Wednesday, November 30, 2011

Breastfeeding & Baby Allergies

Breastfeeding & Baby Allergies

Allergies are more commonly diagnosed in the world than ever before. La Leche League claims that one in five children shows signs of allergies by age 20. Allergies are more documented today because doctors are more easily able to recognize and diagnose allergies than they were years ago. Breastfeeding has many health benefits to infants that carry on through life. One of these benefits is protecting the child against allergies.

How Allergies Occur

    Allergies are caused by the body viewing an otherwise harmless substance as harmful. The body will then produce large amounts of immunoglobulin E, an antibody that works to protect the body from allergens. The antibodies attach themselves to tissue and blood cells once they come into contact with the allergen, and proceed to release inflammatory chemicals such as histamines and prostaglandins. These chemicals are what cause the allergy symptoms.

Symptoms of Baby Allergies

    Food allergies cause symptoms such as diarrhea, spitting up, cramping, constipation, gas and poor absorption of nutrients. Allergies also effect the eyes, nose and skin. This causes rashes, and discharge from the eyes and nose. It can be hard to tell exactly what's wrong when a baby is young, so parents who have concerns should always visit the family doctor.

Breastfeeding Effects on Child Allergies

    Breastfeeding has many benefits, one of which is adding protection against allergies in children. Breast milk contains immunoglobulin A, which prevents foreign proteins from passing into the bloodstream and causing allergic reactions. Breast milk also contains antibodies to pathogens that are in the mother's milk. These antibodies help to protect babies from any allergens that may be in the mother's milk

Breastfeeding and Infant Milk Allergies

    Up to three percent of babies have a milk protein allergy. Most children outgrow this allergy by age five, but it can be troubling for parents to feed an infant with a milk allergy. Milk protein can pass through a mother's milk, so doctors of breastfeeding mothers may recommend that a mother limit or eliminate dairy from her diet if the child has a milk allergy.

Treatment of Infant Allergies

    If a breastfed infant has allergies, the mother can try an elimination diet for herself. This means cutting out all allergens and then slowly adding them back in one by one. Mothers should keep track as they add foods back into the diet to be sure which is causing the reaction. If parents suspect that a baby has an allergy, the baby should always be taken to the doctor. The doctor can perform a number of tests to discover the cause of the allergic reaction. This includes blood tests, stool tests and a skin test.

Monday, November 28, 2011

Alternative Treatment to Control Postpartum Bleeding

Alternative Treatment to Control Postpartum Bleeding

Normal postpartum bleeding is similar to a heavy period, necessitating changing pads every 4 to 6 hours. Blood may pool when lying down and seem to gush when standing up, but still be within normal limits. Soaking a pad an hour and continually passing large clots are signs of a hemorrhage. Hemorrhage occurs when the uterus relaxes and loses tone. Action and home remedies may quickly stop excessive postpartum bleeding. Women should know what to do and when to seek help to prevent shock and other complications.

Emergency

    Within hours or days of giving birth, get medical assistance or call 911 if there is repeated passage of large clots, or if symptoms of dizziness, nausea, faintness upon standing, pale and clammy skin, restlessness, anxiety and thirst are present. These symptoms of impending shock can also develop with a slow hemorrhage that initially may not have seemed serious. Blood loss can quickly escalate to a dangerous situation as blood pressure, pulse and respirations become unstable.

Uterine Tone

    After giving birth, the uterus contracts into a hard ball that puts direct pressure on the open wound left by the placenta. Excessive bleeding occurs when the uterus becomes soft and flabby. The most common reason the uterus relaxes is because it is displaced by the mother's full bladder. As soon as she urinates, the problem resolves. A uterus can also have poor tone because of maternal nutritional deficiencies, particularly of vitamin K, or it may be due to traumatic birth factors, such as a long hard labor or the rapid delivery of a large baby. A soft uterus is more likely in mothers who have several children and in those who are not breastfeeding.

    Breastfeeding stimulates the release of hormones in the mother's bloodstream that contract the uterus and prevent hemorrhage. Getting the baby to latch on may be all that is needed to stop a heavy flow.

    Massaging the uterus will trigger contractions. Place one hand below the uterus to support musculature while massaging the fundus, or top. Don't forget to rub the sides as well. Do this vigorously until a firm ball is felt in the abdomen. Check and repeat every 15 minutes until it has remained firm for at least 2 hours.

    Elevating the feet and placing an ice pack over the uterus may also help slow blood loss and prevent shock, but the ice pack must be removed and the fundus checked for firmness periodically.

Herbal Remedies

    Plant sources of hormones that contract the uterus include Blue Cohosh, Cotton Root Bark and Cannabis. They work well when given with herbs that constrict blood flow such as Witch Hazel or Lady's Mantle. Tinctures work quickly when given under the tongue.

    The favorite of midwives, Shepherd's Purse, is a blood coagulant, or vasoconstrictor, and promotes uterine contractions. Used alone, one teaspoonful under the tongue can stop a hemorrhage in less than 30 seconds. According to Susun S. Weed, author of "Wise Woman Herbal for the Childbearing Year," dried Shepherd's Purse loses potency quickly, and the best tinctures are made from fresh herbs.

Sunday, November 27, 2011

How to Make Lactation Cookies

How to Make Lactation Cookies

This is a great cookie for breastfeeding mothers who need or want to increase their milk supply. This recipe contains some lactogenic foods (foods that increase milk production), such as oats, brewer's yeast and almonds. These cookies also taste great and make a great treat for even people who are not nursing moms.

Instructions

    1

    Preheat oven to 375 degrees.

    2

    Mix the flaxseed meal and water together in a small mixing bowl, and set the mixture aside for three to five minutes.

    3

    Cream together the butter and sugar in a separate bowl, then stir in the eggs.

    4

    Stir flaxseed mix and butter mix together, then stir in the vanilla. Beat until well blended.

    5

    Combine all dry ingredients (except oats, raisins and almonds) in a separate bowl. Add the butter mixture to the dry mixture. Stir well

    6

    Stir in the oats, raisins and almonds.

    7

    Drop dough balls onto greased baking sheet using an ice cream scoop. Bake 10-12 minutes.

Wednesday, November 23, 2011

Breastfeeding at Beaches

Breastfeeding at Beaches

As a breastfeeding mother, you've quickly learned that your little one needs to eat no matter the place, and she might start showing hunger cues at the most inopportune times. When you're headed to the beach with your family, don't forget to throw in your nursing supplies along with your sunscreen and beach towel because your baby is probably going to need to nurse during your day on the sand. If you're well prepared, breastfeeding at the beach can be as easy and comfortable as it is from the comfort of your home.

Routine

    A day at the beach certainly isn't your average day, but you should remain on your regular breastfeeding schedule with your baby. Keep an eye on the time throughout your day, making sure that your baby is fed at normal intervals. If you have a newborn, he might be eating as frequently as every two to three hours -- or less. Older babies might not nurse as often, but they'll need the regular sustenance when you're at the beach. Although your location has changed, your baby's feeding schedule should not.

Location

    When you're setting up for a day at the beach, check out the area for a spot that's breastfeeding friendly. Find a shady spot, if possible, where you can keep your baby out of the sun while you breastfeed. If the beach is crowded and you're shy about nursing in public, opt for a more secluded location or a spot where you can at least face away from the crowds as you breastfeed. With a breastfeeding-friendly setup, feeding your baby at the beach can be a breeze.

Supplies

    As a breastfeeding mom, you probably don't think much about feeding your baby because you always have all of the supplies you need. However, a trip to the beach might require a few additional supplies to make your breastfeeding experience simple and hassle-free. Choose a lightweight receiving blanket or nursing cover that allows you to shade your baby -- and give yourself some privacy -- when breastfeeding at the beach. If no natural shade is available, bring a beach umbrella that allows you to create a shady spot suitable for nursing. Wear a swimsuit that makes it easy for you to nurse -- one with a high neckline, for example, might be tough to slip out of, while one with a lower neckline would be easy to pull down. Toss a portable, battery-powered fan in your beach bag so that you can keep your baby cool while she nurses.

Legal Right

    Whether you're a nursing-in-public pro or a first-time mom breastfeeding outside of the house for the first time, you can be confident thanks to laws that keep your rights protected. Forty-five states have established laws that protect mothers who nurse in public, which includes breastfeeding on the beach. Even more, the National Conference of State Legislators reports that 28 states exempt breastfeeding from public indecency laws. After all, your baby needs to eat, whether you're at home or at the beach, which is why laws are in place to allow you to feed your baby wherever and whenever you please.

How to Stop a Breast From Leaking

How to Stop a Breast From Leaking

Lactating mothers often experience breast leakage during the early weeks and months of breastfeeding. The oxytocin hormone causes the milk ejection reflex (MER), known as letdown, causing the milk to flow freely from either breasts. According to lactation expert, Susan Condon, leaking breasts are a sign that lactation is going well, and are the body's way of preventing breast engorgement. If you are currently nursing, there are a few ways to stop your breast from leaking.

Instructions

    1

    Apply firm pressure on both breasts by crossing one or both arms over the nipples when taking off your bra. Breasts will get heavy due to the accumulation of milk hours after your last nursing. Feed your baby right away to relieve the feeling of fullness from your breast. If the baby is not hungry, pump your milk out and store it in the refrigerator for later use.

    2

    Press your nipple firmly on one breast with your palm when your baby is feeding on the other side. Leaks often happen during the time when your child is sucking milk from one breast while the other side is full of milk. Allow the baby to feed on the other side as soon as you feel that he has sucked some of the milk out from the other breast.

    3

    Lie down on your back when resting or sleeping. Do not sleep on your stomach to prevent your breasts from getting squeezed. When laying on your side, avoid putting your weight on your breast.

    4

    Use washable or disposable breasts pad under a comfortable-fitting nursing bra when you are going out. They are designed to absorb leaking milk and keep your bra dry. Change them right away as soon as they get wet to prevent nipple soreness and fungal infections. If breastfeeding at home, use a cloth diaper to absorb the leaks.

Tuesday, November 22, 2011

Breast Feeding & Baby Growth

Breast Feeding & Baby Growth

Newborns come out into the world ready to feed and grow. They are ready to use their primitive sucking reflex and, under conditions of natural childbirth, they are also ready to gradually crawl towards the breast and feed. The benefits of breastfeeding are so immense that many doctors and health professionals, including the World Health Organization (WHO) and the American Academy of Pediatrics (AAP) recommend exclusive breast feeding for the first six months of a baby's life. The AAP recommends a continuation of breastfeeding along with solids from six months until the baby is one year or older. WHO recommends breastfeeding to continue until at least age two. Indeed, the benefits go far beyond nurturing the physical growth of the baby. Breastfeeding also supports the baby's cognitive and social-emotional development, the nursing mother's health and the health of the environment.

Physical Growth Considerations

    Special accommodations help make breastfeeding a success
    Special accommodations help make breastfeeding a success

    The AAP states that human milk is a unique and superior food for human babies. More specifically, each human mother makes the best food for her own baby. The quantities of nutrients in the milk vary depending on how frequent feedings are, the nutrition and physical health of the mother, and the duration of the feeding. For example, higher fat concentration in the milk is present towards the end of the feeding. If a baby is having a growth spurt and is suddenly nursing more frequently, the baby will receive this high caloric fat that is still stored in the breast from the previous feeding. It is important to note that according to the WHO growth charts, breastfed babies weigh less than formula fed babies. The implication is that people should not compare the rate of growth of breastfed babies and formula fed babies, as this comparison might lead to the wrong conclusion that the breastfed baby is not feeding enough.

Health Benefits

    Breastfed babies are healthier babies
    Breastfed babies are healthier babies

    Breastfeeding newborns have the advantage of sharing some of the immunities of their mother through the breast milk. The U.S. Food and Drug Administration (FDA) explains that breastfeeding children can also avoid certain illnesses altogether. If they do become ill, the illness is shorter or less severe. On their list of such illnesses are bacterial meningitis, bacteremia, diarrhea, respiratory tract infection, necrotizing enterocolitis, ear infection, urinary tract infection and late onset sepsis in preterm infants. In addition, they state that breastfeeding provides other health benefits, such as a lower rate of sudden infant death syndrome, obesity, diabetes, certain cancers and asthma. The FDA further considers that in the U.S., infant mortality rates are reduced by 21 percent in infants who nurse. It is essential to note that the health benefits of breastfeeding last throughout the lifetime. For example, adult women who were breastfed as infants have a lower risk of breast cancer than women who were formula fed.

Emotional and Social Significance

    Breastfeeding promotes emotional closeness between mom and baby
    Breastfeeding promotes emotional closeness between mom and baby

    Breastfeeding is an interaction that supports bonding and attachment. The natural ability to nourish baby's body and soul is a huge confidence booster for the mother. The frequent physical closeness promotes an intimate close-up study of emotional expressions and social responses between mother and baby. As mother learns to respond to baby's cues, and baby learns that his or her cues produce a response, they become more sensitive to each other. In essence, they develop a common language that is the foundation of communication. The immediacy of the response and the ability to anticipate that a response will occur supports the development of trust.

Cognitive effects

    Breastfeeding promotes the cognitive development of infants. Dr. Sears shows that breastfeeding infants have higher IQs than those who are formula fed. Breastfed babies also grow to be children with higher grades in school. In addition, the longer a baby breastfeeds, the greater the IQ advantage is. The unique content of breast milk provides neurological advantages. Breast milk fats are essential building blocks of the brain. Breast milk sugars are significant for brain development. The activation of the senses during breastfeeding, as well as the many chances to closely examine facial expressions and reactions, provide ample opportunities for learning and stimulation.

Secondary Benefits

    Breastfeeding mothers and baby girls have lower rates of breast cancer
    Breastfeeding mothers and baby girls have lower rates of breast cancer

    Breastfeeding supports many secondary benefits for the baby. Mothers who breastfeed are healthier. Studies show that women who breastfeed have lower risk for breast cancer, ovarian cancer, endometrial cancer, hip fractures and osteoporosis. With decreased infant illnesses, fewer of the family's resources are spent on doctor visits and medications. With a perfectly prepared, warmed and delivered human milk, the family spends less time and money on shopping and preparing food. Breastfeeding is also good for the environment. It decreases the use of cans of formula and plastic bottles, so that the environmental burden of producing, packaging, transporting, and disposing of baby feeding supplies is reduced.

Potential

    Successful breastfeeding can happen even in the highly medicated reality of births in the U.S.
    Successful breastfeeding can happen even in the highly medicated reality of births in the U.S.

    Since potential benefits of breastfeeding are so immense, it is important to educate, encourage and support breastfeeding mothers throughout the process. Some mothers begin nursing with ease. However, in the highly medicated reality of births in the U.S., which includes routine epidurals, Pitocin, analgesics and narcotics, many women lack the physical capacity to advocate for themselves and their babies following childbirth. Some babies might experience difficulties being alert during nursing from the medications they were exposed to during childbirth. Therefore, education regarding the benefits of breastfeeding should include fathers and other family members who are involved in the care of the baby. They can be breastfeeding helpers and advocates right from the start.

Monday, November 21, 2011

Newborn Weight Loss Calculation

Breast-fed newborn babies may lose up to 10 percent of their birth weight in the first week of life without cause for alarm or medical intervention; however if they lose more than 7 percent in the first 72 hours, the breastfeeding method should be observed by a trained professional. The weight loss calculation is usually performed by a doctor or nurse about one week after birth. Formula fed infants typically lose 5 percent of their birth weight in the first week. There are multiple explanations for why a newborn might lose weight.

General Conditions

    The most common theories about newborn weight loss are: babies are born with extra weight to help with the stress caused by labor and the transition to life outside the womb; and for a breast-fed baby, his mother's milk does not come in fully for three to five days. Some women mistakenly give up breastfeeding before their milk has come in, concerned that their baby is not gaining weight. However, breastfed babies are receiving colostrum, which contains all essential nutrients but comes in small quantities. Lactation consultants or breastfeeding education classes before birth can help to counteract this trend.

Special Conditions

    The use of intravenous (I.V.) fluids in labor causes a large shift of fluid from the mother to the fetus. Therefore, the newborn infant's initial weight loss may be greater than 10 percent maximum due to surplus fluid loss. Dry heat from radiant warmers and incubators can also cause excessive fluid loss for a newborn if he is left there for a long period. Lastly, giving newborn babies water or formula can also contribute to weight loss.

Steps to Ensure Accurate Weight Loss Calculation

    A trained medical professional such as a doctor or nurse usually weighs the infant before he leaves the hospital and about one week after birth. The scale should be balanced and the newborn's clothes and diaper removed. The calculation performed is birth weight ,less current weight = difference, then difference divided by birth weight to derive percentage weight change. Depending on the results, such as a breast fed baby losing more than 10 percent of his birth weight, the pediatrician's attention may be required. However, most babies will regain their birth weight within two to three weeks and their initial weight loss will be within the normal range.

How to Sew Boutique-Style Nursing Covers

How to Sew Boutique-Style Nursing Covers

Make an attractive nursing cover to use for privacy when nursing an infant in public instead of an ordinary blanket. Use a lightweight fabric for the nursing cover and choose a fabric that best expresses your personality. Use a solid-colored earth tone fabric for a demure nursing cover or use a brightly colored patterned fabric for a bold nursing accessory. You can embellish the edges of the nursing cover with a length of satin ribbon, or decorate the entire cover with imitation gemstones or iron-on decals.

Instructions

    1

    Cut a 36-inch by 30-inch rectangle of the fabric of your choice.

    2

    Place the rectangle on a flat surface with the wrong side facing upward and fold over 1/4-inch of fabric on the two 30-inch-long sides and one of the 36-inch-long sides. Use an iron to create a crease along each fold line.

    3

    Fold over another -inch of fabric on each of the three sides. Press the folds with the iron. Sew the three sides of the fabric in place with a zigzag or small straight stitch.

    4

    Fold over -inch of fabric on the remaining 36-inch-long side. Use the iron to crease the fold. Fold over another -inch of fabric, crease it with the iron and sew it in place with the same stitch as the other three sides.

    5

    Cut a 4-inch-wide by 30-inch-long strip of the same fabric. Place the fabric wrong side down and fold the strip in half lengthwise to make a 2-inch-wide by 30-inch-long strip. Sew 1 short end and the long edges together with a straight stitch. Turn the fabric tube right side out.

    6

    Cut a 1 -inch-wide by 29-inch-long strip of 1/8-inch-thick foam padding. Insert the strip of foam padding into the fabric tube. Fold the open end of the fabric inward to make a smooth edge and sew the edge closed.

    7

    Find the center of the 36-inch-long side of fabric with the -inch fold. Lay the padded strip of fabric along the -inch seam line with each end 6 inches away from the center of the side. Pin the short ends of the strip to the fabric and sew it in place with a tight straight stitch. Double back over the stitching to reinforce.

Sunday, November 20, 2011

How to Cure Baby Constipation

How to Cure Baby Constipation

If your baby is having dry, hard stools that are painful to pass, she is likely constipated. Timing alone is not enough to identify a case of infant constipation -- some babies, especially breastfed babies, can go three or more days between bowel movements without any distress. A baby who strains and cries while eliminating, who seems to have a stomachache or abdominal pain, and whose stools are firm and perhaps blood-streaked may be constipated and in need of your help.

Instructions

    1

    Increase your baby's fluid intake. If you are breastfeeding, nurse more frequently. If your baby is on formula, talk to your pediatrician about adding bottles of water to the feeding schedule.

    2

    Dilute 1 ounce of prune juice in 1 ounce of water and feed it to a baby over 2 months old once or twice a day. If she refuses the prune juice, try adding it to a bottle of pumped breast milk or formula.

    3

    Lay your baby on her back and pump her legs. The activity will sometimes loosen things up. If your baby is crawling, encourage her to do a few laps around the room.

    4

    Remove constipating foods like apples, bananas and iron-fortified baby cereals from your babys diet. Re-introduce them slowly after her system returns to its normal pattern.

    5

    Increase baby's fiber intake with cereals like oatmeal and barley. Foods like apricots, peaches, peas, beans, pears and prunes are all good foods to loosen things up. Try stirring the pureed fruit or vegetable into the baby's oatmeal or barley cereal if she refuses to eat it straight.

    6

    Consider switching formulas if your baby drinks it. Ingredients in formula such as iron can cause constipation in some babies. Others are sensitive to soy proteins or cows milk proteins present in formula. Talk to your babys pediatrician for advice before making a change.

    7

    Add 1 teaspoon of light corn syrup to your baby's bottle. The syrup can help loosen and lubricate the hard stool.

    8

    Ask your pediatrician about over-the-counter remedies that are safe for your baby. A stool softener may help. Use it only as a last resort, however, so that the babys digestive system does not become dependent on the product.

How to Breastfeed After Breast Reduction

Contrary to popular belief, breastfeeding is possible after breast reduction surgery in most cases. With more than 50% of all breast reduction surgery patients able to breastfeed (and specialists estimate the number is considerably higher), expectant mothers who have experienced breast reduction surgery may find themselves needing to learn how to breastfeed after breast reduction.

Instructions

How to Breastfeed After Breast Reduction

    1

    Call your breast reduction surgeon and ask him or her which method they used for the reduction. Some surgical techniques lead to higher breastfeeding success rates. Knowing which surgical technique was used is important information you can pass on to breastfeeding professionals.

    2

    Contact a lactation consultant. Most hospitals with maternity wards have part- or full-time lactation consultants on staff. Ask your midwife or obstetrician for a referral to a lactation consultant of you cannot find one easily. La Leche League is another great resource for breastfeeding in general. No matter which source you turn to, be certain the breastfeeding expert you choose has experience helping mothers wishing to breastfeed after breast reduction.

    3

    Take fenugreek capsules and eat one to three servings of oats each day after birth. Both are galactogogues, or substances that encourage breastmilk production.

    4

    Hook up an electric breastpump and empty the breast entirely after the baby is done feeding. If you cannot afford an electric breastpump, consider renting one from a hospital lactation consultant's office. Some health insurance policies will cover the charge. Some Women, Infants, and Children (WIC) offices will provide electric breastpumps as well.

    5

    Store the pumped breastmilk in your refrigerator and use within 24 hours. If you do not produce enough breastmilk to meet your babies needs and supplement with formula, pour the pumped breastmilk into the baby's next formula bottle.

    6

    Do not give up! If you can produce even a small amount of breastmilk, it makes a difference for your baby and for your health.

Friday, November 18, 2011

Food Recommendations for a Toddler With a Stomach Virus

A toddler with a stomach virus may have difficulty holding down foods and liquids. The sick toddler may not have an appetite during the stomach virus. A parent or caregiver should gently encourage the toddler to try foods that are easy to digest and have good nutritional value. Fluids are also an important component to recovery from a stomach virus.

Fluids

    A toddler with a stomach virus needs plenty of fluids. This will prevent dehydration, which can cause serious complications for toddlers. Water is not recommended as it doesn't absorb well and doesn't replace the electrolytes that toddlers need. Drinks such as Pedialyte, which replace electrolytes, are recommended.

Crackers and Toast

    Crackers and dry toast are typically the first bland foods that toddlers should eat with a stomach virus. They are easy for toddlers to digest, making it easier for the toddler to hold them down.

BRAT Diet

    The BRAT diet (Bananas, Rice, Applesauce, Toast) is commonly recommended for toddlers recovering from a stomach virus. However, the American Academy of Pediatrics recommends a more balanced diet with more nutrients for toddlers recovering from a stomach virus.

Breastfeeding and Formula

    If a toddler is still receiving breast milk or formula, these should be continued. The regular breastfeeding schedule should be maintained if possible. Formula-fed toddlers may still want to take their formula. Pedialyte or a similar drink is also an option.

Avoid Sugar and Citrus

    Foods high in sugar should be avoided in the diet of a toddler with a stomach virus. Citrus fruits and other acidic foods should also be avoided. These foods are more difficult for toddlers to digest and may upset their stomachs.

Avoid Dairy

    Dairy foods are often a staple in a toddler's diet. A toddler with a stomach virus should not consume dairy as it can make symptoms such as diarrhea worse. Dairy products are more difficult for toddlers to digest.

Back to Normal

    The Mayo Clinic recommends gradually reintroducing the foods that a toddler eats on a regular basis. The toddler's primary caregiver knows his usual diet better than anyone. The caregiver should slowly offer the toddler's usual diet, making sure to include the foods that offer the most nutritional value.

Neonatal Use of Diclofenac Sodium

Neonatal Use of Diclofenac Sodium

Diclofenac sodium is a non-steroidal anti-inflammatory drug, otherwise known as an NSAID. These types of drugs block prostaglandins, which are produced by the body and cause inflammation, pain and sometimes fever. NSAIDs reduce prostaglandins in the body, therefore minimizing inflammation, pain and fever. Prostaglandins do have important functions, such as protecting the lining of the stomach from acid and supporting the body's blood clotting function. Therefore, taking NSAIDs can have negative effects, such as ulcers and bleeding. For pregnant women, there are added risks.

Use

    NSAIDs can be used to treat headaches, arthritis, sports injuries and menstrual pain. Aspirin, used to inhibit blood clotting and to prevent strokes and heart attacks, is an NSAID. The NSAID diclofenac sodium is used primarily to treat the symptoms of rheumatoid arthritis, which include inflammation, swelling, stiffness and joint pain. Cataflam and Voltaren are two brand names of diclofenac sodium. The latter is used for long-term treatment, while the former is used for immediate relief of pain.

Pregnancy & Birth

    A 2001 study, which combined population-based observation with case-controlled research, looked at whether the use of NSAIDs caused adverse outcomes during pregnancy. The study concluded that the use of NSAIDs, such as diclofenac sodium, was not specifically associated with birth defects, preterm delivery or low birth weight. However, the study did conclude that there was an association between NSAIDs and spontaneous abortions, or miscarriages.

Fetal Risk

    Diclofenac sodium taken by pregnant women has been proven to cross into the placenta. Risk to the fetus can include suppression of fetal renal function, as well as premature closure of the ductus arteriosus--the vessel that connects the lungs with the heart--and pulmonary hypertension. Use of diclofenac sodium in the third trimester nearing delivery increases these risks.

    A 1998 report showed that a woman who took diclofenac sodium for two weeks at the 34th week of her pregnancy developed premature closure of the ductus arteriosus in the fetus. The mother took the drug for back pain and to treat carpal tunnel syndrome. At 41 weeks, the fetus's heart was enlarged and showing signs of early cardiac failure, causing doctors to perform an emergency C-section. The baby was successfully resuscitated.

Breastfeeding

    No reports have been found studying the use of diclofenac sodium while breast feeding. According to the manufacturer, the drug is present in the milk of nursing mothers, but the manufacturer does not cite how much is actually present. Some drug reviewers have stated that the drug is safe for use during breast feeding. The American Academy of Pediatrics approves the use of an NSAID similar to diclofenac sodium during nursing.

Side Effects

    Patients who take diclofenac sodium--whether pregnant or not--will need to have frequent doctor checkups because of the possibility of ulcers and internal bleeding that can occur. Other side effects include cramps, abdominal swelling, anemia, constipation, diarrhea, dizziness, fluid retention, gas, headaches, heartburn, indigestion, itching, nausea, rashes, ringing in the ears and vomiting. To deal with some of the side effects, doctors recommend that patients take the drug with food, milk or an antacid. It is also recommended to take the drug with a glass of water and to avoid lying down afterward. These steps will help relieve the irritation that diclofenac sodium can cause to the digestive tract.

Wednesday, November 16, 2011

How to Save Money on Monthly Baby Expenses

Are your monthly diaper bills weighing you down? Do you find that trying to make ends meet while having a new addition to the home is getting harder and harder? Here are a few ways to stretch your monthly baby expenses.

Instructions

First Things First

    1

    Before taking drastic measures, look at your overall spending habits for your baby. Evaluate where the real drains are on the budget and tackle the all areas that you can. Try out the following steps gradually and each month try to do a little better.

    2

    Avoid purchasing unnecessary items. Simply avoiding that extra cute top or little dress that really is not needed can really make a difference. Also, there are a lot of gadgets out there for it seems every imagined baby "need." Try to consider if the item is really necessary before purchasing it.

    3

    Keep the concept of saving money on your mind throughout the month as well. Look out for coupons and sales of needed items and be willing to shop for clothing and toys at resale shops or garage sales.

Nursing and Baby Food

    4

    Consider breastfeeding. One of the common ways that baby expenses can creep up is through the purchase of baby milk formulas. Breastfeeding your baby is certainly an inexpensive way to feed him or her, aside from its healthful merits. Even if you are unable to totally breastfeed, breastfeeding as much as you can may help out the monthly bills.

    5

    Make your own baby food as much as possible. There are a lot of books and simple recipes for baby foods. It is actually quite easy to make up baby food in large batches or right along with the evening's meal. One way to store baby food in bulk is to freeze the purees in ice trays. Not only do they come out in nice portions, but they are easy to store in plastic freezer bags by simply popping them out of the trays.

    6

    Be careful to also not waste baby food. Try to give your baby only as much as he or she will eat. A lot of baby food can go to waste by giving too generous portions.

Diapers and Wipes

    7

    Cut down on the amount of diapers used each day. Particularly in the summer, try to let your baby go without a diaper for a certain period of time. Depending on the child, this can make a difference. However, avoid leaving diapers on the baby for long periods of time as it can cause rashes.

    8

    Consider using cloth diapers. As hard as the thought might be, using cloth diapers can save a lot of money in the course of a month. If the thought of using them all of the time is a little too much to handle, try using one or two of them a couple of times a day when their stools begin to be more solid and the clean up is not quite so great.

    9

    Make your own wipes, if possible. There are a lot of baby wipes recipes available online or in self-help books. Usually they involve simply paper towels, some sort of baby shampoo or soap and baby oil. Making wipes is a pretty easy task and they can smell great too.

Monday, November 14, 2011

Tips on Breastfeeding a Newborn

Tips on Breastfeeding a Newborn

In the first few weeks, breastfeeding can present many challenges. The new mom may face clogged milk ducts, supply issues, nipple infection, or mastitis, and the infant may have trouble latching on or may have reflux issues. There are some strategies the new mom can employ in the first few days to make breastfeeding easier and to set mom and baby up for long term success.

Nurse Early and Often

    If it all possible, nurse within the first hour of giving birth. Breastfeeding quickly after birth will help promote a good mom and baby connection in terms of breastfeeding. Breastfeeding.com states that an infant shows a very strong sucking reflux in the first hour after birth, and this sucking reflux needs to be capitalized on to promote successful breastfeeding. Also, nurse whenever the baby shows interest. Nursing often will promote the milk supply, since breast milk is made through a supply and demand process.

Position Your Breast for a Good Latch

    Engorged breasts are hard to the touch and difficult to latch onto, so it may be necessary to help the baby with the positioning. First, lightly massage the breasts from the top toward the nipple to encourage milk flow. Next, lightly squeeze the top and bottom of the breast, pushing the nipple outward. This movement will make the breast look like a sandwich and allows the baby an easier time in finding the nipple. Encourage the baby to open his mouth wide and get as much of the areola into his mouth. Do not force things, but gently guide the baby into proper positioning.

Find a Good Nursing Position

    Moms who have a vaginal delivery may be able to begin nursing in the cradle hold, where they hold the baby across the stomach and nurse. Moms who have had a c-section delivery will not be able to put any pressure on the incision right away, so the football hold will be a better choice. In the football hold, the mother puts the baby on her forearm, with her forearm supported by a pillow, and holds the baby's head in the palm of her hand. In both positions, the mother should bring the baby to the breast, not the breast to the baby. Later, when the mother is more practiced at nursing and the baby has more head control, it will be possible to nurse while lying down sideways.

Stay Hydrated and Eat Healthy Foods

    Nursing burns a lot of calories, so it is important to fortify with extra water and strong nutrition. Eat small healthy meals throughout the day to keep hunger at bay and to give the body the extra nutrients it needs to build a good supply. Babycenter advises new moms to limit caffeine intake since the caffeine can pass through to the breast milk. It is also a good idea to limit alcohol since it enters breast milk as well.

Sunday, November 13, 2011

Benefits of Garlic for Breast Feeding

Benefits of Garlic for Breast Feeding

Garlic, also known as allium sativa, is often linked to studies that suggest its medicinal value. While the medical community generally agrees that garlic may help in cases of high cholesterol, cancer or viral illnesses, there is much debate about whether or not garlic is safe for breastfeeding mothers. Despite its use as a natural antibiotic, some mothers avoid garlic in fear that it will irritate the infants stomach. But some mothers who ate garlic experienced benefits when they breastfed.

Babies Nursed Longer

    According to Dr. Julie A. Mennella, babies are likely to benefit when breastfeeding from a mother who eats garlic. Her study at Philadelphias Monell Chemical Senses Center demonstrated that babies nursed longer in response to a mothers large garlic intake several hours earlier. Dr. Mennella also observed that the babies took more milk without suffering from cramps or additional issues linked to spicy foods. It was even noted that babies showed signs of preferring the taste of the milk when nursing mothers ate garlic. These findings were illustrated by various tests administered during the study.

Maintains Babys Weight

    A study conducted by Dr. D. Sooranna, Ms. J. Hirani and Dr. I. Das at the Academic Department of Obstetrics & Gynecology at the Chelsea & Westminster Hospital in London, England, suggested that garlic might contribute to an increase in a small babys birth weight during pregnancy. Through a series of experiments, the research team demonstrated that growth could be stimulated by adding garlic extracts to cells from the placenta of women who were likely to give birth to a small baby. The babys healthy weight was then maintained after birth when mothers who nursed ate garlic. According to a study by Dr. Mennella and Dr. Beauchamp, babies accepted larger quantities of milk from their mothers when they tasted the flavor of garlic.

Preparation for Solid Foods

    Another benefit to mothers who nurse while eating garlic is preparing her baby for solid foods. Being introduced to the strong flavor of garlic is thought to open babies up to a more varied pallet of tastes. Dr. Menella, also an expert in the early development of human flavor preferences, concluded from her study that "mothers' milk provides a rich sensory experience for the infant, and may act as a flavor bridge from the tastes in utero to table foods, therefore making certain tastes familiar to the baby.

Friday, November 11, 2011

Exercises to Prevent Breast Inversion

Inverted breasts, or more specifically breast with inverted nipples, often need minor surgery to correct them, but before surgery there are some exercises you can do to prevent or correct an inverted or flat nipple. An inverted nipple is one that points inward instead of outwards and it can be a hindrance to breast feeding. Both men and women can get inverted nipples.

The Hoffman Technique

    The Hoffman technique is a simple stretching exercise you can do to break up adhesions under the skin near the nipple that may be causing or could cause nipple inversion. To do the exercise, take both your thumbs and put them on one nipple where it meets the breast. Start with your thumbs on each side of the nipple. Using moderate pressure, simultaneously pull the thumbs in opposite directions outward. Then, place them above and below the nipple and again pull them away. This will break up existing adhesions and loosen ones that may be forming as a preventative measure. Start doing the exercise twice daily. Gradually increase to five times daily.

Stimulation

    Stimulating the nipple or nipples can cause inversion to reverse, at least temporarily. Tools like clamps and other stimulation devices for nipples can be used daily to offset inversion or prevent flat nipples from inverting. Having your partner stimulate your nipples manually or orally can work too. Suction cups or syringes may work too. Daily stimulation through any of these means may help, but talk to a doctor before trying any of these exercises.

Breast Shells

    Breast shells can also prevent inverted nipples, though the evidence for curing them is inconclusive. The plastic shells are worn inside your bra. They should not be worn at night, but can otherwise be used every day. The shells put pressure on the area around the nipple, which can break up any adhesions under the skin that may be trying to pull the nipple inward. Breast shells are often used by pregnant women in their third trimester, but anyone can use them along with doing the exercises mentioned above. Start by wearing them for only a few hours during the day and increase the time gradually.

Calories Burned From Breastfeeding

New mothers want the best for their babies. Many new moms also want to lose weight in the weeks and months after giving birth. One thing a mother can do that is good for her baby and herself is breastfeeding. Diet and exercise are major factors in weight loss for all new mothers, but the process of milk production allows breastfeeding mothers to burn more calories than formula-feeding mothers.

Time Frame

    The American Academy of Pediatrics recommends exclusive breastfeeding for the first six months of life and supplemented breastfeeding until 12 months of age or beyond.

Misconceptions

    1. Breastfeeding makes you gain weight because it increases your appetite.
    2. Breastfeeding mothers need to eat less than they did during pregnancy.
    3. I can eat as much as I want while breastfeeding.

    Although breastfeeding mothers are hungrier than their bottle-feeding counterparts, typically their increased appetite does not result in weight gain. In fact, breastfeeding mothers need to consume more calories than they did during pregnancy to maintain an adequate milk supply. Breastfeeding burns calories, but it is not a license to overeat. Breastfeeding mothers still have to eat healthfully to burn enough calories to lose weight.

Do the Math

    Many studies show that most breastfeeding women should consume an additional 300 to 500 calories per day to attain their pre-pregnancy weight. According to a report published by the United Nations and World Health Organization, exclusively breastfed infants consumed an average of 807g of milk per day during the first six months postpartum. This translates into a maternal energy expenditure of 675 calories per day. Mothers of partially breastfed infants burned 460 calories per day. Part of the energy needed to make milk comes from the mother's own fat reserves. Women who gained an appropriate amount of weight during pregnancy should consume an extra 505 calories per day.

    The U.S. Institute of Medicine states that the average exclusively breastfeeding woman burns an extra 500 calories per day. About 170 calories per day are burned from maternal fat stores, so these women need to consume an extra 330 calories per day.

Benefits

    Most breastfeeding women lose weight without restricting their diet and counting every calorie. On average, breastfeeding women consume more calories, but their calorie output exceeds that of non-breastfeeding women. As a result, breastfeeding women typically lose more weight postpartum. They also lose weight more quickly in the first three months after giving birth.

Considerations

    A higher caloric intake is necessary to ensure adequate milk supply, but overeating negates the extra calories burned by producing milk. Women maximize the calories burned from breastfeeding when they exclusively nurse their infants. Supplementation of baby's diet with formula, solid foods and juice, decreases milk production, so mom burns fewer calories. When the baby weans, milk production gradually ceases. Weight lost during breastfeeding may return unless the mother reduces her caloric intake accordingly.

How to Clean Medela Breast Pump Tubing

How to Clean Medela Breast Pump Tubing

You've made the choice to breastfeed, and now you have to figure out how to clean your breast pump. Lucky for you, Medela breast pumps are designed to be easily used and cleaned. According to Medela, cleaning the tubing is not necessary, because it does not come into contact with your breast milk. However, a new nursing mother prefers to clean anything coming into contact with her baby, and breast pump tubing is no exception.

Instructions

    1

    Disconnect the tubing from your Medela breast pump. Remove the end caps from the tubing, if necessary.

    2

    Boil half a pot of water, then place the tubing in the water for 10 to 20 minutes to sterilize.

    3

    Fill the syringe with rubbing alcohol. Position the head of the syringe at one end of the tubing. Hold the tubing so the opposite end is hanging in the kitchen or bathroom sink.

    4

    Flush the tubing with rubbing alcohol by dispensing the syringe. The rubbing alcohol will dry up excess water left in the tube from boiling.

    5

    Hang the tubing vertically to dry or use a hair dryer to remove any additional water. Hold the hair dryer about 1 to 2 inches from one end of the tubing to prevent melting.

    6

    Replace the end caps on the tubing prior to your next pumping session, if you removed them in Step 1.

Thursday, November 10, 2011

How Does Breast Milk Develop?

Anatomy of the Human Breast

    The human breast is made up of fatty tissues, lobes (which are milk-producing glands,) milk ducts, and connective tissue. If a normal, healthy woman becomes pregnant, then the series of changes in her body will signal the lobes to create milk and deposit them in the milk ducts. The baby, of course, can suckle the milk from the ducts and out the nipple.

Development

    Dramatic changes take place in the breast for females during puberty. Various hormones are released during puberty that cause the body to mature. Estrogen is the hormone that most stimulates breast development during puberty. The changes that estrogen produces enable the breasts to make milk.

Pregnancy

    Hormonal changes during pregnancy cause additional blood flow to the breasts, and the breasts become bigger. The nipples also become bigger and darker. These changes are the body's way to prepare to nurse a baby. During the third or fourth month of pregnancy, the breasts will start to make colostrum. Colostrum is a very thin form of breast milk, but it is full of antibodies and it is the first drink a newborn gets. As the pregnancy continues, some women's breasts will leak a little of the colostrum that is building up in them.

Motherhood

    After the baby is born, his or her suckling stimulates the breasts to make milk. The milk is produced in the lobes, and flows down into the milk ducts and out the nipple. Most women will continue to produce breast milk as long as the child nurses. Mothers whose children wean gradually tend to stop producing milk just as gradually, and seldom feel the breast pain associated with an abrupt halt to breastfeeding.

Tuesday, November 8, 2011

How to Use a Lactation Aid in Breastfeeding

How to Use a Lactation Aid in Breastfeeding

New mothers and their infants are often faced with a frustrating challenge when learning how to breastfeed. Relieve yourself of worrying about whether your baby is getting enough milk using a lactation aid. The device consists of a bottle (containing a supplement) with a tube attached to that runs along the breast and nipple and into the baby's mouth.

Instructions

    1

    Ask for assistance from a certified lactation consultant before you use a lactation aid. Your hospital should have a consultant on staff, but your doctor could also give you recommendations if you are unsure of how to find a lactation consultant.

    2

    Wear a shirt that has a pocket if possible. This way you can place the bottle in the shirt pocket and free up your hands. Otherwise, you can rest the bottle in between yourself and the baby. Most importantly, keep the bottle even with or below the baby's head.

    3

    Run the tube along your breast and nipple. It should stop where the nipple stops. Some mothers find it helpful to tape the tube to their breast at first.

    4

    Encourage the baby to latch on as you would with regular breastfeeding. A proper latch is important, as it teaches the baby that he can get enough milk from the breast.

    5

    Keep an eye on the time. It should take only about 15 to 20 minutes for the baby to take one ounce of the supplemental milk. If it takes longer, reposition the baby and re-latch.

    6

    Feed with the lactation aid consistently. It should be used for every meal for the duration of its use, which lasts anywhere from 2 to 8 weeks. Speak with your lactation consultant for specific recommendations on how to wean your baby from a lactation aid.

    7

    Clean the lactation aid tube with hot, but not boiling, water. Completely empty it after each use and then suck enough hot water through the tube to rinse it thoroughly. Repeat until rinsed well. Clean the nipple and bottle as you would a normal bottle and nipple.

Monday, November 7, 2011

What Are the Side Effects of Rhodiola Rosea on Women?

Rhodiola rosea is a common herbal supplement that has been shown to benefit the central nervous system and increase resistance to disease. Rhodiola rosea has also been linked to cancer prevention and brain development. Despite the many health effects of the supplement, some side effects are associated with rhodiola rosea.

Stimulant

    Rhodiola rosea is a stimulant to the body, and therefore, you may experience an elevated heart rate and higher blood pressure after taking large doses.

Other Stimulant Effects

    Rhodiola rosea can also cause insomnia and irritability, followed by a crash and excessive lethargy. These are similar to the side effects of other stimulants, such as caffeine. This is seen only with high doses of rhodiola rosea.

Addiction

    As with any stimulant, a woman can become addicted to rhodiola rosea. If you find that you need to take rhodiola rosea more often or to reach the same level of stimulation, discontinue use and seek a physician.

Pregnancy

    Few studies have been done on the effects of taking rhodiola rosea while pregnant or breast feeding, but women should avoid taking it while pregnant or breast feeding, because there may be some toxicity at higher doses that can be passed on to the baby through the umbilical cord or breast milk.

Drug Interactions

    As with pregnancy and breast feeding, few studies have been done on the interaction between rhodiola rosea and other drugs. Consult a physician before taking rhodiola rosea to discuss any possible problems with drug interactions.

Friday, November 4, 2011

Breast Reduction and Breast Feeding

Breast Reduction and Breast Feeding

If you've had or are planning a breast reduction, you may wonder what kind of effect it will have on your ability to breastfeed. While breast reduction surgery can pose a few problems to nursing mothers, most should be able to breastfeed their children with a few tips and tricks. If you've had a breast reduction and want to breastfeed your child, don't let anything stop you.

Is It Possible?

    Is breastfeeding after having a breast reduction possible? In a word, yes. While you may not find breastfeeding as easy as a mother who has not had a breast reduction, you can still successfully breastfeed your baby. You may need some external help and a lot of patience, but it can be done.

Portential Problems

    Some potential include severed nerves that were cut during the surgery. These nerves control milk let-down, which means your body could have a harder time producing milk when it needs to. This could mean a diminished milk supply or milk that doesn't come in properly when baby is hungry.

Solutions

    First and foremost, make sure that you give breastfeeding a try, even if you're not sure that it will work or not. You'll never know how responsive your body is and how much supply you have until you try breastfeeding. Let your lactation consultant know about your surgery. She may suggest something like a Supplemental Nursing System, a small tube that you can attach to your breast so that your baby gets supplemental formula while nursing to help him gain weight.

Producing More Milk

    The key to making sure that you have enough milk to give your baby and to making sure that your body responds to let-down is to use tricks to produce more milk. Rent or purchase a hospital-grade pump, and for the first two weeks concentrate on pumping every two hours, even if your baby isn't hungry that often. You'll build up a supply of breast milk to freeze and use, and you'll train your body to make more milk more often.

Pain

    After having a breast reduction, you might feel some pain with breastfeeding. This is usually due to engorgement or ducts that are too full. To reduce the swelling, use ice packs and offer the breast to your baby as often as you can. Express a little by hand in the shower to relieve some of the pressure, but know that the more milk you extract, the more milk it makes, landing you back at square one. After the first two weeks, allow your baby to be the primary source of milk extraction.

How to Care for Sore Nipples While Breast-Feeding

Breast-feeding a baby is an innately nurturing act of a mother, but it can also be the biggest sacrifice she has ever known when her nipples are sore. Combine lack of sleep with pain, and it is clear why breast-feeding doesn't always feel natural or comfortable. Thankfully, the steps to care for sore nipples while breast-feeding are simple and easy to follow and provide much-needed healing.

Instructions

Positioning

    1

    Positioning your baby correctly at the breast eliminates the possibility of pain being caused by slipping off the nipple and also reduces existing pain. Sit upright or lie down in a comfortable position before feeding your baby. If you are sitting, you can put a nursing pillow on your lap under your baby or use a regular pillow to prop baby up in front of the breast.

    2

    Position your baby so your tummies are facing one another. When you are ready to feed, bring your baby toward the breast--instead of leaning toward the baby--so you keep yourself positioned comfortably. This takes a little bit of practice, so be gentle with yourself.

    3

    Reposition pillows to support the arm holding the baby as needed.

Latch

    4

    The movement to bring the baby's mouth onto the breast and nipple is called the latch. A proper latch takes care of most nipple soreness. One key with latching a baby properly is to remember that the tip of the nipple is supposed to be at the back of the baby's mouth, not the front.

    5

    To ensure a healthy latch that will eliminate soreness and make sure baby is getting enough milk, wait for baby to open wide before bringing her to the breast. You can make an "o" with your mouth to demonstrate an open mouth to your baby, trace the baby's lips in a circle, squeeze a little milk from the nipple onto baby's lips or tickle the lips with the tip of the nipple to get baby to open wide.

    6

    When baby opens wide, hold the feeding breast in one hand and bring baby toward the breast while placing the nipple toward the back of the baby's mouth. With a proper latch, the baby will have the nipple and much of the areola (the dark circle at the base of the nipple) in the mouth. Both lips will be flanged out around the areola and baby will be sucking well at the breast.

    7

    Pain might be felt initially when the baby first latches on as a mother gets used to breast-feeding. However, pain that continues throughout the feeding is a sign that the latch is not proper or there is another issue contributing to the pain.

    8

    If the latch does not feel good, gently place the tip of your pinkie in the baby's mouth to break the suction, pull baby back from the breast and try again.

Skin Care

    9

    While caring for sore nipples, it is important to allow plenty of fresh air to circulate. Wear soft, button-down shirts and remove any constrictive clothing, such as bras or tight shirts.

    10

    Pure lanolin is a soothing topical ointment that can be safely used at anytime while breast-feeding. It does not need to be removed before feeding and can be purchased at most pharmacies.

    11

    Apply lanolin immediately after a feeding while nipples are still wet and allow it to remain on the nipples. Reapply as desired.

    12

    Expose nipples to a little sunshine for natural healing.

Wednesday, November 2, 2011

How to be ultra PREPARED for a new baby

How to be ultra PREPARED for a new baby

At last! Here is some positive practical info that you can use to be really be prepared for your new baby.

I found that when I was pregnant, many older mums (mostly strangers would you believe it) would say "oooh. You're going to have your hands full" and "life will never be the same again you know". (like I didn't know?)

This wasn't helpful because it would actually make me anxious, and it didn't give me any practical things I could do to make things easier when bringing home a new baby.

I also ready heaps of baby books to try and get ultra prepared. But of course, there is no better way to learn than by experience - so... here is my list! I put this together based on things I figured out along the way with my first baby that weren't in a book.

I've also included a 'Last Minute baby shopping list' - despite reading numerous shopping lists in baby books, I still forgot the things. This list also tells you some of the best and worst brands that I discovered from trial and error.

I have also included my 'Breastfeeding tips' - these were also learnt by trial and error as I had a fair bit of trouble although I persevered for 2 months. Hopefully these tips may help you with your feeding :)

ENJOY! You're going to be a great mum! :)
Love me
xoxox

Instructions

    1

    STEP 1: In hospital
    Bring some disposable nappies and a few cute outfits for visiting hours (they use cloth nappies at hospital and I am frightened of the big pins! They provide outfits for the baby which is great cos no washing, but it's nice to have dress them up too)
    Pack toiletries in small bottles and keep them in your shower/bathroom in the hospital. Helped me feel a bit pampered.
    Hospital visiting hours, turning my phone off, silent setting on mobile, landline off-hook, door signs saying 'This mother and baby taking well deserved rest'. Nurses will filter your visitors for you and they will usually tell the people you have specified that you don't want to see 'Sorry, she is resting at the moment'
    In hospital use the dimmer switch - keeping it fairly dark at night feeds. In morning I woke up, open curtains and talk to baby so she can start to distinguish night and day
    Learn how to wrap a newborn beforehand
    Take to the hospital comfy PJ bottoms and stretchy soft nighty cotton tops (without a bra).
    Be prepared for moments of 'weepiness', especially when milk comes in, and telling myself 'It will get easier' and 'I'm going to be kind to myself' and 'I'm just tired/hormonal'
    Pain killers (I had to keep reminding the nurses for these)

    2

    STEP 2: And the uncomfortable bits...
    Get the nurses in to help with each breastfeeding session - not thinking 'I ought to know how to do this' - they can help stop the baby hurting your breasts
    Rub your belly (uterus) quite hard when breast-feeding - it helps it contract back into shape.
    Lean forward on the toilet so it doesn't get on any stitches. Ask for 'Ural' drink which helps neutralize wee and it won't sting as much.
    Pack maternity pads. Using these underneath the ones the hospital give you

    3

    STEP 3: At home -the first 12 weeks
    Be kind to yourself with positive 'Self-talk'. 'I am doing a great job' 'I am a great mum and am learning all the time' 'I have a newborn baby and need to take it easy for at least 3 months'.
    When people bring food or clean, say 'Thankyou!' and accept it. It makes things so much easier. Accept help from others rather than feeling as if you have to prove you're capable by doing it all yourself.
    If you have visitors and are tired, say 'I'm really tired and need to have a nap' and if they don't leave, say 'Ok, I'm going to have a nap now' and just do it. It is not rude - they are being rude.
    Try to keep a diary for scheduling visitors. That way you don't need to remember things more than 1 day in advance. You can take 'one day at a time' but not feel trapped in 'Groundhog day'
    Don't bother with using a baby bath because it's a huge pain to fill it and it makes a mess. It's much easier to just put the baby in the bath with you or husband! Good bonding time too.
    Eat cake for breakfast. It's easy and yummy and calories for breastfeeding!
    Cook meals in bulk (like spaghetti) and freeze it.
    Drink Milo and Berocca for extra nutrients (not mixed together!)
    To save time, when u shower, shave and clean teeth at same time. Shower once per day even if you don't feel like it (!). Look after yourself. It's ok to let babies cry in their crib when you're having a shower! You have to take care of yourself too!- so don't feel guilty about this.
    Use baby's sleep time to rest, treat yourself to things that help you feel pampered (not housework).
    Feed baby, then get husband to take baby away for a drive so you can get a proper sleep. Don't do housework! Take the phone off the hook and put a sign on the door to divert people away.
    Get some fresh air. Gentle exercise - walking, yoga. Don't live in a twilight indoor world of sleeping, eating and feeding your baby.
    If you feel unusually down for a long time, or if your mind is racing see your GP and tell them about how you are feeling (and that you may like some medication to help you). Only you know your own mind so be clear with the doctor and don't let them fob you off!

    4

    STEP 4: Breast-feeding tips
    No-one expects to sit down to a piano without having had any lessons and play Beethoven's 16th Concerto in Dminor. Breastfeeding is the same thing - it is a learned skill. You don't know how to do it automatically. It is not a natural instinct (it isn't!) - just because you have breasts doesn't mean you do or should know how to use them right away.

    It takes practice, patience and being KIND to yourself. Here are some tips that I found made things easier for me.

    Set up a tray of things you want handy when feeding (cos you can't leap up and get it in the middle of a feed). This way you can keep stuff together and easily just carry the tray into the lounge, bedroom, back patio etc. Your tray might have: Painkillers (for the first week), BIG glass of water cos you get thirsty, damp face-washer to keep the baby awake during the feed, digital watch with backlight to keep track of feed times, lipgloss, breast sooth cream, phone, phone numbers of hospital and breastfeeding helpline, notebook and pen, multivitamins, anything else you want like fruit (punnet of strawberries)
    Try to space feeds 2 - 3 hours apart. Any closer together and it gets too exhausting! Any farther apart and the baby will be up all night.. Read the book 'Babywise' it is good. But obviously tailor it to your own needs and beliefs and don't take it word for word.
    Sleep without a top or bra. Lie on top of a (soft) folded towel underneath your upper body.
    Don't breastfeed if you're in an uncomfortable situation. If you're uptight, embarrassed, tired, in pain the brain may not release oxytocin to squeeze the milk out. As the baby tries to drink, and the milk not coming down it will lead to cracked nipples! So relax first. Place warm cloth nappies (out of the dryer)on breasts first and think about your baby. Then put the baby on.
    Check out Westfield shopping malls as they have in the parent's rooms these little private cubicles with big comfy armchairs which are perfect for breastfeeding in.
    If at a friend's house/BBQ/party, ask to use a spare bedroom to breastfeed in. Don't be afraid to tell people you want some privacy when you breastfeed! You don't have to be some sort of women's liberationist and you are allowed to feel embarrassed about pulling your breasts out in front of people you normally wouldn't.
    If you want to breastfeed in public with some privacy, use a soft baby wrap tied around your neck like a scarf, and drape it over

    5

    STEP 5: Last minute shopping list before baby is born
    (You'll be able to get most of this from Big W and your Chemist)

    2 roll-on sunblocks
    (1 for nappy bag, 1 for home)

    About 5 Baby wraps (cotton flannelet for winter, muslin for summer)

    1 x Newborn dummy
    (use only after breastfeeding is established). 'Mam' is the cutest brand.

    1 x good-sized baby bag
    (Summer has a My Little Pony one).

    A plastic change mat for the nappy bag
    (you can get good ones from Big W)

    3 x bulk boxes of Huggies Newborn nappies
    (Huggies are most absorbent and secure. Each box contains about 108, and have green packaging)

    1 large and 1 small Huggies Baby wipe plastic cases
    (1 for nursery, 1 for nappy bag)

    3 bulk refill packs of Huggies Baby wipes

    1 large pot of Baby bum cream
    (Sudocream brand, for nursery)

    1 tube of Baby bum cream for your nappy bag
    (Curash brand)

    1 Nappy bucket
    (even if doing disposables, it is good to soak dirty clothes in)

    Nappy san for soaking pooey clothes

    Pack of 10 baby face washers
    (these are in the Baby section at Big W)

    Pack of cloth nappies
    (for burping baby and lying on change table)

    1 pack of Paracetamol for adults

    2 bottles of Baby Paracetamol
    (one for home, one for nappy bag)

    2 bottles of Infacol
    (for colic - this is excellent) - one for home and one for nappy bag

    1 Small Baby powder
    (Don't get talcum powder as it has been linked to cancer. Get 'cornstarch powder' by Johnson and Johnson)

    Bin with secure lid
    (for the nursery next the change table for dirty nappies)
    Scented garbage bags
    from Woolworths you can get scented ones (vanilla are nice, and they also have chocolate!)

    Orange Power Air Freshener
    (same brand as 'Shower Power') - this is excellent for spraying the room after a stinky nappy and has no bad chemicals

    Nipple cream
    (you can get free samples from the chemist)

    2 x LARGE maternity bras
    about 2 cup sizes bigger and 1-2 sizes up in the back than your normal bra (Big W are fine and cheaper)

    No-tears baby wash/shampoo

    5 packets of Maternity Pads
    (Homebrand is fine - whatever is cheapest)

    2 boxes Breast pads
    (Pigeon is the best brand - buy whatever is most expensive don't skimp on these as you need them individually wrapped, the softest most absorbent type. Don't use the washable ones as they are total crap - too rough and damp)

    From the Chemist: Hire an electric breastpump.
    You have to buy attachment