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The first weeks EXPRESSING MILK It is useful for all breastfeeding mothers to know how to express milk for the following reasons. ● Your baby may be unable to breastfeed because of illness or being born prematurely. ● Your baby can’t attach to the breast because of fullness or breast engorgement. ● Expressing milk by hand can be more effective than using a pump. ● It helps you learn how your breasts work and allows you to be in control. ● Hand expression doesn’t need batteries or electricity. You can express milk by hand, or with a hand pump or an electric pump. Hospitals often keep machines for people who need to express milk and you can be shown how to use one. If you’ve plenty of milk you’ll probably find expressing quite easy, particularly if you do it in the morning. Your midwife or health visitor will be able to help you with expressing milk. ● Gently massage the breast to stimulate milk flow as shown above. ● Use your thumb and finger to feel behind the nipple to the place where the milk collects. The texture underneath the skin will feel different to the rest of your breast. Reproduced by kind permission of the UNICEF Baby Friendly Initiative. HOW TO HAND EXPRESS MILK ● Have a sterilised container for collecting the milk. A small plastic bowl or a wide-necked container is useful. ● Press your thumb and finger together in a rhythmic action as shown above. ● Milk will start to drip slowly and then may squirt out in a spray. 12 ● When the flow stops, rotate your fingers around the areola to release milk from all the segments of the breast.
The first weeks USING BREAST PUMPS Several types of hand and electric pumps are available to hire and buy. If you are expressing often for a baby in hospital, then expressing by hand and pump is a good idea. In order to keep up a good milk supply, you will need to express eight times a day and at least once at night. Breast pumps can be hired from Tiny Life on 028 9081 5050 or the NCT on 0870 444 8708. CHANGING FROM BREAST TO BOTTLE Avoid stopping breastfeeding suddenly as this can cause your breasts to become hard, swollen and uncomfortable. Give yourself time for the change over and cut out one feed at a time, starting well before your return to work. It’s probably best not to give the first bottle feed at times when your baby is tired and it may help if someone other than you gives the first feed or few feeds. You may experience difficulties at first, but most babies get used to the new arrangements in time. Keep on trying and offering infant formula milk. If you are concerned that your baby is not getting enough milk, speak to your health visitor. See also How much is enough? on page 11. Changing from breast to bottle feeding can be an emotional time for you. It’s best to do it gradually to give yourself time to adapt. FEEDING EXPRESSED BREAST MILK Once breastfeeding is well established, you may decide to give a bottle of expressed milk (if, for example, you are returning to work, or simply want someone else involved in feeding). Some mothers decide to keep on fully breastfeeding and will express milk while at work to be fed to the baby later. Mothers returning to work can breastfeed in the morning and/or evening and their babies have a bottle of breast milk or formula during the day. The healthiest option for your baby is to give breast milk only for the first six months. Then after solids are introduced, keep breastfeeding until after the first year. Further information on breastfeeding and returning to work is available from the Health Promotion Agency for Northern Ireland booklet Off to a good start and www.breastfedbabies.org.uk 13
Page 1 and 2: Birth five to This book gives you a
Page 3 and 4: Birth five to Your complete guide t
Page 5 and 6: 1 The first weeks There’s somethi
Page 7 and 8: The first weeks SCREENING AT A GLAN
Page 9 and 10: The first weeks B REASTFEEDING Brea
Page 11 and 12: The first weeks 2 Be patient… Sta
Page 13: The first weeks Allow your baby to
Page 17 and 18: The first weeks STERILISING All the
Page 19 and 20: The first weeks Follow the manufact
Page 21 and 22: The first weeks S LEEPING Some babi
Page 23 and 24: The first weeks room is too hot.
Page 25 and 26: The first weeks If you’re finding
Page 27 and 28: The first weeks NAPPY RASH Most bab
Page 29 and 30: The first weeks WASHING AND BATHING
Page 31 and 32: The first weeks T WINS ( OR MORE) P
Page 33 and 34: YEARS MONTHS 1 2 3 4 5 6 7 8 9 10 2
Page 35 and 36: How your child will grow • Walk o
Page 37 and 38: How your child will grow BRUSHING Y
Page 39 and 40: How your child will grow HEIGHT AND
Page 41 and 42: How your child will grow You should
Page 43 and 44: 3 Learning and playing What we call
Page 45 and 46: Learning and playing I DEAS FOR PLA
Page 47 and 48: Learning and playing H OW TO MAKE S
Page 49 and 50: Learning and playing TRANSITION FRO
Page 51 and 52: Learning and playing MAKING CHILDCA
Page 53 and 54: 4 Habits and behaviour There are so
Page 55 and 56: Habits and behaviour PROBLEMS WITH
Page 57 and 58: Habits and behaviour • By twelve
Page 59 and 60: Habits and behaviour A NEW BABY IN
Page 61 and 62: Habits and behaviour • Sometimes
Page 63 and 64: Habits and behaviour time he or she
Page 65 and 66:
Habits and behaviour out to buy one
Page 67 and 68:
5 Feeding your child Food is one of
Page 69 and 70:
Feeding your child - push the bowl
Page 71 and 72:
Feeding your child ALLERGIES Babies
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sensible for adults, but not for ba
Page 75 and 76:
Feeding your child • Squashes, fi
Page 77 and 78:
Feeding your child FAMILY F OOD For
Page 79 and 80:
Feeding your child ‘When you go s
Page 81 and 82:
Feeding your child Types of vegetar
Page 83 and 84:
Feeding your child • Fruit and ve
Page 85 and 86:
Feeding your child F OOD SAFETY You
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Feeding your child • If your chil
Page 89 and 90:
6 Illness and accidents Every child
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Illness and accidents ● ● out-o
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Illness and accidents smoking or en
Page 95 and 96:
Illness and accidents D IARRHOEA YO
Page 97 and 98:
Illness and accidents ● ● ●
Page 99 and 100:
Illness and accidents Alternative t
Page 101 and 102:
Illness and accidents After these m
Page 103 and 104:
Illness and accidents ILLNESS INFEC
Page 105 and 106:
Illness and accidents practice nurs
Page 107 and 108:
Illness and accidents swelling wher
Page 109 and 110:
ecome a carrier and develop serious
Page 111 and 112:
Illness and accidents ❑ ❑ ❑
Page 113 and 114:
Illness and accidents ● ● ●
Page 115 and 116:
Illness and accidents IF YOUR CHILD
Page 117 and 118:
Illness and accidents at the knee a
Page 119 and 120:
Illness and accidents THINGS STUCK
Page 121 and 122:
Illness and accidents W HEN A CHILD
Page 123 and 124:
Your own life P HYSICAL PROBLEMS A
Page 125 and 126:
Your own life visitor about other l
Page 127 and 128:
Your own life Stress also comes fro
Page 129 and 130:
Your own life • Share the housewo
Page 131 and 132:
Your own life • Suggest a regular
Page 133 and 134:
8 Your services There is a wide ran
Page 135 and 136:
Your services H OW TO CHANGE YOUR G
Page 137 and 138:
make. The money cannot be taken out
Page 139 and 140:
Your rights and benefits of childca
Page 141 and 142:
Your rights and benefits child’s
Page 143 and 144:
Your rights and benefits Anything e
Page 145 and 146:
Your rights and benefits Who gets t
Page 147 and 148:
Your rights and benefits HOUSING BE
Page 149 and 150:
USEFUL ORGANISATIONS Some of these
Page 151 and 152:
Council for Disabled Children 8 Wak
Page 153 and 154:
INDEX A accidents 108-18 additives
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