Articles on breastfeeding difficulties

A Beginner's Guide to Effective Breastfeeding Techniques

Dr. Noela Andrew David, Homeopath
Its such a joy to enter and experience Motherhood.  I am sure every woman enjoys this transition from a girl to becoming a Mother.  Though the thought of a baby is euphoric, it is not easy task.  The Mother has a lot to be careful about and learn about to enjoy being with the newborn,  and attending to his needs.  The most immediate concern post delivery is feeding the baby.  The neonate has to be feed every 2 hrs and so will his nappy changes be too.  Breast feeding is a tough task for a mother as she is so week herself to spend so much time and attention to breastfeeding.  However, it is the best way to bond with your child and if breastfeeding is done in right manner the Mother will be able to do it with ease.Following as practical advises to cherish effective breastfeeding:Never feed the baby in lying position.  Especially post cesarean section, the mother finds it difficult to sit and feed due to the fear of stiches getting torn.  In such cases the mother can elevate the bed to a position at 45degrees and then hold the baby resting on your hand and feed.  Latter on always sit on chair with erect posture and feed.Never feed the baby bending forward, but always sit erect and lift the baby upwards towards your chest.  This is done to prevent backache to mothers as this can make it difficult to sit for long hrs and feed.New born's are easily prone to stomach infection.  Therefore, it is advised to always wipe your hands, nipples, and area surrounding the nipples with clean water every time to take the child to feed.  This is done to prevent the child from any infection.Once you have lactated the child always make it habit to immediately hold the child straight on your chest and pat the back to ensure the child has burped or else the child may vomit the milk it has taken.whenever you feed the child use one finger to push the breast away from the nose of child while its taking its feed to prevent breathing difficulty.

Diet for Breastfeeding Mother

Ms. Swati Kapoor, Dietitian/Nutritionist
Make sure you get enough nutrients – not just more calories – when you're breastfeeding your baby.Lactation describes the secretion of milk from the mammary glands and the period of time that a mother lactates to feed her young. After you give birth, good nutrition is even more important than during your pregnancy. It can make a difference in the quality of your breast milk and affect how quickly your body rebounds from childbirth.Mothers who are breastfeeding i.e. lactating mothers don't need to eat special foods. It is essential that lactating mother’s diet is a well constituted balanced nutritious diet. In this period apart from calories and proteins, there is increased need of calcium and iron. Therefore, keep the following points in mind:Include all food groups in daily diet. These groups are cereals, pulses, ghee-oil, sugar, jaggery, vegetables, fruits, milk and its products, condiments.Consume more foods containing iron like green leafy vegetables, black sesame seeds (til), raisins, jaggery, poha, pomegranate etc.Consume more foods containing calcium like milk & its products, white sesame seeds (til), ragi, guava, bajra etc. Daily consumption of one liter of milk in any form e.g., as curd, yogurt, paneer, etc provides all calcium and good quality protein needed.Do not restrict diet. Include 3-4 sufficient meals. Discard beliefs of ‘hot’ foods; ‘cold’ foods.If you're nursing, talk with your doctor or nutritionist about your diet. Typically, you should be getting 200 to 500 more calories than you would if you weren't nursing. Below are the following major and minor nutrients which play an important role in lactating mother’s diet.EnergyIt takes extra energy to produce breast milk. Mothers need an additional 400 calories on an average per day beyond their normal health requirement.ProteinThe Recommended Dietary Allowance for protein during lactation includes an additional 15 grams per day (RDA of 65 grams per day) in the first six months after childbirth and an additional 12 grams per day (RDA of 62 grams per day) thereafter.FluidsAdequate fluids to stay hydrated include 2 to 3 liters per day, or at least eight 8-ounce servings, and can include water, milk or soy milk, decaffeinated beverages etc. Limit caffeine to the equivalent of one cup of coffee a day to avoid causing the baby agitation or difficulty in sleeping.Vitamins and MineralsFood supplies the vitamins and minerals lactating mothers especially need, such as calcium, vitamin A, vitamin C, vitamin D and zinc. Vitamin and mineral supplements do not replace a healthful diet, but some breastfeeding women might need a multivitamin and mineral supplement in addition to eating a well-balanced diet.Special consideration in lactating mother’s dietEating well while breastfeeding entails getting the right balance of good (and good for you) food. Try to get the following each day:1. Protein: Three servings2. Calcium: Five servings (that's an increase from your pregnancy requirement of four)3. Iron-rich foods: One or more servings4. Vitamin C: Two servings5. Green leafy and yellow vegetables, yellow fruits: Three to Four servings6. Other fruits and veggies: One or more servings7. Whole-grain and other concentrated complex carbohydrates: Three or more servings8. High-fat foods: small amounts - you don't need as much as you did during pregnancy9. Eight cups of water, juice, or other non caffeinated, non-alcoholic beverages10. DHA-rich foods to promote baby's brain growth (look for it in wild salmon and sardines, as well as DHA-enriched eggs).Lactation is a very important and beautiful phase in both the mother’s and the child’s life. This is a phase when the bonding between mother and the child is build and strengthens. Mother’s milk is vital for the child’s growth and the importance of the right nutrition at this point is unquestionable.

10 Healthy Reasons to Promote Breastfeeding

Dr. Yogesh Kumar, Ayurveda
We all know that mother's milk is the beat nutrition for a baby and it also gives mental and emotional satisfaction.In the first year of life the baby grows fast.Doctors advice to breastfeed the baby at least up-to six months.After six month period the baby's weight increases by double, as compared to birth weight.To provide this fast growth baby needs essential calories ,proteins and other nutrients which is supplied by mother's milk and that is why we need to promote breastfeeding in babies.In today's world breastfeeding the babies have gone out of the fashion.The "modern moms" are finding it uncool to breastfeed their child.The soul purpose of this article is to promote more  mothers to breastfeed their children and clear the doubts in their mind related to breast feeding.The following are some benefits of breastfeeding.Benefits of BreastfeedingIt created a sense of  mental and emotional bond between mother and her baby. The baby feels more secure close to the mother.It is natural and  ready to consume, no need to prepare like artificial milk nutrition products.This best Natural Nutrition is free and no money can buy this precious gift.It protects the Baby from various communicable diseases as it has natural defense mechanism(antibodies).The mother's milk is sterilized hence it do not cause any digestive problem in the babies.Babies know the difference between the mother's nipple and artificial nipples.The babies who grows on mother's breast feed milk  have less tendencies to develop thumb sucking habits.The temperature of the breast milk is perfect for the baby.It is believed that babies fed on breast milk have better bones and muscle development as compared to non breast fed babies.Breastfeeding has been linked to developing protection against Childhood Cancers.Note: Mothers should always clean the nipples before and after the breast feed.

3 Lesser Known Facts About Breastfeeding

Dr. Jyotsna Gupta, Gynecologist/Obstetrician
Breastfeeding is advocated to be the only best thing for a newborn. But while it is the most natural thing to do, it isn't an easy process. It is challenging and full of surprises. Researches throw up facts that surprise all. For example: breastfeeding is like a shield against breast cancer. Here are 3 such lesser known facts:The milk contents - ever wondered what your baby thinks of the taste of your breast milk. Well, the fact is that your breast milk is tailor-made for your baby. From the taste to its benefits, it is a full course meal. When the feeding begins, the milk is watery. This is to quench the baby's thirst. Then the consistency thickens and the milk becomes higher in fat content. This meets your baby's electrolyte needs as well as energy requirement. Want to know something more amazing? Through the day, your breasts milk's properties keep changing. By evening, it has higher sedating properties and helps the baby's body meet nutritional demands. This should explain that satisfied smile babies have when they sleep right after their feeds.Variation in milk production - it is okay and natural if you feel you are lopsided. Many breastfeeding mothers feel that one breast is heavier than the other since it produces more milk. This is possible and happens a lot. Our body is not perfectly symmetrical between left and right. This applies to breasts as well and shouldn't be worried about. Because of this, milk production can also vary between both the breasts.It causes weight loss - some women are known to lose their pregnancy weight by breastfeeding. Yes, this is also a lesser known fact. Breast milk happens to be a high calorie food which the baby literally sucks off the mother's body. This leads to shrinking of the mother's body.

Tips and Benefits of Breast Feeding

Dr. C. Muthunagai, Ayurveda
This week (August 1 - August 7) is World Breastfeeding Week. Breast milk is the first and best investment a mother can ever do to her baby. Breastfed kids are best fed. Six months of exclusive breast feeding is essential for a healthy baby and healthy mother.  Benefits of breastfeeding and simple tips for increasing breast milk secretion for feeding mothers are as follows:-Ways to Improve LactationAyurveda says stress, anger, anxiety will reduces the secretion of breast milk, while happiness improves it. So care and love from family is very essential Frequent feeding itself will stimulate the secretion of breast milk Feeding mothers can include milk, garlic, cumin seeds, fenugreek, dried solanum torvum (dried turkey berry or “sundai vatral” in Tamil, ), sago (sabudhana) and cotton seed milk in their diet to increase lactationNon-vegetarians can include country chicken and baby shark in their diet Ayurvedic medicines like "Sowbagya Sunti", "Vidaryadi Grtham", "Satavari Legyam" are good galactogogues and can be taken under doctor’s adviseBenefits for BabyFirst secretion of breast milk called “Colostrum” is packed with anti-bodies and immunoglobulins, hence it is essential for protection of babiesBreast milk has DHA, epidermal growth factors, tawrine, cystine, etc,  which are essential for the mental development of the babiesBenefits for MotherOccurrence of breast cancer is largely reduced with breastfeeding During lactation period glucose level in a diabetic mother is well-controlled Breast milk can be expressed through breast pump and can be stored in a sterile container at room temperature for 3-4 hours or refrigerated for 24 hours, this is a boon for working womenBreast feeding helps to shed those extra kilos gained by the mother during pregnancy"Breastfeeding is not only the cornerstone of a child’s healthy development; it is also the foundation of a country’s development." - UNICEF & WHOHappy Breast Feeding!!

Importance of Maintaining a Pain Diary in Breast Pain

Dr. Rohan Khandelwal, Surgical Oncologist
Breast pain (or mastalgia) is common problem faced by women at least once during their lifetime. It can range from mild pain to a chronic debilitating condition, which can even push a patient to the verge of depression. In fact, in the last one month, I have encountered two such patients, who have stopped socializing because of excruciating breast pain.Mastalgia has varied causes and it can broadly be divided into cyclical & non cyclical causes. Cyclical mastalgia (breast pain) usually occurs because of hormonal fluctuations and the intensity of pain varies according to the menstrual cycle. On the other hand non-cyclical mastalgia usually occurs because of musculo-skeletal causes and the pain persists all throughout the month.For the correct diagnosis and management of breast pain, it is important for the doctor to know certain points regarding the pain like:duration of painlocation – restricted to one point or spread over the entire breastintensity of painfluctuation in intensity of pain over a few daysRadiation of the pain – is the pain running to some other site from the breastIs there a lump associated with the pain? Usually breast cancer does not lead to pain in the initial phaseswhat makes the pain betterwhat makes the pain worseThese facts along with clinical examination and an ultrasound/ mammography help the doctor in determining the cause of breast pain. The above mentioned points can easily be maintained in a “pain diary”, which is something which I ask all my patients to maintain.Following is a format which I hand over to them and ask them to maintain it regularly for a period of 30-40 days.

10 Foods to Boost Breast milk..

Ms. Raminder Kaur Deshmukh, Dietitian/Nutritionist
You just spent the last nine months worrying about what you were eating and drinking because of your baby's development and now it's nursing time so be watchful again. It is important that you maintain regular meals when breastfeeding to gain essential nutrients and also to increase breast milk levels.FOODS TO BOOST BREAST MILK ARE:WATER: Though water isn't technically the food but it's an essential aspect of ensuring you will have an adequate supply. you need to keep yourself  hydrated- 8 glasses of water intake each day is a must. In the early stages of your breast feeding it's a necessity to have a bottle of water next to where you are going to nurse.OATS: It is fantastic for building and maintaining milk supply. enjoy a hearty bowl of oats in the mug/ sprinkle them on your dishes but make sure you are eating daily.GARLIC: Adding garlic to your food not only adds flavors and make it delicious but also boosts milk supply.FENNEL: Fennel is a herb which is an excellent source in increasing the best milk. It is full of phytoestrogens. bonus for those who have upset belly or unhealthy digestion.NUTS: Sometimes being a new mom can make you feel little nuts. Take a breath, grab a hand full of nuts and enjoy a snack that will help you supply. cashews, almonds are the most popular for giving your milk a boost. They are also high in good fats and antioxidants. Many commercially available nuts are heavily oiled and salted. opt for low salt or salt-free versions if possible. SESAME SEEDS: They are not only delicious but high in calcium also but you need to get more than just a dash of seeds to help you boost your milk.GINGER: It is another widely used milk boosting food. Try it in various recipes specially mock-tails like HERBS: Herbs like fenugreek, ajwain, cinnamon and jeera are often used to increase breast milk supply. As long as you consume in small quantities they are generally considered safe for your baby.MILK:  Milk has calcium, proteins, and essential fatty acids which promote lactation and also keeps the bones of the mother healthy.GREEN LEAFY VEGETABLES: Green leafy vegetables like spinach, kale, cabbage, beans. bottle gourd etc is rich in minerals, calcium, folic acid and iron which will support  breastfeeding and encourage milk production. You can make your dish more nutritious by adding these vegetables to your dals,  kneading them in dough,  adding them to soups, etc.  Adding these foods to your diet provides you with important nutrients and may gently increase your milk supply.Always watch your baby for reactions whenever you eat something. Check with your pediatrician if you have any concerns.

Weaning-Breast Feed to Proper Feed

Dr. Yogesh Kumar, Ayurveda
The process of replacing mother's breast milk with Baby diet Is called Weaning.It has to be done gradually.It is one of the most crucial period in the child's growth because if not properly done the child could get malnourished from the faulty practices.It has two stages,First the mother's breast milk is replace with other milk and the second where the other milk is replaced by thick feed or easy to digest food.The breast feeding should be prompted up-to six months after that weaning is induced.Cow milk, goat milk or infant milk formula available in the market should be started.The milk should be pasteurized.Dilute the milk, for the first month equal quantity of water should be added to dilute the milk.As the months pass,the amount of water should be decreased.Cow milk could be given with dilution.Milk powder should not be added.After eight months other milk should be replaced with thick easy to digest food.Food should be given in small quantity and increased gradually.Fruits and vegetables should be soft and diluted.Child's eating capacity is limited so the feed must be given six to eight times a day in small amount.Everyday seasonal fruits should be given.If the child is sick ,small multiple feed should be given,the feed should be nutritious.The food should be clean and fresh,special care should be taken while preparing the meal for the weaning child.After one year the child should consume dal,rice, mashed vegetables and other light food items.Too much Candies and Chocolates should not be given to the child.Child should be encouraged to eat with his own spoon or use his own small utensils.Khichdi made from rice ,pulses and vegetables should be given .Oil should be used in minimum quantity.Breads,puddings and cakes could be given.