Greatvine.com Guide Breast Feeding

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    A GREATVINE PARENTING GUIDE

    Greatvine Advice for life

    Breastfeeding

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    WelcomeHere at Greatvine were dedicated

    to helping you nd the best advice,

    quickly and easily. From parentingand health to writing and business,

    great advice rom the UKs top

    experts is just a phone call away.

    www.greatvine.com

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    Many new mums look or help with

    breasteeding diculties in the rst

    ew weeks and months ater giving

    birth.

    Experts agree that breast really is best, as it gives

    newborns the nutrients they need or a healthy

    start. Its also a special and unique way to bond with

    your baby. But breasteeding doesnt come easily

    to most mums. Many want to succeed but nd it

    impossible, painul - or a mixture o the two.

    We can help. This Greatvine booklet is jam-

    packed with invaluable advice and insider tips on

    breasteeding, rom the right position to hold your

    baby; how to avoid sore nipples; to whens the right

    time to get your partner involved in eeding.

    These top experts have years o experience helping

    parents through the particular challenges o

    breasteeding. From specialist midwives to lactation

    consultants and best-selling breasteeding authors,

    their gentle and supportive methods can really make

    the dierence to you and your baby.

    I this booklet helps you, remember that the

    breasteeding specialists in the next ew pages are

    just a part o Greatvine. To speak to an expert,

    go to Greatvine.com and see how we can make a

    dierence to your lie. The experts are ready to talk

    whenever you need.

    Breastfeeding? There must be

    someone who

    can help...

    4

    6

    8

    10

    In this editionMeet the breastfeeding experts

    Expert Q&A with Geraldine Miskin

    Top tips for a happier breastfeed

    Next steps for more advice

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    Geraldine

    MiskinAn independent

    breasteeding

    specialist with

    over 16 years o experience, by

    teaching eective techniques

    Geraldine has helped thousands

    o mums to enjoy blissul

    breasteeds. Through her Lets

    Breasteed practice and books

    Geraldine aims to empower,educate and inspire mums to

    breasteed. Geraldine has studied

    the science o breasteeding

    around the world, undertaking

    courses including the

    Australasian Lactation course,

    the UNICEF Baby Friendly

    course and the Maternity

    Practitioner course. Geraldines

    specialist interests include the

    compression o the babys headduring labour and delivery

    and how this translates into

    breasteeding problems. Shes

    also knowledgeable about the

    anatomy o both mum and baby,

    and how this can aect which

    technique and eeding position

    produces the most pain-ree

    eeds. Talk with Geraldine on

    0906 400 6213 - 1.50/min*.greatvine.com/geraldine-miskin

    Katherine Fisher

    A breasteeding

    expert or Mother

    and Baby magazine,

    Katherine

    has 18 years o experience

    helping amilies to breasteed

    successully and enjoy the

    experience. She understands thediculties many mums ace, and

    sees it as entirely natural that

    getting breasteeding right takes

    time, practice and support.

    Katherine currently works as

    a lactation consultant at Kings

    College Hospital, London, and

    is also an NCT breasteeding

    counsellor. She has also run

    breasteeding drop-in clinics orSure Start Childrens Centres. She

    specialises in areas including:

    complex eeding problems;

    making sure that babies gain

    weight; nipple trauma and sleep

    diculties. Talk with Katherine

    on 0905 675 4622 - 1.20/min*.

    greatvine.com/katherine-sher

    Meet the

    breastfeedingexperts

    Greatvine Advice for life

    Talk with a top

    breastfeeding specialist,

    whenever you need

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    Sharon Trotter

    As a registered

    nurse and midwie

    with over 25 years

    o experience,

    Sharon provides easy-to-

    understand advice on all aspects

    o breasteeding. Her book

    Breasteeding: The Essential

    Guide has stayed in the Top

    10 bestselling breasteeding

    books since 2004. Shes also

    written an award-winning leafet

    Babycare - Back to Basics, now

    in its seventh edition, which

    has helped over 100,000 mums.Sharon gained a BSc in Advanced

    Studies in Midwiery in 2005.

    Two years later she launched

    her TIPS award scheme in which

    parent volunteers independently

    test baby and toddler products.

    Talk with Sharon on 0906 400

    6215 - 1.50 per/min*.

    greatvine.com/sharon-trotter

    Caroline Flint

    A recipient

    o a Lietime

    Achievement

    Award rom the

    British Journal o Midwiery,

    Caroline has over 33 years

    experience as a midwie and

    41 years o experience teaching

    antenatal classes or the NCT.She was the rst elected

    President o the Royal College o

    Midwives, and has also advised

    the government on maternity

    services. Caroline is the author o

    several books on birth, including

    Sensitive Midwiery and is the

    ounder and director o The Birth

    Centre, the rst private birth

    centre in the UK. Caroline prides

    hersel on being sympathetic

    and non-judgemental, and in her

    ability to oer a listening ear and

    comorting voice in addition to

    practical and eective solutions.

    Talk with Caroline on

    0906 207 2675 - 1/min*.

    greatvine.com/caroline-fint

    Vicki Scott

    Ater 20 years

    working with

    mums, babies and

    amilies, Vicki

    has a wealth o knowledge

    and experience to share.

    Shes a registered midwie,

    nursery nurse and teacher.

    Her consultancy service was

    launched in 2002 to provide

    new mums with proessional,

    riendly, up-to-date support

    and advice through the early

    weeks and months with a new

    baby. Vickis practical, fexibleapproach means that clients

    come to her or breasteeding

    advice, help with starting and

    maintaining a routine, solving

    sleep diculties and starting

    solid oods. Shes passionate

    about breasteeding but realises

    that the recommendation o at

    least six months o exclusive

    breasteeding can be dauntingto many women. She sees her

    role as supporting new mums to

    make this possible.

    Talk with Vicki on 0905 675

    4614 - 1.20/min*.

    greatvine.com/vicki-scott

    Nikki KhanThe expert midwie

    or Prima Baby

    magazine or the

    last decade, Nikkis

    been a practising midwie or over

    20 years. She currently works or

    Epsom & St Helier NHS Trust,

    and was ormerly a midwie or

    baby charity Tommys where she

    answered peoples questions about

    pregnancy and childbirth. Having

    been a midwie or 17 years beore

    she gave birth to her own child,

    Nikki has great insights to share. A

    staunch supporter o breasteeding

    or a minimum o six months

    ater birth, she also wants to give

    mums the power to make their

    own choices and do whats best orthem and their baby. Also a trained

    clinical negligence lawyer, Nikki

    has a special interest in maternity

    rights and benets and the law

    when pregnant, as well as birth

    injuries. Talk with Nikki on 0905

    675 4618 - 1.20/min*.

    greatvine.com/nikki-khan

    * from a BT landline. Calls from othernetworks and mobiles may vary. 18+.

    A GREATVINE PARENTING GUIDE BREASTFEEDING 5

    Choose from hundreds of great

    experts in over 80 topics, only at

    Greatvine.

    www.greatvine.com

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    Expert Q & A

    with Geraldine

    Thousands o new mums with

    breasteeding problems turn to

    Geraldine Miskin or help.

    Here, she tackles your mostfrequently asked questions.

    How do I know when my breast is

    empty, and when to oer my baby the

    other breast?

    It would be wonderul i our bodies fashed a

    red light as the breast was emptying. But there is a

    way to gauge how ull your breast is you need to

    look at your babys suck and swallow pattern.

    Knowing when your baby is swallowing rather

    than just sucking is important. While your babysbreasteeding, look at their lower jaw. When theyre

    sucking, it bounces up and down pretty quickly.

    When they swallow, it will drop slightly lower and

    will pause or a split second longer. You may also

    hear a bubble sound rom your babys nose. I your

    baby is just sucking, your baby is calling the milk.

    Place a fat hand on the outer edge o your

    breast and push inwards to fatten. This creates a

    manual let down and you should be able to see your

    baby swallowing. I not, move to another area and

    try the same.

    I youve compressed the entire breast and your

    babys still not swallowing, theyre asleep or the

    breast is empty. So either wake them up, or oer

    them the other breast.

    Yellow poos mean that your baby is getting to

    the hindmilk (the most nutritious milk at the end

    o a eed, which has a higher at content), whereaspoos that are a spinach green colour mean theyre

    not. So let your baby stay on the rst breast a little

    longer beore oering the second side.

    My partner would like to be involved

    with our babys eeding ASAP. When can

    I start expressing so that he can oer our

    son a bottle at the last eed?

    Its lovely or dads to be involved with baby

    as early as possible, but its probably best to leave

    Greatvine Advice for life

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    expressing and bottleeeding or two to three

    weeks. This will give you time to establish a good

    milk supply, and your baby a chance to learn how

    to breasteed well without causing you discomort.

    Beore you oer a bottle, make sure theyre:

    Older than 10 days.

    Not leaving your nipples feeling sore andtender at the end o eeds.

    Draining the breast so youre not at risk of

    developing mastitis.

    Gaining weight, roughly 20-30g a day.

    The best time to express is in the morning

    ater the rst two eeds, such as the 7am eed and

    the 10am feed. Offer this milk to your baby at the

    10pm eed. As youll be substituting a bottle or

    a breasteed, youll need to express both breastsaround 9pm beore going to bed. You can reeze

    this milk to create a milk bank or emergencies.

    Encourage your partner to be as hands on as

    possible until you can introduce a bottle eed. Try

    holding your baby skin-to-skin in a sling or a baby

    massage ater a bath.

    Im dreading getting sore nipples. Can

    you give me some practical tips to avoid

    developing cracks and soreness?

    Nobody likes the thought o pain, but sore

    nipples can be avoided nine times out o 10 by

    following the simple steps below. Dont put too

    much pressure on yoursel and remember that you

    and your baby are learning a new skill.

    - Hold your baby with the opposite arm to the

    breast youre eeding with.

    - Pop their bottom into the crook o your arm

    and support their cheek with your ngers. You

    should have the heel o your hand on your babys

    upper back.

    - Dont move your breast to line up with your

    babys nose, but instead line them up nose to nipple

    when your breast is at rest.

    - When they do a big wide mouth, bring them

    onto the breast really quickly, applying pressure to

    their upper back with the heel o your hand.

    - Their lower lip should be away rom the nipple

    at the edge o the areola (the coloured circle around

    the nipple) so that the nipple goes to the roo o

    their mouth.

    - Make sure that both cheeks are touching your

    breast during the eed. This means they can drain

    both the top and lower hal o your breast.

    - I theyre not doing a big wide mouth, use your

    areola close to their lower lip to drag their lower

    lip down and open beore popping them onto the

    breast.

    - I your latch is correct, your nipple should be

    round like a jelly tot. I your babys lower lip was too

    close to the nipple when latching on, your nipple

    will be pinched like a new lipstick.

    A GREATVINE PARENTING GUIDE BREASTFEEDING 7

    Talk with Geraldine

    www.greatvine.com/geraldine-miskin

    0906 400 62131.50/min from a BT landline. Calls from other networks and mobiles

    may vary. 18+.

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    1Breasteeding is so

    good or your baby

    because breast milk is

    tailor-made with your

    own child in mind.

    It provides exactly the right

    nutrients, in an easy-to-digest

    package at the right temperature

    whenever your baby wants it.-Sharon Totter

    2To fnd out i your

    baby has had enough

    milk, give a two-part

    eed, separated with

    a winding/burping

    session and nappy change. Its

    normal or babies to all asleep

    ater 15 minutes o eeding,

    so doing a nappy change here

    will wake your baby beore

    continuing the eed. I, ater the

    second part, your baby allows

    you to take the breast out o

    their mouth without going into

    meltdown, theyve had enough.-Geraldine Miskin

    3Your baby needs

    to have a wide-open

    mouth to latch onto

    the breast correctly.

    They should take lots

    o breast tissue into their mouth,

    Top tips

    for ahappierbreastfeed

    Greatvine Advice for life

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    not just the nipple. This helps

    them to eed well and eciently

    and shouldnt be painul or you.

    -Vicki Scott

    4Breasteeding a

    newborn can betime-consuming

    as your baby will need

    more requent eeds.

    So try to stock up on essentials

    beore the birth. Fill up your

    reezer and encourage amily

    and riends to agree to help with

    housework and shopping ater

    the babys born. -Katherine

    Fisher

    5To keep your baby

    awake during a eed,

    compress the outer

    edge, or rim, o the

    breast. By fattening the

    breast tissue urthest away rom

    the nipple, youll create a fush o

    milk. Your baby will have to start

    swallowing again or come o the

    breast. -Geraldine Miskin

    6

    I you oer regular

    eeds when your

    baby is hungry, your

    milk supply will grow

    to match their needs.

    Your newborn needs to eed

    requently, little and oten -

    sometimes ater just an hour

    or two. These early, requent

    eeds will ensure you build up a

    milk supply or your baby in the

    coming months. -Vicki Scott

    7I you exclusively

    breasteed your

    baby, your periods

    might not return or up

    to a year. Its natures

    way o making the natural, and

    thereore saer, gap between

    children longer. But remember

    not to rely on breasteeding

    as a method o contraception.

    -Katherine Fisher

    8I your babys poos

    are green or your

    nipples are sore, your

    baby may not be getting

    enough ood, and

    may be asking to be ed more

    requently. Youll need help with

    your positioning and attachment

    so that your baby latches well

    and drains the breast to increase

    your supply.

    - Geraldine Miskin

    9On average, a

    breasted baby will

    want to eed every two

    to our hours. Every

    mum and baby are

    unique, and will have their own

    pattern o eeds. But eeds can

    last rom 10 minutes to over an

    hour. At rst, you might eel like

    youre spending all your time

    eeding, but this is normal. Soon,

    eeds should space out a little

    and youll be sleeping longer at

    night i your baby eeds well

    during the day. -Vicki Scott

    10Breasteeding

    really is the

    best or you

    and your baby,

    so try to stay

    positive about it. Although its

    natural, that denitely doesnt

    mean its easy or everyone.

    Many new mums have mastitis,

    sore nipples and thrush at some

    stage in their breasteeding, so

    be prepared. Most o all, try to

    enjoy this very special time.

    -Katherine Fisher

    11

    One way to

    know i youre

    producing

    enough milk

    and i your baby

    is eeding well is i your babys

    gaining between 20-30g each day.

    -Katherine Fisher

    A GREATVINE PARENTING GUIDE BREASTFEEDING 9

    Find more great

    breastfeeding tipswww.greatvine.com/breastfeeding

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    more advice

    Visit us online Email uswww.greatvine.com [email protected]

    When youre learning a new skill

    like breasteeding, its good to know

    where you can get one-to-one help

    and support you can trust.

    Greatvine lets you talk on the phone with the

    countrys best experts, whenever you need. Choose

    rom leading specialists in over 80 topics covering

    all aspects o pregnancy, childbirth and parenting

    rom breasteeding and baby sleep to postnatal

    depression and child nutrition.

    The team includes midwives, breasteeding

    specialists, paediatricians, practice nurses, parenting

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    With an average o ve qualications each the

    experts oer advice you can trust. Friendly and

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    Simply browse the experts proles, choose a

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