A mums experience of using donated breast milk for her premature baby Harry.
Los Angeles Limo Service. All of these are represented in this FAQ. Agen poker online indonesia terpercaya Pingback: However, between being premature, having been exposed to brethine and steroids before birth which raises maternal blood sugar levels, which then can make baby's blood sugar drop after birth , low blood sugar in the baby would not be an unusual finding. When your breasts start to feel fuller, you will need to start using a breast pump. When my son was about 33 weeks, the hospital started to introduce bottles so he could develop his suck swallow reflex.
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I was able to control everything without insulin injections. A planned cesarean is a LOT more relaxing than an emergency one. Everything went as planned to the letter. It was almost comical, shaking the doc's hand and saying "OK, now go get my baby. I was given a spinal block and had no ill side effects from it. For some unknown reason, the baby's blood sugar was low at birth. It registered 29 which was well below the hoped for reading of 40 or higher.
My husband was handed a bottle of formula and he fed her about an ounce of it right away. Her blood sugars came up to normal and have remained that way ever since. I was a little concerned that she might not want to latch on to me after trying a bottle nipple first, but she latched on like a pro on the first try, a couple of hours later.
The baby did not have any shoulder dystocia any other troubles associated with GD or anything else, for that matter. It was a lot of work, but very much worth it, and I have a whole new understanding of my body and my metabolism. My emotions went through typical upheaval after her birth, but I think that was probably due to lack of sleep as much as due to hormonal fluctuations.
I am now slowly adding exercise back into my daily routine and am amazed at the difference it is making in me both physically and emotionally. My boys like Richard Simmons better than Big Bird.
Basically a regular pregnancy Also because of my age there were concerns that the baby would have problems down's syndrome, spina bifida, etc so the clinic did test for AFP The results came back high, which led to more concerns and we were scheduled for an ultrasound.
At the ultrasound, we found out that the reason the AFP was high was because there were 2 babies, not one, which was a great relief. The pregnancy was generally uneventful, other than the fact that I was miserable through most of it because of my size and it being a twin pregnancy. I had horrible heartburn most of the time, sciatica which I have still The doctors initially suggested to me that if we made it through to 7 months that would be great and then we'd see how it was going, since twin pregnancies generally wind up being pre-term.
However 7 months came and went and I remained pregnant and miserable. Then they suggested 8 months and they would consider induction since I was so uncomfortable They tell me, "Well, lets just let nature take its course Finally since I was going in to be seen about twice a week by then I had been experiencing some liquid leaking for a couple of days and mentioned it, thinking it was a new kind of incontinence problem another side-effect of the twin pregnancy , and they checked it, found out it was amniotic fluid and decided to let me go and have my babies.
We think every once in a while about having another baby, but since the fact that we HAD twins was entirely my fault the older you get the more predisposed to having multiples and now I'm 38, I don't think we'll be having any more Two is plenty and we have a boy and a girl and they keep us pretty busy.
Jessica's doctor felt that because the baby was large at 34 weeks and had low blood sugar, she must have had some undiagnosed GD. There is no way to know this for sure. However, between being premature, having been exposed to brethine and steroids before birth which raises maternal blood sugar levels, which then can make baby's blood sugar drop after birth , low blood sugar in the baby would not be an unusual finding.
On the other hand, it IS possible that she could have developed some late GD between the usual 28 week test and the 34 week delivery.
Progesterone levels don't peak till week 32 so it is possible, if unusual, that if she was borderline before, that progesterone peak at 32 weeks could have pushed her over into GD. Still, it is not a foregone conclusion. This is one possible risk of both spinals and epidurals. Spinals are placed into the innermost space by the spinal cord, with the drugs going directly into the Cerebral Spinal Fluid.
Because they are making a hole in the membrane that surrounds this fluid, sometimes that fluid will "leak" out the hole and the brain will not have as much fluid cushion as it is used to having, causing a temporary but very unpleasant headache.
Although an epidural is placed in the space just outside this membrane and in theory should not cause a "spinal headache," sometimes that inner membrane is pierced anyhow and the headache occurs despite a different "space" being used for the anesthesia. The usual treatment for a spinal headache is to give the person lots of caffeine as they did Jessica and to give them a blood patch.
In a blood patch, a little bit of the woman's blood is injected into that space so that the blood can clot and hopefully block the "hole" and the fluid leakage.
It's unknown why they did not go ahead and give Jessica a blood patch; that might have significantly eased and shortened her discomfort.
Saturday the 8th, following our birthing class! I hollered for DH, and ended up leaking even more fluid. I eventually soaked through a beach towel and the mattress by the time the doctor called back. So I was put on bed rest, brethine asthma medication to stop contractions! The brethine didn't work, so I was put on Magnesium Sulfate. The steroid celestone was given too to help develop the baby's lungs. Since he was also [footling] breech feet first , I was to be sectioned.
No luck with an external version with no fluid! So I was on bed rest, and bed pans yich until Monday evening when both steroid injections were on board, and I was taken off the Mag Sulfate. The side effects from the Mag constipation, numbness and fluid retention were pretty severe by this time, and it was good to at least get some circulation in my legs. Tuesday, my contractions picked up, and I was on the external monitor still, listening to Rascal and watching the Tocometer measure contraction strength.
I did pretty well until 5 that night, and called the nurses insane for not believing I was in pain. The doctor checked me on a fluke don't want to check someone with ruptured waters often and I was at cm fully effaced with Rascal's feet descending down through the cervix. I was sectioned within a half hour, and had a rough 3 sticks, 2 for a spinal and then 1 for an epidural.
Rascal was lodged in my cervix, so they took careful time to dislodge him and his head was pushing up into my diaphragm as they did so. It was hard to breathe for a few minutes until they unstuck his legs and delivered him feet first. I didn't hear any announcement of sex or anything, they were worried about his lungs etc Now, he's a preemie, 34 weeks, and he weighed in at grams, or 8 pounds! He didn't require any suctioning, but his first glucose check was 12, so there was some late developed and un-caught GD with me.
I saw him for a quick few seconds, and my husband went off to be with him during all newborn procedures pre-planned. While they were stitching me up, the Duramorph in the epidural was fading, and I felt the last layers of tissue and the staples being put in-- ouch!
I did get a narcotic to last me through that part, and was wheeled into my post partum room, right across from the nursery. I did get very itchy from the Duramorph, but wet washcloths to my face, and a drug in the IV took care of that. I had eaten dinner they fed me! I felt tired and drugged from the narcotic, but it helped with my resting that night, and I was on Oxygen until morning since I wasn't breathing deep enough. DH came in to tell me all the news, and update me before we went to sleep.
I developed a spinal headache and am on high-caffeine intake until it fades. So it looks like all the complications were: Poor Gideon is still in the hospital on a monitor rooming in with me now for Premature infant apnea, and his colon is under developed since he's a preemie, and we're fighting his high bilirubin levels.
On a side note: The C-section was the most relieving thing that happened to me all weekend. My recovery is perfect, wound is clean and dry and healing well, and I'm walking as well as I was when I was waddling when pregnant.
Never feel a section isn't a real birth! To me, it was a breeze, and I wouldn't mind having to have them every time provided I can get a good epidural!
My story starts with the fact that I was trying to get pregnant for about 3. I was able to get pregnant a few times, but miscarried. We never got a definitive answer, but worked on the premise that I have weak ovulation leading to a luteal phase defect the time after ovulation and before next menses was too short. With the use of mgs of Clomid on days , IU of Fertinex on days , hCG injection on day 14, intrauterine insemination and sex on days 15 and 16, another hCG injection for progesterone support on day 21, and finally 50 mg of progesterone twice a day through the end of 14 weeks LMP.
I had some early scares because of bleeding, but was allowed frequent ultrasounds to check the baby. I was watched carefully throughout the first trimester, having many more appointments than the average patient, because of my recurrent miscarriages.
At 16 weeks I was told I was officially an average patient and no longer considered high risk. I chose to do the triple screen at 16 weeks which came back fine and a level II ultrasound at 20 weeks revealed all was well.
I was diagnosed with gestational diabetes at 27 weeks. It wasn't a big shock since I was 33 and have a family history of diabetes, but what did surprise me is that my one hour glucose test came back at I opted against taking the 3-hour GTT since my one-hour test was high enough to prove glucose intolerance, but my doctor did insist on a fasting level for confirmation.
I was given the choice of trying to control my GD by diet or with insulin. My doctor felt that insulin was the best control, and I did some research and found studies indicating a lower incidence of macrosomial infants when GD was treated with insulin.
I had already been pretty much following a diabetic diet, so I didn't feel there was much adjustment that would help. I saw a nutritionist who only increased my calorie intake to about and frequency of meals, not the balance of what I was eating. A diabetic counselor taught me to monitor glucose levels at home, give myself insulin injections, and discussed walking and arm exercises to help reduce blood glucose levels.
Between all of these things, I had the GD in good control within a week, and perfect control levels under for the rest of my pregnancy.
My insulin levels were adjusted periodically, including adding a second smaller injection when my dinner levels were a bit higher than I wanted. I think my main issue with GD is that I felt that I was on a very rigid schedule since I was supposed to test my fasting level and 2-hour postprandials four pin-pricks per day and eat every 3- 4 hours.
I even had to wake up at 2 a. I exercised after breakfast and after lunch everyday, and tried to do after dinner but was often too tired by then. I figured at least I would be in good shape for labor.
While my previous OB might not have induced me for another week, the new one didn't want me going past 40 weeks with GD. We knew my exact dates and I felt more comfortable not going past my due date myself; I actually would have pushed the other OB to induce me at 40 weeks! My son didn't show signs of distress, but my insulin need was dropping, something that can indicate the placenta is beginning to fail.
It was hard to find good information on insulin-dependant GD. My original OB didn't feel that it should be, and I agree. At 39 weeks I had a vaginal exam with the intent of stripping my membranes. At 39w5d I was admitted to the hospital for prostaglandin gel applications to the cervix. I had some gel in the morning, did a lot of walking trying to get things going, and then had more gel in the afternoon. I also started to lose my mucus plug, but had few contractions.
I was sent home at 7 p. I'm not sure why I was being optimistic about the pitocin since I know it doesn't tend to work well before someone is dilated to 3 cm, but I guess I just figured I needed to labor, needed to get the baby out soon, and somehow it would work.
Even the pitocin didn't do that much for me immediately, and it was restricting my movement since I was on a monitor and it wasn't cooperating; if I moved, we would lose the heartbeat. I really didn't want to be stuck in bed and it was very uncomfortable. It was pretty clear mid-morning that my perfectly positioned baby decided to move and give me back labor.
Every time I had a contraction, I would get a sharp pain in my butt and down my leg. In the early afternoon I was thinking I would be unhooked and sent home, but all of a sudden I felt something akin to a balloon expanding and then popping followed by a gush of fluid; my water broke, and there was meconium in it. I was on the clock. I was at 3 cm and the OB put an internal monitor on me, something I hadn't intended, but appreciated since it allowed me some more mobility.
The pitocin and IV insulin were turned up since my blood sugar was rising. The midwife was wonderful trying to help me find more comfortable positions and massaging my back. The best position for me seemed to be sitting up in a rocking chair. In the evening, I was so exhausted I decided that the pain might be discouraging progress, so I had a small dose of narcotics to take the edge off. I was rechecked late in the evening after my son showed a few decelerations.
I had not made any progress and was still at 3 cm. The OB said I might just be too small based on my tiny feet and short stature to birth the baby and I should consider a c-section. She would let me go another hour or so and check if I wanted, or we could make the decision immediately.
Since a friend of mine had recently lost a healthy full-term baby, I chose to do the c-section. My son was born at He weighed 7 pounds My biggest regret about the c-section was that I ended up so exhausted that I didn't really get to hold my son and nurse him until he was hours old.
I know the pro-breastfeeding nurses were upset with the anesthesiologist about it, but I didn't really understand why I wasn't woken. Maybe it was the meds. I also missed my son's first bath, but I have seen most of the firsts since then and that has helped diminish the pain I had from that which did cause some post-partum depression. My surgical wound healed easily and my blood sugars returned to normal within 48 hours. I was released 3. After a rocky start, my son is still nursing at 20 months.
It is unclear why she had such a bad infection afterwards, although the use of an internal monitor is known to increase the risk for infection. Still, very few women with internal monitors experience an infection as severe as this. Although she was not plus-sized before the pregnancy, by the end of the pregnancy she was, and could have benefited from some of the preventative measures doctors can take to reduce the risk of infection in women of size.
These include doing subcutaneous stitches in the fat layer, placing a drain in the wound, prophylactic antibiotics hopefully with weight-based dosing , etc. Eventually the doctor did order some IV antibiotics, but Margaret may have benefited from an even more aggressive approach i. According to Margaret, "I didn't have a drain, or stitches under my skin. I just had those big staples. Afterwards though, I had no closure at all, besides the stitches in my uterus.
After going home, Margaret's wound re-opened with infectious material. She ended up back in the hospital, having the wound drained in an additional 3 hour operation, probably debrided, then packed. She was in the hospital 5 days for infection management. She then ended up with home health care 2x per day, packing and cleaning the wound for another 6 months.
The wound stayed open for another 3 years before finally closing, and to this day she has numbness and sometimes pain in the area. Although most women do not experience infections as severe as this, infection is a significant risk to cesareans, and at much higher rates than after vaginal births, especially in women of size.
Although there are things doctors can do to lower the risk for infection, it is never possible to lower the risk for infection to zero, and occasionally infections become so severe they require major interventions or put the woman's life at risk.
I'm 28 and pregnant with my second child. I would like to share the story of my five year old daughter's birth, where I contacted an infection after a c-section. I feel not only will this story help clear my head of the trauma I experienced, but it could also help someone else at some point in time.
Before I even knew I was pregnant with my daughter, I must have gained 15 pounds. I weighed , the most I had ever weighed. Upon finding out about the pregnancy, I began overeating in an extreme way. I was newly married, unhappy and very depressed. I thought marriage was like the Cinderella story, no one told me about the roller coasters! Thankfully it never happened.
I had bleeding during my pregnancy that continued well into the 6th month, I was terrified I would lose the baby. I was put on bed rest and gained a lot of weight. My OB was unsympathetic and told me I would end up "being a fat woman for the rest of my life". I weighed pounds at the end of my pregnancy. I have been overweight ever since. I went to the hospital at 6: I was induced and contractions followed shortly after.
There were nurses in and out of the room constantly, checking my cervix and making sure I was comfortable. My water broke at about 2: I dilated to 5 and was feeling pretty confident about my body's ability to give birth. A nurse made a comment about there being "no need to be a "martyr" I caved pretty quickly after that and received an epidural at 3: I was complete in an hour, the epidural was turned off and I began pushing.
I pushed and pushed for four hours. The doctor told me I may be able to deliver the head, but if the body was unable to come through, he would have to push the head back in. I was terrified by the thought of that. I began doubting myself and wanted to give up.
We prepared for a C-section. The procedure was virtually painless, just some pulling and pressure, after about 15 minutes our daughter was born. My husband was crying and came to show me our new baby. Since my arms were bound to the table, I could only turn my head and sneak a peek.
I looked at her for the first time and it was as if we had met somewhere before. I looked into her eyes and said "how weird" I was very tired and unable to open my eyes.
A few hours later she was brought into my room. I began nursing and loved seeing my new baby. In hindsight, rooming in would have been less stressful for me I hated when they took her away from me. At one point they told me I could not see her because the doctor was coming to check her.
I was very upset that I was told I couldn't see my own daughter. I was given sleeping pills because I was unable to sleep due to the excitement of it all. On the second day the nurse came in to change my bandages and look at my incision. She was not very happy when she saw the area red and swollen. But I wanted to go home, I wanted to dress and bathe my baby. I wanted to play her music and show her our home.
I told the nurse my incision was red because of the tape. I must have a tape allergy. She shook her head "I have seen this before". The doctor was called and he agreed with me, it was a tape allergy!
I guess he just wanted to be sure, so I was given antibiotics by IV. The doctor ordered a water filled heating pad. I placed this on my incision to help with pain. One night I was having severe pain that the pills were not touching. My hemorrhoids were out of hand, due to pushing. I called the nurse and asked her for tucks and my heating pad.
She left me for two hours because she had to "verify" this information with my doctor. Instead of giving me the damn tucks I was allowed to go home on the 4th day.
I called the hospital and complained about the bitch nurse. The woman, who happened to be the head of the nursing department said "Oh yeah I know who you are, you're the one that got the infection" I guess she knew something I didn't.
When we arrived home, I lay on the bed and cried. My husband was shocked, I had been so happy and strong at the hospital.. I told him the pain was impossible, I needed something for the pain. He didn't know what to do for me, and I spent the first night home in agony. I continued to feed our daughter and clean the house on the second day home. I was in the kitchen washing dishes when I felt something warm near my incision.
I looked down at my white shorts to see a green stain forming near the stitches. We headed down to the ER. My mom came to the ER and held the baby.
She started crying to be nursed, and my mom took out some formula and fed her. She wasn't used to the quick flow of a bottle and vomited all over the waiting room. I couldn't stand watching her drink from the bottle. I was supposed to be able to feed my baby. I wasn't supposed to be back at the hospital. I wasn't supposed to be in this much pain. The doctor in the ER said she needed to remove the sutures and examine the incision. I almost crawled up the ceiling at this thought.
I demanded that they call my doctor, he arrived shortly after and I was set up for surgery. They re-opened the incision, in order to clean it out. The operation ended up taking over 3 hours. I don't know what they did while they were in there, but the pressure seemed to be gone. I was admitted to the hospital and put on a regular nursing floor. I began pumping my milk for my husband to take home. I was determined to breastfeed.
I was not going to allow this to interfere with my plans. I had to pump every 2 hours, around the clock. Because of the amount of medication in my system..
I was told to pump and dump my milk. If I couldn't feed my child, I was going to keep up my milk supply. No one thought this was very important, even the doctor. I was going to nurse my daughter. My husband took our daughter home the first night I was admitted, he came to see me the next day looking very frazzled.
He didn't know anymore than I did about babies. The little I knew came from books. He was very scared and nervous about being alone with her. She was crying, he was crying and I wanted to disappear.
A nurse appeared and said she was going to be changing my dressing. I assumed it was just a layer of gauze like it was before, with sutures underneath. She removed the first layer and then the second and then the third She pulled and pulled and pulled on the gauze It began to stick on the inside and I started to cry, then scream, then moan. My mother in law and husband came around the curtain to see what she was doing. My mother in law started screaming at the nurse to take her hands off me.
The nurse and her began a screaming match, as I lay there with dirty gauze coming out of me. The doctor was called in. After strongly medicating me they wet the gauze and removed it. It took over an hour to get it all out.
There was an endless roll of gauze in my abdomen. Until the incision had healed a little on the inside, the doctor gave orders to wet the gauze with sterile water. I still didn't realize that my incision was so deep. It went down to the muscle. The doctor recommended that I shower without the gauze and hold my abdomen open. He said it was an unsterile wound, water would do it good. I was afraid to touch it, let alone shower it. When nurses came in to change the dressing I freaked out. I was given a shot of Demerol and a vicodin a half hour before dressing changes.
If they hadn't medicated me I would have ran away from the nursing staff. My sister in law offered to take the baby for a night. She came back the next day, glowing. There was a pacifier in my daughter's carrier and she smelled like formula.
My sister in law was smiling when she told me the story about a couple she met in the elevator. I grew this baby with my own body. I had loved her for 9 months, talked to her all the time.
What nerve she had to take all the credit. I was so upset and pissed off at everyone. I wanted to scream. My total stay in the hospital, the second time, was 5 days. I was sent home and visited by home health nurses twice a day. They changed my dressing and took measurements of my incision. One of the nurses wanted to take a picture of it for me.
She thought I might need to document this one day. I just wanted this to be over. Hair began growing around the incision. One of the nurses recommended that I shave it, to avoid irritation. The thought of shaving that area still gives me chills.
I continued to pack and clean my incision for 6 months. It was a gaping wound, left open from the inside out. It took 3 years for the outside to close completely.
I have numbness and pain sometimes when pressure is applied to the area. I can't imagine ever having that area opened up again. I lost 40 pounds after the birth of my daughter, but because of the drawn out healing process I suffered from a deep depression and ended up gaining it all back. I have been on every anti depressant in the book over the last 5 years. I am now on disability due to depression. I don't think the infection is fully responsible for this, but I'm sure it wasn't any help either.
I am determined to have a VBAC. Lisa shows classic signs of a malpositioned baby: The baby was also big, which could also have been or added to the problem, but it's difficult to know for sure what happened. In a follow-up, Kmom asked her if the baby might have been posterior. She wrote back and confirmed that "she turned during labor and was face-up which contributed to having the cesarean.
I was 42 weeks pregnant, very healthy, but baby did not want to come out. I went into the hospital on November 24 and had a cervical pill inserted to help soften my cervix which would hopefully help me dilate more.
They inserted this pill 3 times at 4 hour intervals but labor got strong just an hour after the first insert 7: By 11am I was only dilated to 2 cm and getting antsy as my contractions had been one on top of the other for 17 hours. Finally at noon I received an epidural with no complications at all. During this and throughout my pregnancy my weight was never an issue.
After two hours of watching her head bob in and out with contractions and pushing they decided on a c-section because her head was too large. D was born at 8: Mommy healed well and overall the birthing experience, though long, was well worth the end result. I am now due soon with a boy and hope to be writing back with a successful VBAC story! The full story can be found at www.
A very difficult birth story; the baby and mother turned out fine in the long run, but getting there was very traumatic for them both. Below is a brief summary. While visiting a dying aunt, Danie's water broke at about 35 weeks. She did not know it but she had group B strep infections can cause the water to break prematurely. Her baby was posterior and so labor was painful and not very effective, and during labor her placenta began abrupting pulling away from the uterine wall. The baby went into distress.
When the baby was born, he got pneumonia from the group B strep, one lung was punctured by the suctioning they did, and he was eventually found to have a hole in his heart. However, they did manage to establish long-term breastfeeding despite all the barriers, and he is doing well now in the long-term. Pam's Story PCO, insulin-dep. After 2 years of trying to conceive due to PCO, we got pregnant.
I had all day morning sickness for 14 weeks. At that point I was diagnosed with GD. Despite diet changes etc, I had to go on insulin at 18 weeks since my fasting sugar levels wouldn't come down. I was also diagnosed with placenta previa low-lying placenta and told to take it easy for the pregnancy. By 36 weeks I was told that my GD was controlled so well baby was not big at all and that the placenta had shifted enough, I was going to be able to have a vaginal birth.
At exactly 39 weeks I started bleeding and since the baby hadn't dropped and I wasn't dilated or soft AT ALL, it was decided that an induction would be pointless. A c-section was scheduled for 3 hours later. I was comfortable with this choice. I had an epidural, which the doctors had NO problems putting in. I was easily shifted from my bed to the OR table, even after the section when I was totally numb and couldn't help.
I was awake and conscious for the section and my DH was right next to me. Despite the fact my placenta had broken apart and was hemorrhaging, my boy was born totally healthy and fine. Apgars 8 and My arms were restrained by a blood pressure cuff and the IV's, so I couldn't move much, but the nurse freed my one arm so I could touch and caress the baby while DH held him. Paula Amelia Moynahan, M. Kitchen Investment Group, Inc. Medical Care Holdings, L. Service Team of Professionals, Inc.
Tax Care Franchise Group, Inc. Brooklyn Water Bagel Franchise Co. Uncle Louie Gee I, Inc. Factory Outlets Verticals Etc. Renovation Realty Franchising, Inc. World Trade Network, Inc. BG Franchise Systems, Inc. To Top Business Opportunity Registration. If you are expressing because your supply is low, switch back to the first side again. Switching back and forth, expressing each side 2 or 3 times will increase your supply over time.
Breast compression means squeezing your breast gently squeeze where the breasts meet the ribs, with your fingers on one side and thumb on the other while expressing.
You have to pump at least once during the night. The hormone Prolactin produces breast milk and more prolactin is produced at night, so expressing at night is especially helpful for keeping up the milk supply.
Have a picture or item of clothing belonging to your baby to hold when pumping. Kangaroo care is when you hold your baby is held skin to skin with you. The hormones that are released when you hold your baby close can help increase your milk supply.
If your baby is too sick for kangaroo care, talk to the NICU staff about pumping beside your baby. Pumping next to your baby will make the most of your mothering hormones to increase your pumped milk supply.
If you find that your milk supply never established very well or it is dwindling. There are a number of natural remedies or over the counter medications that you can try. If you contact a professional lactation specialist in your hospital or privately to help work with you. A list of contact details are supplied on this leaflet. Ten Facts about breast milk and expressing. Breast milk provides health benefits for your baby, it helps to protect your baby from infections and diseases.
If you are stressed you will pump less. Try to relax as much as you can, rest and eat healthy and drink plenty of fluids. One recent study showed that the mothers of hospitalized babies who listened to relaxation or soothing music while pumping had an increased pumping output. If you wake up each morning and your breasts feel full, then you are sleeping too long through the night, this fullness can actually diminish your milk production. Mothers of premature babies frequently take a longer time to go from a few drops to an ounce or more at a pumping.
This condition is referred to as a delayed onset of lactation, and is related more to pregnancy complications-such as bed rest, medications for high blood pressure and premature labour, and Caesarean deliveries-rather than to premature birth itself. The premature milk is higher in protein and minerals, such as salt, and contains different types of fat that they can more easily digest and absorb.
Breast massage during pumping sessions has been proven to dramatically increase milk supply. Massage breasts before you pump and while you're pumping for maximum benefit. The last droplets of milk released during pumping contain very high levels of fat, which provides most of the calories in your milk. If you stop pumping after 10 or 15 minutes while your milk is still flowing, your baby may not receive these valuable fat calories. Feeding Issues Feeding Issues.
Feeding Issues Feeding as all of us know is a major milestone in your premature babies development. We are focusing a section of the site on feeding because it's an area that there can be problematic for parents and our babies. Our aim to to try support parents in whateverfeeding choice they want for their baby, whether its your expressed breastmilk, donated breastmilk, breastfeeding or bottle feeding with formula.
As we are a parent focus group, we have a number of parents sharing their experience of expressing, breastfeeding and bottle feeding. We also have a number of very relevant links to help support parents who want to try breastfeed their baby and have some articles from members of the medical profession who actively encourage and support mothers to breastfeed their premature babies. If you are going to hire a hospital grade breast pump, please check out our section on expressing, as we have lists of where you can hire them.
Medicare and Neurotech have kindly agreed to give parents of premature babies in Ireland a discount when hiring a breast pump.
Please quote Irish Premature Babies when hiring your breast pump. Dianne Maroney, has graciously given us at Irish Premature Babies her very helpful insights as a mum of a prem and a NICU nurse with the following very good articles on feeding issues. Maroney RN Holding and feeding your premature infant should be one of the most precious moments you spend with your baby. Feeding is a symbol of parenting, an opportunity to make your child feel good and one where you can communicate with your child.
But when a child is born premature, having these intimate feeding times can be challenging. Learning to suck, swallow, and coordinate breathing while eating is a major milestone for any infant, but for a premature infant whose brain function and muscle strength is immature, it can be even more difficult. Typically a preemie is not developmentally ready to suck until 24 weeks, suck and swallow at 28 weeks, and coordinate both sucking and swallowing until weeks.
If there are any medical complications such as lung disease or reflux, these abilities can be delayed even further. Preemie parents are often surprised at the difficulty in getting their child to eat and many times they feel lost as to how to help their infants.
Preemies will give certain cues as to when they are ready to eat such as being quiet and alert with their eyes open. They may not be ready to eat if they are sleepy and turning their heads away.
Feeding supports a child through developmental milestones and helps with important growth, but it also gives your preemie positive attitudes about him or herself and the world around him.
Maroney, RN A premature infant has come into the world with a different beginning. In his first few weeks or months he often faces many challenging obstacles that can take weeks, months, or even years to overcome.
Learning to coordinating sucking, swallowing, and breathing is one of those important first obstacles. Accomplishing the difficult task of taking solids is next, and then taking solids with a variety of textures. There are many types of problems that can develop when a preemieattempts to learn these otherwise basic skills for many different reasons. Many of these problems are fairly common in former preemies.
Some common cause might be: Some feeding problems are directly related to medical problems such as Gastroesophageal Reflux. There are some things parents can do to help their former preemies when they are at risk for developing feeding problems. Second, concentrate on the feeding relationship between you and your baby or child.
So often, parents learn in the NICU that feeding is all about how much a preemie can consume at each feeding. Parents learn to parent through feeding their baby and babies learn about life initially through feeding. Ask your pediatrician or your local county early education programs about finding a therapist if you need one.
Because your preemie has had a different beginning he may need extra time to heal and grow. He may reflect this by having difficultly with eating. Be patient and support him nutritionally, physically, and psychologically so in time he candevelop typical eating habits and you both can enjoy mealtimes together. Location to be announced. Nicola O' Byrne will be running the workshop for the charity again. Have a picture or item of clothing belonging to your baby to hold when pumping 8.
There is a milk bank in Ireland that donates breast milk for premature babies while in the NICU if you are unable to express any milk.
Please ask the neonatal staff about donor milk. Ten Facts about breast milk and expressing 1. Expressing Before you hire a breast pump we recommend that you contact your Public Health Nurse first to see if they can provide you with a breast pump. It has come to our attention that in some areas of Ireland, the Public Health Nurse can provide a mum with a breast pump. We are in the process of contacting the HSE and will report back as soon as possible. When expressing you can either buy a breast pump or hire a hospital grade type.
In light of this kind offer we would recommend that parents avail of this opportunity. On behalf of Irish Premature Babies we would like to thank both these companies for wanting to help parents who have premature babies in Ireland. See the following links for contact details: A few mums have kindly offered to share their experience.
Please quote our organisation Irish Premature Babies with their sales staff when renting your breast pump. Medicare also provides an extensive range of breastfeeding and baby accessories, as well as respiratory monitors.
For further information, check out the link to their website www. Wicklow The opening hours are: Neurotech are based in Galway and deliver nationwide to your home. They don't charge for delivery and they can also arrange a collection service from your home when you return your pump standard fee applicable for this Contact their freephone number for more details. Mothers' milk provides important health benefits for premature infants, so whether you've decided to express milk for a short time or to breastfeed for several months, your milk is an important part of your baby's treatment plan.
Many people think that giving birth prematurely limits a mother's ability to make enough milk, but this is not true. The extra stress, discomfort, and fatigue that go along with the birth of a premature baby can cause a slow start with milk production. In the first few days after giving birth, mothers may make just drops of milk each time they use the breast pump, so it is easy to get discouraged. Remember, these drops are like a medicine for your baby, because they provide protection from infection.
And this slow start usually gives way to an adequate milk supply by the fifth or sixth day after birth. Answers to the following common questions will help you get started with milk expression for your premature baby. Studies have evaluated the different kinds of breast pumps available to new mothers.
The findings show that mothers who are expressing milk for premature babies should use a hospital-grade electric breast pump-ideally with a double collection kit, so that both breasts can be emptied at the same time.
This type of pump is the most effective in stimulating release of the milk-making hormone, prolactin, which results in the greatest amount of milk.
Mothers sometimes report that they have received a battery-operated or a less-powerful electric pump as a "baby shower" gift, and want to use it to express milk for their premature baby. While this type of pump is suitable for a mother who uses it only once or twice a day and breastfeeds a full-term baby the rest of the time, it does not provide enough stimulation to establish and maintain a good milk supply for a mother who is pumping for a premature baby.
If you have received one of these pumps as a gift, you will be able to use it later-after your baby comes home and is feeding. But, in the first few weeks after premature delivery, you should plan to rent a hospital-grade electric pump.
During your first week or two of milk expression you should use the pump as frequently as times daily-about as often as a healthy, full-term baby would feed at the breast in the early days after birth. The purpose of this frequent pumping is to stimulate prolactin during the time that your body is beginning to make milk in plentiful amounts. While you may get only drops of milk at first, frequent pumping is important in building an abundant, long-lasting milk supply.
You may not see the results of your pumping immediately, but your efforts should pay off toward the end of the first week of milk expression. Do not set a clock to wake up at night to pump. However, if you wake up on your own-as many mothers do-an extra night-time pumping may help boost your milk supply.
You may want to call the nursery, check in on your baby, and use the pump before going back to sleep. How Long Should a Pumping Last? In the first few days after birth, most mothers express very small amounts of milk-from a few drops to a few teaspoons-at each pumping.
During this time, a pumping session should last from minutes, which is enough time to stimulate the release of prolactin.
However, after the milk has "come in" several days later, and you produce more than half an ounce at each expression, you should use the pump until your milk has stopped flowing for at least minutes. Also, your breasts need to be emptied as much as possible--meaning that milk flow has stopped-otherwise your body thinks that the milk left in the breasts isn't needed, and less will be produced.
A few mothers say that the milk never "stops" flowing while they pump. As a general rule, you should not pump for more than 30 minutes, even if milk continues to flow. Also, if you pump for this long at each milk expression, you do not need to pump as frequently as a mother who can express her breasts in less time.
What is a "Normal" Amount of Milk? Nearly all mothers of premature babies worry about whether they are producing a "normal" amount of milk. Many things affect the amount of milk a mother produces-especially in the first few days after giving birth.
A mother of a full-term breastfeeding baby produces only about an ounce of milk during the first 24 hours after birth, but by the 3rd or 4th day is making several times that amount. Mothers of prematures frequently take a longer time to go from a few drops to an ounce or more at a pumping.
This condition is referred to as a delayed onset of lactation, and is related more to pregnancy complications-such as bedrest, medications for high blood pressure and premature labor, and Cesarean deliveries-rather than to premature birth itself. No one knows exactly why this is the case, but researchers think that the milk-making hormones or tissues in the breast may be affected temporarily by these complications and medications.
A slower onset of milk production does not necessarily mean that a mother will not make enough milk for her baby-only that it may take her a few extra days in the beginning to catch up with mothers who have had uncomplicated deliveries. Ideally, by the end of the second week of pumping, you'll be producing at least ml about two cups of milk each day. This is the amount of milk that your baby will need at the time of hospital discharge.
Thereafter, you will want to maintain or even increase this amount so that you have enough milk to feed your baby after discharge hospital discharge. Fatigue, pain, and stress-all of which are common among mothers of prematures-cause the body to release a substance that interferes with prolactin. While it may be difficult for you to overcome all of these barriers, most of these do diminish or become more manageable over time.
Some things have been shown to increase the milk supply. First, try to spend as much time in the nursery with your baby as possible during these early days, if that is where you are the most relaxed.
Family members often feel that mothers should stay at home and rest after giving birth prematurely, but mothers report that being separated from their babies causes even greater stress. When you are in the nursery, request a comfortable chair, and use the breast pump at your baby's bedside where you can see and touch your baby. When you are not in the nursery, pump where you can see your baby's picture. If your baby's condition permits, ask to hold your baby in Kangaroo--or skin-to-skin-Care.
Don't be afraid to take pain medications that your doctor has prescribed. These medications can be used safely with breastfeeding, and pain relief is important to milk production. In some instances, prescription medications may be used to stimulate prolactin and increase the milk supply. Typically these medications are used after the second week of lactation, and require a prescription from your obstetrical care provider.
Written by Paula P. Permission granted to distribute for non-commercial purposes For additional questions and for help in transitioning your baby to the breast when the baby is ready, talk to your doctor, the NICU nurse at your hospital, and your IBCLC lactation consultant. For help in in finding a breastpump rental location or breastfeeding professional where you live, visit www.
My story of expressing My daughter was born 8 weeks premature. For her age she was a healthy weight of 2kgs, but to us she was tiny! The day after she was born, a lovely nurse called Jade came along with the hospital pump.
She showed me how to use the machine and so the process began. We started off slow, 10 minutes each breast every four hours and working up to 20 minutes each breast. A day later nothing had come! On the second day, a few drops, and I mean a few appeared! Well the nurse, obviously humouring me, got a syringe and tried to suck up literally 4 drops of milk!
And proudly up I went to ICU with my produce! It was labeled and put in the freezer! They started tube feeding her very slowly at 2mls a feed. Thankfully the milk started coming in faster and I kept up the routine of pumping every 4 hours around the clock. I wish a nurse would have told me then to keep going! In the hospital I felt like my care and the babies care were very separated as she was in ICU. I believe if she'd been in the ward with me, that the one nurse would have been looking after us both and I think it would have been easier.
For me, this was definitely a gap in the system. When I left the hospital, I purchased the Medula Swing and kept pumping away. I struggled to keep up with her demand. It seemed no matter how much I expressed I could get no more then 40ml a go. It was difficult to fit in pumping too. I spoke to the nurse and my mam, and both convinced me it that the baby getting 7 EBM feeds and 1 formula feed a day was still great.
When the baby started with the bottle to get her suck reflex to work, we saw great results. In my hurry to get her home, I left her to her bottles. When our daughter came home, I decided to hire out a hospital grade pump for a couple of months.
I kept going until she was 14 weeks old. At this point she was doing great and I decided to stop expressing as I was exhausted. I'm happy to have been able to provide expressed milk for my daughter at the beginning of her life, yes I would have loved to have kept going but thankfully today she is a happy healthy one year old and absolutely thriving.
Deirde has kindly shared her experience of how she managed to express for 19 months for her son I have always been very pro-breastfeeding and always knew that if I ever had children that I would breastfeed. Right through my pregnancy with my son Gearoid I never ever thought that I would have any problems.
We were landed on the postnatal ward and my husband was asked to leave as it was in the middle of the night.