Sunday, May 29, 2011

Infant Weight Loss After Birth

Due to a number of environmental and physiological factors, an infant's weight two to three days after birth is often significantly lower than her birth weight. This weight loss is usually normal and not a cause for concern.

Average Loss

    The average baby loses between 5 percent and 7 percent of his birth weight within the first 72 hours. Any loss under 10 percent is considered normal. Losses above this amount require professional evaluation of the infant's eating habits.

Regaining Weight

    The majority of infants, whether breast-fed or formula-fed, regain the lost weight within three weeks of birth. If your baby does not regain the weight, your pediatrician may suggest more frequent weight checks. If you're breast-feeding, she may suggest formula supplements and an evaluation by a lactation consultant.

Excess Fluids

    The loss of excess fluids is one of the most common reasons for infant weight loss after birth. This is especially true if you received IV fluids during your labor.

Meconium

    The passage of the first bowel movement--a black, tarry substance known as meconium--causes a decrease in weight shortly after birth.

Breast-feeding

    Because your milk does not "come in,"--that is, switch from the sweet pre-milk known as colostrum to true breast milk--until several days after birth, breast-fed babies may lose slightly more weight after birth. However, on average, these babies gain the weight back as well as their formula-fed counterparts.

Friday, May 27, 2011

How to Get Pregnant When Nursing

Are you still nursing your little one, but hoping to get pregnant again? It is a common misconception that this is not possible, but much to many a mother's surprise, it is indeed possible to conceive while breastfeeding. In fact, if your menstrual cycle has returned, there is a very high possibility that if you are trying to conceive, you will. You don't have to wean your nursling, even if and when you do become pregnant. These simple steps will help your determine your fertility while breastfeeding and help you try and get pregnant while still nursing a little one.

Instructions

Getting Pregnant While Breastfeeding

    1

    Determine whether your body is fertile and ready to get pregnant. Are you experiencing a regular (for you) menstrual cycle? A cycle that is longer, shorter or more irregular than you normally have can be a sign that your fertility is not yet on track. However, according to Robert Zurawin, an obstetrician, you often will release your first egg before you get your first period after delivery, so you won't know that you're fertile until about two weeks later.

    2

    Monitor your cervical mucus for changes. If your period has returned, you have most likely returned to some degree of fertility, says Zurawin. Monitoring your cervical mucus and using your basal body temperature will both help point to ovulation indicators. An ovulation indicator kit or basal body temperature thermometer can be purchased at a pharmacy or online.

    3

    Chart your basal body temperature. To chart (sample charts are often sold with the thermometer or can be found online at the sites referenced in the Resources section) your basal body temperature, you must record your temperature each day first thing in the morning. That means as soon as you sit up in bed--don't drink anything, go to the bathroom or get up. Just take your temperature. The best day to begin is on the first day of your menstrual cycle. According to Toni Weschler, author of "Taking Charge of Your Fertility," you have ovulated when your temperature rises 0.2 degrees higher than any temperature from the previous six days, and it stays elevated for at least three consecutive days.

    4

    Try reducing the amount of nursing. If you're not ovulating yet, supplement nursing with a bottle or some solid (pediatrician-approved) baby food. This will lower your hormone levels a bit and help your cycle get back to normal. You don't have to wean completely, but changing your breastfeeding schedule or cutting back will help get your fertility back in order, reports Hilary Flower, author of "Adventures in Tandem Nursing: Breastfeeding During Pregnancy and Beyond."

Wednesday, May 25, 2011

Does Prolonged Breast Feeding Affect Speech?

Does Prolonged Breast Feeding Affect Speech?

It may be surprising to hear that the natural weaning age for breastfed humans is between 2 and 7. That statistic may sound unrealistic if you consider the data gathered in the Center for Disease Controls 2011 Breastfeeding Report Card. The study indicated that only 75 percent of U.S. mothers start out nursing their babies, and only 45 percent of breastfeeding mothers are still going strong by the time a baby is 6 months old, with only 15 percent still breastfeeding exclusively. The benefits of breastfeeding are substantial, but there has been some question as to what effects prolonged breastfeeding has on the development of a child, including language and speech development

Speech Development

    Breastfeeding aids in normal oral motor development, including the lips, tongue, face, mouth and jaw muscles. Given that fact, KellyMom suggests that breastfeeding would not only enhance speech development, but also help to prevent problems. A study published in the journal "Pediatrics" in 2007 examined "the associations of breastfeeding initiation and duration with language and motor skill development in a nationally representative sample of U.S. children aged 10 to 71 months." Their findings concluded that breastfeeding may help prevent delays in children's language and motor skill development. A similar study done by the School of Medicine at the University of So Paulo went as far to say that breastfeeding is the basis for the prevention of speech-language disorders.

What Can Affect Speech?

    Children should be drinking from a straw by age 2 and from an open cup by age 3, according to TeachMeToTalk. A "sippy cup" can lead to a huge open bite, or dental malocclusion, especially if he drinks out of it all day. It can have a negative effect on speech development, and require therapy, most commonly for the "s" sound. He should also be weaned from pacifiers between 2 1/2 to 3 years of age. At the very most, a pacifier should be used only for sleeping or calming. A child may become addicted to a pacifier and even prefer having it in his mouth over talking.

What Is Normal?

    The American Academy of Pediatrics recommends breastfeeding exclusively to 6 months of age and then in combination with solid foods until at least age 1. Anything after that, it says, is considered extended breastfeeding or prolonged breastfeeding. In contrast, the World Health Organization recommends breastfeeding in combination with solids to the age of 2 or beyond.

    Modern practices of premature weaning have become the societal norm, but benefits of breastfeeding are considerable. In addition, the AAP found no evidence of psychological or developmental harm related to extended breastfeeding.

Benefits of Breastfeeding

    Breast milk contains nutrients, antibodies, and immune-modulating substances that infant formula or cows milk lack. It is also full of omega-3 fatty acids, which are necessary for healthy brain development. Breast milk provides balanced nutrition, boosted immunity and also reduces the incidence of both childhood and adult illnesses like diabetes, heart disease, and central nervous system degenerative disorders. According to Dr. William Sears, a pediatrician, extended breastfeeding is an investment in your child's health. He cites the benefits of improved vision, better hearing, good dental health and teeth alignment, and a reduced risk of obesity.

Tips on Newborn Babies

Babies do not come with an owner's manual. Many new parents are left confused and overwhelmed when dealing with crying, feeding and sleeping issues. Newborn babies are a lot of work, but the most important thing any parent can do is to remember that it is only temporary. By the end of the first three months, most babies are eating and sleeping well and the new parents have learned to decipher their cries like old pros.

Crying

    Babies cry. What is not always as clear is why they cry. Determining why a baby is crying is the most daunting--and most important--ask a new parent faces.

    Babies cry when they are hungry. A newborn baby usually eats every two hours. His tummy is very small and cannot hold enough milk to keep him full for longer. If baby is crying and it has been around two hours since his last meal, offer him a meal.

    Babies cry when they are uncomfortable. Discomfort may be caused by a wet diaper, a scratchy fabric, loud noises, bright lights, being too cold or too hot or being lonely. Pay attention to the things that make baby uncomfortable and try to avoid them.

    Babies cry when they are gassy. Make sure to burp baby very well after each feeding. Lay baby on his tummy across your legs and rub his back if he still seems to be in pain. This will often reduce gas and eliminate crying.

    Babies cry sometimes for absolutely no reason. They have no other way to communicate, and sometimes they cry because that is the only thing they can do. When babies cry and no other solution seems to calm them, just hold the baby while he cries; if this doesn't calm the baby, try playing soft music and minimizing sensory input. A baby who is fussy usually just wants the comfort of someone who is there to hold him while he lets it all out. If baby's crying is making you tense, baby will sense it. In this case, it is best to put baby down in his crib and walk away for a few minutes to calm yourself down.

Feeding

    Feeding a newborn baby takes up most of the day during the first month. Babies eat very often, sometimes up to twelve times per day. The first few weeks, you may feel like all you do is feed your new baby.

    Babies need either breast milk or formula. While most professionals agree that breast milk is best, there are many situations where breast milk is not an option. Babies who grow up on formula are not at a disadvantage in later life, so a mother who needs to use formula should not feel guilty.

    Breastfed babies will probably eat a little bit more often than formula fed babies. Formula is heavier and will make the baby feel full longer. A formula fed baby will take about two ounces at a time, gradually increasing to four ounces per feeding over the first three months. Formula fed babies take about twenty minutes or so to take a bottle. Breastfed babies may stay at the breast as long as an hour in the early days but by three months, she will become efficient at getting the milk faster and feedings should be closer to 20 minutes.

Sleeping

    Sleeping like a baby is a misleading phrase. The truth is that babies do not sleep very much. Babies tend to cat nap. Because newborns eat every two hours or so, they generally sleep less than two hours at a time. Babies will usually have one time of day when they will sleep a longer stretch, usually not more than four hours. In the beginning, that stretch is most often during the day. Babies need to be taught that nighttime is for sleeping; they do not know this at birth.

    To encourage babies to sleep at night, keep lights dim and sounds soft when they wake to eat in the night. During the day, keep baby in well lit rooms, with plenty of natural light. This will help your baby discover the difference between night and day and eventually that long stretch of sleep will happen in the night rather than in the daytime.

    Babies often have trouble falling asleep. Swaddling baby and rocking him to sleep often helps. White noise also helps babies to sleep and to stay asleep longer because they do not hear the other sounds in the house.

What Can I Use for Acne When Nursing?

What Can I Use for Acne When Nursing?

Many new mothers continue to have acne issues after pregnancy due to fluctuating levels of their hormones. Breast-feeding mothers may be concerned with the safety of using acne treatments. Certain medications, topical and oral, may affect the mother's milk and add potential harm to the baby. However, there are many safe acne treatments available that have a low lactation risk. Similar to any medications, it is always best to consult with a physician first.

Over-the-Counter

    Benzoyl peroxide and salicyclic acid are safe over-the-counter acne medications available as creams or facial cleansers.

Oral Treatments

    According to the American Academy of Pediatrics, the oral antibiotic tetracycline is excreted in small amounts to the breast milk, but the calcium limits its absorption. It is deemed compatible with breast feeding, but other oral medications, such as erythromycin, are recommended for long-term use.

Topical Treatments

    Tretinoin, adapalene and azelaic, when used as topical treatments, are unabsorbed into the mother's milk and are deemed compatible.

Warning

    Tretinoin, as an oral antibiotic, and isotretinoin, commonly found in Accutane, are both deemed hazardous for breast-feeding mothers and their babies.

Other Alternatives

    Consider a natural acne treatment like tea tree oil. Also, be sure to wash with a mild facial cleanser, exfoliate, and wear oil-free products to avoid further irritation.

Tuesday, May 24, 2011

Breastfeeding & Zyrtec

Breastfeeding & Zyrtec

Breastfeeding an infant can make anyone anxious about the medicines and other chemicals that might transfer from mother to baby. It is wise to check with a physician or other healthcare professional about medicines taken regularly. While Zyrtec can help allergy sufferers with their allergy symptoms, there are questions about whether or not it is acceptable to take while breastfeeding.

Zyrtec's Function

    According to Drugs.com "Zyrtec is an antihistamine that reduces the natural chemical histamine in the body." Its scientific name is cetirizine. While it has not been shown to harm unborn babies, Drugs.com says there is evidence of transmission from mother to child in breast milk with harmful results since the drug is not recommended for children under the age of six months.

Breastfeeding and Medication

    When a woman breastfeeds, her milk is infused with the chemicals, vitamins and minerals she puts in her body. This includes whatever medicines the mother may take. Some medications have been deemed safe, meaning the amounts transmitted through the breast milk are not harmful to a breastfeeding child. However, others have not been deemed safe and should be discontinued while nursing.

Problems with Determining Drug Safety

    One of the problems determining which drugs are safe and which are not is the limited way in which they are tested. Although all drugs must undergo testing before getting FDA (Food and Drug Administration) approval and becoming commercially available, according to CDC.gov, "For ethical reasons, pregnant and breastfeeding women are usually not included in these studies. As a result, little information is available about the safety of most medications during pregnancy or breastfeeding when they are first marketed."

Animal Testing

    RxList.com reports some side effects from Zyrtec in the nursing young of animals given the drug. According to the site, mice given "40 times the maximum recommended daily oral dose in adults" passed the medication along to their young through nursing. The young experienced a decrease in weight gain.
    Additionally, tests on beagles showed a transmission rate of 3 percent from mother to young. The site cautions that animal testing results are not always truly analogous to results in humans. However, because of a dearth of testing in nursing women and their children, it is safer to assume that the drug should not be taken while breastfeeding.

Tests in Infants

    Clinical trials of Zyrtec have been conducted in children of common breastfeeding age (6 to 24 months). These children were given dosages directly; not through the medium of breast milk. Some side effects were discovered, but according to RxList.com, side effects like sleeplessness and irritability experienced by the group receiving Zyrtec did not vary greatly from those experienced by a group given a placebo.

How to Nurse a Baby Lying Down

To make breastfeeding your baby easier, try nursing while laying down. Nursing in the side-lying position, once mastered, is simple and gives you the opportunity to rest while baby nurses. Mothers who have had caesareans find this position the most comfortable as the incision heals.

Instructions

    1

    To begin the nursing session, ensure that you have a comfortable place to lay down. Arrange pillows to support your back and hips. Bring the baby into bed with you. If the baby is crying, help her to settle before you try to nurse. A crying baby can stress you and make relaxing difficult. You may try nursing in the cradle position to begin with and then switch to the side-lying position to relax the baby.

    2

    Once you and the baby are relaxed and ready, lay down on your side with the baby's belly against yours. After the baby is nursing, you can move your underneath arm above your head. Most find it comfortable to put their arm under their head while the baby nurses. Before latching your baby on, make sure you feel supported by the pillows.

    3

    Now that you and the baby are properly aligned, it is time to latch the baby on. With the baby's mouth at breast-level, rub the cheek closest to the mattress with your nipple. The goal is to get the baby to turn his head down, towards what is now the bottom breast. The aby will open his mouth wide toward the nipple. You will use your underneath arm to gently guide the baby onto the breast.

    4

    As your baby begins nursing, this is your chance to rearrange baby's body to make the session more comfortable for both of you. If the baby's nose is pressed against your breast, try moving her lower body towards you. As the lower body moves in, the upper body and head will move slightly in the opposite direction. Now is also an excellent time to readjust your body by rolling in towards your baby or back and away depending on what will increase your comfort.

    5

    Experiment with what feels good to both of you. Mothers and babies are known for falling asleep in this position. Enjoy the extra time to rest while your baby is still little.