Moreover, the mother does not need to change your eating habits or drinking. The mother may be thirsty, but drinking is not necessary to force. Only in the case of allergies may be necessary to remove any food from the diet of the mother.

In some cases it may be useful for the mother to learn to express milk or to keep it and have someone feed the baby when the mother can not do, or to relieve discomfort caused by an excessive accumulation of milk in periods when baby’s appetite decreases, thus avoiding the occurrence of mastitis.

The extraction of milk can be done either manually or using a breast pump (consult your doctor, midwife, nurse or expert in pediatric nursing. Breast milk can be stored in refrigerator 2 days and frozen between 3-6 months depending on the temperature.

A hard or stressful work may interfere with breastfeeding, so it is very helpful any help you can offer to download the mother of another type of tasks or by the parent or other family members. The assistance, support and understanding of the father and other relatives (grandmother, sisters, friends) are essential for the proper development of nursing.

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In some cases more difficult to breastfeed the baby.

Breastfeeding can be more difficult for some mothers, but not impossible. You should have no room for despair. It should be stressed and not ever give up. It is possible to breastfeed twins, for example. The stimulus of sucking will thus require double double production of milk. But it is entirely possible. It’s all about trying different positions and to seek what is best for both sides.

At birth by caesarean section, the “rise of milk” usually takes a little longer but should not stop offering the breast to the baby. We must find a position that does not disturb the sutures.

In cases where there is a specific problem such as premature birth, cleft palate, Down syndrome … it should first consult your pediatrician. Anything is possible if there is a will. Moreover, the techniques and knowledge about breastfeeding can be found in support groups for breastfeeding and even on the experiences of other mothers.

Recommendations

As for the hygiene of the breast, the only thing is to make a daily shower. It is not necessary to wash your breasts with soap after each shot. Suffice it to dry. They can be useful absorbent discs, changing them as often as necessary.

If the mother is a smoker, this is a good time to quit. If this is impossible, it is preferable to smoke right after the shot and not doing so in the presence of the child. It is always better than giving a formula. Children who stay in rooms with smoke have higher incidence of acute respiratory infections and asthma.

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The time needed to complete each baby-making is different for every baby and every mother and also varies by age of the baby and shot to shot.

Moreover, the composition of milk is not equal to the beginning and end of the shot, or in the first days of life or when the baby is six months. The first milk is more watery but contains most of the proteins and sugars, milk the end of the shot is less abundant but has more calories (fat content and vitamins is higher.

Both the number of outlets to the child performed to date, as the time spent in each, are highly variable and therefore not necessary to establish fixed rules. It is better to offer the breast on demand.

A child may want to breastfeed at 15 minutes after taking off a or else take more than four hours in the following order, although at first, during the first 15 or 20 days of life, the child should try to do at least about 8 shots in 24 hours. Nor is it advisable for the mother or who accompany limit the duration of each shot, the baby is the only one who knows when he has been satisfied and it is important that milk has taken the final shot. Ideally, making it last until the child who is released spontaneously from the heart.

Some kids get all they need in one breast and other makers of both. In the latter case, the child may not completely empty the last, so the next shot should be initiated in it.

The important thing is not that the child suckle both breasts but alternately full and empty each of them, to prevent the accumulation of milk can lead to the development of mastitis and for the mother’s body coupling production milk to your child’s needs.

Therefore, we recommend allowing the baby to finish one breast before offering the other.

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Because it contains everything the child needs during the first months of life, breast milk protects the baby against many illnesses such as colds, pneumonia, diarrhea, ear infections, urinary tract infections, and even future ones like asthma, allergies , obesity and others.

It also favors the mother. Breastfeeding women lose weight gained during pregnancy more quickly, and hardly suffer from anemia or hypertension and postpartum depression.

Adding even more benefits, one can say that breast milk is organic food. Not manufactured, packaged or not transported, thus avoiding energy wastage and environmental pollution. For the family it is a great savings. Breast milk is not an economic cost.

For all these reasons and according to the World Health Organization (WHO) and the American Academy of Pediatrics (AAP), the Breastfeeding Committee of the Spanish Association of Pediatrics recommends exclusive breastfeeding for the first six months of child’s life and continued breastfeeding with appropriate complementary foods until 2 years of age or older. ”

Breastfeeding

Sooner the better. It is important that the child is offered the breast in the first half hour after delivery. After the first date, the newborn usually be sleeping a few hours. During this time, it is recommended that the baby stays with her mother in order to stimulate the skin to skin contact between them. Thus, the breast can be offered as soon as you notice that the child is willing to suck, and not just for crying. Crying is a late sign of hunger.

Do not forget that healthy newborn does not need more fluids than he gets from his mother’s milk is not necessary or desirable to provide water, or dextrose solutions. Before giving “extras” or any food other than breast milk is advisable to consult your pediatrician.

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Breastfeeding twins and other special situations as relactation and adoption

* Breastfeeding twins
* Relactation lactation or resumption of interrupted
* Breastfeeding an adopted baby

As breast milk production adjusted to the needs of the baby, in the case of identical or fraternal twins, similar adaptation occurs. Mothers of twins can produce over 2 gallons of milk a day. The difficulty lies in the time and hands. The time, because you can spend the day dedicated to breastfeeding. The hands, because then you have to do other things.

Therefore, the simplest solution is to breastfeed them both at once. But it is essential to help. You can put the two in front, across their bodies, or both back, their bodies beneath the arms. For additional tips, should be used in advance to a lactation consultant.

If the breasts during pregnancy were prepared to produce milk, any woman who has ever been pregnant can return to breastfeed a baby but take days, months or years without doing so. The secret lies in the mechanism of production of milk. The nipple repeated stimulus triggers the production of prolactin and oxytocin and milk them.

If a baby suckles regularly or use a breast pump, nipple stimulation that milk production achieved in a few days. It takes determination and support from family and a lactation consultant, but possible.

While the milk goes up, the baby can receive artificial milk by cup, spoon, syringe or device “supplemented” breastfeeding. It’s very interesting to know the possibility of resuming breastfeeding in those cases where it is advisable for the baby receive human milk instead of artificial.

After 6 months the baby gains its requirements for minerals and vitamins, so it can not be completed solely by breast milk, but it is not necessary to give supplements but should be provided by complementary foods.

To ensure the much needed calcium intake for bone formation, among other things, the baby’s diet should include milk and yogurt and other dairy products rich in calcium. Only when the fluoride content of water is less than 0.3 mg/L is recommended fluoride supplement (0.25 mg/day) after 6 months of age.

Between 6 and 9 months of age the baby’s iron reserves are depleted and if you do not receive this mineral in their food usually have anemia. Although babies are healthy and active can have anemia will reduce the appetite for solid foods and not eating well, you will receive even less iron.

Iron stores are used by the baby during the first months in which feed exclusively on milk, and thereafter, coinciding with the introduction of solid food, so get solid foods to continue to increase its volume of blood and face its rapid growth. In rare cases of babies being born with anemia cause blood incompatibility with the mother or inherited disease.

To ensure the supply of iron in their diet should include meat, rich in iron and zinc and iron-fortified cereals and fruits high in vitamin C, because the vitamin increases the bioavailability of iron from the diet and also has importance as an antioxidant and neurotransmitter synthesis.

There are trace elements that are special, such as vitamin E, folic acid and zinc, because the mother’s body has mechanisms not well known, that ensure an adequate intake through breast milk.

It is known that mothers with hypovitaminosis E in the vitamin content of her milk is adequate, suggesting that during lactation starts a mechanism to mobilize the vitamin E contained in maternal deposits to ensure an adequate supply to the infant.

Also been shown that during lactation the mammary gland has priority for use of folate being derived from this to the milk instead of toward the maternal hematopoietic system, so that even when lower levels of folate in serum and erythrocytes of mother, levels in breast milk remained stable.

It has been shown that in response to increased demand for zinc during lactation, increases intestinal absorption to nearly double while reducing urinary and fecal elimination. These homeostatic mechanisms to maintain zinc are believed to operate to the maximum in situations of low dietary intake.

Several studies have shown the bioavailability of minerals in human milk, by binding to a protein fraction of low molecular weight, which increases the bioavailability. Iron in particular has a low concentration in breast milk, but a high bioavailability that is attributed to higher levels of vitamin C and lactose in milk, which facilitate its absorption. In general, macro and micronutrient content of human milk adequately cover the needs of infants during the first 6 months of life.