Wednesday, March 21, 2012

How to Breastfeed After Breast Surgery

How to Breastfeed After Breast Surgery

Breastfeeding after breast surgery can be a challenge, however, it is possible. Some surgeries--especially breast reduction--can sever milk ducts, resulting in low milk supply. This can be overcome either by raising milk supply with herbs, or supplementing with donated breastmilk or formula through either a bottle or a breastfeeding supplementer. Whether you've had breast reduction, implants, lumpectomy or other invasive breast surgery, there are some things you can do to prepare for breastfeeding after surgery in order to minimize your stress level in those first postpartum days.

Instructions

How to Breastfeed After Breast Surgery

    1
    Nursing with a supplementer while laying down is convenient.

    Purchase a nursing supplementer. This is a flexible tube attached to a milk container, which allows the baby to receive formula or donated breastmilk while nursing at your breast. Study the instructions and practice filling and putting on the supplementer ahead of time. The two main brands of nursing supplementer are the Lact-Aid, and SNS (supplemental nursing system) by Medela.

    2

    Purchase herbal galactogogues (herbs or ingredients which increase milk supply). These can be helpful to a mother breastfeeding after surgery. Such herbs include fenugreek, blessed thistle, goat's rue and alfalfa.

    3

    Locate a qualified lactation consultant. Try to find one who has specific experience with breastfeeding after breast surgery. Line up the services beforehand so that both you and the consultant are ready to immediately tackle any problems that may arise when the baby is born.

    4

    Attend a local La Leche League meeting and note the schedule for future meetings. While not every La Leche League leader has experience with mothers who are breastfeeding after breast surgery, most are acquainted with nursing supplementers and ways to improve milk supply, therefore can be a vital source of support when breastfeeding in a challenging situation.

    5

    Nurse frequently. This is particularly important for mothers breastfeeding after breast surgery. Don't worry about nursing the baby "too much", babies know how to to let you know when they need to eat, and nursing very frequently--as often as every 30 to 60 minutes--is helpful in building a good milk supply.

    6

    Watch the baby's urinary and bowel output, and monitor his or her weight. Breastfed babies should have a minimum of six to eight wet diapers and several small bowel movements per day. If the baby's output is not adequate, consult your pediatrician and lactation consultant.

Tuesday, March 20, 2012

The History of Wet Nursing

Wet-nursing, the practice of hiring someone other than the mother to nurse an infant, has played a only a minor role in debates between formula feeding and breast feeding. However, it was once the option of choice when it came to rearing children. From Imperial China to Victorian England, wet nursing played a prominent role in both ancient and modern history.

Ancient Egypt

    Poor women in Ancient Egypt often supplemented their family's income by providing wet nurse services for upper class citizens or mothers who didn't have enough milk. Their employers used written contracts to ensure good milk and prevent the wet nurse from nursing other children, having sex, or getting pregnant. In turn, the employer paid the wet nurse for her milk, fed her, and clothed the child. While babies of the same class were taken to the wet nurse's home, those of the upper class were nursed in their own homes. Women lucky enough to become royal wet nurses in Ancient Egypt were honored in the tombs of their charges. In addition, their children were raised in the royal palace as "milk siblings" of the princes and princesses with whom they experienced close relationships.

Greece and Rome

    Popular throughout the ancient world, wet nursing experienced both controversy and popularity in the Greco-Roman regions. In Ancient Greece, those who could afford it hired special slaves called "duolos" as wet nurses. In fact, a 2nd century genocologist named Soranus of Ephesus warned that a mother's milk was no good for the first 20 days after giving birth. As wet nurses, he promoted the use of slaves between the ages of 20-40 and recommended that they be self-controlled, good-tempered, of good color, tidy, and Greek. Even the Romans preferred Greek wet nurses whom they hoped would set cultural examples for their infants. Although the philosopher Plato advocated wet nurses, other famous Greeks such as Aristotle and Plutarch argued against them.

Islamic Law

    The Koran sheds some light on the use of wet nurses in Muslim culture. According to Islamic law, a divorced father must hire a wet nurse for his child. However, if the baby won't take to the wet nurse's breast, or the father doesn't have enough money, the law then makes the mother responsible for breast feeding. The Koran is also explicit that hiring a wet nurse is not considered a sin as long as the wet nurse is decently paid.

European Aristocracy

    By the 11th century, the aristocracy and royalty of Europe used wet nurses almost exclusively. In taking the baby from the mother, they prevented her from experiencing the birth control effects of producing milk and nursing. This allowed the women to stay fertile and produce more babies. It also left them open to sexual activity with their husbands as having sex with a nursing mother was considered taboo and harmful to the health of the baby. In France, the custom was to send infants to the country for wet nursing. However, by the end of the 18th century in France, the urban poor had also begun to send their babies out of the city so that the mothers could work. In fact, in 1780, only 700 babies out of 21,000 born that year nursed from their mothers. This high demand for wet-nurses caused quality to go down and infant mortality to rise.

Wet Nursing and Bourgeois Values

    Because the Netherlands didn't have a court life like other European countries, their cultural ideals tended to revolve around the bourgeois lifestyle. This included a rejection of the aristocratic advocacy of wet nursing. Instead, the Dutch promoted an ideal focused around an immaculate household centered around the nursing mother as a part of civic responsibility. In fact, Pieter de Hooch and other Dutch painters documented these values burgeoning in the 17th century. The Enlightenment and the French Revolution then introduced some of these same ideas to the rest of Europe in the 18th century. Jean Jaques Rousseau himself denounced wet nursing in favor of nursing by the mother. However, only some people in the upper middle class changed their habits, and, despite the critiques of a few political radicals and women's rights defenders, wet-nursing remained popular in England through the Victorian Era and in France until World War I.

Decline of Wet Nursing

    At the beginning of the 20th century, a comprehensive study by the French government showed that wide spread wet-nursing was contributing to infant death rates. This empirical information, which coincided with the development of new technology, initiated a change towards bottle feeding. The inventions of the rubber nipple, the bottle, pasteurization, and canned milk all made this new method of feeding possible and helped seal the decline of wet-nursing.

Wet Nursing in Modern China

    Considered an aristocratic invention, wet nursing tends to be frowned upon by societies focused on egalitarianism. Therefore, Chinese communists after World War II worked to outlaw what had been an ancient tradition in their country. Yet, the rise of wealth in China during the first part of the 21st century has lead to wet nursing's illegal resurgence as a status symbol. Although they can make up to 8 times their working world salaries, wet nurses in China must leave their own children, maintain a special diet, and undergo training in certain cases. Furthermore, if the babies that they nurse do not grow 20 grams each day, the wet nurses are fined by their employers.

The Signs That a Baby Is Not Tolerating Breast Milk

The Signs That a Baby Is Not Tolerating Breast Milk

If you breastfeed your infant, the foods you ingest can have a direct impact on your babys health. Sometimes, an infant may exhibit symptoms that indicate he is not tolerating breast milk well. If you discern problematic symptoms and behaviors in your breastfed baby, examining your diet may allow you to resolve the issues.

Common Behaviors

    After breastfeeding your baby, you may notice behaviors and symptoms that could indicate that she has dietary sensitivities. These behaviors include fussiness after eating, excessive crying for long periods of time, sleep disruptions and sudden waking with crying that indicates pain, according to the KellyMom.com, a source for parenting and breastfeeding information.

Family History

    Parents who have a family history of allergies and food sensitivities in either the mother or the father may have children with a higher risk of developing both food and environmental allergies, states lactation consultant Karen Zeretzke, with the La Leche League International. If siblings have food sensitivities, parents may wish to avoid the same foods while breastfeeding younger siblings, practicing avoidance of possible allergenic foods to avoid the baby's developing food sensitivities.

Additional Symptoms

    Babies may also exhibit gastrointestinal symptoms, such as loose and bloody stools, vomiting and gas, according to Zeretzke. Skin symptoms can also occur, including hives, eczema, rough skin and open sores. A baby who is not tolerating breast milk may also have trouble gaining weight proficiently, according to the Childrens Hospital of Philadelphia.

Timing of Symptoms

    Proteins from a mothers diet appear in breast milk within three to six hours after ingestion. With strict elimination of offending foods, the proteins should slowly disappear from the breast milk over a two-week period, and you should notice your babys allergic symptoms improve.

Treatment

    If you suspect that your baby is not tolerating breast milk, have her evaluated by a physician. Your doctor may recommend that you keep a food diary and record your babys symptoms to see whether a pattern appears. If you do find that specific foods are irritating your baby, eliminate them from your diet. Read labels judiciously to ensure that you do not eat the foods as hidden ingredients, recommends the Childrens Hospital of Philadelphia. Luckily, a baby may outgrow food sensitivities by his first birthday.

Thursday, March 15, 2012

How to Get Fitted for a Nursing Bra

How to Get Fitted for a Nursing Bra

Many pregnant women who plan to nurse will want to buy a few nursing bras prior to delivery. Finding the right nursing bra can be a challenge, as a woman's breasts can go through tremendous changes after pregnancy that won't be easy to predict before her milk comes in. Here are some guidelines for getting fitted for a nursing bra that fits properly.

Instructions

    1

    Wait until you're eight months pregnant--or further along--to begin shopping for a nursing bra. If you shop for nursing bras earlier in your pregnancy, your breasts might still grow several sizes before your baby is born. By 8 months, though, you'll have a good idea of what size you'll be when your milk comes in.

    2

    Choose a bra that is either adjustable in the back or made from a stretchy material like Spandex or Lycra. Chances are, your back will become much more narrow once your baby is born, so you want a bra that can adjust to fit a smaller band size.

    3

    Measure yourself above the swelling of your breasts, right beneath your armpits, to get your band size. Round up to the next number if you get an uneven number--i.e., a measurement of 37 inches would be a size 38 bra.

    4

    Determine your breast size while wearing an unpadded bra by measuring at the fullest part. Subtract your band size from your breast measurement. A 1-inch difference is an A cup, a 2-inch difference is a B cup, a 3-inch difference is a C cup, a 4-inch difference is a D cup, and a 5-inch difference is a DD or E cup, depending on the manufacturer.

    5

    Choose which nursing features you like the best next, once you've determined your size. Some nursing bras have a flap that is unsnapped to allow baby access to the breast, while other bras are simply pushed aside. The flaps can be from the center of the breasts, from the top or the sides. See which options you prefer.

    6

    Consider buying a Bravado bra if you think your breasts will change considerably after pregnancy. These bras accommodate a large span of bra cup and band sizes because they are made from stretchy fabrics.

Mother's Milk Tea Side Effects

Mother's Milk Tea Side Effects

Mothers Milk tea is an herbal blend that is meant to stimulate breast-milk production. Herbs can mimic female hormones because they contain phyoestrogens. Phytoestrogens are plant estrogens that act much like human estrogen. This breast-milk-boosting tea is loaded with generous amounts of herbs such as fennel, fenugreek and blessed thistle. Mother's Milk tea also contains fruit extracts such as organic aniseed fruit and organic coriander fruit. Herbal teas have been used for thousands of years to help breastfeeding mothers and treat other ailments.

Benefits

    One of the most beneficial side effects of Mother's Milk tea is an increase in the amount of breast milk a woman is able to produce. The herbs found in the tea are called galactagogues. The combination of herbs has a powerful effect on a woman's body. Mother's Milk tea is also sweet. Fenugreek tastes similar to maple syrup. Some moms have also reported that their infants have less colic and gas when the mothers consistently drink this tea.

Time Frame

    Most women report a difference in breast-milk quality and production within the first few days after drinking the tea. The results are not instant because it takes the body time to absorb the herbs. Many moms are pleased to continue drinking the tea for several months or even a year or longer while they nurse their babies.

Changes in Blood Sugar

    Some women who drink Mother's Milk tea have also reported another side effect--changes in blood sugar levels. Fenugreek can reduce blood glucose levels when taken in excess. This can cause some women to develop hypoglycemia. Mothers who are diabetic or already have hypoglycemia should be careful when using fenugreek. Talk to your doctor if you have any concerns.

Upset Stomach and Diarrhea

    Some of the herbs in Mother's Milk tea have also been shown to cause stomach upset and diarrhea in some women. If this happens to you, decrease the dosage or talk to your doctor. This is more commonly seen in women who have a history of gastrointestinal problems. Also keep in mind that dosage may need to be reduced if a you start to produce too much milk. Too much breast milk can cause a baby to be fussy from overeating. Many moms take the tea to give their body a boost and then discontinue use after they have achieved their desired results. Once their milk supply has been stimulated, they still continue to produce milk even without the tea.

Warning

    Talk to your doctor before drinking herbal tea. Herbs are powerful medicines and should be treated as such. Some herbs may interact with medications or other herbs. Some women may also be sensitive to herbs such as fenugreek. If you have any type of allergies to grass or weeds, this tea may not be for you. Inhaling fenugreek produces an allergic response similar to other allergies for some people.

Breastfeeding Tips for New Moms

Breastfeeding Tips for New Moms

A new mom who hasn't breastfed before has all sorts of hesitations, fears and even confusion about breastfeeding an infant who may not follow what she learned from books and information read while pregnant. Breastfeeding mothers must also contend with conflicting information from family and friends. As confusing as everything may be at first, breastfeeding doesn't have to be frustrating.

Time to Heal

    Once you bring baby home, friends and family visit, hoping to spend time with you and the new baby. Having a baby is exhausting, especially if you had your baby by cesarean or otherwise had a difficult delivery. And you now have total care of a helpless newborn.

    Have someone run interference for you with visitors. If you get ill, breastfeeding becomes a problem. Don't apologize for taking the time needed to recover. Limit time with visitors, even if that means leaving the room or, if alone, ushering visitors out the door.

    Don't let anxiety over separation from your infant keep you from allowing trusted family or friends watch your baby while you rest. Make clear the baby is to be brought to you when hungry. Don't allow well-meaning friends to feed your baby or decide that you need rest more than the baby needs to nurse. Allow the baby to nurse on demand, and resist the temptation to offer artificial nipples or supplemental feedings. An often-unintended consequence of supplement feedings is to decrease the amount of milk you have available.

Know Your Mind

    Don't let others talk you out of nursing. Breastfed babies have fewer allergies and generally cry less. Breastfeeding is the safest, cheapest and easiest way to feed a baby. Breastfeeding is healthy for mother as well. Don't let others' opinions or breastfeeding challenges stop you from doing what you know to be healthy for your baby and for yourself.

Stress

    JoAnn Wagner, mother of four in "Help! I'm A New Mother" said, "Babies understand feelings. When you're upset, they sense it. Try to relax when you're feeding your baby. You'll be rewarded with a calmer baby."

    Those first few weeks and months, focus on being a breastfeeding mother, not on an otherwise busy schedule. Stress may lead to breastfeeding problems for you and/or your baby. If stress keeps you tense, your baby may not feed well. Not totally expressing you milk may lead to loss of milk or infection.

Soreness

    Regular nursing helps keep the milk ducts from clogging up. Clogged ducts may cause the breast to become sore. With rest, application of heat and frequent nursing, this may resolve itself naturally. Red streaks and pain indicate a breast infection and require a doctor visit and antibiotics. You may also need to express and throw away milk from that breast until the mastitis clears. Regular nursing and not using soap or other drying products helps alleviate sore nipples. Applying lanolin to the nipples can also help relieve soreness.

Support

    La Leche League, an organization for nursing mothers, has support groups in many areas. It can also be accessed online. Joining this or other support groups may prove vital to helping you feel comfortable with your decision to breastfeed. A support group helps you learn breastfeeding techniques, understand what is normal and what is not and recognize when you need medical intervention.

Ask for Help

    It is not unusual to have problems with breastfeeding. Don't be afraid to ask for assistance from nurses or from others who've breastfed. Don't allow embarrassment to keep you from eliciting help. Breastfeeding may take both commitment and stamina until you break through to the sweet bonding experience you've read and others talk about.

How to Sterlize Breast Pump Parts

How to Sterlize Breast Pump Parts

To keep breast milk safe for babies to drink, many mothers want to sterilize the parts of breast pumps. According to the Breastfeeding Essentials website, "Sterilize all pump parts that will come in contact with breast or milk before the first use unless your parts came in a sterile package." For an electric pump, do not worry about cleaning the motor or power source.



Read the owner's manual for your breast pump to make sure you follow their cleaning recommendations. Some manufacturers will only guarantee the warranty on the pump if you sterilize as they recommend.

Instructions

Sterilize Using a Stove

    1
    Wash and your dry hands before sterilizing pump parts.
    Wash and your dry hands before sterilizing pump parts.

    Wash your hands with soap and water before you touch any parts of the breast pump. Dry your hands with paper towels.

    2

    Use soap and hot water to to wash the pot, tongs and drying rack. Dry the items with clean paper towels.

    3

    Fill the pot halfway with water. Heat on a stove until the water boils.

    4

    Place the breast-pump parts into the boiling water for 10 to 20 minutes. Turn off the stove and allow the water in the pot to cool.

    5

    Remove the breast pump parts from the pot with tongs.

    6

    Rinse the breast pump parts with hot water.

    7

    Place the pump parts on a drying rack for several hours or overnight to air dry.

    If you don't have time to wait for the parts to air dry, use a clean paper towel to wipe them dry.

Sterilize Using a Dishwasher

    8

    Place the breast-pump parts into the top rack of a dishwasher.

    9

    Set the dishwasher to a water temperature that is at least 140 degrees.

    10

    Allow the breast pump parts to dry thoroughly. Either leave them inside the dishwasher to dry, or remove the parts from the dishwasher and place them on a drying rack or on clean paper towels.