received a question from a new mom asking if there are certain things she should eat while breastfeeding. Or more importantly, are there things she should avoid? The answer is that most likely, your milk will be just what your baby needs, even if your diet isn’t perfect. But eating healthy foods is still important in order to take care of yourself and your new baby.

The dietary restrictions you had during your pregnancy will not apply while you are breastfeeding. But you will still need to limit your intake of alcohol, caffeine and foods containing mercury.

What about allergies?

Most breastfed babies do not have allergic reactions to their mom’s milk. However, the proteins from foods such as cow’s milk and peanuts do pass through breast milk so if your family has a history of food allergies, you may want to discuss this with your Lactation Consultant. If you have a family history of food allergies, be sure to watch your baby for any allergic reactions such as green, mucus-like stools with signs of blood.

So what should you eat? The La Leche League International has these great ideas:

  • A well-balanced diet – choose meals with whole grains, vegetables, fruits, milk products and proteins (eg. lean meats, fish and eggs)
  • High-calorie foods – breastfeeding burns calories, so add in peanut or nut butters, olive or canola oils, whole-milk cheeses and yogurts
  • Easy to handle meals – with your baby in one arm you may find yourself only having one hand available to use for feeding yourself. Simple finger food types of meals will be easier to manage.
  • Large recipes – make or ask your family and friends to provide large dishes or casseroles so you can freeze leftovers.

Bottom line:

By breastfeeding you are providing your baby with the best start. And by maintaining a healthy diet you will be better able to take care of yourself, as you tend to your new bundle. if you have questions about your diet while breastfeeding, reach out to a Lactation Consultant.