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Babies, Toddlers, Kids & Childrens

 

Mommy & Baby: Keeping Tabs On Baby’s Growth

Lactation difficulties are not completely prevented by using PDF; you are rested and eating properly, your baby is getting enough food and growing, and your life is relatively predictable. So you might think that you’re immune from production issues, right? There are many more factors which play in to milk production that just the ones I listed.

Factors that can affect milk supply include:

 Amount of sleep a mother receives
 Mom’s diet & nutrition
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Lactation difficulties are not completely prevented by using PDF; you are rested and eating properly, your baby is getting enough food and growing, and your life is relatively predictable. So you might think that you’re immune from production issues, right? There are many more factors which play in to milk production that just the ones I listed.

Factors that can affect milk supply include:

 Amount of sleep a mother receives
 Mom’s diet & nutrition
 Her state of mind
 Mother’s age
 Whether this is her first child or sixth
 Mom’s desire to breastfeed
 Her capacity to nurse
 A mother’s nursing techniques
 Her baby’s ability to properly latch on

If you’re nursing, keeping tabs on your baby’s growth is incredibly important—your baby’s life depends on it. How will you know if he’s getting enough milk or nutrition? Unfortunately, the breast tissue isn’t transparent and we cannot see exactly how much milk your baby is drinking or your body is producing. Fortunately, there are other ways to achieve our goal.

In the first week of life, your baby will receive colostrum before your milk comes in. Not only is this rich in antibodies and helps your baby’s immune system develop, but it helps him pass his first stool—meconium. This is a black, tarry substance and will be in the first diaper or two after birth. He will transition to a brown substance and then as your milk comes in, to a mustard yellow stool that is watery or loose. A bottle-fed baby will pass stools that are firmer and more clay-coloured than a breastfed baby.

Within 24-48 hours, your baby should start having wet diapers, increasing to two or three per day.

As your baby works at sucking colostrum and then milk, you should hear a pattern of “suck, suck, suck, swallow.” This will be rhythmic and there will be no “clicking” noises—clicking indicates that your baby is improperly latched and potentially isn’t getting a good amount of milk from you. If you hear this, unlatch him from your breast and re-attach him. If it continues, talk to your pediatrician.

In the second and subsequent weeks of life, you should also notice 6-8 wet diapers a day in addition to at least 3 stools per day. His urine should be clear (not yellow), and he should be gaining alertness as each day passes. He should also be growing and gaining weight—weight gain is the surest sign of healthy growth. Any two days in a row of deviation from the growth indicators listed should be reported to your pediatrician immediately.

 

Mommy & Baby: More Parenting Tidbits

Diapers: as a rule, most PDF Babies, Toddlers, Kids & Childrens will need a diaper change that corresponds with their feeding times. This will total 6-8 diapers per day, or more if you manage to change your baby prior to her pooping. Most new parents learn to “time” the diaper change to correspond with the after-meal expulsion of solid waste, but if you miss it, you’ll have a few more diapers to go through in the course of the day.

Diaper rash: some Babies, Toddlers, Kids & Childrens have sensitive skin and will get a rash due ...

Diapers: as a rule, most PDF Babies, Toddlers, Kids & Childrens will need a diaper change that corresponds with their feeding times. This will total 6-8 diapers per day, or more if you manage to change your baby prior to her pooping. Most new parents learn to “time” the diaper change to correspond with the after-meal expulsion of solid waste, but if you miss it, you’ll have a few more diapers to go through in the course of the day.

Diaper rash: some Babies, Toddlers, Kids & Childrens have sensitive skin and will get a rash due to food allergies, teething, yeast infections, or sitting too long in a messy diaper. If this occurs, talk to your pediatrician about an over-the-counter remedy or a prescription product for a more serious situation.

Growth spurts: the first of these confusing times may come as early as 10 days after birth. They are typically preceded by a sleepy day and a voracious appetite (either nursing or bottle-feeding). They may show up again at 3, 6, and 12 weeks and again at 4 and 6 months. If you notice that your baby is no longer satisfied after feedings like she has been, you might be approaching a growth spurt. If you are nursing, add a feeding or two to your routine to accommodate your baby’s needs and to increase your milk supply.

Immunizations: you will not hear me ever say that an immunization is a bad thing; there are simply too many deadly diseases which can be prevented by immunizing your baby. Talk to your pediatrician about the timing of different injections and any concerns you might have, but understand that part of the reason we have such healthy Babies, Toddlers, Kids & Childrens these days and an incredibly low rate of infant mortality is because we’ve largely wiped out infantile diseases through immunizations.

Pacifiers & thumb sucking: breastfeeding moms should not permit themselves to be used as pacifiers. Sometimes a baby will have a need to suck beyond what is normal for feeding; in these cases, an actual pacifier is very useful. There is no such thing as “nipple confusion,” as your breast and your baby’s pacifier feel and taste nothing alike. Babies, Toddlers, Kids & Childrens are very smart little creatures and are able to discern between the two easily. Some children will not take a pacifier but will take their thumb—if you don’t have a problem with that, go ahead and permit it.

Spitting up: nearly all Babies, Toddlers, Kids & Childrens spit up from time to time; some will do this more than others. If your baby is healthy and growing and gaining weight, don’t worry about it. Projectile throwing-up is not the same as spitting up—this is powerfully rejecting the entire contents of the stomach, not just ‘urping’ up a little milk. If your baby does this frequently, see your pediatrician.

 

Mommy & Baby: Weight Gain & Failure To Thrive

A guide to appropriate weight-gain and what to look for if you suspect failure-to-thrive:

Weight Gain:

Birth – 2 weeks of age
 Regain birth weight plus some
2 weeks – 3 months of age
 Two pounds per month or one ounce per day
4 – 6 months of age
 One pound per month or one-half ounce per day (should double birth weight by 6 months)
One year of age
 2.5 to 3 times her birth weight

Failure to Thrive:

There is a difference bet...

weight gain

A guide to appropriate weight-gain and what to look for if you suspect failure-to-thrive:

Weight Gain:

Birth – 2 weeks of age
 Regain birth weight plus some
2 weeks – 3 months of age
 Two pounds per month or one ounce per day
4 – 6 months of age
 One pound per month or one-half ounce per day (should double birth weight by 6 months)
One year of age
 2.5 to 3 times her birth weight

Failure to Thrive:

There is a difference between slow weight gain and failure to thrive. With slow weight gain, the gain is consistent. With failure to thrive, you will see a baby who continues to lose weight after 10 days of life, does not regain her birth weight by three weeks of age, or gains at an unusually slow rate beyond the first month of life. Things to watch for from the mother’s and baby’s side include:

Mother’s side
 Improper nursing technique (poor latch-on, etc.)
 Nature or lifestyle (not enough sleep, liquids, nutritional foods, etc.)
 Poor release of milk (related to let-down)
 Feeding too frequently (this can give the baby an abundance of foremilk and a lack of hindmilk; the latter of which is nutritionally and calorie rich)
 Feeding too infrequently (being a slave to the clock)
 Not monitoring growth signs
 Physical nurturing, holding, and cuddling

Infant’s side
 Weak sucking
 Improper sucking
o Tongue-thrusting, pushing the nipple out of her mouth
o Protruding tongue, her tongue will form a hump in her mouth, interfering with latching on
o Tongue-sucking, she sucks her own tongue and not on the nipple
 An underlying medical problem (if you suspect something, talk to your pediatrician immediately)

Getting the help you need

Lactation consultants can be very helpful in resolving issues related to latching on or inverted nipples, both of which can cause a problem with nursing. Allow the consultant to observe your baby nursing and note if there are problems in position, latching, or something else. Do not permit the consultant to dissuade you from your flexible routine if that’s what you’ve decided to do for your family. Remember: if flexible routines were unhealthy, NICUs wouldn’t use them for the most vulnerable of Babies, Toddlers, Kids & Childrens—preemies.

If you determine that your nursing difficulties cannot be solved or are more stressful on you as mommy than what you need, do not feel guilty about switching to a bottle. It is more important that your baby receive nutrition to grow and thrive than to fit someone else’s ideal of motherhood.




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