Breastfeeding And SIDS

Evidence shows that breastfeeding is protective against SIDS.  Adjunct Professor, Jeanine Young reviewed international evidence and the analysis confirmed the link between a mother breastfeeding her baby and the reduced incidence of SIDS. The author is reported to have described the reason why breastfeeding is protective – ‘We think it’s multifactorial.  We know breastfed babies tend to rouse more easily than bottle-fed babies, and because women breastfeed frequently, the child is roused – and checked on- every few hours.’ Even more information supporting your decision to breastfeed your little one and to help you get through the nights of broken sleep when your baby is waking more frequently than you’d like. Here’s a link to an article from The Australian....
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Too Much Milk?

When we’re talking breastfeeding most people think more milk is better.  Some mothers, however, have a great ability to produce enough milk for their baby and then some. This can be the case in the early days when the hormones that stimulate milk production go into overdrive.  The mother may feel overfull (engorged).  The baby may have difficulty attaching because of the fullness of the breast. For most people, this initial ‘overdrive’ settles in the coming days and weeks as the baby regulates their supply.  For others, their breasts continue to supply more milk than the baby needs.  This may contribute to a baby whose behaviour is unsettled, who wants to suck very frequently and is producing lots of dirty nappies which may be green and/or frothy. Some mothers with an over abundant supply also find that their milk flow is very fast.  If the milk flows quickly, the baby may be able to deal with it well, or you might hear the baby splutter or come off the breast.  Some mothers find that their baby may cough or sound like they’re choking or milk may come out of their nose.  Some mothers will hear a clicking sound only when the faster milk flows. There are many measures that can be taken to help mothers and babies facing this situation.  Some of them are as simple as a change in feeding position and some of these take more effort and commitment to see improvement. If you’d like to discuss your breastfeeding challenges, please contact me.  As with other breastfeeding challenges, when managed well, this too will come to...
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Is My Baby Getting Enough Milk?

There is little else more important to a mother than making sure their baby is being well fed. Many mothers contact breastfeeding counsellors and lactation consultants wondering if they have enough milk for their baby.  They may be concerned because their baby is unsettled, crying, not feeding at predictable times or wanting to feed more often than the mum expected. Sometimes a well-intentioned relative or friend (or partner) can suggest that the baby is always hungry or feeding too often. All these concerns can be very valid at times, but there are a few simple ways to find some reassurance that your baby is getting enough breastmilk.  Your baby is usually getting enough milk if they have Wet nappies – in the first five days of life, a baby will usually have one wet nappy for each day of life (ie three wet nappies on day three).  After this you can expect five heavily wet disposable and 6-8 wet cloth nappies per day while they are exclusively breastfed.  The wet nappies should be pale to clear in colour. Dirty nappies – during the first few days, your baby may pass only meconium (thick, black tare-like poo).  After that your baby’s nappies will start to transition to look more like seedy, yellowish mustard.  Most babies will pass 3-4 of ‘baby-fist-size’ poos in 24hours and some will have a dirty nappy much more frequently. Frequent swallowing that you can hear during a feed and see them sucking vigorously at the breast Weight gain.  All babies loose weight initially, but after a few days should start putting weight back on. There are many things that can influence supply in both the short and long term, including some medical conditions and breast types, but if your baby has enough coming out, then there is usually enough going in. If you are concerned about low supply or would like to discuss increasing your supply, you may like to contact me to decide if you’d benefit from having a consultation.  For some mums, very simple things will increase their supply (like increasing the number of feeds/day) and for other people more active measures are needed.  Either way mums usually find that having up-to-date and consistent information helps improve their...
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Mother-To-Mother Support

When working with a mother, I often get a range of parenting questions mixed in with the breastfeeding ones.  I’m happy to answer these when I can.  Some mothers can feel somewhat isolated when they have a baby and may be looking for information about what to expect from this period of their baby’s life and reassurance that they are meeting their baby’s needs. When a mum’s breastfeeding situation no longer requires an LC, I often suggest they get in contact with their local ABA group.  These groups can be a great source of information, support and friendship with mothers who are in a similar stage of life.  It is also one of the World Health Organisation’s 10-steps to successful breastfeeding. To find your local ABA group, click...
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The Great Dummy Debate – A Personal Perspective From An IBCLC

All my children had dummies…. Was this a good thing?  The answer is both yes and no for me.  For my first child, having a dummy was the means to an end and also the beginning of a slippery slope to early weaning. When I brought my first beautiful newborn baby home from hospital, I was elated.  This lovely scene came crashing down around me when breastfeeding went very wrong.  My baby was drowsy and I was getting more and more frustrated that she wasn’t feeding.  Eventually after she became more alert, she REALLY wanted to feed.  By this stage breastfeeding was excruciating.  I dreaded attaching this beautiful little bubba to my breast to feed.  I started trying anything I could to delay feeding her and stretch the feeds out.  This inevitably led to using a dummy.  There were two things wrong with this. Firstly, she was crying because she wanted to feed and make up for the days that she had been drowsy.  She was showing me all the feeding cues and I just didn’t recognise them.  Also, my breasts were not getting the stimulation they needed to make the amount of milk my baby needed. Secondly, she was already attaching poorly and introducing a foreign teat which in no way stretches and functions like a breast was, in my opinion, contributing to her trouble. In the end I couldn’t face the toe-curling pain with each feed and chose to express my breastmilk and feed it to her with a bottle.  I was disappointed and sad that breastfeeding hadn’t worked out for me.  It wasn’t all about the dummy, but it certainly didn’t help. My second and third babies also had dummies.  This time around I was more informed and more determined to get things right.  So I chose to focus on establishing breastfeeding as a priority after I had the baby – electing to use other settling techniques and delaying the use of a dummy until about 6-8 weeks.  When I did use the dummy it was sparingly and when I knew that the baby’s tummy was full.  I tuned into my babies and looked for feeding cues, I also realised that I had a limited milk storage capacity and that my babies really NEEDED to feed frequently to thrive – which they did.  I used the dummy to help them to get to sleep, in the car...
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Sleep Routine Books

I often get asked which sleep/routine book I recommend for babies.  The answer is a difficult one – there are so many out there.  What I usually ask mothers of new babies is why they expect their baby to be in a routine?  I felt pressure from a whole range of people to ‘have my baby in a routine’.  As a first time mum, I thought this was something I really had to instil in my baby.  I thought that as ‘good parents’ we had to teach our baby to sleep through, feed at predictable times and have a nap when it was convenient for me. It wasn’t until later that I became more educated about breastfeeding.  This helped me realised how trying to get babies to ‘fit in’ to our expectations instead of tuning in to our baby’s needs can compromise some people’s ability to breastfeed.  Some breastfeeding issues do effect a baby’s ability to sleep or settle, and if you’re concerned that this is the case you can contact me to see if a consultation would be appropriate. Some of the side-effects of enforcing a routine on your baby can be detrimental to breastfeeding.  If your baby is crying because they are hungry and this cry is not heeded, at least two things happen.  The baby will not have his needs met and the mother’s breasts do not receive the stimulation they need to maintain her milk supply.  If this continues, a baby is at risk of poor weight gains and the mother is at risk of a diminishing supply.  Sometimes, like me, hindsight tells us we could have made better choices. Do I like any of these books?  Absolutely.  Any book which supports a mother to listen to and respond gently to her baby has a role to play.  Having a variety of tools in your ‘parenting toolbox’ can be a great benefit. If you’re looking for a book to help you with some parenting, sleeping and breastfeeding issues, I suggest you read whatever you like – take from it things that you think suit your parenting style, is gentle with it’s approach,  and supports feeding your baby when they are hungry – and discard the rest. As babies get older, they often find their own natural pattern of feeding and sleeping.  When we tune in to our babies, we are more likely to pick up on...
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