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Breastfeeding Your Baby
WHAT YOU NEED TO KNOW:
Breastfeeding is good for your baby and for you. Experts recommend that you feed your baby only breast milk until he is 6 months old. Breastfeeding for the first 6 months can decrease your baby's risk for illnesses. These illnesses include respiratory (lung) infections, allergies, asthma, and stomach problems. Experts also recommend that you continue to breastfeed your baby until he is at least 12 months old after he starts eating solid foods. You can breastfeed longer if you choose to.
Seek care immediately if:
- You are very depressed or have thoughts of hurting your baby.
Contact your healthcare provider if:
- Your baby is feeding fewer than 8 times each day.
- Your baby is 4 or more days old and has fewer than 6 wet diapers each day.
- Your baby is 4 or more days old and has fewer than 3 to 4 bowel movements each day.
- You have nipple pain while feeding or between feedings.
- Your nipples look red, dry, cracked, or they have scabs on them.
- You feel a lump in your breast that feels tender.
- Your breasts become painful and swollen.
- Your baby becomes jaundiced (skin and whites of the eyes are turning yellow).
Follow up with your healthcare provider as directed:
Write down your questions so you remember to ask them during your visits.
Ways that breastfeeding is good for your baby:
- Breast milk gives your baby the best nutrition. Your breasts will first produce colostrum. Colostrum is rich in antibodies (proteins that protect your baby's immune system). Breast milk starts to replace colostrum 2 to 4 days after your baby's birth. Breast milk contains the protein, fat, sugar, vitamins, and minerals that your baby needs to grow. Your baby will need a vitamin D supplement soon after birth. Talk to your healthcare provider about the amount and type of vitamin D supplement that is best for your baby.
- Breast milk is safe and easy for your baby to digest. Breast milk does not need to be prepared.
- Breast milk helps your baby develop a strong immune system. The immune system helps fight off infection. Breast milk has antibodies and other substances that help protect your baby's immune system. This helps protect your baby from allergies and infections. Breastfed babies have a lower risk for allergy problems such as eczema. Eczema causes red, itchy, swollen skin. Breast milk can also help protect your baby against ear infections, diarrhea, and lung infections.
- Breast milk decreases your baby's risk for certain medical conditions. Breastfed babies may have a lower risk for sudden infant death syndrome (SIDS). They also have a lower risk of becoming obese or developing diabetes, high cholesterol, or high blood pressure.
Ways that breastfeeding is good for you:
- Breastfeeding can help you recover faster after delivery. Breastfeeding right after the delivery of your baby helps stop bleeding from your uterus. It also helps shrink your uterus back to the size it was before your pregnancy. You may be able to lose weight by following a healthy diet if you are breastfeeding. This can happen because of the extra calories your body needs to support breastfeeding.
- Breastfeeding may decrease your risk for postpartum depression and certain diseases. Breastfeeding may lower your risk of postpartum depression, and breast and ovarian cancer. Breastfeeding also decreases your risk of type 2 diabetes if you did not have gestational diabetes during pregnancy. Breastfeeding can make your bones stronger. This can help prevent osteoporosis and fractures later in life.
- Breastfeeding has other benefits. Breastfeeding is a special experience that can help you bond with your baby. Breastfeeding can save you time and money because you do not have to buy and prepare milk.
How often to breastfeed your baby:
Your baby may let you know when he is ready to breastfeed. He may be more awake and may be moving more. He may put his hands up to his mouth. Crying is normally a late sign that your baby is hungry. You should breastfeed your baby between 8 and 12 times each day. This includes waking to breastfeed him during the night. Ask your healthcare provider about the best ways to wake your baby. If a baby is sleeping and it is time to feed, lightly rub your finger across his lips.
Breastfeeding a premature baby:
- Some premature babies are not able to eat on their own and need to be fed through a tube. Even if your premature baby cannot feed directly from your breast, he can still be given breast milk. It can be expressed or pumped and then fed to your baby. As your baby grows and develops, he may learn to breastfeed. Express milk after your baby is born so that he can receive antibodies from colostrum. When you express milk from your breasts, you stimulate them to make more milk.
- Breast milk is especially good for premature babies who have a very low birthweight. Premature babies are at risk for medical problems because their immune system is not fully formed. The antibodies and nutrients found in colostrum and breast milk can help to protect a premature baby against medical problems. Breast milk helps your baby's eyes, brain, and digestive system develop.
When not to breastfeed:
- Your baby has galactosemia, a condition that keeps his body from breaking down galactose (a form of sugar found in breast milk).
- You have active tuberculosis (TB) that has not been treated for at least 2 weeks.
- You have HIV or AIDS.
- You use illegal drugs, or you drink alcohol often or in large amounts.
Prevent breastfeeding problems:
- Work with your healthcare provider or lactation specialist. Write down questions or concerns about breastfeeding to ask during your appointments.
- Ask about your medicines. Talk to your healthcare provider before you take any medicines. This includes all prescription and over-the-counter medicines. Some medicines may decrease the amount of breast milk you make. Other medicines may enter your breast milk and affect your baby.
- Do not smoke. Nicotine goes into your breast milk. Your baby is exposed to these chemicals through breastfeeding and inhaling cigarette smoke. Smoking can also decrease the amount of breast milk you make. Do not use e-cigarettes or smokeless tobacco in place of cigarettes or to help you quit. They still contain nicotine. Ask your healthcare provider for information if you currently smoke and need help quitting.
- Limit or do not drink alcohol. Alcohol passes from your breast milk to your baby. If you choose to drink alcohol, breastfeed your baby before you drink alcohol. Do not breastfeed your baby for at least 2 hours after you have 1 drink. One drink of alcohol is 12 ounces of beer, 4 ounces of wine, or 1½ ounces of liquor.
Care for yourself while you are breastfeeding:
- Get enough rest. You may have a hard time resting while you are caring for your newborn. Ask for help from family and friends so that you can get the rest you need.
- Eat healthy foods. A healthy meal plan can keep you healthy and support milk production. You need extra calories each day while you are breastfeeding. Your healthcare provider may also have you take vitamins, including pregnancy vitamins and vitamin D. Talk with him before you take any vitamins or supplements.
- Manage stress. Increased stress can decrease the amount of breast milk you make. Relaxation can help decrease your stress and help you feel better. Deep breathing, meditating, and listening to music also may help you cope with stress. Talk to your healthcare provider about other ways to manage stress.
For support and more information about breastfeeding your baby:
- American Academy of Pediatrics
141 Northwest Point Boulevard
Elk Grove Village , IL 60007-1098
Phone: 1- 847 - 434-4000
Web Address: http://www.aap.org
- La Leche League International
957 North Plum Grove Road
Schaumburg , IL 60173
Phone: 1- 847 - 519-7730
Phone: 1- 800 - 525-3243
Web Address: http://www.lalecheleague.org
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.