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Date: | Wed, 28 Jul 2010 21:35:24 +0200 |
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Hi Susie
Good luck; I have been invited on to a 2 hour chat show on Monday evening,
so I'm delving into this too :-)
I would say to all mothers - skin to skin contact from birth, no separation.
Then the baby will most likely breastfeed....:-)
Tell them about the breastcrawl video (there are a few and you can google).
All suckling should be done at the breast. Also that even adoptive mothers
can bring in a supply, so most birth mothers surely can. Hand expression or
hands on pumping in the first 3 days maximises output if they are separated
from their babies (Two Effective Hand Techniques: Hand expression and
Hands-on Pumping, Morton J, J Perinatol. 2009 Nov;29(11):757-64. Epub 2009
Jul 2)
Abbreviate from the 10 Steps (as in the World Breastfeeding Week theme this
year) - http://www.worldbreastfeedingweek.org/ for more ideas.
In brief, the 10 Steps for better success in breastfeeding are that
institutions where mothers birth should:
1. Have a written breastfeeding policy that is routinely communicated
to all health care staff.
2. Train all health care staff in skills necessary to implement this
policy.
3. Inform all pregnant women about the benefits and management of
breastfeeding.
4. Help mothers initiate breastfeeding within a half-hour of birth.
5. Show mothers how to breastfeed and how to maintain lactation, even
if they should be separated from their infants.
6. Give newborn infants no food or drink other than breast milk unless
medically indicated.
7. Practice rooming- in - allow mothers and infants to remain
together - 24 hours a day.
8. Encourage breastfeeding on demand.
9. Give no artificial teats or pacifiers (also called dummies or
soothers) to breastfeeding infants.
10. Foster the establishment of breastfeeding support groups and refer
mothers to them on discharge from the hospital or clinic.
DiGirolamo AM, Pediatrics 2008; 122:S43-S49 in a study of 1907 mothers said
that the most important of these was initiation in the first hour, no
supplementation, no pacifiers or bottles. Throw in demand feeding, rooming
in and discharge to support group, and outcomes for breastfeeding were 13
times better than having none of those steps in place.
And finally, breastfeeding is fun, babies love it, mothers glory in it once
it is going well.
Guess your 3 minutes are up!
Best wishes
Jacquie Nutt IBCLC
South Africa
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