Breast Care

Removing Baby from Your Breast:

Very gently! Many mothers find that once their baby is satisfied, he will release the breast. If baby must be moved before this happens, try inserting a finger into the corner of your baby’s mouth, pulling down on baby’s chin, or pressing down on your breast near baby’s mouth to break the seal. Do not just pull him off it will cause trauma.

It is a good idea to use either a disposable or washable breast pad in your bra between feeds to mop up any leaks and avoid discomfort or embarrassment.

S4001_Pkg_H

Sore Nipples:  Breastfeeding does not hurt. However, for any number of reasons, mothers may develop sore nipples. Nipple tenderness at the beginning of a feed may be normal in the first two to four days of breastfeeding. Soreness that is more intense or continues for a longer time indicates that some adjustment needs to be made, so speak with your Midwife and consider some of the points below.

Dealing with sore nipples:

S4004_Pkg_HS4003_Pkg_H

Freshly expressed breastmilk applied to your nipples will not only soothe your nipples but also reduce the chances of infection, as human milk has antibacterial properties.

Moist wound healing has been shown to be very effective for healing sore nipples. Keeping your nipples covered with a medical grade (100% pure) modified lanolin (breast pads are suitable) ointment will encourage any cracks to heal without scabbing or crusting.

In my view using a Nipple Shield when the pain to feed is too much can help minimise discomfort, which will naturally help you to maintain breastfeeding for longer, but can also act as a barrier so will aid healing, however it will not prompt adequate milk production for any significant length of time. Therefore only use shields when necessary for as little time as possible, usual 1-2 days.  Ensure that your Nipple Shield is made from super soft, thin silicone and has a cut out at the top so baby maintains skin to skin contact when feeding from you.

The most important thing to look at is your latching on technique. In really extreme cases consider ‘pumping’ and feeding via a bottle for a few days.

 

Another useful tip that does actually work for tender breast ( as oppose to just nipples) is savoy cabbage leaves. Break the the stem and place inside your bra.

 

Please note that if a thrush or a yeast infection is the cause of your sore nipples you must seek medical attention. In general, thrush thrives on milk and moisture so your nipples should be kept dry. Try rinsing them with water and letting them air dry after each feeding.

 

Flat or inverted nipples:

Flat nipples do not become erect when stimulated or cold. Inverted nipples actually retract rather than protrude when the area around the nipple is compressed. Wearing breast shells during pregnancy may help to draw out your nipples. Once your baby is born, it may help to use a breast pump to pull out your nipple immediately before latching your baby on to you.

Engorgement:

Full, hard breasts can occur in the early days of breastfeeding, which can be extremely painful. This may result in flat nipples which make it difficult for your baby to latch on. To avoid this condition be sure your milk is being removed frequently from your breasts. If your new born can not latch on correctly because your breasts are so full or they are uncomfortable and baby doesn’t want to feed, hand-express or pump.

If stored correctly in a sterilised container in the fridge ( not in the door of the fridge) breast milk can be use safely within 24 hour. If frozen it can be stored for upto 3 months

Breastfeeding Tips

Correct Position & Latch On:

The number one tip is to try to relax (easier said than done I know, but remember this is a learning curve for you and your new baby!) 1. Position yourself comfortably; that could be with back support, pillows supporting your arms and in your lap and your feet supported by a footrest or a big book, it is whatever works for you. A feed can take anything from ten to sixty minutes.

2. Have a drink close to hand, it’s thirsty work.

3. Hold the baby with the opposite arm to the breast from which you intend to offer. Support baby’s head and shoulders with your hand and his body along your forearm.  He should be facing the breast without needing to turn his head. You would not eat a meal with your head turned.

3. With his nose in line with your nipple, and from the direction that your nipple points, encourage him to open his mouth wide, by gently stroking his top lip with your nipple.

4. Now this is where you need to be confident, once he opens his mouth, quickly tilt his head back and move his chin towards the nipple. Once it touches the areola, scoop it and the nipple in to his mouth. Imagine baby is a coat hooking onto a coat peg. This will allow him to fill his mouth with the areola and stimulate him to feed correctly.  Support his back (rather than the back of his head) so that his chin burrows into your breast. His nose will be touching your breast.

5. Breast feeding is PAIN FREE .  If you are feeling pain for more than 10 seconds  detach baby gently and try again. The pain is a definite sign something isn’t right so you must start again. Occasionally when baby first latches on there is a ‘toe curling’ pain but it should ease within a 10 second time frame. This was the one piece of information I didn’t get when I was trying to feed my 2nd child and I suffered for a long time. I ‘ put up’ with it because she needed food, but what I didn’t realise was she was traumatising my nipples to the point of bleeding and being extremely painful. This made me reluctant to feed her, she wasn’t feeding properly and therefore not getting enough milk. This led to her wanting to feed more frequently, establishing the wrong technique which caused more pain…….and so the cycle continued. As a midwife I have seen it many many times.

It is important to get it right.

You know you are getting it right when:

1. It doesn’t hurt.

2. He lies still during a feed.

3. You can hear and see active swallowing, your midwife can point this out to you during the early days as it does take some practice to spot.

4. His lips are curled back with his nose buried in the breast.

5. At the end of a feed he will come off the on his own and is relaxed.

6. A feed should last between 20 and 60 minutes.

7. In a 24 hr period you should have at least 6 wet and 2 dirty nappies.

Using a specialist breastfeeding pillow can help you to position baby correctly and help you to be as comfortable as possible, such as the Dr Brown’s Gia pillow which comes with 3 cover designs.

Gia Pillow

Today is World Prematurity Day

What gestational age was your baby born – let us know your story?

Do you know that around one in nine babies born each year in the UK are classed as “premature” and  can require some specialist hospital care?

A premature baby is one born before 37 weeks gestation.

Care for premature or small babies in Special Care Baby Units is amazing these days, but premature babies can unfortunately experience  some problems with feeding. Premature babies are  often fed naso-gastrically and  before (bottle feeding) preterm babies receive oral feeds they are generally subjected to a suck test, which consists of offering a special dummy to stimulate non-nutritive sucking. This simple measure is performed to ensure that the baby has the ability to co-ordinate breathing, sucking and swallowing of saliva at the same time without a marked change in the baby’s heart rate and breathing patterns.

One of the big issues is that when these premature babies are fed using a traditional or restrictive vented bottle, a vacuum tends to develop and so babies have to suck progressively harder on the one hole in the bottle to obtain the liquid – imagine how much energy a premature baby will utilise fighting this vacuum.

Help is at hand as Dr Brown’ offer  a 60ml/2oz standard neck preemie bottle, which is widely used in Neonatal Units around the country.  The preemie bottle features the unique Dr Brown’s patented system with an internal vent which eliminates the vacuum in the bottle, so allowing the milk to flow freely and the baby doesn’t have to fight the vacuum and suck as hard, so can use its energy for important things like GROWTH and DEVELOPMENT.

Go to www.drbrowns.co.uk to see a fully animated explanation of how the Dr Brown’s Natural Flow feeding bottles work

Questions and Answers about Dr Brown’s Natural Flow Teats

We have many enquiries here at Dr Brown’s about teats. Ranging from what teat size the bottles come with to what size teat should my baby be on.

In this blog post we have identified some of the questions that we regularly get asked.

So, question number 1,

‘What level teat do I have?’

To find this out you have to look on the rim at the bottom of the teat. It will say Level and then in a circle the number. However if it was a preemie teat it’ll say ‘P’ and Y cut it’ll say ‘Y’. Circled below in where you’d find this information.

Highlighted teat

 

Question 2,

‘What size teat should my baby be on?’

The basic answer is every baby is different, some babies require slower or faster teats than other babies. However we do provide a recommendation for the different levels of teats, however these are only provided as guidelines to us to help you make the decision to move your baby on to the next level.

Preemie Teat – for Premature Babies.

Level One – for infants 0-3 months (Flow rate- 57% faster than the Preemie Teat)

Level Two – for infants 3-6 months

Level Three – for infants 6 months plus

Level Four – For infants 9 months plus

Y Cut Teat – Allows thicker feeds which would block the hole of a normal teat.

 

Question 3,

‘What teat size would I need for my X week old baby who is one a thicker feed?’

This is where it gets trickier. Picking teats when you have a thicker formula is based on trial and error. We would normally recommend trying a level higher.

For example, if you had a three week old baby on a thicker feed we’d suggest going from a level 1 to a level 2.

We would also suggest propping your baby up whilst feeding using a faster flow teat, but its best to check with your Health Care Professional.

Question 4,

‘Why won’t my preemie teat fit onto my 120/240ml bottles?’

The preemie bottle is something called a ‘standard neck bottle’. This basically means that the neck of the bottle is smaller in comparison to our other bottles. This is because when you are feeding a smaller baby you need a smaller bottle.

The preemie teat flow is slower than the level one. The level one is about 57% faster than the preemie.  The level one teat will drip about one drop per second with water in the bottle and the preemie flow takes between 2 – 3 seconds per drop.

Our 120ml and 240ml bottles are ‘wide neck bottles’ and these are sold in the UK along with level 1, 2, 3 ,4 and Y cut teats.

Question 5,

‘How do I clean my Dr Brown’s teats?’

You must never use the vent brushes to clean the teats. If the vent brushes are forced through the tip of the teat, this can either widen or split the teats making them unusable.

It can also cause the teat to split. You can purchase our bottle and teat brush to ensure that the teats are cleaned correctly and effectively at www.drbrowns.co.uk

700_Product_L

 

 

 

Sun Safety Tips

Just one blistering sunburn in childhood more than doubles a person’s chances of developing melanoma later in life. According to one US study, 54 percent of children become sunburned or tanned in their second summer, versus 22 percent in their first.

Many parents don’t know the best ways to protect their young children. Below are The Skin Cancer Foundation’s recommendations.

 

Infants 0-6 months: Infant under 6 months of age should be kept out of the sun. Their skin is too sensitive for sun cream. An infant’s skin possesses little melanin, the pigment that gives colour to skin, hair and eyes and provides some sun      protection. Therefore, babies are especially susceptible to the sun’s  damaging effects.

  • Use removable mesh window shields to keep direct sunlight from coming in through the windows of your car or invest in UV window film, which can screen almost 100 percent of ultraviolet radiation without reducing visibility.
  • Take walks early in the morning before 10 AM or after 4 PM and use a stroller with a sun-protective cover.
  • Dress baby in lightweight clothing that covers the arms and legs.
  • Choose a wide-brimmed hat or bonnet that protects the baby’s face, neck, and ears. A baby who wears a hat during the first few months will get used to having it on.

Babies 6-12 months: It’s now safe to use sun cream on babies.

  • All the protection methods explained above still apply, however now sun cream use should be incorporated.
  • Apply broad-spectrum, SPF 15+ sun cream to areas left uncovered such as baby’s hands. Many companies have tear-free formulas that won’t sting baby’s eyes.
  • Most importantly, sun cream must be applied 30 minutes before going outside and reapplied every two hours or after swimming or excessive sweating.

Toddlers/Pre-School Age

  • Protecting toddlers from the sun requires a little more thought and effort. It is important to educate your child and carers.
  • Make sure your child seeks the shade between 10 AM and 4 PM. Check the outdoor area where your child plays to make sure there is adequate shade.
  • Make sure toddlers are covered. Long-sleeved, unbleached cotton clothing is cool and comfortable, while also highly protective. Clothing with an Ultraviolet Protection Factor (UPF) listing on the label offers extra security. The Skin Cancer Foundation recommends clothing with a UPF of 30 or higher.
  • Don’t forget hats and sunglasses. Choose a wide-brimmed hat that protects face, neck, and ears.
  • Water-resistant, spray-on sun creams are a good choice for toddlers who won’t sit still. Look for broad-spectrum sunscreens with an SPF 15 or higher.

Keep your little one hydrated with the Dr Brown’s Trainer Cup.

B0035LSPXU.PT01

Comes in hard and soft spout http://www.cmsshop.co.uk/search.html?q=trainer

 

Information from http://www.skincancer.org/

St Georges Day!

To celebrate St Georges day we thought we’d look at the top10 names here in the UK, and interestingly its traditional names that still prove most popular.

stegeorge

Harry takes the top spot for the boys  – Prince Harry and Harry Styles may be the reason why?

For girls there is a trend for names ending in ‘a’ – such as Sophia, Mia and Olivia. Biblical names are popular and using surnames as first names was a new trend for 2012.

For boys names ending in an ‘ee’ sound continue to be popular – such as Frankie, Tommy, Louie and Bobby.

Top 10 baby girls names 2012

  1. Amelia
  2. Lily
  3. Emily
  4. Sophia
  5. Isabelle
  6. Sophie
  7. Olivia
  8. Jessica
  9. Chloe
  10. Mia

Top 10 baby boy names 2012

  1. Harry
  2. Jack
  3. Oliver
  4. Charlie
  5. James
  6. George
  7. Thomas
  8. Ethan
  9. Jacob
  10. William

What are you planning on calling your baby – we’d love to hear from you?

Competition Time!

Marker Pen, paper stickers, plasters, coloured tape – Do you struggle to prevent mix up of your ‘precious ones’ baby bottles or weaning food pots at the Child Minders, Nursery or play-dates?

If so help is at hand with the new Dr Brown’s ‘My Dot’ removable labels , designed for easy bottle identification and food container labelling.

785_Pkg_L

Each pack contains 12 sheets of 6 durable labels, in 6 eye catching colours, which are Microwave and freezer safe.

New from Dr Brown’s US, we have 10 packs of these practical and eye catching labels up for grabs for the first 10 people to tell us how they currently identify their baby bottles. This offer closes on 18th March at 9pm and the winner will be announced on the 19th March.

Good Luck!!

Correct Teat Sizes

Fiona-Jane Kenworthy, Marketing Manager for Dr Brown’s frequently receives queries from mums regarding correct teat sizes to use, so here are her comments:

While there are age recommendations listed for each of our teat levels, there really is no right or wrong time to change your baby’s teat level. Every baby is different; some babies will be perfectly content using level one throughout their bottle feeding days, while others are more aggressive eaters and need to advance to the next level. Your baby will let you know if and when the time comes to change levels. Below are some signs to look for from your baby. When you notice any of these signs, it usually means that the baby is not getting a fast enough flow and it is time to move up a level. Please remember, if these signs never occur then there is no need to change anything and it is always best to check with your Healthcare Professional.

•Baby is taking longer to finish eating.

•Baby becomes fussy or irritated while eating.

•Baby falls asleep during the feeding.

A range of 6 teat sizes/flow speeds are available to grow with your babies needs:

–        Preemie Flow

–        Level 1 – Birth to 3 months (on every bottle)

–        Level 2 – 3 months to 6 months (most popular speed)

–        Level 3 – 6 months +

–        Level 4 – 6 months + Hungry Babies

–        Y Cut Teat-Allows thicker feeds which would block the hole of a normal teat.

Share your experiences with your fellow mums and to purchase your Dr Brown’s teats or to find out more information please log on to www.drbrowns.co.uk