Beruflich Dokumente
Kultur Dokumente
Prenatal
Breastfeeding
Healthy Start Coalition of Hillsborough County
Education
Tampa General Hospital Pediatric Center at Healthpark
and Genesis Women’s Center at Healthpark
REACHUP, Inc.
10 3
Exclusive breastfeeding in the hospital Latch and positioning
Exclusive breastfeeding means not giving The cherry is the There are many positions to breastfeed. In the beginning, Breastfeeding Positions
your baby any formula in the hospital after size of the baby’s you may want to find a position that works best for you
The cradle hold is the most basic
you deliver. Exclusive breastfeeding in the stomach on day and stick with it. As you get more experienced, you can
breastfeeding position. It is very easy.
one; walnut on try other positions.
beginning is important for the following day three and
Place a pillow in your lap, turn baby
reasons: Good positioning and latch will help prevent sore nipples. towards your tummy and breast. The
ping pong ball Your nipples may be a little tender at first, but baby’s head can then be supported
• It boosts your confidence in your ability to breastfeed on day seven. breastfeeding should not be painful. with the arm on the side you are
• Your baby gets as much colostrum as possible breastfeeding.
• Giving your baby a bottle may make it difficult for your Tips for good positioning:
baby to breastfeed correctly. What to expect at first
• Try to breastfeed in a quiet environment if possible. The cross cradle hold is ideal if your
• Helps you make more milk • Your baby will want to nurse a lot in the beginning. baby is small or has difficulty latching.
This is normal. It does not mean you do not have Select a comfortable chair, preferably one with
• Helps keep your baby’s blood sugar levels stable armrests. Hold your baby across your lap, using
enough milk to feed your baby. Breast milk and the opposite arm as the breast he is
colostrum are easy to digest. Also remember that • Get into a comfortable position first. Use pillows to feeding from to support your breast.
your baby’s stomach is very small so they need support your back and arms. A footstool or more
Colostrum is the first milk. Colostrum is small, frequent feeds. pillows for your feet will keep you from bending
liquid gold! • Babies are born with extra fluid stores. This extra fluid towards your baby. The football hold is ideal if you have
• Colostrum is stored in your breasts during pregnancy is used in the first few days when their stomach is • Make sure your baby’s ear, hip and shoulder are in large breasts or have had a cesarean
and is in your breasts when you deliver. Colostrum small and does not hold much fluid. a straight line, so that the baby does not have to turn section and would like to avoid placing
lasts for about 2-3 days. After 2-3 days, colostrum is his head to nurse. the baby on your tummy. Hold your
• Feed your baby when he/she is hungry, not on a baby under your arm and support your
replaced by thinner breast milk called “mature milk”.
schedule. Healthy babies know when to start and • Try to use different breastfeeding positions. This may baby’s head while you bring him/her
You want to make sure your baby gets plenty of
stop feeding so they get exactly what they need. They prevent clogged milk ducts and sore nipples. to your breast.
colostrum!
usually feed about 8-12 times in a 24 hour period.
• Colostrum acts like a laxative and helps your baby • Try thinking calm thoughts and taking deep breaths
have his/her first stool. before breastfeeding. Keep a glass of water, milk
or juice nearby, which will help keep you hydrated to The side-lying position allows you
• Colostrum helps your baby fight infection. Do not give your baby a bottle or pacifiers and your baby to lie on your sides
produce more milk.
in the early days. during feeding. It is especially useful
• Colostrum feedings are just the right size for your
• This can lead to your baby having problems attach- during nighttime feedings. This
baby’s stomach. Your baby’s stomach is the size of
ing to the breast correctly. When this happens your position is also great if you have
a small marble at first. It holds about 1-2 tablespoons
breasts are not emptied properly. This can cause: had a cesarean section.
on day three.
- Breast engorgement (painful swollen breasts)
and plugged milk ducts.
- Your baby to not get enough breast milk and lose
too much weight.
- You to give up on breastfeeding.
• Pacifiers or bottles can be used when breastfeeding
is well established. This usually takes about four
weeks.
4 9
Feeding “on cue” and Benefits of childbirth without
establishing a good milk supply medications or epidural
What is feeding “on cue”? Avoid pacifiers and bottles at first Labor is a normal healthy process. Each There are many ways to help you through
• Feeding your baby “on cue” means feeding your baby • Your baby prefers you over a pacifier or bottle. Avoid contraction brings you closer to meeting labor without pain medications or epidurals.
whenever he/she is hungry. pacifiers and bottles until your baby is doing well at your baby! • Take a childbirth class with your labor partner so
• Feeding cues are the signs your baby gives you to let the breast. This usually takes about four weeks. • Women experience pain differently during labor and you get education and practice with breathing and
you know he/she is ready to eat. • Your body does not get the signal to increase milk childbirth. Each labor and childbirth experience is relaxation exercises. It is great to have a coach to
supply when your baby is sucking on a pacifier or different. It is difficult to predict what your experience encourage you and help you during labor.
• Some examples of “early feeding cues” are mouth
movements, sticking out tongue, moving hands to bottle. will be in advance. You may find out that labor is not • Stay out of bed as much as possible. Walking helps
mouth and rooting (head moves rapidly side to side • Pacifiers also cover up feeding cues and you may as bad as you thought it would be. bring the baby down in the birth canal.
with mouth open). miss when your baby is most ready to eat! • Research shows you will have a better labor • Change positions often. Try sitting up, side lying and
• Let your baby nurse whenever he/she wants and as experience the more confident you are in your hands and knees positions.
long as he/she wants. ability to cope with labor pain. You should learn as
much as you can about all your choices to increase • Use a birthing ball to sit on or lean over. This helps
• Empty the breast you start with first before switch- your confidence level. with back pain and helps you stay upright. It also
ing to the other breast. Start feeding on the opposite helps open your pelvis for the baby to come down.
breast the next feeding. • Discuss all your options with your obstetrician or
midwife. • Take a shower or use a Jacuzzi tub if available. The
motion and warmth of the water is relaxing and helps
with pain.
What are the benefits of feeding “on cue”?
Women choose childbirth without • Have your labor partner give you a back massage.
• The more your baby nurses and empties your medications or epidurals for many reasons.
breasts, the more milk you will make. • Play music and create a calm, quiet labor environment
Some of the benefits are: to help with relaxation.
• It is normal for your baby to breastfeed often. Your
• Mother and baby are more alert making it easier to • It is important to remember that no matter how
baby’s stomach is very small at first and breastmilk
breastfeed the first day. More breastfeeding the first prepared you are, sometimes you may need medical
is digested easily. The small amount of colostrum a
day makes breast milk come in faster. interventions that you did not plan on. This is OK.
mother makes in the first days is perfect for a small
stomach! • Some women feel more in control. This helps many Do not be disappointed with yourself.
women manage their pain better.
• Crying is a late sign. Feeding will be more successful
if you begin when you see “early feeding cues” and • Some women feel a great sense of accomplishment
before your baby starts crying. giving birth without medications.
• Breastfeeding is for comfort as well as nutrition. • You are more alert and have better sensation. This
Frequent feedings comfort your baby. helps when it is time to push the baby out.
• You will have less breast engorgement (painful, • Your partner can be involved as you work together to To learn more, go to:
swollen breasts). Your baby will gain weight better manage the pain.
and have less jaundice. Bradley Method: www.bradleybirth.com
• The pain management techniques you used during
labor can help you manage pain and stress anytime. Lamaze International: www.lamaze.org
The International Childbirth Education Association:
www.icea.org
8 5
Early skin-to-skin and
initiation of breastfeeding Rooming-in
6 7
Early skin-to-skin and
initiation of breastfeeding Rooming-in
6 7
Feeding “on cue” and Benefits of childbirth without
establishing a good milk supply medications or epidural
What is feeding “on cue”? Avoid pacifiers and bottles at first Labor is a normal healthy process. Each There are many ways to help you through
• Feeding your baby “on cue” means feeding your baby • Your baby prefers you over a pacifier or bottle. Avoid contraction brings you closer to meeting labor without pain medications or epidurals.
whenever he/she is hungry. pacifiers and bottles until your baby is doing well at your baby! • Take a childbirth class with your labor partner so
• Feeding cues are the signs your baby gives you to let the breast. This usually takes about four weeks. • Women experience pain differently during labor and you get education and practice with breathing and
you know he/she is ready to eat. • Your body does not get the signal to increase milk childbirth. Each labor and childbirth experience is relaxation exercises. It is great to have a coach to
supply when your baby is sucking on a pacifier or different. It is difficult to predict what your experience encourage you and help you during labor.
• Some examples of “early feeding cues” are mouth
movements, sticking out tongue, moving hands to bottle. will be in advance. You may find out that labor is not • Stay out of bed as much as possible. Walking helps
mouth and rooting (head moves rapidly side to side • Pacifiers also cover up feeding cues and you may as bad as you thought it would be. bring the baby down in the birth canal.
with mouth open). miss when your baby is most ready to eat! • Research shows you will have a better labor • Change positions often. Try sitting up, side lying and
• Let your baby nurse whenever he/she wants and as experience the more confident you are in your hands and knees positions.
long as he/she wants. ability to cope with labor pain. You should learn as
much as you can about all your choices to increase • Use a birthing ball to sit on or lean over. This helps
• Empty the breast you start with first before switch- your confidence level. with back pain and helps you stay upright. It also
ing to the other breast. Start feeding on the opposite helps open your pelvis for the baby to come down.
breast the next feeding. • Discuss all your options with your obstetrician or
midwife. • Take a shower or use a Jacuzzi tub if available. The
motion and warmth of the water is relaxing and helps
with pain.
What are the benefits of feeding “on cue”?
Women choose childbirth without • Have your labor partner give you a back massage.
• The more your baby nurses and empties your medications or epidurals for many reasons.
breasts, the more milk you will make. • Play music and create a calm, quiet labor environment
Some of the benefits are: to help with relaxation.
• It is normal for your baby to breastfeed often. Your
• Mother and baby are more alert making it easier to • It is important to remember that no matter how
baby’s stomach is very small at first and breastmilk
breastfeed the first day. More breastfeeding the first prepared you are, sometimes you may need medical
is digested easily. The small amount of colostrum a
day makes breast milk come in faster. interventions that you did not plan on. This is OK.
mother makes in the first days is perfect for a small
stomach! • Some women feel more in control. This helps many Do not be disappointed with yourself.
women manage their pain better.
• Crying is a late sign. Feeding will be more successful
if you begin when you see “early feeding cues” and • Some women feel a great sense of accomplishment
before your baby starts crying. giving birth without medications.
• Breastfeeding is for comfort as well as nutrition. • You are more alert and have better sensation. This
Frequent feedings comfort your baby. helps when it is time to push the baby out.
• You will have less breast engorgement (painful, • Your partner can be involved as you work together to To learn more, go to:
swollen breasts). Your baby will gain weight better manage the pain.
and have less jaundice. Bradley Method: www.bradleybirth.com
• The pain management techniques you used during
labor can help you manage pain and stress anytime. Lamaze International: www.lamaze.org
The International Childbirth Education Association:
www.icea.org
8 5
Exclusive breastfeeding in the hospital Latch and positioning
Exclusive breastfeeding means not giving The cherry is the There are many positions to breastfeed. In the beginning, Breastfeeding Positions
your baby any formula in the hospital after size of the baby’s you may want to find a position that works best for you
The cradle hold is the most basic
you deliver. Exclusive breastfeeding in the stomach on day and stick with it. As you get more experienced, you can
breastfeeding position. It is very easy.
one; walnut on try other positions.
beginning is important for the following day three and
Place a pillow in your lap, turn baby
reasons: Good positioning and latch will help prevent sore nipples. towards your tummy and breast. The
ping pong ball Your nipples may be a little tender at first, but baby’s head can then be supported
• It boosts your confidence in your ability to breastfeed on day seven. breastfeeding should not be painful. with the arm on the side you are
• Your baby gets as much colostrum as possible breastfeeding.
• Giving your baby a bottle may make it difficult for your Tips for good positioning:
baby to breastfeed correctly. What to expect at first
• Try to breastfeed in a quiet environment if possible. The cross cradle hold is ideal if your
• Helps you make more milk • Your baby will want to nurse a lot in the beginning. baby is small or has difficulty latching.
This is normal. It does not mean you do not have Select a comfortable chair, preferably one with
• Helps keep your baby’s blood sugar levels stable armrests. Hold your baby across your lap, using
enough milk to feed your baby. Breast milk and the opposite arm as the breast he is
colostrum are easy to digest. Also remember that • Get into a comfortable position first. Use pillows to feeding from to support your breast.
your baby’s stomach is very small so they need support your back and arms. A footstool or more
Colostrum is the first milk. Colostrum is small, frequent feeds. pillows for your feet will keep you from bending
liquid gold! • Babies are born with extra fluid stores. This extra fluid towards your baby. The football hold is ideal if you have
• Colostrum is stored in your breasts during pregnancy is used in the first few days when their stomach is • Make sure your baby’s ear, hip and shoulder are in large breasts or have had a cesarean
and is in your breasts when you deliver. Colostrum small and does not hold much fluid. a straight line, so that the baby does not have to turn section and would like to avoid placing
lasts for about 2-3 days. After 2-3 days, colostrum is his head to nurse. the baby on your tummy. Hold your
• Feed your baby when he/she is hungry, not on a baby under your arm and support your
replaced by thinner breast milk called “mature milk”.
schedule. Healthy babies know when to start and • Try to use different breastfeeding positions. This may baby’s head while you bring him/her
You want to make sure your baby gets plenty of
stop feeding so they get exactly what they need. They prevent clogged milk ducts and sore nipples. to your breast.
colostrum!
usually feed about 8-12 times in a 24 hour period.
• Colostrum acts like a laxative and helps your baby • Try thinking calm thoughts and taking deep breaths
have his/her first stool. before breastfeeding. Keep a glass of water, milk
or juice nearby, which will help keep you hydrated to The side-lying position allows you
• Colostrum helps your baby fight infection. Do not give your baby a bottle or pacifiers and your baby to lie on your sides
produce more milk.
in the early days. during feeding. It is especially useful
• Colostrum feedings are just the right size for your
• This can lead to your baby having problems attach- during nighttime feedings. This
baby’s stomach. Your baby’s stomach is the size of
ing to the breast correctly. When this happens your position is also great if you have
a small marble at first. It holds about 1-2 tablespoons
breasts are not emptied properly. This can cause: had a cesarean section.
on day three.
- Breast engorgement (painful swollen breasts)
and plugged milk ducts.
- Your baby to not get enough breast milk and lose
too much weight.
- You to give up on breastfeeding.
• Pacifiers or bottles can be used when breastfeeding
is well established. This usually takes about four
weeks.
4 9
Latch and positioning (continued) Benefits of breastfeeding
10 3
Introduction Exclusive breastfeeding for six months
Education
Tampa General Hospital Pediatric Center at Healthpark
and Genesis Women’s Center at Healthpark
REACHUP, Inc.