leading breastfeeding advice

6 Must-read tips for successful expressing

Ultimately, the reason why you are expressing will determine how long you carry on for and/or how much milk is expressed Whether you express to keep your baby guzzling breast milk while you’re at work (or step out), or you express because your little one struggles to breastfeed, we can all agree on one thing… … it’s hard work. Think: Time (so.much.time), fluctuations in milk supply and a million little parts, not to mention bottles, that need to be washed, assembled and kept track of. But, that doesn’t mean it’s not doable – especially if your follow these six tips, courtesy of Vicki Scott (baby feeding and well-being advisor at Philips AVENT): 6 Must-read tips for successful expressing Practice makes perfect – or certainly improves how easily you can express! Try to express at the same time every day for a few days (after baby’s first feed of the day is a good time) Stimulate the let-down reflex before you start to pump, if the milk does not flow very easily. Do this by having a warm bath or gently massaging your breast with the flat of your hand. Good to know: Expressing from one side whilst feeding from the other is effective, as baby does the job of stimulating let-down for you! If using a manual pump, depress the lever as far as is comfortable; hold for a second or two, release, then repeat. Find a rhythm which feels natural – you are trying to mimic your baby suckling at the breast in order for your milk to begin to flow. When your milk begins to flow, slow down the pumping rhythm a little to suit you Continue pumping until the milk flow ceases, then swap to the other side.When flow on the second side ceases, return to the first It may be helpful to continue to gently massage the breast towards the nipple throughout, as this could help with let-down The reason why you are expressing will determine how long you carry on for and/or how much milk is expressed Remember… As with breastfeeding, successful expressing depends on various factors. Being relaxed, comfy and unhurried is key to a successful pumping session! Expressing is not always an accurate indication of how much milk you make– and baby is far more efficient at extracting milk from your breast than a pump is! Author: LARA BESTBIER Writer. Creative. Word-nerd. Aspiring photographer. Oh, and mom to the only little girl more demanding than me. Parenting editor at All4Women (e-mail me at lara@all4women.co.za).

The Benefits of Breastfeeding for Mom and Baby: A Comprehensive Guide

Breastfeeding is more than just a method of feeding; it’s a vital component of maternal and infant health. It provides unmatched nutritional benefits and fosters a unique bond between mother and baby. This guide delves into the myriad benefits of breastfeeding for both mother and child, emphasising its importance for long-term health and well-being. Benefits for the Baby Optimal Nutrition Breast milk is the ideal food for infants. It contains the perfect balance of nutrients that are easily digested and absorbed. Here are some key nutritional benefits: Rich in Antibodies: Breast milk is packed with antibodies, particularly Immunoglobulin A (IgA), which protects against infections by forming a protective layer in the baby’s nose, throat, and digestive system. Complete Nutrition: It contains the right amounts of fat, sugar, water, and protein needed for a baby’s growth and development. Adaptive Composition: The composition of breast milk changes according to the baby’s needs, providing tailored nutrition as the baby grows. Enhanced Immune System Breastfed babies have a stronger immune system due to the antibodies and other immunological factors in breast milk. This leads to: Reduced Illnesses: Lower incidence of respiratory infections, ear infections, and gastrointestinal problems. Protection Against Chronic Conditions: Reduced risk of developing asthma, allergies, and type 1 diabetes. Long-term Health Benefits: Lower likelihood of obesity and type 2 diabetes in later life. Cognitive Development Research indicates that breastfeeding contributes to better cognitive development. The presence of essential fatty acids, such as DHA, in breast milk supports brain development, leading to: Higher IQ Scores: Breastfed children often score higher on intelligence tests. Improved Academic Performance: Enhanced cognitive abilities translate to better academic outcomes in later years. Benefits for the Mother Physical Health Benefits Breastfeeding offers numerous health benefits for mothers, including: Faster Postpartum Recovery: The hormone oxytocin, released during breastfeeding, helps the uterus contract and return to its pre-pregnancy size more quickly, reducing postpartum bleeding. Lower Risk of Certain Cancers: Breastfeeding is associated with a reduced risk of breast and ovarian cancers. The longer a woman breastfeeds, the lower her risk. Reduced Risk of Osteoporosis: Women who breastfeed are less likely to develop osteoporosis and hip fractures in later life. Emotional and Psychological Benefits Breastfeeding also contributes to the mother’s emotional well-being: Bonding with the Baby: The act of breastfeeding fosters a close bond between mother and baby, enhancing emotional attachment and mutual trust. Reduced Risk of Postpartum Depression: The hormonal changes associated with breastfeeding can reduce the risk of postpartum depression. Sense of Accomplishment: Successfully breastfeeding can provide a sense of pride and achievement, boosting maternal self-esteem. Practical Benefits Convenience and Cost Savings Breastfeeding is not only beneficial health-wise but also practical in many ways: Cost-Effective: Breast milk is free, which can save families a significant amount of money compared to formula feeding. Always Available: Breast milk is always at the right temperature and ready to feed, eliminating the need for preparation and warming. Environmental Benefits: Breastfeeding reduces the environmental impact associated with the production, packaging, and transportation of formula. Overcoming Common Challenges Despite its benefits, breastfeeding can come with challenges. Understanding these and knowing how to address them can make the breastfeeding journey smoother. Sore Nipples and Breast Engorgement Proper Latch: Ensuring the baby has a good latch can prevent sore nipples. Frequent Nursing: Regular breastfeeding sessions can help prevent engorgement. Comfort Measures: Using lanolin cream and applying warm compresses can alleviate discomfort. Low Milk Supply Frequent Nursing: Breastfeed often to stimulate milk production. Hydration and Nutrition: Drink plenty of fluids and maintain a balanced diet. Lactation Consultants: Seeking help from a lactation consultant can provide personalised strategies to increase milk supply. Returning to Work Pumping and Storing Milk: Invest in a good-quality breast pump and establish a routine to pump and store milk. Supportive Workplace: Know your rights regarding breastfeeding and pumping at work. Many places require employers to provide time and space for mothers to pump milk. Consistency: Maintain breastfeeding routines when with the baby and pump at regular intervals when apart to keep up milk supply. Tips for Successful Breastfeeding Early Initiation: Start breastfeeding within the first hour after birth to stimulate milk production and encourage the baby’s natural instinct to latch. Skin-to-Skin Contact: This helps regulate the baby’s body temperature and promotes bonding. Seek Support: Join breastfeeding support groups or consult with a lactation consultant for advice and encouragement. Stay Informed: Educate yourself about breastfeeding techniques and challenges. Knowledge is empowering and can help you navigate potential difficulties. Be Patient and Persistent: Both mother and baby need time to learn how to breastfeed effectively. Patience and persistence are key to overcoming initial hurdles. Conclusion Breastfeeding is a powerful practice with profound benefits for both mother and baby. It offers optimal nutrition, strengthens the baby’s immune system, and enhances cognitive development. For mothers, it supports physical recovery, reduces the risk of certain diseases, and fosters emotional well-being. Despite potential challenges, the practical benefits and long-term health advantages make breastfeeding a valuable choice for many families. By understanding these benefits and seeking the necessary support, mothers can successfully navigate their breastfeeding journey, ensuring a healthy start for their babies and themselves.

Tips for Breastfeeding in Public: Confidence and Comfort

Breastfeeding is a natural and healthy way to feed your baby, but doing so in public can be a daunting experience for many mothers. Concerns about privacy, societal judgment, and personal comfort can create anxiety, making it challenging to breastfeed confidently outside the home. This article provides tips to help breastfeeding mothers in South Africa feel more comfortable and confident when breastfeeding in public, ensuring a positive experience for both mother and baby. Understanding Your Rights Before diving into practical tips, it’s essential to understand your legal rights regarding breastfeeding in public. In South Africa, the law protects the right to breastfeed in public spaces. According to the South African Department of Health, mothers are encouraged to breastfeed their children wherever and whenever needed. Knowing and understanding these rights can empower you and reduce anxiety about potential confrontations or negative reactions. Choose Comfortable Clothing One of the most practical steps to increase comfort while breastfeeding in public is choosing the right clothing. There are several options designed to make breastfeeding easier and more discreet: Nursing Tops and Dresses: These garments have hidden openings or panels that allow easy access for breastfeeding without exposing too much skin. Button-Down Shirts: These provide quick access to the breast and can be paired with a nursing bra for additional convenience. Nursing Bras: These bras have cups that can be easily unclipped and folded down, making breastfeeding more straightforward and comfortable. Choosing clothing that you feel comfortable and confident in can significantly impact your breastfeeding experience in public. Practice at Home Practicing breastfeeding at home can help you feel more confident when you need to do it in public. Find a comfortable position and practice using any nursing covers or specific clothing items you plan to wear outside. This practice can help you become more adept at handling your baby and adjusting your clothing discreetly. Use a Nursing Cover or Blanket If you prefer more privacy while breastfeeding in public, a nursing cover or blanket can be helpful. These covers are designed to drape over your shoulder and provide a barrier between you and the public. Some nursing covers even have adjustable necklines, allowing you to maintain eye contact with your baby while ensuring privacy. While nursing covers can provide a sense of security, it’s important to remember that they are not necessary for everyone. Some mothers and babies find them uncomfortable or restrictive. Choose what works best for you and your baby. Find a Comfortable Spot When breastfeeding in public, finding a comfortable and relatively private spot can make the experience more enjoyable. Many public places now offer designated nursing rooms or areas specifically designed for breastfeeding mothers. If these are not available, look for quieter, less crowded spots where you can sit comfortably. Some places to consider include: Cafes or Restaurants: Many establishments are breastfeeding-friendly and may have a quiet corner where you can nurse your baby. Parks: A bench under a tree can provide a peaceful spot for breastfeeding. Stores with Fitting Rooms: These can offer privacy if you feel uncomfortable breastfeeding in a more open area. Responding to Public Reactions Despite the increasing acceptance of breastfeeding in public, you may still encounter negative reactions or comments. Knowing how to respond can help you stay confident and calm. Here are some tips: Stay Calm and Polite: If someone confronts you, respond calmly and politely. You can inform them that you have the legal right to breastfeed in public. Focus on Your Baby: Remember that your baby’s needs come first. If you encounter negativity, focus on your baby and try not to let it affect your confidence. Have a Response Ready: Prepare a simple, respectful response in case someone comments on your breastfeeding. Something like, “I’m just feeding my baby. Thank you for understanding,” can be effective. Build a Support Network Having a support network can significantly boost your confidence when breastfeeding in public. Connect with other breastfeeding mothers through local support groups, online forums, or social media. Sharing experiences, tips, and encouragement with others who understand what you’re going through can be incredibly empowering. Educate Yourself and Others Education plays a crucial role in normalising breastfeeding in public. The more informed you are about the benefits of breastfeeding and your rights, the more confident you will feel. Additionally, by educating those around you, you can help create a more supportive environment. Share Information: Share articles, research, and personal stories about breastfeeding with family and friends to help them understand its importance. Advocate for Breastfeeding-Friendly Spaces: Encourage local businesses and public spaces to provide designated breastfeeding areas and support breastfeeding mothers. Use Distraction Techniques If your baby is easily distracted by the environment when breastfeeding in public, consider using distraction techniques to keep them focused. Some strategies include: Maintaining Eye Contact: Making eye contact with your baby can help them stay focused on breastfeeding. Covering Your Baby’s Head: A lightweight blanket or nursing cover can block out visual distractions and help your baby concentrate on feeding. Stay Hydrated and Nourished Breastfeeding can be physically demanding, so it’s essential to stay hydrated and well-nourished. Carry a water bottle and healthy snacks with you when you go out. Staying hydrated and maintaining your energy levels will help you feel better and more confident while breastfeeding in public. Practice Self-Care Finally, don’t forget to take care of yourself. Being a new mother can be overwhelming, and it’s important to prioritise self-care. Make time for activities that help you relax and recharge, whether it’s taking a walk, reading a book, or spending time with loved ones. The more relaxed and confident you feel, the more comfortable you’ll be breastfeeding in public. Conclusion Breastfeeding in public can be a positive and empowering experience with the right preparation and mindset. By understanding your rights, choosing comfortable clothing, practicing at home, and finding supportive environments, you can build the confidence needed to nurse your baby wherever you go. Remember that breastfeeding is a natural and essential part of motherhood,

The Importance of Keeping a Breastfeeding Log

Keeping a record of your breastfeeding may seem time-consuming. Not only do you need to feed your baby, but you also need to document the entire process! However, maintaining a detailed breastfeeding log has significant benefits. A record of your feeds can provide valuable insights. The most crucial benefit is the ability to track your baby’s overall health and development. This article highlights the essential metrics to monitor and how they can benefit both you and your baby in the long run. Read on to learn about the art of keeping a breastfeeding record and discover the secrets it holds for you today. Why You Need to Record Your Breastfeeding As a parent, any information you can gather about your child’s development is invaluable. A breastfeeding log book is a vital tool that helps you document your baby’s feeding habits. This allows you to spot any potential issues early on by becoming familiar with your child’s eating patterns. Moreover, a breastfeeding record isn’t just helpful for you. It can also be crucial for others who may take over caring for your baby. When you return to work, this log can provide your nanny or daycare center with essential information about your baby’s eating habits. They will know when to feed your baby, how much to feed them, and how often to change them throughout the day. Key Metrics to Document in Your Breastfeeding Log Here are the top five metrics to track when you begin recording your breastfeeding patterns: 1. Frequency of Feeds Recording how often your baby feeds helps in two ways: it lets you know your baby’s feeding frequency and helps you create a feeding schedule. Understanding how much your baby feeds will give you an idea of the milk supply you need. Your body naturally adjusts to produce the right amount of milk for your baby, but keeping a log helps you know how much to express and store for times when you may not be available. Top Tip: Remember, your breast milk can be frozen without losing its nutritional value and used later. Tracking feeding habits also helps you establish a schedule, making it easier to anticipate when your baby will get hungry. This helps you plan your activities around feeding times and provides other caregivers with valuable information on when to feed your baby. 2. Duration of Feeds Knowing how long your baby feeds is another useful piece of information. It helps you determine how many minutes to set aside per feed and how many minutes your baby spends on each breast. This information is crucial when you start expressing milk and need to know how long to pump each breast. 3. Diaper Output Track the number of soiled diapers your baby produces daily. This data is essential for monitoring your baby’s health, as a sudden increase or decrease in soiled diapers can indicate potential health issues. Keep track of both wet and dirty diapers to monitor your child’s digestive health. 4. Baby’s Weight Record your baby’s weight in your breastfeeding log. The general guideline is to weigh your baby every five days during the first two weeks, then once a month from two weeks to six months. For accuracy, it’s best to have your baby weighed by a doctor. Tracking weight gain or loss helps you monitor your baby’s growth. Significant weight fluctuations can be a sign of underlying issues that need medical attention. 5. Your Own Well-being Lastly, note how you feel after feeding, particularly how your breasts feel. If one breast feels fuller, you may need to express milk from it. Monitoring your breasts can help you recognise what feels normal and detect any changes that might require a doctor’s consultation. How to Keep a Record of Your Breastfeeding Cycles Documenting your breastfeeding sessions is straightforward. Here are a few methods: Write in a notebook Make digital notes on your phone Use a dedicated feeding log book Setting up a template for daily records can save time and ensure you don’t miss any key information points. Maintaining a breastfeeding log might seem like an additional task, but its benefits far outweigh the effort. It not only helps you monitor your baby’s health but also provides valuable information to other caregivers, ensuring your baby receives consistent and accurate care.

A Comprehensive Guide to Medela Breast Pumps

Breastfeeding is vital to infant health, and Medela, a leader in breastfeeding solutions, offers a range of breast pumps to support mothers in their breastfeeding journey. Understanding the different types of Medela breast pumps can help mothers choose the best option for their needs. This guide provides an overview of four popular Medela breast pumps: Harmony, Solo, Swing Maxi, and Hands-Free Freestyle. 1. Medela Harmony Breast Pump  Type: Single Manual Overview: The Medela Harmony is a manual breast pump designed for occasional use. It is a great option for mothers who prefer a hands-on approach to expressing milk or need a backup pump for travel or emergencies. Features: 2-Phase Expression Technology: Mimics a baby’s natural nursing pattern with a two-phase pumping rhythm: stimulation and expression. The stimulation phase helps initiate milk flow, while the expression phase helps extract milk more efficiently. Lightweight and Portable: Easy to carry and use wherever needed, making it convenient for occasional pumping. Ergonomic Handle: Designed for comfortable use with a user-friendly handle that reduces hand fatigue. Compatibility: Works with Medela’s wide range of bottles and accessories. Benefits No need for batteries or electricity. Simple to clean and assemble. Affordable and cost-effective. 2. Solo Single Electric Breast Pump Type: Single Electric Overview: The Medela Solo is a compact and efficient single-electric breast pump designed for mothers who pump regularly but prefer a streamlined device.  Features: 2-Phase Expression Technology: Features the same dual-phase technology as the Harmony for effective milk extraction. Rechargeable Battery: Offers flexibility with a rechargeable battery that provides up to 6 pumping sessions per charge. Compact Design: Lightweight and easy to carry, with a modern design that fits comfortably in a diaper bag or purse. Adjustable Settings: Multiple suction and speed settings to customize the pumping experience. Benefits Portability and convenience with a rechargeable battery. Efficient and effective for regular use. Quiet operation for discreet pumping. 3. Medela Swing Maxi Breast Pump  Type: Double Electric Overview: The Medela Swing Maxi is a double electric breast pump designed for mothers who need to pump both breasts simultaneously, which can significantly reduce pumping time and increase milk output. Features: 2-Phase Expression Technology: Utilizes the same technology as other Medela pumps to enhance milk flow. Double Pumping: Allows for simultaneous pumping, making it more efficient for busy mothers. Portable and Compact: Although it is a double pump, it remains relatively compact and easy to transport. Adjustable Settings: Offers customizable suction and speed settings for a personalized pumping experience. Benefits: Efficient double pumping saves time. Portable and easy to use. Can be used with a variety of Medela accessories. 4. Medela Hands-Free Freestyle Breast Pump  Type: Double Electric, Hands-Free Overview: The Medela Hands-Free Freestyle is a cutting-edge double electric breast pump designed for maximum convenience and freedom. It allows mothers to pump while going about their daily activities, thanks to its hands-free design. Features: 2-Phase Expression Technology: Continues to use Medela’s effective dual-phase technology for optimal milk extraction. Hands-Free Design: Comes with a hands-free pumping bra and can be worn comfortably under clothing, allowing mothers to multitask. Rechargeable Battery: Offers up to 2 hours of pumping time on a single charge. Compact and Lightweight: The pump is small and lightweight, making it easy to carry around. Benefits: Ultimate convenience with hands-free operation. Allows for multitasking while pumping. Rechargeable and portable. Choosing the right breast pump depends on individual needs and preferences. The Medela Harmony is ideal for occasional use, while the Solo offers a compact and efficient solution for regular pumping. The Swing Maxi provides the benefits of double pumping, and the Hands-Free Freestyle is perfect for mothers seeking the utmost convenience. Each pump has its unique advantages, and understanding these can help mothers select the best tool to support their breastfeeding journey.

How to store, freeze and thaw breast milk

Expressed breast milk is the best food for your baby to have when you’re not there. So how do you store and use your milk safely? If you’re returning to work, heading to a gym class or simply want your partner to give a feed so you can catch up on some sleep, you can express your breast milk and store it for your baby to have when you’re not around. Expressed milk keeps most of its health-giving benefits, so if you have to miss a feed, it’s far better for your baby than any type of formula. But good hygiene is vital to ensure that stored milk is safe for your baby – read on to find out how to store breast milk properly. Which Breast Milk Storage Method Is Best? Breast milk is better for your baby than formula – but freshly expressed breast milk is preferable to refrigerated, and refrigerated is better than frozen. That’s because freshly expressed milk has the best bacteria-fighting properties and is higher in antioxidants, vitamins and fat than milk that has been refrigerated or frozen.4 Storage Guidelines For Freshly Expressed Breast Milk (For Healthy Term Babies)2,3: If you have expressed breast milk cleanly and safely, you can store it at room temperature, in the fridge, or in the freezer, depending on how soon you want to use it. Follow this storage location and temperatures guidelines for freshly expressed breast milk (for healthy term babies)2,3: Storage place Room temperature 16 °C to 25 °C (60 °F to 77 °F) Refrigerator 4 °C (39 °F) or colder Freezer -18 °C (0 °F ) or colder Previously frozen breast milk thawed in the refrigerator Safe storage time Up to four hours is bestUp to six hours for milk expressed under very clean conditions* Up to three days is bestUp to five days for milk expressed under very clean conditions* Up to six months is bestUp to nine months for milk expressed under very clean conditions* Up to two hours at room temperatureUp to 24 hours in the refrigeratorDo not refreeze * Very clean conditions means rigorously following the guidance in our article on cleaning and sanitising your breast pump.These guidelines for storing and defrosting breast milk are a recommendation – contact your lactation consultant or breastfeeding specialist for further information. If your baby is in a neonatal intensive care unit (NICU) or special care ward, your hospital may have stricter recommendations for cleaning and storage. If you’re refrigerating or freezing expressed milk, always label the bottles or bags with the amount and the date it was pumped, so you can track and manage your stored milk. Guidelines For Using Expressed Breast Milk Stored breast milk tends to separate into layers, with the fat (cream) rising to the top. Gently swirl the bottle to mix the layers before feeding your baby. Vigorous stirring or shaking can damage some of the milk’s nutritional and protective components.5 When your baby feeds on expressed breast milk from a cup or bottle, bacteria from his mouth can naturally end up in the milk. For this reason, it’s best to throw away any leftover, partly drunk milk within one to two hours of his initial feed. To avoid wasting expressed milk, it’s always a good idea to store it in small amounts, and only use what you need.2 How To Store Breast Milk In The Refrigerator2,3 Follow these guidelines to store expressed milk safely in the fridge: Refrigerate your breast milk as soon as possible after expressing. Store your milk in clean breast milk bottles or storage bags  made from BPA-free materials. BPA is a chemical that was previously widely used in plastic containers and coatings, which many manufacturers are phasing out due to its uncertain long-term effects. Small amounts of expressed milk may be added to the same refrigerated container, provided the milk you want to add is cooled in the fridge beforehand. Don’t add body-temperature milk to already cooled milk. Store breast milk in the coldest part of the fridge – at the back, on the shelf above the vegetable compartment. Don’t keep it in the fridge door where the temperature is less consistent. How To Store Breast Milk In The Freezer2,3 Read on for how to freeze breast milk safely: Freeze your breast milk as soon as possible after expressing. Expressed milk may be added to already frozen breast milk, provided the milk you want to add is cooled in the fridge beforehand. Don’t add body-temperature milk to frozen milk. For easier thawing and minimal wastage, store your milk in small portions (less than 60 ml). These can be combined after defrosting. Check that your breast milk storage containers can be used in the freezer – some products (such as glass bottles) may crack at very low temperatures. Medela breast milk storage bags are ideal for storing frozen breast milk as they’re freezer-proof, ready to be used and easy to label. Don’t fill bottles or bags more than three-quarters full, as breast milk expands during freezing. Store frozen breast milk at the back of the freezer where the temperature is most consistent. Keep it away from the walls of self-defrosting freezers. How To Defrost Breast Milk2,3 Take care when defrosting breast milk to make sure it’s safe for your baby: Breast milk can be defrosted in the fridge, normally in around 12 hours. Alternatively, hold the bottle or bag of frozen milk under warm running water (a maximum of 37 °C or 99 °F). Don’t leave frozen breast milk to defrost at room temperature. Once fully thawed, previously frozen breast milk may be kept at room temperature for a maximum of two hours or in the refrigerator for up to 24 hours. Don’t thaw or heat frozen breast milk in a microwave or in boiling water. These can damage its nutritional and protective properties and create hot spots that could scald your baby. Thawed breast milk left at room temperature should be fed to your baby within two hours or thrown away. Never re-freeze breast milk once thawed. How To Warm Your Stored Breast Milk2,3 Healthy, full-term

Breastfeeding Awareness

With Breastfeeding Awareness Week (1-7 August 2024) coming up, mothers face a multifaceted journey. They encounter common challenges such as latching difficulties, lack of support, and workplace obstacles. This week aims to shift the stigma surrounding breastfeeding and formula feeding, highlight the critical role of support networks, and explore solutions to these challenges. Why Mothers Stop Breastfeeding Breastfeeding is often portrayed as a natural and straightforward process, but many mothers face significant hurdles that lead to early cessation. Among the most common reasons are: Latching Difficulties: A proper latch is crucial for effective breastfeeding, yet many infants struggle to latch correctly. This can result in pain for the mother and insufficient milk transfer for the baby. Latching issues often stem from anatomical challenges, lack of immediate postnatal support, or both. Lack of Support: Successful breastfeeding requires a supportive environment. Without encouragement from family, friends, and healthcare providers, mothers may feel isolated and overwhelmed. Community support, breastfeeding groups, and access to lactation consultants are vital for sustaining breastfeeding practices. Returning to Work: The transition back to the workforce is a significant barrier. Without adequate facilities for pumping and storing milk, and without flexible schedules, many mothers find it difficult to maintain their breastfeeding routine. Concerns about Milk Supply: Many mothers worry about their milk supply being insufficient. This concern can be fuelled by societal pressures, misinformation, or a lack of visible milk during pumping sessions. Understanding normal feeding patterns and growth indicators can alleviate these concerns. Shifting the Stigma Breastfeeding is a personal journey that can vary greatly from one mother to another. Some may breastfeed for a short time, while others may continue for years. It’s important to recognise and normalise this variability. There is a societal stigma attached to not breastfeeding, often exacerbated by the phrase “breast is best.” While breastfeeding has many benefits, it is essential to acknowledge that fed is best. Formula feeding can be a healthy alternative, providing necessary nutrients and allowing mothers who cannot or choose not to breastfeed to ensure their babies are well-nourished. High-quality formula products are designed to closely mimic breast milk, supporting infant growth and development. Supporting mothers means respecting their choices and providing the resources they need to nurture their babies. Importance of Support & Men as Breastfeeding Champions Support networks play a crucial role in helping mothers achieve their breastfeeding goals. Lactation consultants and healthcare providers offer invaluable assistance in overcoming breastfeeding challenges. Additionally, fathers and partners can be powerful advocates, providing emotional and practical support that enhances the breastfeeding experience. By being present, encouraging, and helping with tasks that ease the mother’s burden, partners can significantly contribute to a successful breastfeeding journey. Workplace Challenges Returning to work presents unique challenges for breastfeeding mothers. Employers can support breastfeeding by providing lactation rooms, scheduled pumping breaks, and flexible working hours. These accommodations help mothers continue breastfeeding without compromising their work responsibilities, fostering a more inclusive and supportive workplace environment. Relevant Statistics and Benefits of Breastfeeding According to the World Health Organisation (WHO): Globally, rates of exclusive breastfeeding in the first six months of life have increased by 10 percentage points over the past decade, reaching 48% in 2023, nearing the World Health Assembly target of 50% by 2025. Significant progress is observed across various regions, with 22 countries in Africa, Asia, Europe, and Oceania documenting increases of more than ten percentage points in exclusive breastfeeding since 2017. Breastfeeding offers numerous benefits, including optimal nutrition, immune support, and bonding opportunities between mother and baby. It also contributes to the mother’s health, reducing the risk of certain cancers and postpartum depression. Progress and Challenges While global rates of exclusive breastfeeding are improving, many mothers still face barriers, especially in the workplace. We call on policymakers to prioritise breastfeeding rights and support initiatives that enable mothers to breastfeed without barriers. As Breastfeeding Awareness Week approaches, it’s important to reflect on the diverse experiences of breastfeeding mothers. By understanding the challenges they face, shifting societal perceptions, and providing robust support networks, we can create a more supportive and empathetic environment for all mothers. Vital Baby is proud to contribute to this cause by offering support and innovative products designed to aid mothers throughout their breastfeeding journey. Let’s work together to normalise this journey, celebrate every mother’s choice, and ensure that all babies receive the nourishment they need. 

ADVANCING EQUITY – BREASTFEEDING SUPPORT FOR ALL

South Africa is one of the most unequal countries in the world, and this is tragically evident in the nutritional status of millions of our children.  However, breastfeeding has the power to be an equaliser ensuring that no child is left behind when it comes to optimal health and development. Despite widespread promotion of the many benefits of breastfeeding, these rates remain low in South Africa. The country has solid policies in place and progressive legislation for infant and young child nutrition, although these are not often implemented and monitored consistently and effectively. Perhaps, though more critically, there’s a lack of a groundswell of support for all breastfeeding moms in our homes, workplaces and communities. According to the World Health Organisation (WHO) guidelines for maternal and infant health, babies should be breastfed exclusively for the first 6 months of life.  After that mothers are encouraged to breastfeed on an ongoing basis as solid foods are gradually introduced from six months. The evidence-based health benefits are clear – improved maternal and child health, reduced household food costs, reduced national healthcare costs and improved child well-being and development. There are a range of reasons why mothers either do not start breastfeeding or give it up prematurely.  Sometimes, there are medical reasons that cannot be prevented.  But mostly, moms experience barriers and obstacles that they cannot overcome on their own and they do not get the right support at the right time. Spokesperson for the Association for Dietetics in South Africa (ADSA) , Tsholofelo Mohloane, a Registered Dietitian and Lactation Consultant says, “I do much of my work at a public hospital and I am always encountering mothers who struggle with solvable issues such as perceived low breast milk supply, sore nipples, engorged breasts, improper breastfeeding positions and little to no knowledge of the importance and benefits of breastfeeding, leading to mothers opting for breastmilk substitutes. So, we must address the lack of educated support for breastfeeding moms in the healthcare system, especially for women in under-resourced communities.  However, the issue is much wider than this. There’s also a lack of support for breastfeeding in homes, families and communities. While workplaces have policies in place to support breastfeeding mothers who have returned to work, reports of women resorting to expressing milk in their cars or toilet cubicles during lunch breaks highlight a lack of adequate support. Failure to provide clean, private facilities and adhere to legal requirements for additional breaks undermines these policies and can discourage breastfeeding mothers from continuing. Employers must ensure they fulfil their obligations to create a supportive environment that enables all breastfeeding employees to express milk comfortably and safely. It is a clear lack of support when employers do not make facilities available and fail to adhere to the legal guidance to provide breastfeeding workers additional breaks every day to express milk. In broader society, there are judgements made, and moms are frequently shamed for needing to feed anywhere, any time.  All of this can be tremendously discouraging and stressful for a new mom, and moms sometimes feel that there is no other option than to bottle-feed with commercial milk formula.  But in terms of health, child development and healthcare costs, we pay a high price as a country for failing to wholeheartedly support and encourage all our breastfeeding moms.” World Breastfeeding Week is celebrated every year from 1 to 7 August.  In 2024, the theme is Closing the Gap: Breastfeeding Support for All. ADSA spokesperson, Professor Lisanne du Plessis, a leading academic from Stellenbosch University focused on Public Health and Community Nutrition sets some of the key campaign messages in a South African context: Support for women to breastfeed anytime, anywhere, so that it is normalised and not censured in public life – “In my opinion, the barriers to breastfeeding are not cultural issues, but societal,” says Prof du Plessis. “This includes unsupportive workplaces and public spaces, lack of or poorly implemented maternity protection policies, ignorance about correct breastfeeding practices, lack of access to lactation support and social perceptions about women’s roles.  Mothers need to be supported to nourish and nurture their babies, and their partners, own mothers, mothers-in-law, grandmothers and the broader family and community should be educated on how to support breastfeeding mothers and about the dangers of introducing commercial milk formula unnecessarily.” Effective maternity entitlements that do not force women to choose between their families and their work – “For South Africa the changes I would advocate for here include a breastfeeding policy in every workplace. This can ensure that the necessary sensitisation is created about mothers’ needs and employers’ human resource obligations.  Provision of a private, hygienic space to breastfeed or express, and the resources to safely store breastmilk are essential in every workplace. The provision of educational material or access to a professional breastfeeding consultant can create the necessary support for mothers to ensure continued breastfeeding once they have returned to work.” An end to exploitative baby-milk promotions in all contexts – “The Lancet Series on Breastfeeding of 2023 explicitly shows that commercial milk formula companies use perverse and exploitive marketing and promotional methods to drive the demand for their products. These tactics continue to undermine breastfeeding and contribute to millions of women not breastfeeding as recommended, which results in infant and young child illness and death. The Global Nutrition report of 2018 stated that just 35 of 194 countries have laws to cover all areas of commercial infant formula, while a further 96 are partially covered. Despite some efforts to stop the harmful promotion of commercial milk formula, countries are still falling short in protecting parents from misleading information. South Africa has progressive legislation to curb the promotion and marketing of commercial milk formula through Regulation 991.  However, the capacities to enforce the law and follow-through on transgressions are limited. Many of these offences are also subtle and happen online, where it is difficult to monitor. The current loopholes that industry has found in SA Regulation 991 should be amended and more

How to use a Medela breast pump: 12 top tips

Learning how to use a breast pump can take time and dedication but is well worth the effort. Read our expert breast-pumping tips to help set you on the path to successfully expressing yourself. 1: There’s No Need To Rush To Start Pumping… In the first four weeks, you and your baby work together to initiate and build your milk supply. If your baby is healthy and breastfeeding is going well, you won’t need a pump to help with this. Pumping is, however, really helpful if you need to be apart from your baby any time (see tip below). If not, enjoy this time with your baby and be reassured that even if you plan to pump regularly in future, there’s no need to ‘train’ your body to express milk in the first few weeks. 2: …Unless Your Baby Is Unable To Breastfeed If your baby can’t feed directly from the breast, perhaps because she’s premature or has special needs, or you are separated for any reason, start double pumping breast milk as soon as you can after the birth. Research shows that starting to express within the first few hours (when a healthy newborn would usually have her first breastfeed) helps mums produce a higher volume of milk in the early days and weeks,1,2 giving their babies the best chance of being fed exclusively on mother’s milk. If you’re expecting your baby (or babies) to be born pre-term, in need of intensive care, or to have a condition that might make breastfeeding difficult, prepare yourself. Learn about expressing, source equipment you might need, and ask a healthcare professional, lactation consultant or breastfeeding specialist for support. There will probably be a hospital-grade double breast pump at your hospital or birth facility, so ask staff to show you how to use it. It’s important to remove milk from your breasts whenever your baby would normally drink – this means your breasts will still get the message to make milk. Aim for eight to 10 pumping sessions every 24 hours at first,3 and continue this frequency once your milk comes in. 3: Time It Right For your first breast-pumping session, express for at least 15 minutes. Don’t worry if you don’t collect much milk at first – regular extra suction should soon stimulate your breasts to produce more milk. Some mums find pumping one hour after a feed gives the greatest milk yield, others prefer to pump straight after every second feed – try expressing at different times to see when best fits your lifestyle. When you find times that work for you, stick with them so your body gets used to your breast pump use and the extra demand on your milk supply. You may be tempted to extend the time between expressions in a bid to collect larger volumes of milk. However, if you wait until your breasts are full one pumping session won’t drain them very well,3,4 so the key is to pump frequently and regularly. 4: Be Hygienic Always wash your hands before and after breast pumping, and clean any pump parts that have been in contact with your milk or your baby’s mouth. You will also need to sanitise them after cleaning at least once a day. Be sure to allow all the pieces to completely dry and you can then store the pump set in a clear bag or container until next use. 5: Be Prepared To avoid interrupting your breast-pumping session, have everything you need close by before you start. You might want a drink and snack, your phone or TV remote, bottles or milk storage bags for your expressed milk, and a muslin cloth to soak up any drips. A specially designed breast pumping bra allows you to keep your hands free, making it much easier to operate the controls and do other things while you express. 6: Make Yourself Comfortable The best position for pumping is one in which you feel at ease. Being relaxed is essential for the release of the hormone oxytocin, which stimulates your let-down reflex. Discomfort and distractions can hamper this process,5 so choose somewhere private and comfortable, and make sure your arms and back are well supported as you pump. If you’re not using a pumping bra, hold your breast shield between your thumb and index finger, and use your palm and other fingers to support your breast. Hold the breast shield gently against the breast – pressing too hard could compress your breast tissue and obstruct milk flow. Some mums find deep breathing, soothing music, visualisation techniques, or having their partner massage their back and shoulders, can help them express more milk. 7: Kick-Start Your Let Down Most Medela electric and battery-operated breast pumps have 2-Phase Expression technology, which mimics the way your baby feeds (with fast, light sucking followed by slower and stronger sucks), to help trigger your let down. Massaging your breasts before and during pumping,6 as well as warming your breasts7 by applying a warm compress (such as a flannel) on them before expressing has been shown to help stimulate your milk flow and increase the amount you collect. Scientists have discovered that having skin-to-skin contact with your baby before and during pumping can help you express more milk too.8 This is because the warmth and touch of your baby’s skin against yours releases oxytocin in your body.9 In fact, some mums find expressing works best if they feed their baby from the other breast while they pump because of the extra stimulation. If your baby isn’t with you, try looking at a photo or video of her, or smelling an item of her clothing, while you express.10 Being able to connect with your baby at the same time as pumping is another way to raise your oxytocin level and help get your milk flowing. 8: Take Advantage Of Your Milk Flow Many mothers don’t sense their let down, so watch out for it as you pump. When you start to see jets of breast milk squirting into the collection bottle or bag, you’ll know it’s happening.11 If you’re using a breast pump with 2-Phase Expression technology, it will have a stimulation mode

Unlocking the Power of Breastfeeding with Medela

Breastfeeding is one of the most intimate and rewarding experiences for a mother and her baby. Tt can however sometimes be challenging to find the right products to support this journey. Medela is committed to providing innovative and reliable breastfeeding solutions to ensure that every mother can enjoy this special bonding time.  Medela’s range of breast pumps covers all the potential needs of breastfeeding mums: from initiating breastfeeding for a prematurely born baby with the highest-standard, hospital-grade breast pump Symphony (available to rent), to expressing milk to cover the odd night out with the high-performance manual pump Harmony, to exclusive expressing with our Freestyle Hands-free pump. All Medela breast pumps feature 2-Phase Expression™ technology, which mimics babies’ natural sucking rhythms, allowing mums to express more breast milk in less time. Medela Freestyle Hands-Free Double Electric Breast Pump For the modern, on-the-go mom, the Medela Freestyle Hands-Free Double Electric Breast Pump is a game-changer. This pump is designed to provide maximum flexibility, allowing moms to pump hands-free while continuing with their daily activities. The lightweight, compact design is perfect for busy moms who need to pump at work, home, or on the move. With its double pumping feature, it significantly reduces the time needed for each expressing  session. The Freestyle also  has a rechargeable battery and a digital display, ensuring you have everything you need for a seamless pumping experience. Medela Swing Maxi Double Electric Breast Pump The Medela Swing Maxi Double Electric Breast Pump is another excellent choice for moms seeking efficiency and comfort. This double electric breast pump is designed to express milk from both breasts simultaneously, saving valuable time and increasing milk production. Its compact and portable design makes it ideal for both home and travel use. The Swing Maxi is equipped with Medela’s 2-Phase Expression technology, which mimics a baby’s natural sucking rhythm, ensuring maximum comfort and efficiency. Whether you’re at home or on the go, the Swing Maxi makes the breastfeeding journey smoother and more manageable. Medela Solo Electric Single Breast Pump For moms who prefer a single pump, the Medela Solo Electric Single Breast Pump is a great option. It offers simplicity and ease of use with its compact design and intuitive controls. The Solo features Medela’s 2-Phase Expression technology, which mimics babies’ natural sucking rhythm. This pump is perfect for moms who need a reliable, efficient option for occasional pumping. Its lightweight and portable nature ensures you can take it anywhere, whether you’re at home, at work, or traveling. Medela Harmony Manual Breast Pump The Medela Harmony Manual Breast Pump is a fantastic option for moms who prefer a more traditional, manual pumping method. This lightweight and portable pump is ideal for occasional use and provides a quiet, discreet pumping experience. The Harmony features Medela’s 2-Phase Expression technology, allowing you to switch between stimulation and expression phases easily. It’s perfect for moms who need a backup pump or prefer manual expression for comfort and control. Medela South Africa is dedicated to supporting moms on their breastfeeding journey by offering a range of high-quality, innovative breast pumps. Whether you need the hands-free convenience of the Freestyle Hands-Free, the efficiency of the Swing Maxi, the simplicity of the Solo, or the control of the Harmony, Medela has a solution that fits your lifestyle.  You can hire a Medela Symphony Hospital Grade Breast Pump for 4 weeks for ONLY R999.00. Contact Lorraine at LSekgetle@sunpac.co.za or 011 445 3300 and jump onto your breast-pumping journey with us.  For more information about these products and to find the right pump for you, visit Medela South Africa’s website Medela breast pumps are available at selected Dis-Chem, Baby City Clicks, Takealot, Fedisbest.

The Ultimate Guide to Successful Breastfeeding

Breastfeeding is a natural process that provides numerous benefits for both the mother and the baby. It’s a unique experience that fosters bonding while delivering essential nutrients to the infant. Despite its naturalness, breastfeeding can be challenging, and new mothers often need support and guidance to navigate this journey successfully. This article explores the benefits, techniques, challenges, and tips for successful breastfeeding. Benefits of Breastfeeding Nutritional Superiority Breast milk is often referred to as the “gold standard” for infant nutrition. It contains the perfect balance of nutrients that a baby needs for growth and development. These nutrients include proteins, fats, vitamins, and minerals in forms that are easily digestible and absorbed by the infant’s developing system. Additionally, breast milk contains antibodies that help protect the baby from infections and diseases. Health Benefits for the Baby Immune System Boost: Breast milk contains immunoglobulins, particularly IgA, which help build the infant’s immune system. This reduces the risk of respiratory infections, diarrhoea, and other infectious diseases. Reduced Risk of Chronic Conditions: Breastfed babies have a lower risk of developing chronic conditions such as asthma, obesity, and type 2 diabetes later in life. Enhanced Cognitive Development: Studies suggest that breastfeeding is associated with higher IQ scores and better academic performance as the child grows. Health Benefits for the Mother Promotes Bonding: The act of breastfeeding releases oxytocin, a hormone that enhances bonding between the mother and her baby. Reduces Risk of Certain Cancers: Breastfeeding has been shown to lower the risk of breast and ovarian cancers in mothers. Assists in Postpartum Recovery: Breastfeeding helps the uterus contract back to its pre-pregnancy size more quickly and can reduce postpartum bleeding. Techniques for Successful Breastfeeding Getting Started Initiate Early: It’s recommended to start breastfeeding within the first hour after birth. This practice, known as the “golden hour,” encourages the baby’s instinct to latch and helps establish milk supply. Proper Positioning: Finding a comfortable position is crucial for both mother and baby. Common positions include the cradle hold, cross-cradle hold, and football hold. Each mother and baby pair may have a preferred position that works best for them. Ensuring a Good Latch A good latch is essential for effective breastfeeding and to prevent nipple pain. Here are the steps to ensure a proper latch: Align the Baby’s Nose with the Nipple: This encourages the baby to open their mouth wide. Support the Baby’s Head and Shoulders: Bring the baby to the breast, not the breast to the baby. Look for Signs of a Good Latch: The baby’s mouth should cover a large part of the areola, not just the nipple. You should see rhythmic sucking and hear swallowing sounds. Overcoming Common Challenges Sore Nipples Sore nipples are a common issue for new mothers. To alleviate this: Ensure Proper Latch: Make sure the baby is latched correctly. Use Lanolin Cream: Apply lanolin cream to soothe and protect the nipples. Air Dry: Allow nipples to air dry after feedings to prevent further irritation. Low Milk Supply Concerns about milk supply are frequent among breastfeeding mothers. Here are some tips to boost milk production: Frequent Nursing: Breastfeed often to stimulate milk production. Stay Hydrated and Nourished: Drink plenty of water and eat a balanced diet rich in nutrients. Consider Lactation Supplements: Some mothers find that herbal supplements, like fenugreek, help increase milk supply. Engorgement Engorgement occurs when the breasts become overly full. To manage this: Nurse Frequently: Ensure regular breastfeeding sessions to prevent engorgement. Express Milk: Use a breast pump or hand express milk to relieve fullness. Apply Warm Compresses: Before feeding, a warm compress can help milk flow. After feeding, a cold compress can reduce swelling. Tips for Successful Breastfeeding Create a Comfortable Environment: Find a quiet, comfortable space where you can relax and focus on breastfeeding. Seek Support: Join a breastfeeding support group or consult a lactation consultant for guidance and encouragement. Be Patient and Persistent: Breastfeeding is a learning process for both mother and baby. Give yourselves time to adapt and overcome initial difficulties. Breastfeeding and Working Mothers Many mothers return to work while still breastfeeding. Here are some strategies to continue breastfeeding after returning to work: Pump and Store Milk: Invest in a good-quality breast pump. Pump milk during work breaks and store it safely for later use. Establish a Routine: Try to breastfeed directly when you are with your baby and pump at consistent times when apart. Know Your Rights: Familiarise yourself with workplace laws regarding breastfeeding. Many places require employers to provide time and space for mothers to pump milk. Conclusion Breastfeeding is a deeply rewarding experience that provides unmatched benefits for both mother and baby. While it can come with its challenges, being informed and prepared can make the journey smoother and more enjoyable. Remember, each breastfeeding journey is unique, and what works for one mother-baby pair may differ for another. Seek support, be patient, and cherish the special bonding moments that breastfeeding offers. By understanding the benefits, mastering techniques, overcoming challenges, and planning for various life situations, you can set yourself up for a successful breastfeeding experience. Whether you’re a new mother or an experienced one, the key is to stay informed and reach out for support when needed.

The Importance of Breastfeeding and How to Prepare

Breastfeeding offers significant health benefits for both mother and child. It provides essential nutrients and antibodies that boost the baby’s immune system and reduce the risk of infections. For mothers, breastfeeding promotes faster postpartum recovery, reduces the risk of certain cancers, and strengthens the bond with their newborn. However, despite these advantages, many new mothers find breastfeeding challenging due to factors such as latch difficulties, inadequate milk supply, or discomfort. Seeking support from lactation consultants, joining breastfeeding support groups, and receiving encouragement from healthcare providers can greatly enhance the breastfeeding experience and overcome these challenges effectively. Preparing for Breastfeeding To prepare for breastfeeding, women should: Attend a Breastfeeding Class: Seek out classes conducted by certified lactation experts to gain knowledge and confidence. Create a Breastfeeding Plan: Include steps to take immediately after birth, sources of support, and strategies for special needs situations. Benefits of Breastfeeding Breastfeeding protects babies from major illnesses such as diarrhoea and pneumonia, common causes of infant mortality in South Africa. It also promotes better development and educational outcomes. For mothers, breastfeeding aids in uterine contraction and reduces postpartum blood loss. Common Breastfeeding Challenges New mothers may encounter various breastfeeding challenges, including: Structural Issues: Tongue or lip problems in the baby. Sore Nipples: Extreme nipple pain is not normal and should be addressed. Latching Difficulties: Immediate action and expert advice are crucial for correcting latching issues. Low Milk Supply: Support and guidance from a lactation specialist can help increase milk production. Addressing Breastfeeding Problems For latching problems, it’s essential to identify and resolve issues promptly. Mothers should understand that while some nipple tenderness is normal, persistent pain is not. Skin-to-skin contact immediately after birth is critical, as separation can cause anxiety in babies. Involving Dads in Breastfeeding Fathers can support breastfeeding by attending classes and assisting with baby care tasks such as tummy time, burping, diaper changes, and helping the mother relax with small gestures like making tea or running a bath. Respecting Individual Choices While breastfeeding has many health benefits, it’s important to recognise that feeding choices vary. Some mothers may choose not to breastfeed for various reasons, and they should not feel ashamed or guilty. The priority is a feeding plan that works best for both mother and baby. Tips for Continuing Breastfeeding After Returning to Work Returning to work can disrupt a breastfeeding routine. Here are some tips for a smooth transition: Delay Pumping: Avoid pumping breast milk before the first six weeks, as this time is needed for your body to regulate milk production. Calculate Milk Needs: Most women produce about 900ml of breast milk daily. Determine your baby’s feeding frequency and calculate the amount of milk to pump accordingly. Introduce Bottles Later: Introduce bottles a couple of weeks before returning to work. Coordinate with Employer: Discuss your need to pump at work to manage full breasts. Understand Milk Storage: Be aware that while frozen milk loses some protective properties, it remains preferable to formula. Breastfeed on Demand: Nurse on demand during weekends and plan for increased nighttime nursing. By preparing ahead and addressing potential challenges, mothers can have a more positive and successful breastfeeding experience.

WHAT YOU NEED TO KNOW ABOUT BREASTFEEDING AND RETURNING TO WORK

Returning to work need not be cause for anxiety or a reason to abandon breastfeeding. Carefully managed you can make the transition seamlessly. Here are 4 tips to make breastfeeding whilst going back to work easier: Consider when you are going back to work The age of your baby when you return to work will determine the urgency with which you need to pursue getting her to take to bottles.  If you know you are returning to work before your baby is 6 months old, you will need to prioritize establishing bottle-feeding. The reason is that milk is the priority food under 6 months of age and your baby will not be deriving much (if any) nutrition from solids at this stage. Expecting your baby to go all day without a feed is not realistic so you need to work on establishing the bottle – preferably with expressed breast milk If you are returning to work between 6 and 8 months, your baby should still have a mid morning and mid afternoon feed so it is preferable to have them on a bottle for these two feeds. That said, priorities are changing and you can be more flexible – not giving these feeds or using a sippy cup.  If you are returning to work from 8 months on, it is not essential to get your baby onto a bottle as your little one only has the need for either a mid afternoon or mid morning milk feed (other than the waking feed and bedtime – which you will be there for anyway). So rather skip the bottle stage altogether and move towards a cup or sippy cup. Expressing successfully The best advice you will probably get if you are returning to work when your baby is young is to invest in a good quality electric breast pump.  Take it with you to work. At around the time of your baby’s feed, go to a quiet space, put your feet up if you can and express. Once you have expressed, refrigerate the milk or place it in a cooler box until you get home.  Understand your baby’s sensory personality Some babies alternate between bottle and breast-feeding as easily as can be. While others resist bottles and give their moms a tough time when they return to work – even going on a starvation diet for the hours when mom is at work and feeding all night. The reason babies respond differently to the transition to bottles, is related to their sensory personality. Some babies are more sensory sensitive than others and battle with change.  If your baby is more sensory sensitive, she may find the novel texture of the teat and the new flavor of the milk a real problem to tolerate. Slow to warm up and sensitive babies in particular find the transition a challenge. For these babies, you do need to plan ahead and work at exposing them to bottle feeds ahead of time. It is worth determining your baby’s sensory personality as this will help you be more empathetic and plan ahead to ensure a smoother route.  When your baby won’t take the bottle If your baby refuses the bottle and yet needs the feeds while you are away, you will need to keep persisting. In the month leading up to your return to work, try to get her to have 1 bottlefeed a week and closer to D-day, one feed a day from bottle until she accepts it.  To do this – offer expressed breastmilk – this is best for her and is a taste she is used to, so she is more likely to take to it. Then choose a feed when she is rested and not fractious – eg mid morning feed. The ask someone else to give it to her, not you. Try a few different teats until you find one she likes. Good luck with your journey back to work. It can be tough but often the trauma is more for mom than for baby, so take heart. 

HOW TO KEEP A RECORD OF YOUR BREASTFEEDING

Keeping a record of your breastfeeding may seem a little time consuming. Not only do you need to feed your baby, but then document the entire process as well! However, there is huge merit to the art of keeping a successful breastfeeding log book.  Believe it or not, a record of your feeds holds many, helpful secrets for you. The most important one being you will be able to track your little one’s over all health progression. Within this article, we will highlight what metrics you should be keeping track of, and how they will benefit you and your baby in the long run. Read on below now and get acquainted with the art of keeping a record of your breastfeeding and unlock the secrets it holds for you today. Why You Need To Record Your Breastfeeding As a parent, any information you can keep on your child’s development is pure gold. This is where a breastfeeding log book comes in incredibly handy. Within its pages you will be able to document vital statistics of your baby’s feeding habits. These will help you recognize any problems, should they arise, as you will be familiar with your child’s eating habits.   Furthermore, a breastfeeding record wont only help you, but others who may eventually become responsible for your child as well. When you eventually return to work, this log book will be able to provide either your nanny or day care centre with crucial information on your baby’s eating habits. They will know roughly when to feed your little one, how much to feed them and knowing how many times they should change your child throughout the day. Criteria To Document In Your Breastfeed Record Here are the top five criteria you should be keeping track of when you begin to record your breastfeeding patterns: #1: How Often Your Child Feeds Keeping a record of feeding frequency helps you in two areas: you will know how often your baby feeds throughout the day. You will also be able to start creating a feeding schedule off of this data. Knowing how much your baby feeds will give you a good indication as to how much milk you will need to have available. Your body is a wonderful thing. During your breastfeeding journey, it should produce the exact right amounts of milk for your little one to feed comfortably. However, keeping a breastfeeding log book will help you understand how much milk you should express and store for times you may not be around to feed your baby.  **Top Tip: remember, your breast milk can be frozen without compromising its nutritional value. It can then be used at a later stage. Another wonderful thing about keeping track of feeding habits is that you will begin to be able to build a feeding schedule. You will know exactly when your little one begins to get niggly and be able to swiftly go into feeding mode! Having a schedule will also help you plan your own life. You will be able to schedule event and outings around that precious tie with your baby. As mentioned above, you will also be able to provide other care takers with useful information on when your child should be fed throughout the day. #2: How Long Your Baby Feeds For Knowing how long your little one feeds for is another snippet of useful information. It will help you establish how many minutes need to set aside per feed. You will also be able to track how many minutes is spent on either breast. Once again, this will help you establish an accurate feeding schedule. It will also help you familiarise yourself with how long you should be pumping each breast when you begin to express your milk when going back to the office. #3: When Nature Calls In your feeding log book, you should also track how many soiled nappies your baby produces throughout the day. This is incredible information to have because should your child become ill, and either produce too many or too few soiled nappies, you will be able to pick up on it immediately.  Monitor both the wet nappies, as well as the dirty ones. This will allow you to keep track of your child’s digestive health on an ongoing basis. #4: The Weigh In Make a note to also keep track of your baby’s weight within your feeding records. The general rule of thumb stipulates that within the first two week’s of your baby’s life, they should be weighed every five days. Between two weeks to six months, you should weigh your baby once a month. Don’t weigh your baby at home. Rather, take him or her to your doctor and get accurate results! Keeping track of your baby’s weight gain (or loss) will allow you to monitor their growth. Should their weight fluctuate dramatically from one month to the next, you will be able to notice it instantly, and seek the correct help going forward. #5: How Do You Feel Another important metric to take note of is how you feel post feeding. Particularly, monitor how each of your breasts feel after this time. Should one feel particularly full, you will know you need to express that one after each feed. In the same right, should both still feel full, you will know to express both. By doing this, you will also be able to keep track of what feels normal and what doesn’t for you. Should your breasts begin to feel different, keep track of these changes and consult your doctor about them.  How To Keep A Record Of Your Breastfeeding Cycles Documenting your breastfeeds sounds simple enough. And truth be told, it is. As such, there is no reason you should be tracking your breastfeeding cycles. You can keep track of your feeds in the following ways: Write them into a note book Make digital notes on your phone Keep a record in a feeding log book We find it

Breastfeeding While Pregnant

Congratulations, you’re pregnant… again. And whether this age gap was planned or not, you’d like to continue breastfeeding your baby / toddler through your pregnancy. Here’s what you need to know. In most cases, breastfeeding while pregnant is completely safe but it is also a very personal decision with many factors to account for. What suits one family may not suit another. During pregnancy, hormonal changes in the body can make breastfeeding a challenge. For one, you will most likely find that you are extremely tired or sick in the first trimester. This can make eating a healthy, balanced diet close to impossible. Your milk may taste different causing your older child to wean himself or you might find that your breasts and nipples become too sensitive to continue breastfeeding. Something else to consider is that by the time you reach your second trimester, your body will begin to switch things up a bit. Instead of producing the volumes of mature milk that your child is used to, you will go back to producing colostrum for your new baby. Some toddlers are happy to continue drinking even though they are now receiving colostrum while others will flatly refuse and self-wean because of the new taste and composition of this ‘milk’. Taking the drop in volume or lost interest into account, it is important at this stage that you begin to supplement your child’s diet with an alternative milk source. Your choice of milk will depend entirely on the age of your child. Cause for concern. A big concern when it comes to breastfeeding while pregnant is whether the nipple stimulation from your older child suckling will cause you to go into pre-term labour. There is much controversy around this. Nipple stimulation triggers your body’s production of oxytocin, which helps with milk letdown and also plays a role in the contractions you have during labor. But whether the amount of oxytocin released is enough to trigger labour or not, we do not actually know. This question is begging for a medical study and at this stage, there is none. However, preliminary data does suggest that breastfeeding and full term, healthy pregnancies are quite compatible. It is important to realise that during pregnancy, the amount of oxytocin released in response to nipple stimulation is somewhat less than when a woman is not pregnant. Secondly, the uterus during pregnancy is not completely at the beck and call of oxytocin during the 38 weeks of the ‘preterm’ period. Even high doses of Pitocin (labour inducing drugs) is unlikely to trigger labour unless the uterus is ready. As with any pregnancy, it is important that you are open and honest with your pregnancy care giver about your wishes to continue breastfeeding. There are most definitely cases where breastfeeding during pregnancy is not advised. In conclusion, when making the decision to continue breastfeeding, it is wise to take into consideration how breastfeeding will fit in with your needs for rest, adequate pregnancy weight gain and your overall sense of well-being. It is also of utmost importance that you pay attention to your diet, drink plenty of liquids and keep taking your prenatal vitamins.

Tackling Engorgement While Breastfeeding

It is completely normal for your breasts to become full, heavy and even painful when your milk comes in, when you have missed a feed, or when you have a sudden increase in your supply. Generally, this will last no longer then 24 hours (with the exception of milk coming in), the areola should remain soft and your baby should be able to latch on without any hassle. True engorgement occurs when the duct system is not cleared adequately, causing an accumulation of fluid. Increased pressure in the milk ducts and glands produce breasts that feel firm, hard, tender and warm or even hot to touch. The skin may become translucent and the nipples may flatten and even get lost in the breast. Milk flow slows down and relief is not found easily. A mother can experience engorgement at any time during her breastfeeding journey whenever milk is not removed adequately. However, it is most common in the weeks immediately following birth. This is because feeding patterns are so irregular and your body has not yet adjusted to suite your baby’s needs. Consequences of Engorgement Engorgement can compromise your milk supply – remember that milk removal promotes milk production. Breast tissue allows milk storage for as long as 48 hours before the rate of milk production and secretion begins to decrease rapidly. Engorgement affects the letdown reflex – the flattened nipple of an engorged breast makes it difficult for your baby to get a good latch. This insufficient latch makes it almost impossible to stimulate the nipple adequately in order to promote letdown. Without the letdown reflex, your baby will not be able to remove milk from your breasts and the pressure in the milk ducts will increase even more. Cracked nipples – when a baby is trying but struggling to latch correctly, you are increasing your chances of getting sore, cracked nipples. Increased risk of infection – when things remain stagnant in the breast, bacteria has a chance to grow resulting in breast infections such as mastitis Permanent tissue damage – increased pressure in the breast for lengthy periods of time can cause cells in the breast to shrink and to eventually die off Relieving Engorgement Engorgement is very painful and it can be a little scary, but it certainly is no reason for one to stop breastfeeding. It is important to remember that it is a temporary situation and with proper treatment, it is usually resolved within 48 hours. Feed – every two hours or even sooner if baby desires. Place no time limits on feeding times. Continue to feed at least 8 times in 24 hours even after engorgement has resolved. Massage – gentle breast compression during feedings will help drain the breast more adequately Express – using a good quality electric breast pump express a little milk before each feed. This will help to soften the breast making it easier for baby to latch. Expressing between feeds may also be necessary depending on the stage of engorgement. Massaging and compressing the breast during pumping may increase the flow significantly. DO NOT express between feeds for longer than a period of 48 hours as this can lead to an increase in milk supply making it impossible to relieve engorgement. Ice – cold compress applied between feedings will help ease discomfort Rest – lying flat on your back with your feet elevated will gel to reduce swelling in the breasts Cabbage – Researchers suggest that phytoestrogens present in cabbage contribute to reducing swelling in tissues. Scour the inside of a chilled cabbage leaf with a fork and place inside your bra. Change your leaves with every feed. As soon as your baby or pumping provide relief, discontinue the use of cabbage as it can suppress milk production or even dry up your milk completely. Preventing Engorgement Ultimately, prevention is the best cure. here are a few key tips: Initiate breastfeeding within the first hour of life Ensure a correct latch and positioning to optimise milk extraction Become familiar with your baby’s feeding cues and feed on demand Do not limit time spent at the breast – allow your baby to drain one breast fully before moving over to the other side Listen for swallowing when your baby is nursing – this is a good indicator of milk removal Avoid the use of artificial nipples for at least 6 weeks post birth as this may cause nipple confusion Minimise interference with breast feeding If baby is not feeding well, be sure to express milk to maintain your supply until feeding is corrected Try not to miss feeds. Wean slowly. If the time has come for you to wean your baby off the breast, do it slowly and carefully

Breastfeeding: the most common challenges and how to deal with them

Breastfeeding can be a beautiful and special time between you and your baby. It can however, come with some challenges. In fact, statistics show that up to 60% of mothers do not breastfeed for as long as they intended to due to challenges faced.  Below are some of the most common breastfeeding challenges or difficulties and how you can deal with them to ensure that you and your little one have a pleasant breastfeeding experience.  Pain or discomfort Pain experienced when breastfeeding can be caused by nipple tenderness, bleeding, blistering and/or cracked nipples.  How to deal with pain: Breastfeeding should not be painful. Please consult a lactation consultant to assist you.  It is important to ensure that your baby is latching correctly and find a breastfeeding position that supports an optimal latch. Make use of nipple cream (chat to your Dr or pharmacist about a recommended brand) or use a small amount of your own breastmilk to soothe your nipples.  Use breast pads to protect your nipples from chaffing on your bra or clothing. Engorgement Engorgement can be very uncomfortable and occurs when breast milk has not been adequately removed, resulting in hard and sore breasts.  How to deal with engorgement: Pump and/or nurse your baby frequently (between 8-12 times a day).  Ensure that your baby is latched on correctly so that he/she can empty your breasts. A poor latch can also result in engorged breasts.  Take warm showers or apply a warmed cloth to your breasts to encourage milk flow.  Breast massage  My baby’s not latching  There are a number of reasons your baby may not be able to achieve a sufficient latch. These include poor coordination, prematurity, discomfort and/or mom having flat or inverted nipples.  How to deal with a poor latch: See a lactation consultant! Lactation consultants are trained to identify and solve breastfeeding challenges.  Try out different breastfeeding positions. There is no one size fits all – try various holds to establish which suits you and your baby best. Support your baby’s neck, shoulders, and hips with your hands. Consider the use of a nipple shield if you have flat nipples – these can be a short term solution to assist your baby to latch. It is advised to consult a Lactation consultant before purchasing a nipple shield.  Not having enough breastmilk  Breastmilk supply is initially low while your body adjusts your hormones to trigger breastmilk production. This usually takes 2-4 days, after which your milk supply should increase to provide the optimal amount of breastmilk for your baby. There are various things that can negatively affect milk supply, and these vary between women.  How to deal with not having enough milk Feed your baby on demand. This should range from every 2 to 3 hours (can be more), day and night. Stick to this range if you are expressing too. It is important that your breasts receive this stimulation, either from your baby feeding, hand expressing or a pump. Try and get as much rest as possible (easier said than done with a newborn). Eat well and frequently as well as drink plenty of water throughout the day and night. If you have friends and/or family around, ask for assistance with chores so that you are able to focus on breastfeeding.  If you are hand expressing and still have a low supply, consider purchasing or renting a breast pump. These pumps are effective in mimicking what your baby does at the breast as well as stimulating milk production. Skin-to-skin; research indicates that skin-to-skin assists with increasing breastmilk production.  If your milk supply remains low or diminishes, consult your Doctor and/or a Lactation Consultant.  Leaking breasts This is a common occurrence in the initial stages of breastfeeding, however, usually subsides after 5-6 weeks.  How to cope with leaking breasts Wear nursing pads inside your bra in the day and night  Feed your baby or express frequently (every 2-3 hours). Producing too much milk  Once your milk supply is fully established, you may find that you have more milk than your baby needs, resulting in coughing, spluttering or vomiting after a feed.  How to cope: Express a small amount of milk before a feed. This ensures the initial let down is not too strong for your baby.  A reclined (lean-back) feeding position allows your baby to control the flow rate of milk from your breast as gravity is minimised.  Take your time and allow your baby to rest after a feed. If he/she has taken in too much milk, moving a lot or too quickly can cause her to vomit.  Above, are only some challenges that new mothers may face when breastfeeding. It is important to not “suffer in silence” but rather to seek the assistance of a lactation consultant. Luckily there are plenty of lactation consultants around that will be happy to assist you and your baby. 

How to exercise with baby in tow

For some new moms, the thought of struggling into something lycra on very little sleep, with leaking breasts, to take part in some form of exercise might fill you with horror. Fair enough! But there are those of you who feel trapped by the fact that you can’t take part in sports and activities that you used to now that you have a baby and consequently feel like you are missing out.  The good news is that things have moved on a great deal in the last 15 years when it comes to mother and baby exercise. My first piece of advice is that it is important to be sure you are taking part in exercise for the right reasons. There is a lot of pressure on mothers to regain their pre baby figure and this is a worrying trend. While it is great to be fit, healthy and to lose any weight gained during pregnancy, you simply shouldn’t feel pressure to do so on top of the demanding job of caring for a new baby.  So assuming you are looking to exercise with your baby to make you feel good, keep up a level of fitness and get out of the house, what is there on offer? There has been an explosion of mother and baby classes that involve meeting in the park with your baby and buggy and getting a sweat on! These classes often involve lunging and strength exercises and fast walking or running. These are great as they give your baby some fresh air and you get a chance to meet other mothers too. What happens in the class is designed to be safe for postnatal mums so you don’t need to worry about doing anything inappropriate.   Another popular mother and baby class is yoga. This can be done together with your baby. No one minds if your baby has a bit of a grizzle and I have memories of having a little nap in one the classes I attended, unintentional of course!  Water-based classes are another popular choice for mother and baby. Everyone is carrying post baby weight so you are all in it together squeezing your swimsuits on. A word of caution here though, a swimming pool can be a breeding ground for germs so take care when taking a small baby to a public pool. If they are showing any signs of feeling unwell then avoid swimming at all. Chlorine can be harsh on a baby’s skin too so have a think before you make the decision to take your baby swimming if they have sensitive skin.  There are of course things you can do with your baby that cost very little. A brisk walk with your baby in the buggy, a cycle with your baby on the back of your bike, and don’t forget the trusty home workout DVD as there are plenty designed for postnatal mums.  A word of caution, if you have had a C-section, do check with your doctor before taking part in any exercise as you are recovering from major surgery.  Whatever you choose to do, enjoy doing it with your baby!  To share your own exercise tips or to read tips from other moms, visit www.facebook.com/philipsavent  

How do I store my Breastmilk

Store your precious breast milk so you don’t lose a drop. Any mum who has expressed her breast milk knows it is the equivalent of liquid gold. Even the tiniest drop spilled is heartbreaking. By knowing how to store it safely, you can reduce the risk of any of this precious liquid going to waste. Here’s how: Breast milk must be stored in a clean, sterilised container. Tommee Tippee Milk storage bottles and pots allows you to collect, and  measure your expressed breast milk.   They are suitable for freezing, thawing & heating breast milk. The Tommee Tippee Milk Storage Bags are pre-sterilised allowing mum to simply pour expressed milk directly into the bags without the need for sterilising in advance. Always label the container with the date and time the milk was collected, so you can use the oldest milk first. If you are going to freeze the milk, it’s handy to write the amount on here too. Breast milk can be frozen or refrigerated depending on when you are planning to use it. As with every parenting topic, advice varies on this but a great guideline to remember is ‘The Rule of 6’ as breast milk is safely kept: For 6 hours at ambient room temperature For 6 days in the refrigerator For 6 months in the freezer It’s absolutely fine to put milk breast pumped at different times on the same day into the same pot. Don’t be alarmed if you notice that it has separated into layers after being stored for a while – this is just the hindmilk and foremilk. Just give it a shake before you offer it to your baby. When freezing milk, allow space at the top of the container for expansion. It is easiest to freeze milk in individual feed quantities of 60-125ml. Storage – Pouches can be put straight in the fridge or freezer. Likewise, or  you can use a specially designed storage case to neatly store pouches and help prevent damage. If you want to take your milk with you when you are out, make sure it stays cold or frozen until needed. A cool bag is perfect for protecting your milk on the move.

How to Work Together as a Breastfeeding Team

 As the saying goes, bringing up a baby takes a village, and although there’s only one pair of boobs that can feed baby, there are lots of ways others can chip in and help. Dads, partners, friends, siblings, and other family members can all form a breastfeeding team. When mums feel supported and happy, they’re likely to breastfeed for longer. What Partners Can Do to Help Dads and partners are key members of any breastfeeding team. They’re the ones who are there with mum and baby in the middle of the night, when times get tough, and reassurance is needed most. With the right support, mums have the time, energy, and peace of mind to get breastfeeding off to the best possible start. Do your research Begin to research breastfeeding before the baby arrives, and make sure you talk to mum about her feeding plans. Let her know that you understand the difficulties that may crop up, and that you’re there for her whatever happens. Lactation consultants – you can find one closest to you  right here at http://salactationconsultants.co.za/wp/find-a-consultant/, and organisations like La Leche League have loads of great information about breastfeeding and also run support groups to help parents find their feet. Offer encouragement Be a breastfeeding cheerleader and offer verbal encouragement and support throughout. This will let mum know that you see and appreciate what a great job she’s doing, and will spur her on to persevere if times get tough. Be sensitive to your partner’s needs It’s important to understand the bond between mum and baby, and to be aware of the rollercoaster of emotions that post-pregnancy hormones can bring. Talk to each other honestly about how you’re both feeling, and encourage openness at every new stage that raising a baby brings. Help around the house To reduce stress and ease the load, make it your job to keep on top of the housework. Encourage mum to put her feet up and enjoy bonding with the little one while you pop to the shops, do the laundry, or rustle up something tasty in the kitchen. Burp the baby Once the baby has finished feeding with mum, you can take on the task of winding them. Remember to have a muslin cloth close by – just in case! Why not check out our live video with Terence Mentor @afrodaddyct and Dr Mike Marinus talk about burping your baby. In this brilliant IGTV session, Dr Mike Marinus (MScPaeds, M.Tech Chiro)@marinuschiro @easybaby_academy and Terence Mentor @afrodaddyct chat about burping babies, winding babies, and just getting all that air out.  Check it out right here https://www.instagram.com/p/CPI3r4wpaMF/ Create a calm environment Dealing with a newborn can be chaotic, so try and keep your home as calm as possible. If you have older children, perhaps you take them out for the afternoon? Make sure your house isn’t always filled with visitors, and ask people to call or text to arrange a convenient visiting time. When people do come to visit, look for signs that mum – or baby – is ready for them to leave. Keep her company Breastfeeding can be a lonely time for some mums, so try asking if they’d like some time alone with the baby, or if they want you to stick around and chat. Care for the baby in other ways Caring for your baby during the breastfeeding process teaches them that love comes from interacting with people, as well as from food. You can pitch in with walks, nappy changes and bath or bedtimes – all of which are great opportunities to build a lasting bond, and give mum some time off to enjoy a soak in the bath or a well-deserved snooze! Stand up for her right to breastfeed, whenever, wherever.

WHAT TO EXPECT FROM YOUR BREAST CHANGES DURING AND AFTER PREGNANCY

Breast changes within a pregnant woman are truly incredible. The topic of breast development is one which is grossly misunderstood. Most women have an incorrect knowledge of how their own body develops. For most of ladies, it is assumed that by the time they have gone through puberty, that their breasts are fully developed. But this is wildly incorrect. Puberty is actually just the beginning of breast development.  Within this article, we will discuss the actual development cycle of a woman’s breasts and what changes she can prepare herself for both during, and after pregnancy. You Ain’t Seen Nothing Yet! How Breasts Develop After Puberty Many people link breast development to size. Simply put, this is the wrong measure to take. Whilst a woman’s breast size will remain relatively the same from puberty up until pregnancy, the real development happens within the tissue itself. Breasts actually continue to develop every time a woman menstruates. When it is that time of the month, a lady’s breasts begin to produce small amounts of secretory tissue. This is the tissue that allows milk production to take place. This cycle will go on until a woman either reaches the age of about 34, or she falls pregnant. Naturally, another question arises in light of this knowledge. If a woman is consistently creating additional tissue, why do the breasts not get bigger as she gets older? Well, the breast actually replace the older cells within them when creating the new ones. As such, the old cells are replaced by the new. This is also why a lady’s breasts become incredibly sensitive during this time.  In a nutshell, the body only begins to develop a woman’s breasts from the end of puberty onwards. But, what happens when you fall pregnant? Breast Development During Pregnancy Pregnancy is truly a miraculous time for a woman. Multiple changes begin to happen within your body. Your hormones sore, your bodily functions begin to change, but above all, a tiny being begins to grow within you.  This period can be seen as your breast development heyday. During this time, your breasts will grow into full maturity. And it all begins after month one of falling pregnant. The first notable thing a woman will experience is the sensitivity of her breasts. This is actually one of the most common first signs of pregnancy. This is caused by the sudden change in hormones within her body. Within the first four to six weeks, the breasts will be particularly sensitive – similar to how they feel during a period. For the first trimester of her pregnancy, a woman’s breasts will remain sensitive. Visible Physical Changes The next change is one you will physically be able to witness. During pregnancy, breasts may go up by a cup size. This change happens particularly in first time mothers. Some ladies even go up by two sizes during this time. You will start to see the beginning of this growth from about six to eight weeks into pregnancy. Breasts may also begin to feel particularly itchy during pregnancy. This is due to the tightness of the skin within the area as the breasts grow. Some women have even developed stretch marks on their breasts during pregnancy from the sudden growth. Areola Changes Another physical indication of breast change during pregnancy are prominent veins. When pregnant, a woman’s breasts may begin to show large, blue veins running through them. This is attributed to the act that the veins will expand to accommodate extra blood flow of the growing breast tissues. Don’t be alarmed if you notice this on yourself – it is completely natural and will fade once you have given birth and stopped breastfeeding. Additional colour changes to expect occur within the areola’s. During pregnancy, it is common for a woman’s areola’s to become slightly larger, and darker in colour. Your areola’s will also develop pronounced bumps, known as Montgomery’s tubercles. These are oil producing glands which are common within pregnancy, and help lubricate the nipples during this time. Tissue Changes  As far as changes are concerned, the first thing which begins to change in the tissue structure are the amount of milk ducts within the breast. The hormones released during pregnancy send messages to the breast structure informing it of the need to increase the number of ducts – as feeding will soon begin. As such, a burst of ducts begins to develop within the breast tissue.  Lactocytes are another tissue addition within the breasts during pregnancy. These are actually the milk production cells. Naturally, the body will need to develop these as they are the power houses behind breastfeeding. Other Changes The next set of changes do not necessarily happen within all women. Firstly, there is the possibility of the breasts leaking. During the third month of pregnancy, a woman’s body begins to produce the liquid substance known as colostrum. This is also known as liquid gold, as it contains nutritional value second to none for babies. However, during the last few months of pregnancy, the breasts may actually leak a tiny bit of colostrum. This happens frequently in some women, may start earlier in others, and may not occur for some moms. If you experience a breast leakage, don’t be ashamed. Invest in a few disposable breast pads and wear these during this time. Another pregnancy change could be that of lumpy breast tissue. Some ladies may develop umps within the breasts during pregnancy. This can commonly be associated to milk-filled cysts beginning to appear. These should subside once the woman begins to pump r breast feed. How to Deal With Breast Changes During Pregnancy Breast changes can be uncomfortable for some women. Even if they are not causing discomfort to you, there is something every pregnant woman needs to invest in; nursing bras. Nursing bras or apparel is a must have for all moms to be. These are designed to optimise comfort both during pregnancy and after. They also allow for easy feeding

Tips for Breastfeeding Success!

After the birth – Keeping your baby with you after the birth will promote a feeling of closeness and a strong hormonal response that is linked with breastfeeding success. In many cases, it is even possible to have your baby with you immediately after a caesarean birth

Breastfeeding tips

Symptoms you may experience when not breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Your breasts may become sore, engorged or swollen and firm to touch. You may develop a slight fever. Your breasts may leak a significant amount of milk. You may have some uterine bleeding during this time. If you have any concerns or questions about the symptoms you experience during this time contact your doctor for more information. Care for your breasts when not breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Try ice packs on your breast for 15-20 minutes at a time. If ice doesn’t help, try using a warm washcloth on your breasts. Wear a well-fitting bra that is not too tight. Let your baby nurse at your breasts for a few minutes at a time. Ask your doctor about methods to help release a small amount of milk from your breasts, which may relieve some of the discomfort. Contact your doctor if you have any questions or concerns or you develop chills, or a fever and your breasts are still uncomfortable and swollen after 1-2 days. Benefits of breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Breastfeeding is a skill and can take time to learn; don’t get discouraged if it’s not easy for you at first.  Breastfeeding educators are available and can be helpful in overcoming some of the hurdles. Choosing to breastfeed your child provides many benefits for both you and your baby. Some of these include: Decreased likelihood of baby getting sick from infectious diseases or having an ear infection Decreased risk of breast and ovarian cancer for the mother Aids in faster weight loss for the mother Decreased postpartum bleeding Facilitates in mother-baby bonding Free and environmentally friendly Decreased risk of obesity for the child Breastfeeding is still possible after breast surgeries, piercings and tattoos; talk to your doctor about any concerns you may have How to breastfeed The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Some simple tips on how to breastfeed: Find a position that is comfortable for both you and the baby; use pillows to support your arms and prop your feet up Feed your baby whenever they seem hungry or show any of the hunger signs- moving head towards your chest, pulling hands near mouth or sucking noises Newborns need to eat at least every 2 to 3 hours; if your baby has been sleeping for 3 to 4 hours, wake them to nurse Wait to introduce a bottle or pacifier until your baby is 2 to 4 weeks old to avoid nipple confusion. Waiting much longer can create problems getting your baby to accept something other than the breast. Keeping your breasts healthy The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Keeping your breasts healthy during breastfeeding is important.  Here are some things to watch for: Sore nipples are normal at first; use moist warm compresses, nipple creams made for breastfeeding or a bit of fresh breast milk See your doctor if soreness continues or increases, you have a swollen or red breast or if you are running a fever

Understanding Your Breastfeeding Rights in the Workplace

As a new Mother, nothing will be more important to you than the well-being of your newborn infant, as your instinct ignites the powerful force of motherhood within you to protect and nurture your baby. A newborn requires exclusive breastfeeding for the first six months of its life for optimal growth and development and continued breastfeeding, combined with solid foods, for two years or longer. Working mothers returning to jobs and careers following their maternity leave period will face the challenges of juggling work and home responsibilities. Unfortunately, according to a 2021 survey, the number one reason why new mothers stop breastfeeding their newborn infants is due to having to return to work. While South Africa has legal rights in place for breastfeeding mothers in the workplace, there are challenges new mothers may face in trying to exercise these rights. According to a survey done in 2021 by the South African Breastfeeding Association, only 20% of companies have dedicated breastfeeding rooms in the workplace. According to South Africa’s Basic Conditions of Employment Act, the legal rights of breastfeeding Mothers in the workplace in South Africa are: Breastfeeding mothers are legally entitled to two 30-minute breaks per day for breastfeeding or expressing milk if their infants are younger than 6 months. Breastfeeding breaks are paid time. Employers should provide a clean and private area for breastfeeding or expressing milk, as well as a facility for storing the milk. Breastfeeding mothers should not be discriminated against or harassed for choosing to breastfeed or express milk at work. However, the challenges that breastfeeding mothers may face in trying to exercise these rights are: The Code of Good Practice does not specify whether the breastfeeding breaks are in addition to or part of the normal breaks, such as lunch or tea breaks. The Code of Good Practice does not require employers to give breastfeeding mothers a suitable space for expressing or storing their milk, nor does it specify the minimum standards for such a space. The Code does not impose any penalties for employers who fail to comply with its provisions, nor does it provide any remedies for breastfeeding mothers who are denied their rights. According to BioMedCentral, the survey conducted in March 2021 involved 1000 working mothers across South Africa who had given birth in the past two years. It found that only 20% of companies have dedicated breastfeeding rooms for working mothers, and 40% of mothers had to use public spaces such as toilets, storerooms, or their cars to breastfeed or express milk. The survey also revealed that 60% of mothers felt unsupported by their employers and colleagues when it came to breastfeeding, and that 30% of mothers had stopped breastfeeding before six months due to work-related challenges, highlighting the need for more awareness and action from employers, policymakers, and society to create a more enabling environment for breastfeeding mothers in the workplace. Some employers may be unaware of or unwilling to accommodate the needs of breastfeeding mothers and may create a hostile or unsupportive work environment for them: “My employer did not provide any space for me to pump, so I had to use the bathroom. It was dirty, noisy, and uncomfortable. I felt like I had no privacy or dignity. I often got mastitis and low milk supply. I hated every minute of it,” says Maria, who is a cashier. Some co-workers may be ignorant or insensitive to the benefits and challenges of breastfeeding and may make negative comments or jokes about it. Luckily this was not the case for Fatima, a machine operator in a factory where there are mostly men. “They were very sympathetic to my breastfeeding. They helped me find a quiet corner where I could pump, and they covered for me when I took breaks. They never made any jokes or remarks. They treated me like a normal coworker.” Certain breastfeeding mothers may feel embarrassed or uncomfortable about breastfeeding or expressing milk at work and may face social stigma or pressure from their workplace, families or communities. Ashley, a nurse, had to quit her job because her employer refused to accommodate her breastfeeding needs. “They said it was too disruptive and costly. They threatened to fire me if I kept asking for breaks and space. I felt discriminated against and harassed. I wish I had more legal protection.” Marketing manager Jessica had a more understanding employer. “I was lucky enough to have a supportive boss who let me use his office to pump whenever I needed. He also made sure that no one disturbed me or made any rude comments. He even bought me a mini fridge to store my milk in. I felt valued and respected as a working mother.” At Vital Baby we care about parenting and bring you tips on how to navigate your work-life balance and make breastfeeding work for you so you can give your child the best start in life, wherever you may find yourself. It is important to: – Know your rights. Be prepared to negotiate with your employer for more flexible work arrangements, such as flexible hours, part-time work or extended maternity leave. Plan ahead. Before you return to work, discuss your needs with your employer and colleagues about your breastfeeding needs. Discuss a suitable space for breastfeeding or expressing milk at work. If it is impossible, express extra milk and store it in the freezer so your baby can still benefit. Electric and manual breast pumps are small and non-disruptive. The Vital Baby Flexcone Electric Breast Pump Gift Set R2199.99 makes the perfect maternity gift set from the office and includes everything a new mother needs to maintain breastfeeding; it includes the Vital Baby electric breast pump, a breast like feeding bottle, slow flow teat, silicone breast cup, a manual conversion kit so it works during load shedding, bottle stand, charge cable and plug adapter, six ultra comfort breast pads, 30 easy-pour breastmilk storage bags and 2 protect and care silicone nipple shields. The Vital Baby Manual Breast Pump Gift

Why should I breastfeed my baby, and what if this is not an option?

Breastfeeding is important to your baby’s health and is the safest and healthiest thing that you can feed your little one. It is recommended by the American Academy of Pediatrics (AAP) you should feed your baby exclusively with breastmilk for the first six months. Unfortunately, some moms can’t breastfeed due to medical or health reasons. Read on if you want to know the benefits of breastfeeding, or if you can’t breastfeed your baby, here are some healthy alternatives. What are the benefits of breastfeeding?  Breastfeeding is the perfect way to get all the nutrients needed to your baby, as well as being a special bonding experience between mom and child. Breast milk is optimally suited to babies providing all the right nutrients, vitamins and minerals, being easily digestible and helping protect your baby by providing important antibodies. Baby’s who are breastfed have less ear infections, issues with diarrhea and respiratory issues. Benefits of breastfeeding include lowering your baby’s chance of getting infections and breastmilk can also help lower instances of asthma and eczema, and is thought to lower the risk of diabetes as well. Not only is breastfeeding good for your baby, but it’s also good for you. It helps your bond with your baby as your body releases the hormone oxytocin, which helps your uterus reduce to its pre-pregnancy size as well as lowers stress levels. And it’s an added bonus is that breast milk is cost effective and easily available. The only thing lacking from breast milk is vitamin D, and you can supplement this to your little one from birth. What are alternatives if I can’t breastfeed? Sadly some moms aren’t able to breastfeed their babies due to not having enough breastmilk supply, being on medication that could damage their baby’s health and, infectious diseases such as HIV. Although it’s hard not to be able to breastfeed, remember this won’t stop you bonding with or providing nutrients for your baby. The best alternative to your own breast milk is donated breast milk. However, if you are struggling to find adequate supply you can make use of baby formulas. In South Africa, the South African Breastmilk Reserve and Milk Matters supports breastfeeding moms through the provision of donated milk.  SABR focuses on helping premature babies under the age of 14 days, and Milk Matters supports babies in neonatal intensive care units (NICUs) in the Western Cape.

Webinar – breastfeeding positions

Sr Ingrid Groenewald explains the different breastfeeding positions that you can try to have a successful Breastfeeding journey, as well as the latch baby, should have.

How to use a breast pump: 12 top tips

Learning how to use a breast pump can take time and dedication, but is well worth the effort. Read our expert breast pumping tips to help set you on the path to successful expressing. Like any skill worth having, it might take you a bit of time to get the hang of using a breast pump. The key is to be patient, even if you’re not able to express as much as you’d like right away. After all, a breast pump won’t stimulate the same feelings in you as your baby does. But, with time, your body will usually learn to trigger your let-down reflex when you pump, and the quantity of milk you express should increase. 1: There’s no need to rush to start pumping… In the first four weeks, you and your baby work together to initiate and build your milk supply. If your baby is healthy and breastfeeding is going well, you won’t need a pump to help with this. Pumping is, however, really helpful if you need to be apart from your baby any time (see tip below). If not, enjoy this time with your baby and be reassured that even if you plan to pump regularly in future, there’s no need to ‘train’ your body to express milk in the first few weeks. 2: …unless your baby is unable to breastfeed If your baby can’t feed directly from the breast, perhaps because she’s premature or has special needs, or you are separated for any reason, start double pumping breast milk as soon as you can after the birth. Research shows that starting to express within the first few hours (when a healthy newborn would usually have her first breastfeed) helps mums produce a higher volume of milk in the early days and weeks,1,2 giving their babies the best chance of being fed exclusively on mother’s milk. If you’re expecting your baby (or babies) to be born pre-term, in need of intensive care, or to have a condition that might make breastfeeding difficult, prepare yourself. Contact Lorraine at medelasa@sunpac.co.za or 011 445 3300 for advice about breastfeeding or book a full consultation with her online at www.medela.co.za to help you choose the right equipment to prepare yourself for special feeding conditions. There will probably be a hospital-grade double breast pump at your hospital or birth facility, so ask staff to show you how to use it. It’s important to remove milk from your breasts whenever your baby would normally drink – this means your breasts will still get the message to make milk. Aim for eight to 10 pumping sessions every 24 hours at first, and continue this frequency once your milk comes in. 3: Time it right For your first breast-pumping session, express for at least 15 minutes. Don’t worry if you don’t collect much milk at first – regular extra suction should soon stimulate your breasts to produce more milk. Some mums find pumping one hour after a feed gives the greatest milk yield, others prefer to pump straight after every second feed – try expressing at different times to see when best fits your lifestyle. When you find times that work for you, stick with them so your body gets used to your breast pump use and the extra demand on your milk supply. You may be tempted to extend the time between expressions in a bid to collect larger volumes of milk. However, if you wait until your breasts are full one pumping session won’t drain them very well, so the key is to pump frequently and regularly. 4: Be hygienic Always wash your hands before and after breast pumping, and clean any pump parts that have been in contact with your milk or your baby’s mouth. You will also need to sanitise them after cleaning at least once a day. Be sure to allow all the pieces to completely dry and you can then store the pump set in a clear bag or container until next use.  5: Be prepared To avoid interrupting your breast-pumping session, have everything you need close by before you start. You might want a drink and snack, your phone or TV remote, bottles or milk storage bags for your expressed milk, and a muslin cloth to soak up any drips. Try the Medela Milk Storage Bags for a convenient way to store, carry and warm expressed breast milk. They have a double zip protection and double walls to ensure no leaks, and the heat-sealed seams guarantee no tearing, splitting or cracking. A specially designed breast pumping bra allows you to keep your hands free, making it much easier to operate the controls and do other things while you express. 6: Make yourself comfortable The best position for pumping is one in which you feel at ease. Being relaxed is essential for the release of the hormone oxytocin, which stimulates your let-down reflex. Discomfort and distractions can hamper this process, so choose somewhere private and comfortable, and make sure your arms and back are well supported as you pump. If you’re not using a pumping bra, hold your breast shield between your thumb and index finger, and use your palm and other fingers to support your breast. Hold the breast shield gently against the breast – pressing too hard could compress your breast tissue and obstruct milk flow. Medela’s PersonalFit™ Breast shields play a key role in pumping comfort and efficiency. Shields are available in different sizes and is shaped around you so you can easily adjust the way your breast shield fits to find the most comfortable pumping  position. Some mums find deep breathing, soothing music, visualisation techniques, or having their partner massage their back and shoulders, can help them express more milk. 7: Kick-start your let down Most Medela electric and battery-operated breast pumps have 2-Phase Expression technology, which mimics the way your baby feeds (with fast, light sucking followed by slower and stronger sucks), to help trigger your let down. Massaging your breasts before

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