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Reliable information on
breastfeeding topics
by Heisje de Jong,
Certified Lactation Consultant
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05.- HOW OFTEN
AND HOW LONG SHOULD I BREASTFEED MY BABY?
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It is best to start breastfeeding as soon as possible after birth.
During the first hour or so after birth most babies are quite
awake and alert and willing to nurse. Try to arrange with your
doctor or hospital staff that your baby can stay with you after
birth and that they don't take him away immediately to weigh
and wash him. These things can be done later. These first moments
after birth are very special and important for you and your baby,
and you should be given the time to get to know each other, to
touch and smell, to cuddle and to breastfeed.
When you breastfeed your baby
soon after birth, your baby's sucking will contract your uterus
and this helps to expel your placenta and lessens the risk of
postpartum hemorrhage. Breastfeeding soon and frequently from
the beginning can help prevent painful engorgement and your milk
will come in sooner.
The milk you produce in the first
few days after birth is called colostrum. It is a thick, yellowish
substance high in protein, low in fat and contains a lot of antibodies.
It is the ideal food for your baby these first few days. It is
easily digested and works in a way as a mild laxative, so your
baby will pass his first stool, called meconium, faster. This
helps to prevent your baby from getting jaundice.
Breastmilk is digested easier
and more rapidly than formula
and doesn't put a strain on your baby's digestive system. The
proteins in formula milk take longer and are more difficult to
digest. That is the reason that formula fed babies demand to
feed less often. A newborn breastfed baby therefore, needs to
be fed at least every 2 to 3 hours during the day and 1 or 2
times during the night (8-12 times per 24 hours).
It is better not to feed your
baby on a nursing schedule or to limit the time baby nurses on
the breast.
Breastfeeding is a very natural process; your breasts produce
milk in answer to your baby feeding at your breast.
The more the baby nurses, the more milk you will produce, and
the less your baby nurses the less milk your body will make.
When you nurse your baby on a schedule your breasts may not receive
enough stimulation to make sufficient milk for your baby and
this can result in inadequate weight gain and failure to thrive.
Therefore it is better to let baby decide when and how long he
wants to nurse.
Some newborn babies sleep a lot
the early weeks and it is necessary to wake them up for a feeding.
Don't let your baby sleep more than 4 hours during the day without
nursing, in the night he needs to be fed at least once (see section
NIGHT FEEDINGS for more information).
Sometimes your baby may suddenly
want to nurse more often for a few days.
What is happening?
Your baby is growing rapidly and needs more milk for his growing
body.
When you let him nurse more often your body will produce more
milk and your baby will go back to nursing like he did before.
These "growth spurts" can happen around 2 weeks, 6
weeks and 3 months of age.
If
your baby is positioned well breastfeeding shouldn't hurt and
you can feed as long as your baby wants.
Let him nurse on one side until he swallows less often or dozes
off. This may be after 10-15 minutes or so, then put him on the
other side and let him nurse for as long as he wants.
The next feeding you start on the side you last finished with.
It is best to give both breasts at each feeding, especially in
the early weeks of breastfeeding, to stimulate your milk supply.
As during pregnancy, you don't
need to do anything special to clean your nipples. Just washing
with plain water when you take your shower is enough.
Don't use soap, alcohol or antiseptic creams on your nipples,
they can dry your skin and promote soreness and cracking of the
nipples.
It is important to let your nipples dry after each feeding, leave
your bra flaps open after each nursing for a few minutes until
your nipples have dried.
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