How to breastfeed your baby?
The information given here will help the mother to breastfeed successfully. The supportive role of the father is of utmost importance. The mother needs support and encouragement from him to build up the confidence that she has enough milk. Having enough information prevents breastfeeding problems and crisis and provides the solutions to these should they arise. The baby can be breastfed for 6 months, thereafter solids are given together with breastfeeding to 2 years and beyond.
Tips on breastfeeding.
1. Feed early
Within 1/2 hour of birth in the labour ward. First feed lasts for 10-20 minutes. During the first day, baby will normally feed 5-6 times.
2. Feed frequently
Room in with the baby while in the hospital. This will encourage bonding between the mother and the baby. From second day onwards, baby feeds about 1 1/2 to 2 hourly. Baby feeds about 10-12 times per 24 hours. Each feed last for 20-40 minutes or more. There is no limit to duration or frequency of feeds to satisfy suckling needs of the baby. There is no need to time the baby and feed the baby whenever he is hungry. At night, feed 2 hourly before 12 midnight, and then at 2 to 3am and again at 5-6 am. Try to sleep with the baby in the same bed.
3. Feed properly.
Hold the baby at breast level, lying on his side and chest to chest. Stimulate the rooting reflex with the nipple touching the baby’s lips. Quickly bring baby to breast when his mouth opens wide. Baby latches on properly and this will prevents sore nipples, when the nipple and much of the areola are in the baby’s mouth. Allow the baby to suckle till the baby sleeps and lets go of the nipple himself. Do not pull the baby off the nipple when he is still latched on. When the baby is off the nipple, and cries, put him back on the same breast. Allow him to complete one feed on one breast. Feed on the other breast at the next feed. 1 to 2 hours later. Colostrum is more than enough for the baby till mature milk comes in. There is no need to give water, glucose or formula milk to the baby. Avoid bottles and pacifiers and other artificial nipples as these may cause nipple confusion and breast rejection.
4. How much is enough?
Baby has enough milk if he is contented for 1 to 2 hours after a feed, passes clear dilute urine 5 to 6 times a day, passes bright yellow watery stools 6 to 8 times a day, puts on at least 20 grams of body weight a day and regains birth weight after 2 weeks.
5 Breast milk supply
Breast milk supply can be increased by frequent feeds day and night and allowing unlimited breastfeeding to satisfy baby’s suckling needs. Mother must eat and drink sufficient quantities to satisfy her hunger and thirst. For Asians, cultural food like ginger and rice wine are compatible with breastfeeding.
6. Breast engorgement
If the breasts are engorged, apply cold wet compresses over the breast to reduce swellings. Feed frequently 2 to 3 hourly round the clock. If pain is felt, it is safe to take Paracetamol.
7. Maternal / infant illness
It is safe to breastfeed even when mother or baby has illness. Most drug medications are compatible with breastfeeding. Do let the doctor know that you are breastfeeding and consult the doctor if you are not sure whether the medication given is safe to take. Maternal Mastitis can be treated with antibiotics for 10 days while continue breastfeeding from both breasts. Neonatal jaundice is compatible with full breastfeeding.
8. Working mum
Working and breastfeeding is possible by storing expressed breast milk in the freezer.
Article courtesy of Dr SL Koe Paediatrician & Lactation Consultant.

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