Tuesday, January 2, 2007

Initiation into Breastfeeding


By Dr Geeta Baruah Nath, Consultant Gynaecologist

With first time mothers, trouble may arise even after they have begun lactating properly. A new mother always has a lot of questions concerning her new experience.

Antenatal Preparation
In second trimester since the baby starts moving and it becomes easier for the mother to connect with the baby. It is also around this time that the mother starts making preparations for the baby's arrival.

Pregnant mothers' breasts are routinely examined from the second trimester onwards. If the obstetrician discovers any abnormality in the nipples, the patient is taught ways to tackle it. For example a retracted nipple can be pulled out to make it become normal.

The First Feed

The child can be breastfed right there in the delivery room within one hour after delivery. It has been observed that the sucking reflex of a new born is at its height 20 to 30 minutes after birth. If the infant is not fed, the reflex diminishes rapidly to reappear adequately 40 hours later.

If the infant is put to the breast within half an hour after birth, not only does he respond well, the process also reduces early weight loss. Besides, the antibody content - the colostrum is at its maximum during the first 12 hours after delivery.Early breast feeding also has a physiological effect on the uterus. The suckling of the baby starts the mechanism that helps the uterus to contract and come back to its normal shape. Nursing soon after delivery has a laxative effect on the meconium, or black stool, that is released in the first two to three days.

Tips for correct positioning
many mothers breastfeed in odd positions, which they claim to be comfortable in. In their anxiousness to succeed, they are tense and sit in an uncomfortable position. Not only are these positions exhausting, mother could also develop sore nipples and backache in these positions.

Hold the baby flat on his back with his head turned sideways.
Keep your arm wide and do not pull it in tightly to the side. Bring him close so that his chin touches your breast.
Offer him the breast but do not put it into his mouth. Make him find it. This will ensure that the breast is not pulled in your enthusiasm to feed.
Hold the baby's head so that he is aligned with your body. If the baby is not close enough to the breast, he may have to suck too hard on the nipple in order to keep it in the mouth. This can damage the sensitive nipple skin and make it sore.
Be careful about your back. Make sure that your back is straight and has a backrest. This way you can avoid getting a backache after feeding.
You also have to make sure that the baby's breathing is not obstructed in any way.
Hold on to the breast with a finger while the baby is feeding so that this part of the breast does not suffocate him.

Bad feeding positions could cause:
Sore nipples are a result of bad feeding positions. To avoid such a situation, make sure that the baby has enough of the areola in his mouth and not only the tip of the nipple.

Do not pull the nipple out of the baby's mouth. Wait until the baby releases the nipple or break the suction with your finger. You could also use a protective cream or any edible oil, or milk cream.

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