Archive for May, 2011

How To Choose A Breast Pump

The milk production in the breasts, much like so many other things, work on the shear principal of supply and demand. The more breast milk your baby consumes, the more your body will need to make.

Breast pumps are generally used to insure continued production of breast milk when you cannot feed your baby – whether you are back to work, traveling, taking medication, or just out of town.

Basic types of pumps Breast pumps can either be battery operated, hand operated, semi automatic electric, or even self cycling electric.

Hand pumps Manual hand pumps are designed to use the strength of your hand or arm muscles for pumping one breast at a time. You can also get pumps that will use the leg and foot muscles for pumping both breasts at one time. Mothers that with carpal tunnel syndrome may want to consider using a pump designed for the arm or leg muscles or even an automatic model.

Battery operated pumps Pumps with battery operation are the best for women who have an established supply of milk and want to pump once or even twice a day. These pumps use batteries to create suction, minimizing any type of muscle fatigue. Most battery type pumps are designed for pumping one breast at a time and are recommended for occasional usage.

Electric pumps Even though electric pumps are more efficient than hand or even battery operated pumps, they also tend to be more expensive. You can however, rent them if you need to. Electric pumps can normally plug directly into an outlet and are designed for pumping both breasts at a time and even frequent use. Hospital grade pumps are the most efficient for initiating and maintaining milk supply, and are available for rent or purchase.



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How Breast Milk Is Made

If you’ve every been pregnant or if you are pregnant now, you’ve probably noticed a metamorphisis in your bra cups. The physical changes (tender, swollen breasts) may be one of the earliest clues that you have conceived. Many experts believe that the color change in the areola may also be helpful when it comes to .

What’s going on Perhaps what’s even more remarkable than visible changes is the extensive changes that are taking place inside of your breasts. The developing placenta stimulates the release of estrogen and progesterone, which will in turn stimulate the complex biological system that helps to make lactation possible.

Before you get pregnant, a combination of supportive tissue, milk glands, and fat make up the larger portions of your breats. The fact is, your newly swollen breasts have been preparing for your pregnancy since you were in your mother’s womb!

When you were born, your main milk ducts had already formed. Your mammary glands stayed quiet until you reached puberty, when a flood of the female hormone estrogen caused them to grow and also to swell. During pregnancy, those glands will kick into high gear.

Before your baby arrives, glandular tissue has replaced a majority of the fat cells and accounts for your bigger than before breasts. Each breast may actually get as much as 1 1/2 pounds heavier than before!

Nestled among the fatty cells and glandular tissue is an intricate network of channels or canals known as the milk ducts. The pregnancy hormones will cause these ducts to increase in both number and size, with the ducts branching off into smaller canals near the chest wall known as ductules.

At the end of each duct is a cluster of smaller sacs known as alveoli. The cluster of alveoli is known as a lobule, while a cluster of lobule is known as a lobe. Each breast will contain around 15 – 20 lobes, with one milk duct for every lobe.

The milk is produced inside of the alveoli, which is surrounded by tiny muscles that squeeze the glands and help to push the milk out into the ductules. Those ductules will lead to a bigger duct that widens into a milk pool directly below the areola.

The milk pools will act as resevoirs that hold the milk until your baby sucks it through the tiny openings in your nipples.

Mother Nature is so smart that your milk duct system will become fully developed around the time of your second trimester, so you can properly breast feed your baby even if he or she arrives earlier than you are anticipating.



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Health And Diet

The nutritional requirements for the baby will rely soley on the breast milk, and therefore the mother will need to maintain a healthy diet. If the baby is large and grows fast, the fat stores gained by the mother during pregnancy can be depleted quickly, meaning that she may have trouble eating good enough to maintain and develop sufficient amounts of milk.

This type of diet normally involves a high calorie, high nutrition diet which follows on from that in pregnancy. Even though mothers in famine conditions can produce milk with nutritional content, a mother that is malnourished may produce milk with lacking levels of vitamins A, D, B6, and B12.

If they smoke, mothers must use extreme caution. More than 20 cigarettes a day has been shown to reduce the milk supply and cause vomiting, diarrhoea, rapid heart rate, and restlessness in the infants. SIDS (Sudden Infant Death Syndrome) is more common in babies that are exposed to smoke.

Heavy drinking is also known to harm the imfant, as well as yourself. If you are breast feeding, you should avoid alcohol or consume very small amounts at a time.

The excessive consumption of alcohol by the mother can result in irritability, sleeplessness, and increased feeding in the infant. Moderate use, normally 1 – 2 cups a day normally produces no effect. Therefore, mothers that are breast feeding are advised to avoid caffeine or restrict intake of it.

By following a healthy diet and limiting your intake of the above, you’ll ensure that your baby gets the right nutrients during your time of breast feeding. This stage of life is very important – as you don’t want anything to happen to your baby.



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Getting Started With Breast Feeding

When you hold your baby for the first time in the delivery room, you should put his lips to your breast. Although your mature milk hasn’t developed yet, your breasts are still producing a substance known as colostrum that helps to protect your baby from infections.

If your baby has trouble finding or staying on your nipple, you shouldn’t panic. is an art that will require a lot of patience and a lot of practice. No one expects you to be an expert when you first start, so you shouldn’t hesitate to ask for advice or have a nurse show you what you need to do.

Once you start, keep in mind that nursing shouldn’t be painful. When your baby latches on, pay attention to how your breasts feel. If the latching on hurts, break the suction then try again.

You should nurse quite frequently, as the more you nurse the more quickly your mature milk will come in and the more milk you’ll produce. Breast feeding for 10 – 15 minutes per breast 8 – 10 times every 24 hours is an ideal target. Crying is a sign of hunger, which means you should actually feed your baby before he starts crying.

During the first few days, you may have to wake your baby to begin breast feeding, and he may end up falling asleep during feeding. To ensure that your baby is eating often enough, you should wake him up if it has been four hours since the last time he has been fed.

Getting comfortable Feedings can take 40 minutes or longer, therefore you’ll want a cozy spot. You don’t want to be sitting somewhere where you will be bothered, as it can make the process very hard.



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Engorged Breasts

Within the first two to three days after you have given birth, you may discover that your breasts feel swollen, tender, throbbing, lumpy, and overly full. Sometimes, the swelling will extend all the way to your armpit, and you may run a low fever as well.

The causes Within 72 hours of giving birth, an abundance of milk will come in or become available to your baby. As this happens, more blood will flow to your breasts and some of the surrounding tissue will swell. The result is full, swollen, engorged breasts.

Not every postpartum mom experienced true engorgement. Some women’s breasts become only slightly full, while others find their breasts have become amazingly hard. Some women will hardly notice the pain, as they are involved in other things during the first few days.

Treating it Keep in mind, engorgement is a positive sign that you are producing milk to feed to your baby. Until you produce the right amount: 1. Wear a supportive nursing bra, even at night – making sure it isn’t too tight. 2. Breast feed often, every 2 – 3 hours if you can. Try to get the first side of your breasts as soft as possible. If your baby seems satisfied with just one breast, you can offer the other at the next feeding. 3. Avoid letting your baby latch on and suck when the areola is very firm. To reduce the possibility of nipple damage, you can use a pump until your areola softens up. 4. Avoid pumping milk except when you need to soften the areola or when your baby is unable to latch on. Excessive pumping can lead to the over production of milk and prolonged engorgement. 5. To help soothe the pain and relieve swelling, apply cold packs to your breasts for a short amount of time after you nurse. Crushed ice in a plastic bag will also work. 6. Look ahead. You’ll get past this engorgement in no time and soon be able to enjoy your relationship with your new baby.

Engorgement will pass very quickly. You can expect it to diminish within 24 – 48 hours, as nursing your baby will only help the problem. If you aren’t breast feeding, it will normally get worse before it gets better. Once the engorgement has passed, your breasts will be softer and still full of milk.

During this time, you can and should continue to nurse. Unrelieved engorgement can cause a drop in your production of milk, so it’s important to breast feed right from the start. Keep an eye for signs of hunger and feed him when he needs to be fed.



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