During Breast Feeding
mothers usually have doubts about what should be
eaten and how much during this period. You
should continue eating a balanced diet like the
one during your pregnancy. An extra 300 Calories
above the pregnant requirement should be taken (600
Calories above the pre-pregnant state). One must continue taking Iron and Calcium supplementation
during breastfeeding for 4-6 months
with milk let down reflex .
A study shows babies consume less breast
milk after the mother has consumed alcohol.
be avoided as nicotine interferes with let down
resulting in low milk supply.
pregnancy you donít have to take special care
of your breasts / or nipples. But one must examine
them during pregnancy itself
- Be sure to wear
the bras, which provide enough support. Nursing
bras are available, which give room for extra
growth of your breasts.
- Wash your nipples
with warm water before and after each feeding.
- Soaps, lotions
may not be necessary and can cause irritation.
- To prevent dryness
apply little expressed colostrum, human milk,
medical grade modified lanolin.
Care In Special Situations
During pregnancy if
you have inverted nipples consult your doctor for
correction. This is done by manipulation or by shields
in later month of pregnancy.
you start breastfeeding you may experience slight
tenderness of the nipples. This is quite normal
in the first 2-3 days after delivery.
Soreness of nipples in early lactation period is
due to wrong positioning of the baby.
nipples can be extremely painful. Nipple shield
should not be used. Breast-feeding should be continued.
. Nipple should be exposed to air and sunlight. Donít
use ointment/creams; instead use a drop of hind
milk expressed from the breast.
the soreness persists or suddenly appears after
a week or two of delivery, then it is mostly due
to fungal infection. This soreness is associated
with pain and itching over the area around the
nipple. The baby may also have thrush inside the
mouth. Consult a doctor for treatment of the fungal
infection of your breast and your babyís oral
engorgement may occur when your breasts become
too full with milk. A little engorgement is normal,
but excessive enorgement becomes painful or uncomfortable.
This makes the hard and your baby may find it
difficult to feed. Thus a vicious cycle begins
as the breasts are not properly emptied and get
your breast becomes engorged then:
- Express some milk
before you breast-feed your
- Gently massage
your breast from under the arm down towards
can be prevented by ďfeeding on demand /by expressing
out excess milk if your breasts feel uncomfortable.
is infection of a blocked milk duct leading to
swelling, redness, pain and fever. Consult your
doctor for the treatment. Treatment includes rest,
warm compresses, antibiotics, adequate breast
support and continued breastfeeding.
If breastfeeding is painful, then:
- Allow the breast
milk to ooze out as your baby suckles at the other
- Breast milk can
be manually expressed .
the breast may be required.
During Breast Feeding
Usually medications are safe
to take during breast-feeding, but there are a few
that can be dangerous for the baby. To be sure,
let your doctor and your babyís doctor Pediatrician
know that you are breastfeeding. Get approval for
all medications, including non-prescription drugs.
Also, take the medication just after you nurse
rather than just before. Some birth control
pills also might affect your milk production, but
effects vary from woman to woman and with the type
of pill .
Discuss this with your doctor.
Feeding In A Working Women
offices give a maternity leave of 3 months. Central
government offices may give 4 1/2 months
leave. It is recommended to continue breastfeeding
for additional 3 months. When you resume your
work after these 3 months, DONíT stop breast-feeding.
You can do both. Working women can continue
breast-feeding, by adopting different methods
their maternity leave is over.
the leave, if you can
you have a child care clinic near your
work place, you can nurse your baby
often during the day.
work can be done from home, nothing
part-time. Feed before going and after
coming from your office.
milk, 3 Ė 4 times a day in your office.
This will maintain your production of
milk. You can feed this milk to your
baby at home later. Link to ways of
expressing and storage of expressed
formula feeds only after the baby is
6 months old. Link to weaning.
this you may require:
permission from your superior to allow you
to express breast milk during office hours.
separate room, if your company does not have
a lactation room.
from your colleagues.
refrigerator / small cooler and ice packs
when you can store the milk.