V OLUME 6 , I SSUE 2 H O L I D AY 2 0 1 6 Holiday Tips for Breastfeeding Moms Here are some considerations for nursing mothers as we countdown to the holiday season: Avoid an overload of starches and sweets in your diet (I know, easier said than done!). Since Thanksgiving I have seen several cases of yeast infections of the breast, often associated with an abundance of sweets. Indulge in seasonal goodies, as you are burning extra calories by breastfeeding, but steer away from a steady diet of sugar and carbs. Go easy on the alcohol. A celebratory drink may be fine, but your baby does not need the abundance of second hand alcohol and a hung-over mother will not be a happy one! Moderation is the key here. Plan travel time carefully. Be prepared to be flexible with delays by nursing often and giving yourself plenty of time to get where you are going. Stay hydrated and carry snacks. Nursing babies are generally good travelers but remain prepared. Ask for or seek help. Enlist a neighborhood sitter or family member to keep baby entertained whiled you shop, bake or wrap gifts. Or wear your baby in a sling or carrier as you go about holiday errands. Take frequent nursing breaks. Hand hygiene! Your baby has the immunological benefits of your milk, but don’t push your luck. Use hand sanitizer often and keep others from touching or getting close to the baby. If you pump milk, keep your pump with you or hand express when separated from baby. Avoid holiday supply busters. Peppermint, spearmint, sage, thyme and chronic decongestant use are associated with decreased milk production. Stress and sleep deprivation can be culprits too. From Hygeia.com Mama’s Milk: A Special Gift for Your Baby This is because a mother’s breasts know just what her baby needs at each feeding. At birth, a mother makes colostrum for her baby. There is only a small amount made because the newborn baby’s tummy is only the size of a marble! Colostrum’s small doses are jam-packed with immunities and antioxidants that a newborn baby needs to protect itself from illness. Did you know that unlike formula, human milk has ever changing amounts of fats, proteins, and other nutrients? Every Woman Makes Different Milk! While we know many of the nutrients found in human milk, the levels of each of these varies from mother to mother. This is because each baby has different needs. The composition of a mother’s milk even changes with each of her pregnancies! Receiving his mother’s milk is important for every baby, and it is especially critical for premature babies. The high levels of sodium, potassium, and cholesterol are believed to encourage optimal development of the infant’s heart, brain, and central nervous system (Oddly 2002; Rivers 2003). This may be why mothers of premature babies continue to have colostrum for a longer period of time than a mother with a full-term infant. Dads and other support persons give a special gift too: By showering a baby with love and affection away from the breast, fathers teach their children to feel love without having to always have food present! Research suggests that this is why a father plays a vital role in preventing obesity. Ask The LC: Is Alcohol Okay While Breastfeeding? Current research says that occasional use of alcohol (1-2 drinks) does not appear to be harmful to the nursing baby. Per Hale (2012), “mothers who ingest alcohol in moderate amounts can generally return to breastfeeding as soon as they feel neurologically normal.” The American Academy of Pediatrics Section on Breastfeeding notes: “ingestion of alcoholic beverages should be minimized and limited to an occasional intake but no more than 0.5 g alcohol per kg body weight, which for a 60 kg mother is approximately 2 oz liquor, 8 oz wine, or 2 beers. Nursing should take place 2 hours or longer after the alcohol intake to minimize its concentration in the ingested milk.” Many experts recommend against drinking more than 1-2 drinks per week. There is no need to pump & dump milk after drinking alcohol, other than for mom’s comfort — elimination of alcohol from the milk. pumping & dumping does not speed the If you’re away from your baby, try to pump as often as baby usually nurses (this is to maintain milk supply, not because of the alcohol). At the very least, pump or hand express whenever you feel uncomfortably full – this will help you to avoid plugged ducts and mastitis. In general, if you are sober enough to drive, you are sober enough to breastfeed. Less than 2% of the alcohol consumed by the mother reaches her blood and milk. Alcohol peaks in mom’s blood and milk approximately 1/2-1 hour after drinking (but there is considerable variation from person to person, depending upon how much food was eaten in the same time period, mom’s body weight and percentage of body fat, etc.). Alcohol does not accumulate in breastmilk, but leaves the milk as it leaves the blood; so when your blood alcohol levels are back down, so are your milk alcohol levels. Always keep in mind the baby’s age when considering the effect of alcohol. A newborn has a very immature liver, so minute amounts of alcohol would be more of a burden. Up until around 3 months of age, infants detoxify alcohol at around half the rate of an adult. An older baby or toddler can metabolize the alcohol more quickly. Information courtesy of kellymom.com JoEllen Noble, IBCLC Breastfeeding Coordinator Phone: 513.735.8419 [email protected] After-hours hotline: 513-515-2650 This institution is an equal opportunity provider and employer. Winter Safety Tips For Baby Don’t Overbundle! When outside: A good rule of thumb is babies should wear one more layer than adults. So if you’re wearing a hat and a coat, they should be wearing that plus a blanket wrapped around them. While we can pretty much gauge their comfort level using ours, babies’ bodies can’t regulate heat the way adults do so they need a little extra warmth. When inside: Babies are most comfortable and safest sleeping in temperatures between 61 and 67 degrees. All they need on top of pajamas is a sleeper blanket to be comfortable, not layers of clothing and definitely not loose blankets. The real danger isn’t outside, it’s when babies are sleeping at night. According to the National Institute of Child Health and Human Development, over-bundling and overheating can increase the risk of SIDS. Don’t Use Certain Appliances To Heat Your Home Being prepared for power outages in the winter months may sound simple, but it could be a matter of life or death for your little one. Doctors see major boosts in carbon monoxide-related deaths when there are power outages because people sometimes use outside equipment to heat the house. Never use: Generators Cooking stoves Charcoal or gas grills or hibachis All of these appliances emit carbon monoxide, a poison that affects children faster than adults. Be sure you have a safe way to heat your home or a place to go when the power is out. Information courtesy of Babble http://www.babble.com/baby/newborn-infant-kids-winter-safety-tips/
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