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Born to Breastfeed H/C

The first six weeks and beyond
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Science tells us that breastfeeding and breastmilk provide all the nutrients and antibodies to give babies the very best start, with health benefits for babies and mothers. As the backbone of early nutrition, breastfeeding is a key influence on adult health, intellect and longevity. Research shows that people who were breastfed as babies are less likely to be overweight or obese, are less prone to diabetes, and perform better in intelligence tests. The World Health Organization (WHO) recommends that every child should be exclusively breastfed for six months, with partial breastfeeding continuing until two years of age. Yet of the 136 million births worldwide each year, it is estimated that only 38 per cent of babies are breastfed for six months. In Australia there are more than 300,000 births each year, but only 14 per cent of women exclusively breastfeed to around six months. Born to Breastfeed fills the information gap. Taking the baby’s perspective, it draws on uptodate, evidencebased research and midwifery practices during pregnancy, birth and postnatal care, explaining how mothers can respond to baby’s actions and needs to improve the health of future generations. From those precious first minutes after birth, the author brings together facts about breastfeeding as well as strategies to help solve breastfeeding problems, dispelling misinformation about breastfeeding and infant feeding in general. She discusses the incidence of serious health issues including diabetes, asthma, allergies, middle ear infections, obesity, childhood cancers and inflammatory bowel disease all significantly higher among infants and children who have not been breastfed and documents the benefits to mothers’ health. Exclusive breastfeeding is associated with a natural method of birth control (98 per cent protection in the first six months after birth), reduces the risks of breast and ovarian cancer, and helps women return to their pre-pregnancy weight faster. Real life accounts from breastfeeding mothers inject empathy and humour, making Born to Breastfeed accessible to all new mums. Not only does Born to Breastfeed expertly explain the science and physiology of breastfeeding, clearly outlining the many benefits, it packs in all of the practical information a new mum needs to know. I have no doubt that this will fast become the feeding bible for all new mums and I sincerely hope the end result is far more babies reaping the benefits of nature’s truly amazing first food. Dr Joanna McMillan PhD qualified dietitian and nutritionist, author and health presenter (drjoanna.com.au) Breastmilk is nature’s perfect food for babies. It contains all the correct nutrients in the right proportions at the perfect temperature, and provides the foundation for lifelong health. Born to Breastfeed is the ultimate guide for new mothers who want to give their children the best start in life. Catherine Saxelby Accredited nutritionist, best-selling author and founder of foodwatch.com.au
Rowena Gray is a registered nurse, midwife and International Board Certified Lactation Consultant (IBCLC) specialising in postnatal care and breastfeeding education. She draws on more than 15 years’ experience in nursing, midwifery, nursing management and lactation consultancy to help mothers enjoy a better breastfeeding experience. As a mother of three young daughters, Rowena has experienced the ups and downs of breastfeeding firsthand and is committed to providing evidence-based breastfeeding advice and support to mothers. Rowena lives with her family in Melbourne, where she works as a private lactation consultant. Anne Hillis is a dietitian and nutritionist with more than 35 years’ experience in clinical practice, teaching, community health, health promotion, private practice and the food industry. As a specialist in infant nutrition marketing, she has written extensively for print and electronic media in Australia, New Zealand and Singapore, appeared on television and radio, conducted public awareness programs, and addressed seminars and mothers groups. Anne is co-author, with Penelope Stone, of Breast Bottle Bowl, now in its 4th edition, and Good Food for Kids, republished as Beyond Jam Sandwiches. She is a past Chair of Nutrition Australia’s Victorian division and has been working as a consultant nutritionist since 2004. Anne lives with her husband on Victoria’s Bellarine Peninsula. She has three adult children and five grandchildren. Rowena Gray is her daughter.
Contents Foreword ix Prologue 1 Introduction 5 Chapter 1 Baby’s first minutes 7 Welcome to the world … 9 Why skin-to-skin? 11 Oxytocin – the ‘love hormone’ 13 What is breastmilk? 14 The benefits of breastfeeding 15 How labour and birth can affect breastfeeding 21 Pethidine 22 Morphine 23 Epidural 23 Forceps/vacuum extraction 24 Caesarean 25 Premature birth 26 Intravenous fluids in labour 27 Extended separation of mother and baby 28 Kangaroo care 28 Food for Mum 29 Eating in labour and after giving birth 29 Chapter 2 Baby’s first hours 31 What happens in the first hour? 33 The first feed 34 Ahhh … sleep at last! 35 Health problems and breastfeeding 36 Gestational diabetes 36 Obesity 37 Food for Mum 39 Chapter 3 Baby’s first days 41 Going home 43 Feeding and sleeping 44 Correct positioning and attachment 45 Pain equals damage 48 Baby’s hunger cues – how do I know when he’s hungry? 48 How do I know if my baby is getting enough milk? 49 How do I know if my baby isn’t getting enough milk? 51 What is the let-down reflex? 52 Dealing with sore nipples 55 Some tips to help relieve and heal sore, damaged nipples 56 Changing milk, changing nappies 59 Growth charts 60 Maternity bras – holding it all together 61 Food for Mum 63 Foods to avoid 63 Chapter 4 Baby’s first weeks 67 A mother’s story 69 How many feeds? Yes, overnight too. 71 Dealing with breastfeeding difficulties and nipple problems 73 Engorgement 73 Expressing 76 Storing your breastmilk 79 Low milk supply 79 Lactogenic foods and herbs that can naturally boost your milk supply 83 Using a supply line 86 Breastfeeding after breast surgery 86 Breastfeeding after breast removal (breastfeeding from one breast) 87 Oversupply 87 What causes an oversupply? 88 Mastitis 92 Nipple shields 94 Other tricky business 98 Breast refusal 98 Tongue-tie 99 Lip-tie 100 Thrush 101 Nipple vasospasm 103 Babies with special needs and poor sucking ability 104 Alcohol and breastfeeding 105 Smoking and breastfeeding 106 Caffeine and breastfeeding 107 Medications and breastfeeding 108 When breastfeeding is not recommended 110 Food for Mum 113 Top 10 foods to include in your diet 113 Chapter 5 The magical six-week milestone 119 Breastfeeding is established 121 Natalie’s breastfeeding adventure ... her first week 122 Socialising 128 The first outing 128 Growth spurts and weight gain 129 Average weight gain for a breastfed baby 130 Exercise and breastfeeding 131 Food for Mum 133 What to avoid 135 Does what you eat affect the nutrient content of your breastmilk? 135 Chapter 6 The next six months 137 Why breastfeeding is important 139 Breast or bottle? 140 Breastmilk 140 Infant formula 140 Growth spurts and demand feeding 143 When it’s time to start solids 144 Breastfeeding and infant biting 149 Returning to work or study 151 Breastfeeding and contraception 153 Getting back into shape 154 Tips to help you lose weight 154 Food for Mum 156 Food for work 156 Food for home 157 Chapter 7 When and who to ask for help 159 When to ask for help 161 Who to ask for help 164 Helpful contacts 165 Dealing with criticism – who knows best? 165 Final word 167 Index 169 Acknowledgements 174 Glossary 182
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