Breastfeeding - Self-Care

Executive summary about Breastfeeding by Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine

Breastfeeding is an enjoyable and rewarding experience for mothers. Milk, yogurt, and cheese -- eat at least 4 servings. Fruits -- eat 2 to 4 servings.

Nursing mothers need enough fluids to stay hydrated -- most experts recommend drinking enough fluids to satisfy thirst. Breastfeeding mothers can safely eat any foods they like. Some foods may flavor the breast milk, but babies rarely react to this. It is possible that some highly allergenic foods may be passed into breast milk, increasing the risk of a later food allergy in the baby.

Smoking will increase the number of respiratory infections your baby develops. Many medications will pass into the mother's milk. Most breastfeeding women do not have normal menstrual periods. Estrogen-containing birth control pills are not recommended for breastfeeding women, because they may affect milk supply.

Mothers face unique obstacles in maintaining adequate milk supply once they return to work. With planning, commitment, and skilled use of a breast pump, breastfeeding mothers can maintain their milk supply and continue breastfeeding even after returning to work outside the home.

A maternity leave and breastfeeding skills are helpful for establishing your milk supply before returning to work. An ideal work place would provide a private room for breastfeeding moms, with a comfortable chair and an electric breast pump for use by all nursing mothers.

Many women prefer the speed of the electric breast pump. Hospital-quality pumps are available for rent through medical supply stores.

If you plan to return to work, introduce your baby to bottle-feeding at 3 to 4 weeks of age. If the day you return to work arrives and you don't have a freezer full of breast milk, one bottle of formula fed to your baby will be an adequate supplement. After returning to work, express milk 2 a day, every 2 hours to continue exclusively breastfeeding. Be aware, however, that feeding formula decreases the need for breast milk, and your milk supply will decrease accordingly.

Many mothers find that their babies nurse more frequently in the evenings on days they work. If possible, arrange to nurse your baby at lunch time.

How to Clean the Tubes on a Medela Pump

Executive summary about Medela Breast Pump by Anne Kinsey

Medela offers excellent electric breast pumps that are easier to use than manual pumps, and work easier than manually expressing breast milk by hand.

Things you'll need:

1. Medela breast pump

2. Medela tubing

3. Stock pot

4. Water

5. Stove


Instructions:

1. Detach all tubing from your breast pump and run it under cool running water to get most of the milk off of the tubing.

2. Fill your stock pot with water and place it on your stove. Set the heat to high and wait for the water to come to a boil.

3. Carefully lower your breast pump tubing into the boiling water and set a timer for 10 minutes.

4. Remove your stock pot of water from the stove when your timer goes off. Carefully drain the hot water from the pot and rinse the tubing under cool water until it is comfortable to handle.

5. Hang the tubing to dry so that all of the water can run out of it. Make sure that the area is well-ventilated and do not resume use of your tubing until it has fully dried.



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