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A GREATVINE PARENTING GUIDE

Breastfeeding

A GREATVINE PARENTING GUIDE Breastfeeding G r e a t v i n e Adviceforlife

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Welcome

Welcome Here at Greatvine we’re dedicated to helping you find the best advice, quickly and easily.

Here at Greatvine we’re dedicated to helping you find the best advice, quickly and easily. From parenting and health to writing and business, great advice from the UK’s top experts is just a phone call away.

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Breastfeeding?

‘ There must be someone who can help ’

Many new mums look for help with breastfeeding difficulties in the first few weeks and months after giving birth.

Experts agree that breast really is best, as it gives newborns the nutrients they need for a healthy start. It’s also a special and unique way to bond with your baby. But breastfeeding doesn’t come easily to most mums. Many want to succeed but find it impossible, painful - or a mixture of the two.

We can help. This Greatvine booklet is jam- packed with invaluable advice and insider tips on breastfeeding, from the right position to hold your baby; how to avoid sore nipples; to when’s the right time to get your partner involved in feeding.

In this edition

4

Meet the breastfeeding experts

6

Expert Q&A with Geraldine Miskin

8

Top tips for a happier breastfeed

Geraldine Miskin 8 Top tips for a happier breastfeed These top experts have years of experience

These top experts have years of experience helping parents through the particular challenges of breastfeeding. From specialist midwives to lactation consultants and best-selling breastfeeding authors, their gentle and supportive methods can really make the difference to you and your baby.

If this booklet helps you, remember that the breastfeeding specialists in the next few pages are just a part of Greatvine. To speak to an expert, go to Greatvine.com and see how we can make a difference to your life. The experts are ready to talk whenever you need.

Meet the

breastfeeding

experts

Talk with a top breastfeeding specialist, whenever you need

Talk with a top breastfeeding specialist, whenever you need Geraldine Miskin An independent breastfeeding specialist

Geraldine

Miskin

An independent breastfeeding specialist with over 16 years of experience, by teaching effective techniques Geraldine has helped thousands of mums to enjoy blissful breastfeeds. Through her Lets Breastfeed practice and books Geraldine aims to empower, educate and inspire mums to breastfeed. Geraldine has studied the science of breastfeeding around the world, undertaking courses including the Australasian Lactation course, the UNICEF Baby Friendly course and the Maternity Practitioner course. Geraldine’s

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specialist interests include the compression of the baby’s head during labour and delivery and how this translates into breastfeeding problems. She’s also knowledgeable about the anatomy of both mum and baby, and how this can affect which technique and feeding position produces the most pain-free feeds. Talk with Geraldine on 0906 400 6213 - £1.50/min*. greatvine.com/geraldine-miskin

400 6213 - £1.50/min*. greatvine.com/geraldine-miskin Katherine Fisher A breastfeeding expert for Mother and Baby

Katherine Fisher

A breastfeeding expert for Mother and Baby magazine, Katherine has 18 years of experience helping families to breastfeed

successfully – and enjoy the experience. She understands the difficulties many mums face, and sees it as entirely natural that

getting breastfeeding right takes time, practice and support. Katherine currently works as

a lactation consultant at King’s College Hospital, London, and

is also an NCT breastfeeding

counsellor. She has also run breastfeeding drop-in clinics for Sure Start Children’s Centres. She specialises in areas including:

complex feeding problems; making sure that babies gain weight; nipple trauma and sleep difficulties. Talk with Katherine on 0905 675 4622 - £1.20/min*. greatvine.com/katherine-fisher

Sharon Trotter As a registered nurse and midwife with over 25 years of experience, Sharon

Sharon Trotter

As a registered nurse and midwife

with over 25 years

of experience,

Sharon provides easy-to-

understand advice on all aspects of breastfeeding. Her book ‘Breastfeeding: The Essential Guide’ has stayed in the Top

10 bestselling breastfeeding

books since 2004. She’s also written an award-winning leaflet ‘Babycare - Back to Basics’, now in its seventh edition, which has helped over 100,000 mums. Sharon gained a BSc in Advanced Studies in Midwifery in 2005. Two years later she launched her TIPS award scheme in which parent volunteers independently test baby and toddler products. Talk with Sharon on 0906 400 6215 - £1.50 per/min*. greatvine.com/sharon-trotter

400 6215 - £1.50 per/min*. greatvine.com/sharon-trotter Caroline Flint A of Achievement Award from the recipient a

Caroline Flint

A

of

Achievement Award from the

recipient

a Lifetime

British Journal of Midwifery, Caroline has over 33 years’ experience as a midwife and

41 years of experience teaching

antenatal classes for the NCT. She was the first elected President of the Royal College of Midwives, and has also advised the government on maternity services. Caroline is the author of several books on birth, including ‘Sensitive Midwifery’ and is the founder and director of The Birth Centre, the first private birth

centre in the UK. Caroline prides herself on being sympathetic and non-judgemental, and in her ability to offer a listening ear and

comforting voice in addition to practical and effective solutions. Talk with Caroline on 0906 207 2675 - £1/min*. greatvine.com/caroline-flint

on 0906 207 2675 - £1/min*. greatvine.com/caroline-flint Vicki Scott After 20 years working with mums, babies

Vicki Scott

After 20 years working with mums, babies and families, Vicki has a wealth of knowledge and experience to share. She’s a registered midwife, nursery nurse and teacher. Her consultancy service was launched in 2002 to provide new mums with professional, friendly, up-to-date support and advice through the early weeks and months with a new baby. Vicki’s practical, flexible approach means that clients

come to her for breastfeeding

advice, help with starting and maintaining a routine, solving sleep difficulties and starting solid foods. She’s passionate about breastfeeding but realises that the recommendation of at

least six months of exclusive breastfeeding can be daunting to many women. She sees her

role as supporting new mums to make this possible. Talk with Vicki on 0905 675 4614 - £1.20/min*. greatvine.com/vicki-scott

on 0905 675 4614 - £1.20/min*. greatvine.com/vicki-scott Nikki Khan The expert midwife for Prima Baby magazine

Nikki Khan

The expert midwife for Prima Baby magazine for the last decade, Nikki’s been a practising midwife for over 20 years. She currently works for Epsom & St Helier NHS Trust, and was formerly a midwife for baby charity Tommy’s where she answered people’s questions about pregnancy and childbirth. Having been a midwife for 17 years before she gave birth to her own child, Nikki has great insights to share. A staunch supporter of breastfeeding for a minimum of six months after birth, she also wants to give mums the power to make their own choices and do what’s best for them and their baby. Also a trained clinical negligence lawyer, Nikki has a special interest in maternity rights and benefits and the law when pregnant, as well as birth injuries. Talk with Nikki on 0905 675 4618 - £1.20/min*. greatvine.com/nikki-khan

* from a BT landline. Calls from other networks and mobiles may vary. 18+.

Choose from hundreds of great experts in over 80 topics, only at Greatvine.

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Thousands of new mums with breastfeeding problems turn to Geraldine Miskin for help. Here, she tackles your most frequently asked questions.

Expert Q & A

with Geraldine

How do I know when my breast is empty, and when to offer my baby the other breast?

It would be wonderful if our bodies flashed a red light as the breast was emptying. But there is a way to gauge how full your breast is – you need to look at your baby’s suck and swallow pattern. Knowing when your baby is swallowing rather than just sucking is important. While your baby’s breastfeeding, look at their lower jaw. When they’re sucking, it bounces up and down pretty quickly. When they swallow, it will drop slightly lower and will pause for a split second longer. You may also hear a bubble sound from your baby’s nose. If your baby is just sucking, your baby is calling the milk. Place a flat hand on the outer edge of your breast and push inwards to flatten. This creates a manual let down and you should be able to see your

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baby swallowing. If not, move to another area and try the same. If you’ve compressed the entire breast and your baby’s still not swallowing, they’re asleep or the breast is empty. So either wake them up, or offer them the other breast. Yellow poos mean that your baby is getting to the hindmilk (the most nutritious milk at the end of a feed, which has a higher fat content), whereas poos that are a spinach green colour mean they’re not. So let your baby stay on the first breast a little longer before offering the second side.

My partner would like to be involved with our baby’s feeding ASAP. When can I start expressing so that he can offer our son a bottle at the last feed?

It’s lovely for dads to be involved with baby as early as possible, but it’s probably best to leave

expressing and bottlefeeding for two to three weeks. This will give you time to establish

expressing and bottlefeeding for two to three weeks. This will give you time to establish a good milk supply, and your baby a chance to learn how

to breastfeed well without causing you discomfort. Before you offer a bottle, make sure they’re:

• Older than 10 days.

• Not leaving your nipples feeling sore and tender at the end of feeds.

• Draining the breast so you’re not at risk of developing mastitis.

• Gaining weight, roughly 20-30g a day.

The best time to express is in the morning after the first two feeds, such as the 7am feed and the 10am feed. Offer this milk to your baby at the 10pm feed. As you’ll be substituting a bottle for a breastfeed, you’ll need to express both breasts around 9pm before going to bed. You can freeze this milk to create a milk bank for emergencies. Encourage your partner to be as hands on as possible until you can introduce a bottle feed. Try holding your baby skin-to-skin in a sling or a baby massage after a bath.

I’m dreading getting sore nipples. Can you give me some practical tips to avoid developing cracks and soreness?

Nobody likes the thought of pain, but sore nipples can be avoided nine times out of 10 by following the simple steps below. Don’t put too much pressure on yourself and remember that you and your baby are learning a new skill.

- Hold your baby with the opposite arm to the breast you’re feeding with.

- Pop their bottom into the crook of your arm

and support their cheek with your fingers. You should have the heel of your hand on your baby’s upper back. - Don’t move your breast to line up with your

baby’s nose, but instead line them up nose to nipple when your breast is at rest.

- When they do a big wide mouth, bring them

onto the breast really quickly, applying pressure to their upper back with the heel of your hand.

- Their lower lip should be away from the nipple

at the edge of the areola (the coloured circle around the nipple) so that the nipple goes to the roof of their mouth.

- Make sure that both cheeks are touching your

breast during the feed. This means they can drain both the top and lower half of your breast.

- If they’re not doing a big wide mouth, use your

areola close to their lower lip to drag their lower lip down and open before popping them onto the breast.

- If your latch is correct, your nipple should be

round like a jelly tot. If your baby’s lower lip was too close to the nipple when latching on, your nipple will be pinched like a new lipstick.

Talk with Geraldine

0906 400 6213

£1.50/min from a BT landline. Calls from other networks and mobiles may vary. 18+.

www.greatvine.com/geraldine-miskin

Top tips for a

happier

breastfeed

1

Breastfeeding is so

good for your baby because breast milk is tailor-made with your own child in mind.

It provides exactly the right nutrients, in an easy-to-digest package at the right temperature whenever your baby wants it. -Sharon Totter

2 To find out if your

baby has had enough

milk, give a two-part

feed, separated with

a winding/burping

session and nappy change. It’s

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nappy change. It’s G r e a t v i n e Adviceforlife normal for babies

normal for babies to fall asleep after 15 minutes of feeding, so doing a nappy change here will wake your baby before continuing the feed. If, after the second part, your baby allows you to take the breast out of their mouth without going into meltdown, they’ve had enough. -Geraldine Miskin

3 Your baby needs

to have a wide-open

mouth to latch onto

the breast correctly.

They should take lots

of breast tissue into their mouth,

not just the nipple. This helps them to feed well and efficiently and shouldn’t be painful for you. -Vicki Scott

4

Breastfeeding a newborn can be time-consuming

as your baby will need more frequent feeds.

So try to stock up on essentials before the birth. Fill up your freezer and encourage family and friends to agree to help with housework and shopping after the baby’s born. -Katherine Fisher

5

To keep your baby

awake during a feed, compress the outer edge, or ‘rim’, of the breast. By flattening the

breast tissue furthest away from the nipple, you’ll create a flush of milk. Your baby will have to start swallowing again or come off the breast. -Geraldine Miskin

6

If you offer regular

feeds when your baby is hungry, your milk supply will grow to match their needs.

Your newborn needs to feed frequently, little and often - sometimes after just an hour or two. These early, frequent feeds will ensure you build up a milk supply for your baby in the coming months. -Vicki Scott

7

If you exclusively breastfeed your

baby, your periods might not return for up to a year. It’s nature’s

way of making the natural, and therefore safer, gap between children longer. But remember not to rely on breastfeeding as a method of contraception. -Katherine Fisher

8

If your baby’s poos

are green or your nipples are sore, your baby may not be getting enough food, and

may be asking to be fed more frequently. You’ll need help with your positioning and attachment so that your baby latches well and drains the breast to increase your supply. - Geraldine Miskin

9

On average, a breastfed baby will

want to feed every two to four hours. Every mum and baby are

you’re spending all your time feeding, but this is normal. Soon, feeds should space out a little and you’ll be sleeping longer at night if your baby feeds well during the day. -Vicki Scott

10

Breastfeeding really is the

best for you and your baby, so try to stay

positive about it. Although it’s natural, that definitely doesn’t mean it’s easy for everyone. Many new mums have mastitis, sore nipples and thrush at some stage in their breastfeeding, so be prepared. Most of all, try to enjoy this very special time. -Katherine Fisher

11

One way to know if you’re producing enough milk

and if your baby

is feeding well is if your baby’s gaining between 20-30g each day. -Katherine Fisher

unique, and will have their own pattern of feeds. But feeds can last from 10 minutes to over an hour. At first, you might feel like

Find more great breastfeeding tips

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Next steps for

more advice

When you’re learning a new skill like breastfeeding, it’s good to know where you can get one-to-one help and support you can trust.

Greatvine lets you talk on the phone with the country’s best experts, whenever you need. Choose from leading specialists in over 80 topics covering all aspects of pregnancy, childbirth and parenting – from breastfeeding and baby sleep to postnatal depression and child nutrition.

Visit us online

www.greatvine.com

The team includes midwives, breastfeeding specialists, paediatricians, practice nurses, parenting coaches, child nutritionists, child psychologists, counsellors and more.

With an average of five qualifications each the experts offer advice you can trust. Friendly and understanding, they’re here to help. Many also contribute to TV, radio and to leading magazines & newspapers.

Simply browse the experts’ profiles, choose a specialist and talk whenever you need.

Email us

info@greatvine.com

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