Bermuda Parent Spring 2012 | Page 13

Myth 8: Breastfeeding mothers must always use both breasts at each feeding. Fact: It is more important to let baby finish the first breast first, even if that means that he doesn’t take the second breast at the same feeding. The richer, higher-fat hind milk is accessed gradually as the breast is drained. Some babies, if switched prematurely to the second breast, may fill up on the lower-calorie foremilk from both breasts rather than obtaining the normal balance of foremilk and hind milk, resulting in infant dissatisfaction, abdominal distress, and/or poor weight gain. Signs Your Baby is Getting Enough Milk •  Weight gain. Your baby returns to his birth weight by two weeks. An average weight gain after that is 1 ounce (30 g) per day until around 4 months of age. •  iaper output. By the middle of his first week of D life (day 3-4), your baby should be having at least 3 bowel movements a day the size of the “okay” circle you make with your thumb and forefinger. It is only after 6-8 weeks that some babies switch to less frequent but larger bowel movements •  Your breasts. Your nipples are comfortable and your breasts noticeably soften after most nursing sessions. •  ursing behavior. Usually your baby has open N eyes when the feed starts, has periods of slow sucks with regular pauses which indicate the swallowing of milk (may be audible), and falls asleep or otherwise appears content after most nursing sessions. •  Baby’s appearance. Your baby is alert and active, appears healthy, has good color, firm skin, and is growing in length and head circumference. Myth 9: The mother should not be a pacifier for the baby. Fact: Comforting and meeting sucking needs at the breast is nature’s original design. Pacifiers (dummies, soothers) are literally a substitute for the mother when she can’t be available. Breastfeeding is designed to provide more than nutrition: nursing also provides a baby with security and comfort, positive hormonal releases, bonding and attachment, oral-facial and visual development, avoidance of nipple confusion, and stimulation of an adequate milk supply. Myth 10: If the mother has an infection she should stop breastfeeding. Fact: With very few exceptions, the mother’s continued breastfeeding will actually protect the baby. By the time the mother has symptoms, such as a fever, cough, vomiting, diarrhea, rash, etc, she has likely already given the baby the infection. If the baby does get sick, he will be less sick if the mother continues breastfeeding. Also, mastitis (breast inflammation), though painful, is not a reason to stop breastfeeding. Mastitis will worsen if milk is not removed from the affected breast, so frequent nursing is part of the treatment. Resources: Common Breastfeeding Myths from La Leche League International, http://www.llli.org/NB/LVAprMay98p21NB.html Some Breastfeeding Myths, Handout #11, by Dr. Jack Newman, http://www.kellymom.com/newman/11some_bf_myths.html Did you know breastfeeding challenges can be overcome with proper assistance? La Leche League provides information, encouragement and support for women choosing to nurse. Attend Our Free Series Meetings Second Saturday of each month at 10:30am First Floor Conference Room King Edward VII Memorial Hospital For breastfeeding help, call 236-1120, email [email protected] or visit us on Facbook at La Leche League of Bermuda Bermuda Parent   |||   11