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Breast feeding is the best gift from a mother to his/her child

” Breast feeding is the best gift from a mother to his/her child “

breast feeding is the best option which mother has in regards with fulfilling nutritional needs of their newborn babies and to ensure that baby reaches its growth potential. but sometimes its very challenging and difficult especially in first time mothers .

  • Preparation for the same should start during antenatal classes i.e. before delivery. (providing all pregnant women with information and counseling)
  • Breast feeding should be initiated as soon as possible after delivery. (within 1 hour, if medical condition of both baby and mother is stable)
  • During time spent in hospital it is advisable to keep mother and baby in same room i.e “rooming in”. Skin to skin contact can provide warmth to baby along with ample time for feeding.
  • Assessment and teaching by doctors and nursing staff, regarding correct technique and need for proper attachment for establishing breast feeding.
  • First 48 hours, babies nutritional requirements are less, so milk output is less and babies urine output is also less. Gradually over 1st week of life , babies nutritional needs increases, so correspondingly mothers milk output increases and urine output also is 8 to 10 times per day.
  • Most important thing is to have confidence in yourself that you can breast feed (as every mother breast feeds and you are no different). It takes time to develop arelationship with your baby.
  • Breast milk output increases by help of 2 hormones secreted by brain (oxytocin and prolactin). one of these hormone is secreted when child sucks on breast and other when you have positive thoughts in mind. So if are having relaxed mind free of negative thoughts and your baby is sucking well on your breast, you can rest assure that you will have adequate milk for your baby.
  • Exclusive breast feeding i.e. no other pre lacteal feeds like honey, gripe water should be practiced for 1st 6 months. Remember god has sent the baby, and digestive system is best suited to absorb breast milk and anything extra done on your part can cause more harm then benefit.
  •  If your baby is sucking well on breast, passing urine >8 to 10 times in 24 hours and gaining weight well, you can be assured that your breast milk output is adequate for needs of your baby.
  • Confidence on your part and proper guidance from your pediatrician can ensure that breast feeding is a feeling you will cherish for rest of your life. \

Stay healthy, take nutritious diet and breast feed your baby as ” breast feeding is the best gift from a mother to his/her child “

 

Healthy kids, Happy family

regards

Dr Rahul

What is the right breast pump for lactating mother?

 

(Source Indus parenting site)

Direct breast feeding is the best option, but sometimes due to medical conditions or working mothers need to express breast milk.

When nursing mothers need to express breast milk; it can be done manually (as it had been done traditionally for long time) or you can use breast pumps (mechanical stuff which has become fashionable in recent years to make the process more comfortable and easy).

From a baby’s point of view; baby needs clean hygienically expressed milk, whichever methods suits you, it is up to you. Whether you express it manually or use manual breast pumps or electric breast pump.

 

breast pump

As a new mother, you might have prepared a list of ‘things to do.’ You might have even stuck to this list that mostly reads, “Feed, clean, bathe, repeat.” But now it’s time to go back to the corporate jungle and claw your way back up the ladder. And if that’s the plan then you are probably in the market looking for a breast pump.

Since there are many kinds of breast pumps, you will have to select the one that you feel would work best for you. Which means that this type should keep the milk flowing and prevent clogged ducts or breast infection.

When exactly do I go for a breast pump

So on your next visit to the gynaecologist, you may be advised to buy it way before you actually plan to use it; which means almost a month or so before you head back to work or plan to introduce the bottle. Dr Ragini Agarwal, surgery and cosmetic gynaecologist, W Hospital by Pratiksha, Gurgaon, explains, “New mums who are about to resume work or need to stimulate lactation because of low milk supply, or to relieve engorgement (a painful condition whereby the breasts are overfull) urgently need a breast pump.”

You can also consider buying a breast pump for the following reasons:

  • The baby needs extra breastmilk as a ‘top-up feed’ following a breastfeed
  • The baby is in the nursery and, therefore, separated from the mother
  • The mother is forced to wean due to the infant’s death
  • You wish to maintain or increase milk production
  • To pump exclusively if the new mother is hospitalised after birth
  • If the mother cannot nurse for physical reasons such as a cleft palate
  • The baby may not be able to suckle well at the breast

In case you are planning to use a breast pump soon after delivery, experts advise that its best to start pumping within three to four weeks of delivery. Dr Geetika Gangwani, lactation consultant, Mamma Mia, Fortis, Delhi, says, “Each mother and baby is different, so the need to express milk will be very individualistic.

For instance, mothers whose babies are in the NICU soon after birth, need to start expressing using a breast pump within six hours of their delivery. Whereas some mothers only express once they go back to work and a few might not need to express at all.”

So how do you select a breast pump? Before heading out to the market, ask yourself two questions. First, what are the different types of breast pumps. Second, how safe is it for you as well as your baby?

Continue reading to know more about the types of breast pumps and their safety norms

Should you invest in a manual, an electric or a double breast pump? If you’re looking to buy one, then address these questions before your purchase

breast pump

Types of breast pump

Let’s begin with the first question. There are many models of breast pumps in the market, but they are primarily categorised into two types- electric and manual.

  • Manual breast pumps: They are operated by squeezing or pulling a handle in a repetitive fashion. This allows the user to directly control the pressure and the frequency of milk expression. Manual breast pumps are small and inexpensive and are, therefore, easy to use. They also come with many accessories such as breast shell, a pump membrane (this helps in maintaining the suction and is vital for pump functioning) and tubing (this connects the mechanical apparatus to the collecting bottle).
    Cost: They can cost anything between ? 200 and ? 3,000. “But they require significant effort and can be tiring because the user provides all the power. They also allow for only one breast to be pumped at a time,” says Dr Priyanka Mehta, senior gyneacologist, ePsyClinic.com, Delhi.
  • Electric breast pumps: They are ideal if a mother pumps daily. They are larger than manual pumps, but portable models are also available in the market. These are also divided between hospital grade and personal use pumps. While hospital grade pumps are larger and intended for multiple users, personal use pumps are smaller and generally intended for a single user.
    Cost: A high-quality, electric pump costs anything between ? 3,500 and ? 7,000. “These will help you express your milk most efficiently. You could also opt for a double breast pumps that pumps both breasts at same time and can cost up to ? 20,000,” says Dr Mehta.

A word of caution: Try to keep your hands off the piston type or the bicycle horn pump (they can damage breast tissue and harbour bacteria in the suction bulb) or the rubber bulb (they can also harbour harmful bacteria) from the range of manual breast pumps in the market.

Now how do you decide which type is best for you. Dr Gangwani explains why this is not a question to worry about. “Successfully expressing breastmilk is an art that mothers usually master over time. Research shows that electrical breast pumps along with massaging the breast gives maximum output.

When choosing a pump, please keep in mind the frequency of its use. If you plan to pump at least three to four times per week, an electrical pump is recommended. If the frequency is lesser, then you could use a manual pump or hand express as well,” she says.

Safety notes while buying a breast pump

The second question you must address is the safety of a breast pump. Because quality breast pumps don’t come cheap, you might consider borrowing it from a friend or buying a cheaper version. That’s a complete ‘no-no.’

Breastmilk can carry bacteria and viruses of hepatitis and HIV, and they can contaminate the pump. Also, in some cases an exclusive pump for your own personal use can be unsafe because the milk can get into its internal parts. However, pumps that are originally designed for more than one mother are still safer. You can try rental and hospital pumps, they are usually cleaned properly and are sterile.

“Dr Gagnwani says, “In addition, mothers can also try manual breast pumps. Apart from being less expensive they are also easy to clean and portable, making them a safe option.”

While you weigh in all of these options, also keep in mind a few other things:

  • If you have chosen a double breast pump, seal the unused side. If you avoid this practice, it can reduce the pump’s suction and reduce milk production.
  • Wisely choose the breast shields. Your nipple should not run along its chamber, you can hurt your breast this way.
  • If you are to feed within a few hours, take out all the parts and separately clean them with a mild soap and warm water.

Buying a breast pump can be tough, especially when you are a new mother. So to make things easy, first understand the types and functioning of the pumps you may have finalised for yourself and then read the safety precautions for their use. All this information will not only help you but also help another confused new mum who may turn to you for some advise.

How to increase breast milk effectively? (For breast feeding mothers)

Breast Milk production increases by two major mechanism, one is when your baby latches on breast well and frequently feeds (prolactin hormone is secreted), and 2nd is when you are relax and stress free (oxytocin hormone is secreted to increase milk output).Mother’s should drink plenty of liquid, it will help them keep well hydrated.

One of the things that worries most new mums is whether they’re producing enough breastmilk. Unlike feeding bottles, breasts do not come with volume markings to measure the quantity of milk consumed.

Often, when a baby seems to demand more feed or the breasts seem less full, a mum concludes that she has low milk supply. But in most cases, this isn’t true. “The amount of breast milk depends on the health of the new mom and her attitude towards breastfeeding,” says Dr Swati Thoda, nutritionist and lactation consultant, Hiranandani Fortis hospital, Navi Mumbai.

A mother’s body produces milk in response to her baby’s suckling. The mum who allows frequent suckling, easily increases the supply of milk with the increase in the hormone, prolactin. During the initial week post birth, the lactating mother may experience pain and discomfort in her nipples as her infant nurses. This shouldn’t deter her from breastfeeding as it may affect the supply.
Breastmilk production works on demand. The more your baby nurses, the more your body produces milk. Do not keep a tab on the clock and unlatch your baby. You may feel you’re breastfeeding the entire day, but it is good for your baby and for your milk supply!
Consuming adequate liquids will keep you hydrated and enable you to produce milk effectively. “A dehydrated mother may fail to produce adequate milk for her newborn,” asserts Dr Thoda. Drinks like sodas, coffee or tea are to be taken in moderation, as large amounts of caffeine can dehydrate the body, thus decreasing breastmilk production.
Assume a comfortable feeding position when nursing your infant. This will prevent tiredness and back pain and allows the new mom to participate in feeding willingly. Moreover, it permits the baby to latch correctly, enabling effective suckling. The use of a feeding pillow might help a mum to achieve a good latch.
Breastmilk formation greatly depends on the will of the mother. If you are stressed, it may hamper your ability to nurse. Take a deep breath, relax and willingly feed your baby.
Eating healthy throughout the day will maximize the energy you have as a new mum and make up for the calorie loss that happens during breastfeeding. Certain foods also aid in boosting milk production naturally.
Galactagogues are herbs or medicines that are used to increase lactation or stimulate milk production in a lactating mother, or in a mother who wants to induce lactation. Herbs such as shatavari, ashwagandha and fenugreek are great galactagogues used in certain tablets and powders available in the market. “These may be used in first 2-3 days post birth but only under the advice of the gynaecologist or a lactation consultant,” informs Dr Thoda.
For mums whose babies are unable to latch or are confined to the NICU, a breast pump may be used to mimic the action of suckling and hence, jumpstart the production of breastmilk. Connect with a veteran mother or a lactation consultant if you need to use a breast pump.
Smoking, drinking alcohol, stress, consumption of birth control pills, fatigue, immediate new pregnancy also may be causes of low breastmilk supply.In addition to the above, hypothyroidism, medicines like antihistamines, decongestants or diuretics, Polycystic Ovarian Disease(PCOD), or an attempt of quick weight loss post delivery could also contribute to lowered milk production.