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2.03.2009

mummy tips

How to Breast-Feed a Premature Baby
Step1
Start pumping as soon as your baby is born. Your colostrum (the milk you secrete for a few days after your baby's birth) can be fed to your baby through a tube at the first feeding, followed by feedings of your fresh milk. The colostrum is important because premature babies are extremely vulnerable to infection.
Step2
Buy or rent a hospital-grade electric pump; this will help to build your milk supply so that you have enough milk to nurse your baby when it becomes possible.
Step3
Fortify your milk if medically necessary - ask about this option before agreeing to formula supplements.
Step4
Try to avoid artificial nipples when your baby is ready to make the transition to your breast. Feeding the baby your expressed milk by gavage tube rather than by bottle will help to prevent nipple confusion.
Step5
Try tickling your baby's lips and chin and expressing a few drops of milk onto the tip of your nipple to get her interested, since a premature baby may need extra encouragement to open her mouth wide and latch on.
Step6
Follow your baby's cues when she's nursing well, and let her nurse as long as she wants to. If her suck still is not strong, she may need extra time at the breast to stimulate the letdown and get the milk flowing well.
Step7
Build and stabilize your milk supply with the help of a breast pump until your baby is able to maintain the supply on her own.
Step8
Contact a lactation consultant and your local La Leche League for support. You may be able to arrange both hospital visits and follow-up home visits.
Step9
Place a breast pad soaked with your milk next to your baby, even when you can't hold her; this will familiarize the baby with the smell of your milk, and may make her more willing to breast-feed when she is able to do so.
Step10
Enlist the assistance and support of neonatal nursing staff. Try to let them know in advance when you plan to be with your baby.
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Tips & Warnings

* Even if your baby is being tube-fed, you may also be able to offer your breast. If your pediatrician wants to monitor your baby's intake of milk fairly closely, you may be able to express your milk before offering the breast.
* Ask about "kangaroo care" for your baby. This involves placing your baby skin-to-skin on your chest under a light shirt or gown, and can improve your baby's condition, increase your milk supply and allow you to bond more rapidly with your baby.
* Very small or sick premature babies may become exhausted if they are switched from breast to breast or repositioned frequently. You may have to nurse on one side at a time and pump from the other side to keep your milk supply stable. (This will change as your baby gains strength and alertness.)
* It is often difficult for a small baby to stay latched on without constant support. Try holding your breast so that its weight doesn't rest on the baby, or support her latch by gently tucking a finger under her chin.

How to Feed Your Baby While Camping
1
Consider using prepared rather than powdered formula if you are bottle-feeding - no mixing or refrigeration is required, and cleanliness is assured.
Step2
Bring distilled, bottled water to mix powdered formula.
Step3
Breast-feeding? Just find a comfortable spot.
Step4
Store sterilized bottles, nipples or pacifiers in new, sealable plastic bags; this will help keep them clean until you're ready to use them.
Step5
Discard half-eaten portions of formula or baby food rather than saving them for later; bacteria will grow in them quickly if proper storage conditions aren't available.
Step6
If your baby is already eating solids, bring food that's easy to mix or prepare and doesn't require refrigeration. Powdered rice cereal, fruit that you can peel and mash, or vegetables from your own dinner all work well.
Step7
Be sure to bring a cooler and lots of ice so you can safely store formula and other foods.
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Tips & Warnings

* If you're nursing a baby who likes to eat frequently, use a sling to nurse. This will allow you to nurse anywhere, even on the move, and will leave your hands free for other things.
* Bring some antibacterial soap or a hand sanitizer to use before you prepare your baby's meals.
* If your baby eats solid foods, bring a portable high chair that you can clip onto a picnic table.
* Bring the right utensils! Be sure to throw in at least one baby-size spoon if your baby is eating solid food.
* Avoid introducing new foods on a camping trip, in case of an allergic reaction. Be especially wary of known allergens such as nuts and some berries.
* If you are warming bottles or solid foods over a campfire, check carefully for hot spots that could burn your baby's mouth.
lace your baby in the sling using the cradle hold or reverse cradle hold.
Step2
Turn your baby's body slightly in the sling so that the two of you are tummy-to-tummy when your baby needs to nurse.
Step3
Pull down the sling rail closest to your body, and pull up your shirt or open your nursing shirt; this should give your baby instant access.
Step4
Tighten the sling so that your baby's head is level with your breast if he or she is in the reverse cradle hold (head away from the rings).
Step5
Rotate the sling around your body if your baby is in the cradle hold (head toward the rings), until the baby's head is at the level of your breast. This may mean that the shoulder pad slips in front of your shoulder, but you can readjust the sling after you nurse, or wear the pad slightly further back if you know you may have to nurse.
Step6
To be extra discreet, pull up the outer padded sling rail so that it covers your baby's head, making sure it is still open at the top.
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Tips & Warnings

* You may have to tighten your sling more than usual to nurse comfortably, unless you are very large-breasted.
* It may be difficult at first to find a position that works for both you and your baby; keep trying different positions until you get it right.
* Nursing in a sling is a great way to get your baby to sleep, especially if he or she is fussy or colicky.
* If your baby tends to spit up or drool while nursing, you may want to keep a burp cloth or cloth diaper tucked into the sling when you nurse; otherwise, you will have to wash your sling frequently.
* When your baby has finished nursing, make sure you readjust both rails of the sling carefully so that he or she can't slip out.
* Never use the sling in a moving vehicle; a sling is not a substitute for a car seat.

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