blog.burnsforce.com/map18.php Assess in 3 hours, or earlier if the baby is small J4. If the mother is ill and unable to breastfeed, help her to express breast milk and feed the baby by cup K6. On day 1 express in a spoon and feed by spoon. Support exclusive breastfeeding Keep the mother and baby together in bed or within easy reach. Do not separate them. Help the mother whenever she wants, and especially if she is a first time or adolescent mother.
If mother must be absent, let her express breast milk and let somebody else feed the expressed breast milk to the baby by cup. Teach correct positioning and attachment for breastfeeding Show the mother how to hold her baby. She should:. If breast engorgement, express a small amount of breast milk before starting breastfeeding to soften nipple area so that it is easier for the baby to attach. Explain that her milk is the best food for such a small baby. Explain how the milk's appearance changes: milk in the first days is thick and yellow, then it becomes thinner and whiter.
Both are good for the baby. Feed the baby every hours. Always start the feed with breastfeeding before offering a cup.
Jul 3, The guidelines for feeding babies have changed in recent years, which Co. has created an easy-to-follow baby feeding chart for both breastfeeding of a baby's life they will only be fed milk (either breast milk, or formula). get easier, and support for breastfeeding mothers is available. Follow your baby's lead from the first In some situations, formula-feeding can save lives.
If necessary, improve the milk flow let the mother express a little breast milk before attaching the baby to the breast. Keep the baby longer at the breast. Allow long pauses or long, slow feed. Do not interrupt feed if the baby is still trying. If the baby is not yet suckling well and long enough, do whatever works better in your setting:.
Weigh the baby daily if accurate and precise scales available , record and assess weight gain K7.
Encourage her that twins may take longer to establish breastfeeding since they are frequently born preterm and with low birth weight. A wide necked jug, jar, bowl or cup can be used. If necessary, repeat the procedure to express breast milk at least 8 times in 24 hours. Express as much as the baby would take or more, every 3 hours. When not breastfeeding at all, express just a little to relieve pain K5. Hand express breast milk directly into the baby's mouth Teach the mother to express breast milk. Ask the mother to repeat this process every hours if the baby is very small or every hours if the baby is not very small.
Teach mother heat treating expressed breast milk Explain carefully and demonstrate how to heat treat expressed breast milk. Express breast milk 50 to ml in a clean glass jar of ml and close it with a lid. Place jar in a pot around 1 litre and pour boiling water in the pot - ml or 2 cm below pot brim. If the jar is floating put weight on top of jar. Cup feeding expressed breast milk Teach the mother to feed the baby with a cup.
Do not feed the baby yourself.
The mother should:. If mother does not express enough milk in the first few days, or if the mother cannot breastfeed at all, use one of the following feeding options:. Baby is cup feeding well if required amount of milk is swallowed, spilling little, and weight gain is maintained. See table below. Approximate quantity to feed by cup inml every hours from birth by weight View in own window Weight kg Day 0 1 2 3 4 5 6 7 1.
Signs that baby is receiving adequate amount of milk Baby is satisfied with the feed. Every 2 weeks if replacement feeding or treatment with isoniazid. Help her if necessary. If mother and baby are separated, help the mother to see the baby or inform her about the baby's condition at least twice daily. If the baby was referred to another institution, ensure the baby gets the mother's expressed breast milk if possible.
If the baby does not have a mother Give donated heat treated breast milk or home-based or commercial formula by cup.
Teach the carer how to prepare milk and feed the baby K6. Support breasts with a well-fitting bra or cloth. Do not bind the breasts tightly as this may increase her discomfort. Apply a compress. Warmth is comfortable for some mothers, others prefer a cold compress to reduce swelling. Teach the mother to express enough milk to relieve discomfort.
Expressing can be done a few times a day when the breasts are overfull. It does not need to be done if the mother is uncomfortable.
It will be less than her baby would take and will not stimulate increased milk production. Relieve pain. An analgesic such as ibuprofen, or paracetamol may be used. Some women use plant products such as teas made from herbs, or plants such as raw cabbage leaves placed directly on the breast to reduce pain and swelling. Dry baby: immediately after birth, place the baby on the mother's abdomen or on a warm, clean and dry surface.
Dry the whole body and hair thoroughly, with a dry cloth. Skin-to-skin contact: Leave the baby on the mother's abdomen before cord cut or chest after cord cut after birth for at least 2 hours.
Cover the baby with a soft dry cloth. If the mother cannot keep the baby skin-to-skin because of complications, wrap the baby in a clean, dry, warm cloth and place in a cot. Cover with a blanket. Use a radiant warmer if room not warm or baby small. Dress the baby or wrap in soft dry clean cloth. Cover the head with a cap for the first few days, especially if baby is small. If the mother and baby must be separated, ensure baby is dressed or wrapped and covered with a blanket.
Assess warmth every 4 hours by touching the baby's feet: if feet are cold use skin-to-skin contact, add extra blanket and reassess see Rewarm the newborn. Keep the room for the mother and baby warm. Explain to the mother that babies need one more layer of clothes than other children or adults. After birth, encourage the mother to keep the baby in skin-to-skin contact as long as possible. Advise to use extra clothes, socks and a cap, blankets, to keep the baby warm or when the baby is not with the mother.
Wash or bath a baby in a very warm room, in warm water. After bathing, dry immediately and thoroughly. Keep the baby warm after the bath. Avoid bathing small babies.
Rewarm the baby skin-to-skin Before rewarming, remove the baby's cold clothing. Place the newborn skin-to-skin on the mother's chest dressed in a pre-warmed shirt open at the front, a nappy diaper , hat and socks. Cover the infant on the mother's chest with her clothes and an additional pre-warmed blanket. If the baby is small, encourage the mother to keep the baby in skin-to-skin contact for as long as possible, day and night.
If the baby's temperature is not Cord care Wash hands before and after cord care. If umbilicus is red or draining pus or blood, examine the baby and manage accordingly J2 - J7. Explain to the mother that she should seek care if the umbilicus is red or draining pus or blood. Sleeping Use the bednet day and night for a sleeping baby. Dispose of the stool as for woman's pads.
Wash hands. Because breast milk is easily digested, breastfed babies tend to eat more often than babies who are fed formula. This means mom may find herself in demand as often as every 2 or 3 hours in the first few weeks. This can be tiring, but it's not long before babies feed less frequently and sleep longer at night.
Some new mothers need to get back to work outside the home or separate from their babies from time to time for other reasons. Some of these moms opt for formula feeding so other caregivers can give the baby a bottle. Mothers who want to continue breastfeeding can use a breast pump to collect breast milk to be given in a bottle so their babies still get its benefits even when mom isn't available to breastfeed. Other family members dads most of all may want to share in feeding the baby. When mom is breastfeeding, dad or siblings may want to stay close by.
Helping mom get comfortable, or providing a burp cloth when needed, will let them be part of the experience. When breastfeeding is established, other family members can help out by giving the baby pumped breast milk in a bottle when mom needs a break. Sometimes a woman may feel embarrassed or worried about breastfeeding.
These feelings usually disappear once a successful breastfeeding process is set. It's often helpful to seek advice from those who've gone through the experience. Most hospitals and birthing centers can provide in-depth instruction on breastfeeding techniques to new mothers. Your pediatrician, nurse practitioner, or nurse can answer questions or put you in touch with a lactation consultant or a breastfeeding support group. In some cases, a mother's health may affect her ability to breastfeed.
For example, mothers undergoing chemotherapy for cancer and moms who are infected with human immunodeficiency virus HIV , the virus that causes AIDS should not breastfeed.
If you have a medical condition or take any medicines regularly, or if you or your baby gets sick, talk with your doctor about whether it's OK to breastfeed. If you have to stop nursing temporarily, continue to pump breast milk to maintain milk production. In some situations, it may not possible to breastfeed, such as when a baby is sick or born prematurely.
Mothers should talk with their baby's doctor about expressing and storing milk. Even if the infant cannot breastfeed, breast milk may be given via a feeding tube or bottle. Sometimes mothers who have inverted nipples may have trouble breastfeeding, but with the help of a lactation consultant this usually can be overcome. Likewise, women who have had plastic surgery on their breasts should be able to successfully breastfeed.
Talk with your doctor if you have any concerns. Avoid using pacifiers or bottles until breastfeeding is established, usually after the first month of life. Introducing them before breastfeeding might cause "nipple confusion," and can lead to an infant giving up the breast.
Commercially prepared infant formula is a nutritious alternative to breast milk. Bottle feeding can offer more freedom and flexibility for moms, and it makes it easier to know how much the baby is getting. Because babies digest formula more slowly than breast milk, a baby who is getting formula may need fewer feedings than one who breastfeeds.
Formula feeding also can make it easier to feed the baby in public, and lets the father and other family members help feed the baby, which can enhance bonding. Just as breastfeeding has its unique demands, so does bottle feeding. Bottle feeding requires organization and preparation, especially if you want to take your baby out. Also, formula can be pretty expensive. It's important to make sure that you have enough formula on hand, and bottles that are clean and ready to be used. Your newborn will nurse about 8 to 12 times per day during the first weeks of life.
In the beginning, mothers may want to try nursing 10—15 minutes on each breast, then adjust the time as necessary. Breastfeeding should be on demand when your baby is hungry , which is generally every 1—3 hours.
As newborns get older, they'll nurse less often and have longer stretches between feedings. Newborn babies who are getting formula will likely take about 2—3 ounces every 2—4 hours. Newborns should not go more than about 4—5 hours without feeding. A feeding schedule is not necessary; you and your baby will eventually establish your routine. Babies know and will let their parents know when they're hungry and when they've had enough. Watch for signs that your baby is full slowing down, spitting out the bottle or unlatching from breast, closing the mouth, turning away from the breast or bottle and stop the feeding when these signs appear.
As babies grow, they begin to eat more at each feeding and can go longer between feedings. There may be other times when your infant seems hungrier than usual. Continue to nurse or feed on demand. Nursing mothers need not worry — breastfeeding stimulates milk production and your supply of breast milk will adjust to your baby's demand for it.
New moms often worry about whether their babies are getting enough to eat.