ADVICE TO EXPECTANT PARENTS:
1 Report to doctor in case of:
· Bleeding Or Watery Discharge.
· Pain Abdomen.
· Sudden Swelling Of Face, Feet,Hands.
· Sudden Loss Of Foetal Movements Or Reduced / Excessive Movements.
2 Adopt family planning methods after consultation with doctor by 4 to 6 weeks after delivery, in order to avoid unexpected & unwanted pregnancy.
3 Routine check-up of B.P and weight has to be done once in 2 weeks.
4 Three dose of inj. T.T(Tetanus Toxoid) is mandatory for pregnant women.
BREAST-FEEDING AND YOU
Congratulations on your decision to breast-feed. Breast milk is the perfect nutrition for your baby. Colostrum, the first milk, provides your baby with immunities and antibodies against certain bacteria and viruses and also acts as a natural laxative to clear the newborn's intestinal track. Colostrum is creamy-yellow in color and is made in just the right amount for your baby's first days of life. Babies are generally sleepy the first one or two days but will stay awake longer as days go by. Your mature milk, which is a whitish color, will come in about two to five days after your delivery.
As your milk comes in, your breasts may become larger, firmer and tender as the colostrum production gives way to mature milk production. This is called engorgement. Breast swelling may make it very difficult for the baby to latch-on properly. Warm compresses or a warm shower, followed by pumping your breasts to soften the nipple is often helpful in promoting proper latch-on. Frequent breast-feeding during this time is the best measure you can take. Usually breast engorgement lasts about 24 hours.
Some breast tenderness is common during the first couple of weeks. By accomplishing correct latch-on and feeding technique, this may be alleviated. Massaging your breasts prior to feeding will stimulate milk to "let down," so that your nipples are not further irritated by the baby's sucking. Let your nipples air-dry thoroughly after each feeding to prevent cracking and nipple irritation. The application of Lanolin or Vitamin E is not necessary. The best "medicine" you can give your nipples is to hand express a few drops of milk and massage it on the nipple and areola before you air-dry them.
There are some general guidelines to follow to ensure adequate milk production and proper post-partum recovery:
1. Nurse your baby on demand. This will average every 2 to 2 1/2 hours.
2. Do not nurse any longer than 25 to 30 minutes on each side.
3. Allow the baby to nurse at least 15 minutes on each side. This ensures that the baby is getting the benefits of both kinds of milk. The foremilk is what the baby receives the first 8 to 10 minutes of nursing. This milk is higher in protein and lower in fat. After approximately 10 minutes of nursing, the baby receives the hindmilk which is higher in fat. The hindmilk is slower to digest and helps satisfy the baby for a longer period of time. The hindmilk also helps the baby grow. A 15 to 20 minute nursing on each side will give the baby the benefits of both types of milk.
4. Offer your baby both breasts at each feeding. Always start the feeding with the breast the baby finished nursing with the previous feeding or the breast your baby did not nurse.
5. Unless special medical conditions exist with the baby, avoid bottle-feeding them the first 2 or 3 weeks. Babies can become "nipple confused" being fed both ways. Far more important is the fact that this is the time when your milk supply is being established. Breast-milk is a supply and demand situation. In other words, you make what your baby demands. Feeding formula will interfere with the amount of breast milk your baby wants and decrease the amount you need to make. When your milk is in and your milk supply is well established, feel free to give your baby a bottle of formula or breast milk occasionally.
6. Breast-feeding mothers must have good nutrition. You will need to eat an extra 500 calories a day over your average daily allowance. You will also want to drink at least 48 to 64 ounces of water or other fluid each day. A good habit to form is to always have something to drink each time you nurse the baby.
7. You may want to keep a diary or log of what you eat for the first week or two. List what you eat each meal and have a space to describe how it affects the baby. REMEMBER: It may take up to 24 hours for some foods to filter through the breast-milk.
8. Get plenty of rest. Try to take a nap when the baby is asleep.
It is common for new mothers to be anxious about the amount of milk their baby is getting. If you answer "yes", to the following statements, your milk supply is adequate:
· The baby nurses at least six times in 24 hours.
· I can hear my baby swallowing during nursing.
· My breasts feel softer after I nurse.
· My baby wets six or more diapers every 24 hours.
Breast-feeding your baby is a very rewarding experience. Enjoy these early weeks with your baby as you learn together. Part of the enjoyment of being a parent is the on-the-job training it involves!