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HOW TO BREASTFEED 1 Turn your baby’s body towards your tummy. Tuck your baby’s bottom under your elbow. Hold your baby behind the neck and shoulders. 2 Start with your baby’s nose opposite your nipple. 3 Allow your baby’s head to tilt back. Move your baby’s mouth gently across your nipple until your baby’s mouth opens really wide. 4 Bring your baby towards your breast quickly. Your baby’s bottom lip and chin should touch your breast first. 5 Your baby’s chin is in close contact with your breast. Your baby is able to breathe easily. You can feel your baby has a big mouthful of breast. You may need to support your breast. 6 Babies love to breastfeed, but they usually come off by themselves when they have had enough.You will know when breastfeeding is right: it will feel comfortable; your baby will be relaxed; you will hear a soft swallowing. If it does not feel right … start again. Slide one of your fingers into your baby’s mouth, gently break the suction and try again. IT IS OKAY TO ASK FOR HELP. Baby’s chin touching the breast Baby’s mouth wide open • SIGNS THAT YOUR BABY IS WELL ATTACHED Baby’s cheeks full, not sucked in Baby’s sucking changes from short sucks to longer deeper sucks with pauses If you can see your areola (darker area around nipple), more is visible above baby’s lip 70
The feeding question HOW OFTEN AND HOW MUCH It’s best to feed when your baby wants to be fed. This might be very often at first, though feeds will become more spaced out as your baby gets older. Some babies settle into their own pattern quite quickly, others take longer. From time to time, your baby will have a growth spurt – usually around 10 days, 6 weeks and 12 weeks. When this happens, your baby needs more milk and you may find that feeds are longer and more frequent. Don’t panic and feel you need to offer bottles of infant formula milk. You’ll make more milk in response to your baby’s demands, but this may take a day or two, so be patient. The frequency and length of feeds will then settle. The sucking process releases milk to satisfy your baby and stimulates the production of more. When your baby is full up, he or she will stop feeding. Plenty of wet nappies is a good sign that your baby is getting enough milk. If you’re worried, talk to your midwife, health visitor or breastfeeding counsellor. HOW TO OVERCOME COMMON DIFFICULTIES The quicker you sort out any difficulties in breastfeeding, the better for you and your baby, so don’t hesitate to ask for help immediately. Many women are surprised to find that most problems are quite easily overcome by a slight change to their baby’s position when feeding or by feeding their baby more often. Feeding restlessly If your baby is restless at the breast and doesn’t seem satisfied by feeds, it may be that he or she is sucking on the nipple alone and so not getting enough milk. Ask for help in making sure your baby feeds in the right position. YOUR DIET WHEN BREASTFEEDING It is important to look after yourself, so try to eat well at meal times, with plenty of pasta, potatoes, bread and rice, and have healthy snacks in between (see page 11). Drink plenty of fluids, especially in hot weather and keep your intake of alcohol low. Don’t go on a crash course to lose weight. Your milk will be affected, and you will probably feel more tired. Breastfeeding and healthy eating should help you to lose any surplus pounds naturally and gradually. It can be difficult to make sure you get enough vitamin D; it is present in only a few foods, such as fortified margarines, oily fish, eggs and milk. But it’s also made by the skin when it is exposed to ‘gentle’ summer sunlight (remember to apply a high-factor sunscreen). While you are breastfeeding you should take supplements containing 10 micrograms (mcg) of vitamin D each day. They’re available cheaply from health centres, and they’re free of charge if your family receives Income Support or income-based Jobseeker’s Allowance or Pension Credit guarantee credit. Always talk to your doctor or health visitor before taking any other supplements. SHOULD I AVOID ANYTHING? Breastfeeding should be an enjoyable time for you and your baby and t<strong>here</strong> are few restrictions on what to eat. Continue to limit oily fish to no more than two portions a week. Oily fish includes sardines, mackerel, trout and fresh tuna. Tinned tuna does not count as an oily fish as the oils are removed during canning. You should also avoid eating more than one portion of shark, swordfish or marlin a week because of the levels of mercury in these fish. If you, your baby’s father or any previous children have a history of hayfever, asthma, eczema or other allergies, avoid eating peanuts and foods containing peanut products (e.g. peanut butter, unrefined groundnut oils and some snacks, etc.). This may reduce the risk of your baby developing a potentially serious allergy to peanuts. Read food labels carefully, and if you are still in doubt about the contents, these foods should be avoided. Some mothers say that certain foods they eat (e.g. onions, garlic, citrus fruits and grapes) seem to upset their baby. However, it’s important to check with a health professional before you omit foods from your diet because it is possible to become deficient in certain minerals or vitamins by doing this. Small amounts of alcohol pass into the breast milk, making it smell different to your baby, and may affect his or her feeding, sleeping or digestion. So keep within the daily benchmark for women of between two and three units or less a day (see page 14). Medicines (prescribed or over the counter) may also pass into breast milk, so check first with your GP to be quite sure. Always tell your doctor, dentist or pharmacist that you are breastfeeding. 71
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Pre the nancy gbook Your complete g
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Pre the nancy gbook Your complete g
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11 LABOUR AND BIRTH Getting ready f
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Your pregnancy at a glance 16-20 we
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Introduction Every parent is differ
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Your health in pregnancy • Eat pl
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Your health in pregnancy VEGETARIAN
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Your health in pregnancy S MOKING W
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Your health in pregnancy P HYSICAL
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Your health in pregnancy Foot exerc
Page 21 and 22: Your health in pregnancy PARVOVIRUS
Page 23 and 24: 2 Conception To understand about co
Page 25 and 26: Conception T HE WOMAN’ S MONTHLY
Page 27 and 28: Conception T HE BEST TIME TO GET PR
Page 29 and 30: Conception K NOWING THAT YOU’ RE
Page 31 and 32: How the baby develops WEEKS 4-5 Wee
Page 33 and 34: How the baby develops WEEKS 15-22 T
Page 35 and 36: 4 Deciding where to have your baby
Page 37 and 38: Deciding where to have your baby HO
Page 39 and 40: Deciding where to have your baby B
Page 41 and 42: 5 Feelings and relationships From t
Page 43 and 44: Feelings and relationships WORRYING
Page 45 and 46: Feelings and relationships FAMILIES
Page 47 and 48: Feelings and relationships C OPING
Page 49 and 50: 6 Mainly for men Some pregnancies h
Page 51 and 52: Mainly for men PRACTICAL SUPPORT Yo
Page 53 and 54: 7 Antenatal care and antenatal clas
Page 55 and 56: Antenatal care and antenatal classe
Page 69 and 70: The feeding question B REASTFEEDING
Page 71: The feeding question You can get he
Page 75 and 76: The feeding question B OTTLE FEEDIN
Page 77 and 78: The feeding question The teat As yo
Page 79 and 80: 9 Problems Your body has a great de
Page 81 and 82: Problems FEELING HOT IN PREGNANCY D
Page 83 and 84: Problems can empty it properly. The
Page 85 and 86: Problems VAGINAL DISCHARGE Almost a
Page 87 and 88: 10 What you need for the baby This
Page 89 and 90: What you need for the baby O UT AND
Page 91 and 92: 11 Labour and birth This chapter de
Page 93 and 94: Labour and birth PAIN RELIEF IN LAB
Page 95 and 96: Labour and birth • your contracti
Page 97 and 98: Labour and birth AT THE HOSPITAL Go
Page 99 and 100: Labour and birth • The heartbeat
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Page 103 and 104: Labour and birth treatment takes ab
Page 105 and 106: Labour and birth A vaginal breech d
Page 107 and 108: When pregnancy goes wrong been due.
Page 109 and 110: 13 The first days with your new bab
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Page 119 and 120: The early weeks: you T HE ‘ BABY
Page 121 and 122: 16 The early weeks: your baby The b
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The early weeks: your baby baby can
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The early weeks: your baby CHANGING
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The early weeks: your baby WASHING
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The early weeks: your baby W HERE T
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Thinking about the next baby? conta
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Rights and benefits How much is it?
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Rights and benefits £500 SURE STAR
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Rights and benefits You must have n
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Rights and benefits Your contractua
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Rights and benefits conditions will
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Rights and benefits What happens wh
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USEFUL ORGANISATIONS Some of these
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Daycare Trust 21 St George’s Road
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Blooming Awful 29 Windermere Avenue
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The Pregnancy Book “It contains e
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