leading breastfeeding advice
Tommee Tippee

How do I safely thaw frozen breast milk?

Don’t lose those precious nutrients you worked so hard for. So you’ve worked hard to build up your supply of breast milk in the freezer but now what? Thawing it correctly will protect the nutrients. The easiest way to thaw frozen breast milk that has been expressed is to just place it in the refrigerator or leave it at room temperature. It can also be defrosted by leaving it standing in lukewarm water.  DO NOT be tempted to microwave it even if you are in a hurry. Not only will this destroy all the nutrients in your milk, but it can cause ‘hot spots’ which might burn your baby’s mouth. If you have defrosted milk in the refrigerator, it can be stored in there for 24 hours as long as you have not warmed it. If you defrosted it at room temperature, you can keep it in the refrigerator for 4 hours. However, DO NOT be tempted to refreeze it. Finally, if your baby isn’t that hungry and there is breast milk left after a feed then, however much you’ll hate doing it, you should throw away the rest. 

My Breastpump

Going back to work, tips on how to keep you milk supply up

The thought of going back to work when you have a little baby can be very stressful for a mom. There are so many things to consider the main two are: who will look after your baby while you are at work and how can I keep breastfeeding when I am away?  We chatted to Carey Haupt a lactation consultant about ways to balance work and breast feeding. Here are some tips she shared with us.  Tip 1: Talk to the HR department of your employer before you go on maternity leave. Ask them for the breastfeeding or expressing policy for mothers. The policy should be inline with The South African Code of Good Practice on the Protection of Employees during Pregnancy and after the Birth of a Child which forms part of the Basic Conditions of Employment Act (NO. 75 of 1997). Give them time to be able to find a safe, hygienic space for you to express your milk in. You can also give them some information around the benefits of assisting you to continue to breast feed once you are back in the office. Explain to them that by having an expressing room and encouraging your breastfeeding mothers to express for 30 minutes, twice a day it can help to improve your productivity in the following ways Healthier for baby When a baby is healthy, mom can focus on work. A healthy baby is what we all want. Breast milk has many benefits for baby and mom.  One of the best-known benefits is the improved health for the baby. Breast milk provides the baby with added immunity from the mother’s immune system and it is much more easily absorbed than formula.   Reduction of medical cost Babies that are fed breast milk have reduced risk of: diarrhea, respiratory tract infection, ear infections, constipation, asthma, and allergy (to name the most common). This will reduce the need for a mother to take time off work to visit a doctor or hospital if needed. When a baby is sick, and the mother returns to work she may be worried about her baby and less productive.  Less absenteeism  With less need to take baby to the doctor or clinic, you mother will be at work more. There will be less need for staying at home to care for her sick infant and less need for family responsibility leave.  Better staff retention If a mother knows that her company is willing to invest in her and her families family’s well-being by providing a safe, hygienic and comfortable space where she has the time needed to express her breast milk for her infant, she will be more willing to invest back into the company.  Staff satisfaction and loyalty  If a company can show that your company cares and puts the needs of women who are looking after their children as a priority, staff start to see their value and become start to promote your companies’ brand. Mother will not want to leave a company that has supported them and their families.  Tip2: Get a good quality Double electric breast pump.  You will need a fast and efficient breast pump. When you are at work you will need to be able to set up your pump (washing hands) pump and clean your pumping area in 30 minutes. Make sure that the pump you are using will be strong enough to pump quickly and that the motor will be able to handle pumping often. A double electric pump like the Ameda Finesse is an ideal example. The finesse is a double electric pump that has hospital grade technology. This means that the motor is strong and can be uses for exclusive pumpers. The pump’s motor also has a 2-year warranty.  Tip 3: Build a stash You only need to start building a breast milk stash about 2 weeks before you go back to work. You can store your milk in Breast milk storage bags or feeding bottles.  With the Ameda Store ‘n Pour bags (Link: https://www.mybreastpump.co.za/product/store-pour-milk-bags-20pc) you can pump directly into the bag, saving you time and the need to clean less.  While you are still direct feeding your baby the amount of milk that you express will be less than when you skip a feed. Do not panic in the beginning when you get half feeds from expressing.  Remember this is extra milk that you body is starting to make. Once you start skipping direct feeds and pumping the volume per pump will increase. Remember to date the milk so that you use the older milk first.  Tip 4: Get your mind onto pumping and your baby We know that stress and worry are things that inhibit your let down (when your milk starts to flow) so move your mind to happier thoughts like that of your baby. Even better have a video or picture of your baby so that you can focus on your baby. Your mind is amazing because you focus on your baby your mind will tell you breasts to make more milk.  Tip 5: Use heat and massage to wake your breast up. Your breast responds positively to heat and message. This is called hands on pumping and is recommend to get the maximum volume of milk expressed. Before you start pumping apply heat in the form of a bean bag or warm water in a bottle and massage your breasts from the base towards the nipple. Use your pump and keep a few minutes for heat and massage after you have pumped, and hand express the last few drops of milk out.  Tip 6: Plan how you are going to store your milk.  Breast milk should be stored in a fridge or freezer as soon as possible after it has been expressed. This just makes sure that you can keep it for longer. If your office does not have a fridge that you can use, use a good quality cooler bag with ice pack. Milk can stay

My Breastpump

Guide on how to express breast milk

One of the beautiful things about breastfeeding is that breastfeeding is a relationship between you and your baby. Breast feeding is not only about nutrition but also bonding and getting to know eat other. The dynamics and how you feed can change overtime as both of you grow in your knowledge of breastfeeding and of each other. Breastfeeding is so intimate that your experience will be so different from other mothers. And that can be so beautiful! Mothers need to talk about their breastfeeding experiences because although there may be a similar themes all the moms have their own unique story. There are so many ways to breast feed a baby. Did you know that over 85% of breast-feeding mothers also express their breast milk? There are so many reasons for mothers wanting the express like prematurity, separation from baby, illness, pain, low milk supply, fast letdown or even engorgement. Some mothers see this as their ideal feeding method while other mothers have had to raise up to a challenge and finding a way in which they still can provide breast milk for their little one.  As an exclusive pumper (while my babies were in NICU) and then a part time pumper (while learning how to breastfeed and then later going back to work), I can say that expressing is a wonderful way to still supply breast milk to your baby but that it is also a lot of work. The time it takes to express plus the sterilisation of the equipment is valuable time for any mother. My private goal for breastfeeding my children was the “standard” 6 months exclusive and 2 years or longer. I can confidently say that without the initial expressing and then part time expressing, I would never have reached my goals.  As I mentioned earlier expressing breast milk takes time and effort. Here are some hacks to help you make the most of your time: Learn how to hand express. This is an important skill that all breast-feeding moms need to know. You just never know when you will need it. Use the correct pump for your needs and affordability. Find a good quality double electric pump that can help you to express in less time with higher milk out comes. This may be the defining reason for being successful or not The key to a good milk supply is emptying of your breast. If you are exclusively pumping, you need to remove your breastmilk as often as your baby would have fed. This can be 8 or more times a day. Massage and use warmth before you start expressing to help with your let down and milk supply. If using a breast pump, you can use hands on expressing and finish with hand expression. This way you are able to completely empty your breasts which helps with increasing your milk supply. Store your breast milk safely. If you are planning to continue to breastfeed once you go back to work, inform your company before you go on maternity leave. If they do not have a room and policies to help you with breastfeeding this will allow them time to find a space that is appropriate for you. Ask them for the policy on breastfeeding and enquire about your two 30-minute breastfeeding break that you will be taking in order to express for your baby.  Here are some tips on how to practically express for your baby while at work Step 1: Build a stash You only really need to start to store up a supply of breast milk about 2-4 weeks before you go back to work.  You can expect to express the following amounts: If you are expressing in between feeds while direct feeding expect to express about half a feed.  If you are expressing to replace a direct feed expect to express a full feed Women have different storage capacities so some women will be able to express more than what is expected. All women are different and try not to compare yourself with others.  For some great storage solution have a look at the Ameda store n pour storage bags and bottles  Step 2: Find your work expression spot Make it as comfortable as possible for you. Check to see if you can lock the door, or bring a sign for the door that indicates that you are expressing and that you should not be disturbed Step 3: Make the place clean and hygienic as possible If needed clean the surfaces. Wash your hands before your start expressing. Bring sterilised equipment to the office. This way you can avoid the need to sterilise at work.  Step 4: Prepare for expressing Use a few minutes to disconnect from the hustle and stress of work. Focus on your baby, you can even watch a short video or look at pictures of your child. Use heat pads and/or massage your breast to help with the let-down. Step 5: Express your milk Express in your preferred method. Step 6: Store your milk safely Once you have finished, store your breast milk into the contain that you will be freezing it in. Make sure it is closed tightly and will not leak during transportation. Depending on the facilities that you have at your workplace. You can store your milk in a fridge or cooler bag with ice packs for the rest of the day. Once you are home you can freeze or get the milk ready for the next day.  Remember to label the bottle with baby’s name and date of expression so that you can identify your milk and how old it is. Step 7: Clean up Make sure that you leave the area clean and ready for the next mom to use.  Step 8: Prepare for the next day Once you are home wash and sterilise your equipment. Once your equipment is dry pack it away ready for you to take to work. This way you are less likely to forget it

Parenting Hub

World Prematurity Month and the LatchOn! Breastmilk Drive

World Prematurity (Preemie) Day is observed annually on 17November but this year World Preemie Month will be celebrated with gusto by the Tygerberg Hospital Children’s Trust during the month of November.  On the cards are a month-long virtual walk, an in-house activity restricted to Nurses of the hospital, and the Latchon! Breastmilk Drive.   The public is encouraged to join the month-long virtual walk by simply purchasing a purple ‘World Preemie” T-shirt, organise a fun walk with friends and family, post the photos on Facebook or Instagram and tag the Trust’s page.  The wackier the better.  Weekly prizes will be awarded to the best photo uploaded to Facebook and Instagram and a bumper prize at the end of the month.  Photos must feature the preemie T-shirts, which cost R100 and are available via the link attached  https://www.givengain.com/e/walk-for-preemies-2020/ – place your order today and paint the town purple! There is a great need for breastmilk at Tygerberg Hospital’s neonatal unit, especially for preemie babies who may spend months at the hospital and whose moms often cannot provide enough breastmilk.  The Corona Virus pandemic has also provided its own set of challenges in the procurement of milk, where donors were not able to donate breastmilk.  To this end the Tygerberg Hospital Children’s Trust in partnership with Tygerberg Hospital, the City of Cape Town and the Western Cape Department of Health, has embarked on a breastmilk donation drive called the LatchOn! Breastmilk Drive. The purpose of the LatchOn! Breastmilk Drive is to ensure that there is sufficient breastmilk to help all the babies, now and into the future. The Tygerberg Hospital Children’s Trust under the leadership of CEO, Mr Jason Falken, is garnering all its resources in support of the initiative and is appealing to moms, individuals and companies alike, to join them in support of the LatchOn! Breastmilk Drive.  The appeal is for moms to donate surplus breast milk. Moms will be screened, tested and counselled when going to donate the much-needed breast milk at the Tygerberg Breastmilk Training Room, 2nd Floor, East Side, Tygerberg Hospital. We are appealing to the general public to donate and drop off glass jars smaller than 250ml at the same space.  “We would like to create a sustainable supply of breastmilk for the Hospital to ensure that all our babies are provided with this important nutritional source”, says Mr Jason Falken. “It’s also important that we provide a clean, safe and welcoming space at the Hospital where moms feel comfortable and safe while expressing milk, and also feel free to engage with each other in a socially supportive environment.”   Tygerberg Hospital is the largest hospital in the Western Cape and cares for the greatest number of children within the Province, including many from our rural communities. It supports the most premature babies in South Africa and has the only state Human Milk Bank in the province. It is well known that breastmilk is the most complete source of nutrition for babies from birth to six months and beyond. Breastmilk provides a perfectly balanced source of nutrition for babies.  It is easily digestible, contains everything growing baby needs and provides important antibodies to fight infections and allergies.  For a preemie baby, access to breastmilk daily is vital for the baby’s survival and is especially important for brain development and ensuring a healthy immune system. Together, we may be “United for a Healthy Future” by ensuring our babies have access to the nutritional benefits of breastmilk.  For more information follow the Tygerberg Hospital Children’s Trust on: www.tygerbergchildren.org.za, Facebook: @THCTRUST Twitter: @HospitalTrust, Instagram: @tygerbergchildren, Linkedin: https://www.linkedin.com/company/tygerberg-hospital-children-s-trust

Philips Avent

Top tips to encourage babies and toddlers to eat their fruit and vegetables  

We all know fruit and vegetables are an important food group, but persuading babies and toddlers to eat them can be a battle. Even if your child absolutely refuses to eat vegetables it’s important to put some on their plate at every meal so they get used to seeing them. Psychologists have found that once children become familiar with a food, they are more open to trying it, but you may need to present the same food on as many as ten separate occasions before your child feels comfortable eating it. While it’s important to put some vegetables on your child’s plate, many children find a large serving of vegetables off-putting, so it’s better to give them an amount you know they will eat and gradually increase the portion size:   Try to incorporate finely chopped vegetables such carrots, peppers and mushrooms into dishes like spaghetti bolognaise   Rather than serving them as a side dish, incorporate vegetables into main dishes. For example, add a variety of vegetables to a meat and cheese lasagna   When your child says they are hungry, offer them a piece of fruit rather than biscuit  Serve raw strips of pepper or carrot with a dip such as hummus. If you serve them at the beginning of the meal when children are hungry they are more likely to eat them  Mix cooked pureed spinach, carrots or shredded cabbage into mashed potatoes  To encourage toddlers and older children to eat their vegetables, use a star chart where you award one star for each serving of fruit or vegetable eaten. Offer a treat such as a trip to the swimming pool or the park at the end of the week if they’ve made the target of five portions each day for a week  Persuading children to eat fruit is usually less of a problem, but if children aren’t keen it can be used to make puddings or smoothies. To make fruit smoothies blend soft fresh fruit (berries, banana and, mangoes) or canned fruits such as apricots, peaches with low fat yoghurt and milk or fruit juice    Stewed or fresh fruit make a great filling for pancakes. For savory pancakes try adding spinach and soft cheese, stir-fried vegetables or ratatouille  Spread a mashed banana on toast in the morning instead of jam or marmalade or add a few chopped apricots or some fresh berries to cereal  Toddlers learn by example, so make sure that they see you and older siblings eating and enjoying fruit and vegetables     You can also share your toddler eating tips, and read advice from other moms by visiting Philips AVENT on facebook:  www.facebook.com/philipsavent   By Fiona Hunter, Nutritionist 

My Breastpump

Breast pumps that protect from Bacterial and viral contamination of your breast milk.

Ameda breast pumps have been designed for your comfort and safety and are the only FDA approved closed system breast pumps available in South Africa. Ameda developed the first truly closed system breast pump which prevents bacterial and viral contamination of your breast milk. Ameda is committed to the safety of mothers and their infants and has made expressing breast milk safer a priority, this commitment goes back a many years resulting in Ameda leading way of the breast pump industry with closed system breast pumps.  Ameda is dedicated to making sure babies are safe and mothers are confident that their breast pump is a proper closed system. For mothers of NICU this is incredibly important because premature infants need to be protected from any possible infections. Did you know that the difference between an open and closed system breast pump is, and why it is so important when considering buying a new breast pump?  Before you decide on the brand of breast pump find out if the brand has open system, a back-flow protector or is a closed system. True closed system breast pumps are the gold standard of breast pumps because it prevents not only the back flow of milk but is also clinically proven to prevent the movement of bacteria and viruses. Closed system breast pumps are designed in such a way that your breast milk, bacteria, and viruses are prevented from moving into the tubing and getting in the motor and casing of the pump. Once the milk is in the tubing or pump case it is exceedingly difficult to clean, if not impossible, and allows for the growth of the bacteria and viruses. This is all made possible without compromising the suction ability of the pump. Ameda developed the HygieniKit (the parts of the breast pump that collects the milk and attached to the motor of the pump, including the tubing) which can be used with all its pumps both private and Hospital Grade rentals. The HygieniKit has been tested and approved by the FDA as a true closed system pump. How it works is simple but very clever. The HygieniKit has a silicone diaphragm at the top of the flange (part that touches your breast) just before the tubing starts. This means that your milk stays in the flange and does not enter the tubing at all. The FDA tested the diaphragm to confirm if it is an effective barrier for milk, bacteria and viruses’ milk and does not allow any movement between the milk collection and the pump side. In the first part of the test, milk was contaminated with bacteria and viruses and the pump was then run, when they tested the tubing and pump side no traces of milk, bacteria or viruses was found in either. In the second part of the testing, bacteria viruses and milk were placed inside the pump and tubing and then the pump was run. Once again, the silicone diaphragm had prevented the movement of milk, bacteria and viruses from the pump and tubing into the breast milk. The result is that your milk stays where it is meant to be, and your pump stays clean. The tubing lasts longer because you never need to clean the inside or replace it because of milk build up, your pump motor lasts longer because it is kept dry. To learn more about the Ameda closed system breast pumps see the My Breastpump website: www.mybreastpump.co.za Open system breast pumps are not able to protect your pump or the tubing from milk build up or the growth of bacteria or viruses. As we all know breast milk is full of nutrients and if left uncleaned it is the perfect medium for bacteria and viruses to grow. This can happen if you have breast milk stuck in your pump tubing or in the motor. If you have this growth,  spores or viral particles can be pumped back into your newly expressed breast milk. Another problem with having milk in your motor is that as it dries the milk becomes sticky. This can damage your motor and result in your pump having less pressure. Although open system pumps are popular, they have become antiquated because they do not protect your baby from contaminated breast milk.  If you would like to see what it looks like when there is mould in a breast pump just run a google image search of breast pumps with mould. Sometimes the mould growth is so much that you can smell it coming from the pump. If this happens it is time to get a new pump and consider changing to a closed system pump.  Back flow protectors are relatively new in South Africa. What this means is that the pump has a valve between the flange (the part that touches your breast) and the motor of the pump. They help to protect against milk traveling backwards into the tubing and the pump motor but have not been tested against bacterial and viral contamination or movement around the pump. Another point to consider is where the backflow protector is placed. Research has shown that the first 4 cm from the flange is most likely to have the most bacteria and growth if the pump is not a proper closed system. If the back-flow protector is placed along the tubing, it is not protecting all of the tubing from the milk entering it.  There are so many different breast pump brands available in South Africa and it can make choosing a breast pump difficult. Ameda has made the choice so much easier for you because you know that with Ameda your breast pump has been tested and approved as a true closed system breast pump, which protects you and your baby from milk back flow and contamination of bacteria and viruses. The Ameda difference is all about mothers’ comfort and confidence that her milk will always stay purely hers.  If you would like to learn more about the

Vital Baby

A beginners guide for optimal nutrition during breastfeeding

Breastfeeding is the most perfectly designed feeding system that only Mother Nature could have devised. It provides everything a new-born or infant needs to thrive up until 6 months old, and remains the main component of a baby’s diet until 12 months old, even after solids are introduced. In fact, breastmilk assists in the digestion of baby’s first solids and makes the transition easier on little tummies. And as babies start exploring their surroundings from around 6 months, when everything goes into their mouths, breastmilk also offers protection against bacteria and viruses, and stimulates their immune systems in ways that formula milk simply cannot. Another function of this perfect system can also not be replicated with formula feeding – the calorie content and composition of breastmilk actually changes during a feed and at other times. At the start of a feed, the milk is more watery to quench the baby’s thirst. Hindmilk, the milk that comes after that, is thicker, more nutritious and has up to three times the fat content. This is why it’s important your baby empties a breast fully before switching to the other breast during a feed so he’s getting all the good stuff. Your breastmilk composition will also change depending on the age of your child, and if your child is ill, when your breastmilk will contain more antibodies. It really is magical stuff! The World Health Organisation recommends that children are exclusively breastfed until 6 months old, but that breastfeeding should continue, where possible, until 2 years old and even beyond. Toddlers benefit from the same immune system enhancement and protection from illnesses such as pneumonia, diarrhoea, colds, ear infections, allergies and other nasties as newborns do, and they continue to benefit from the protein, calcium, fat, vitamin A, and other nutrients in breast milk.  The long-term benefits of breastfeeding are equally as compelling, with research showing that, as adults, babies who were breastfed have lower blood pressure and cholesterol, and are less likely to develop type 2 Diabetes or to be obese or overweight. While the benefits to their baby will be a mother’s top priority, breastfeeding mothers also receive health-protecting benefits. Apart from the pure bliss, stress relief and bonding breastfeeding creates, mothers who have breastfed see reduced risk of breast and ovarian cancer, high blood pressure, heart disease, diabetes and rheumatoid arthritis, and this risk reduction is cumulative – meaning the longer you breastfeed the more your risk profile reduces. YOUR DIET DURING BREASTFEEDING Many new mothers worry that they are not getting enough nutrients to sustain breastfeeding over the long term, or that their milk may be lacking in nutrients, but the truth is that, for the majority of new mothers, the most important factor in milk production is the act of breastfeeding itself – the more you feed, the more milk you produce.  And no matter what you eat, for the first 6 months your milk will contain almost all the nutrients your baby needs, except for Vitamin D (or Vitamin Free). Consider women living in 3rd world countries where their staple diet is maize or sorghum: in spite of the mothers lacking important nutrients themselves, their babies can be sustained through breastfeeding. Of course, the breastmilk produced by an undernourished mother may not be optimal but it is sufficient for the baby’s survival. Pregnancy, birth and the first few years of your child’s life are mentally, emotionally and physically exhausting. Your overall health and your nutrient intake postpartum can have a big impact on your ability to get through it all in less of a sleep-deprived and foggy haze, as well as on the quality of your milk.  During pregnancy, from around week 12 when the placenta is fully formed and begins transporting blood, oxygen and nutrients, the unborn child receives all its nutrients from the mother’s blood. If you are not getting an adequate intake of important nutrients, your body will divert these from your own stores to ensure your baby is getting what it needs for development. According to the results of a National Health and Nutrition Examination Survey, vitamin and mineral deficiency in pregnant women is common, specifically Magnesium, Iron, Vits D and E, and to a lesser degree Vits A, B, C, Calcium, Folate and Zinc.   It is important to top-up your own levels of these and other nutrients to ensure you stay in top form during pregnancy and postpartum.   Nutrients needed to keep mother and baby in peak health while breastfeeding are split into two groups – Group 1 are the nutrients that need to be present in Mom’s blood in sufficient quantities so they can be secreted into breastmilk, and Group 2 are nutrients that will be secreted into milk regardless of how much or little the mother is taking in. Although Group 2 nutrients are not necessarily needed in a mother’s blood, it’s still a good idea to make sure you are getting enough of them to stay as healthy as possible during this time. Some common food sources of Group 1 nutrients: Vitamin A: sweet potatoes, carrots, dark leafy greens, organ meats, eggs Vitamin B1 (Thiamin): fish, pork, seeds, nuts, beans Vitamin B2 (Riboflavin): cheese, almonds, nuts, red meat, oily fish, eggs Vitamin B6: chickpeas, nuts, fish, poultry, potatoes, bananas, dried fruit Vitamin B12: shellfish, liver, yogurt, oily fish, nutritional yeast, eggs, crab, shrimp Vitamin D: cod liver oil, oily fish, some mushrooms, fortified foods Choline: eggs, beef liver, chicken liver, fish, peanuts Iodine: dried seaweed, cod, milk, iodized salt Selenium: Brazil nuts, seafood, turkey, whole wheat, seeds Some common food sources for Group 2 nutrients: Calcium: milk, yogurt, cheese, leafy greens, legumes Zinc: oysters, red meat, poultry, beans, nuts, dairy  Folate: beans, lentils, leafy greens, asparagus, avocados Iron: red meat, pork, poultry, seafood, beans, green vegetables, dried fruit Copper: shellfish, whole grains, nuts, beans, organ meats, potatoes You will almost certainly need to up your calorie intake while breastfeeding – by between 300 and 500 calories depending on your weight and activity levels – to cope with the physical demands of

Vital Baby

Tips to express more breast milk

There are so many reasons why moms may choose to express. For some, it is a way to include dad and other family members in the feeding routine. For others it ensures baby receives the goodness that breast milk has to offer while being away from their baby, like when they have to return to work. And for other moms, baby might not latch on to the breast, and by expressing, they can ensure baby receives the goodness of breast milk, even if they are not able to breastfeed.  Whatever your reason, expressing should be a comfortable and rewarding experience.  Here are a couple of tips to maximise your milk flow when expressing: If possible, pick a quiet time and a quiet room in which to express. Before you begin, take a few deep breaths and sit comfortably. Stress may hinder your milk from coming in, so it’s important to pick a time where you are not rushed or feeling anxious. Hearing a baby, or thinking about your baby, acts as a stimulant for your milk to come in, also known as the “letdown reflex”. When you sit down to express, think of your baby. It may even help to keep one of his toys or a piece of clothing with you.  Some moms find that gently massaging their breasts for a few minutes before they begin expressing helps to get the milk flowing. Top tip: gently stroke your breasts downwards towards the nipple to stimulate the letdown reflex.  Not everyone is the same, and you’ll find a time of day that works best for you, but for many women, first thing in the morning is a practical time as their breasts feel full when they wake up. Warmth increases blood flow to your breasts, which should make expressing easier. Before you express, have a warm shower or bath or apply a warm towel or hot pack to your breasts. Vital Baby has two breast pumps on offer to make your pumping experience easy and enjoyable. The vital baby® NURTURE™ flexcone™ electric breast pump (R2259.99), with its super soft silicone breast cup and flexcone™ provides cushioning around your breast and mimics the suckling action of your baby to provide the most natural and effective breast milk expression. The vital baby® NURTURE™ flexcone™ manual breast pump (R599.99), with its unique super soft silicone breast cup and flexcone™ massages the breast by gently mimicking the natural suckling action of your baby to provide the most natural and effective experience. Vital Baby products are available at: Clicks, Babies R Us, Baby City and online at Babies Africa, Loot and Takealot.  Learn more about Vital Baby on www.vitalbaby.co.za or follow them on social media @vitalbabysa. 

My Breastpump

Sore nipples are often a reason that mothers stop breastfeeding

Breastfeeding should be a comfortable and rewarding experience and it is so sad when this is not achieved because of lack of support or sore nipples. Sore nipples are often a reason that mothers stop breastfeeding. Try to picture feeding your child but being in agony the whole time. It is terrible. I do not think that many people understand how painful these can be. I have heard them described as having hundreds of needles pushing into them or as if sandpaper is being rubbed on the tip of the nipple. Nipples can be damaged in different ways including redness, small cracks to deep cracks with severe nipple trauma. This type of damage is excruciating, and no one should ever have to endure such pain. What can be done about it and how can we improve a mother’s breastfeeding experience? The good news is that if you have sore nipples there are a few ways that Ameda can assist to help the nipples heal while the mother is learning how to improve her breastfeeding. The first thing that needs to be checked is the latch. Latch simply means how the baby is attached to the breast. The most common reason for sore nipples is a shallow latch. This is when the baby only has the tip of the nipple in his/her mouth. This will cause pain and damage to the nipple. When a baby has good attachment to the breast, the mother’s nipple will go all the way to the back of the baby’s mouth. To find out how far back this is use your tongue. Move it from your front teeth backwards over your hard pallet until it feels soft. This is your soft palate and is how far back a deep latch should go. Hence the name deep latch. The tops signs to look for that show a deep latch are  Lips flanged out- Wide gaping mouth to accommodate the areolar and nipple A symmetric latch- More areolar visible above the baby’s top lip Tummy to Mummy- Baby’s ears, shoulders, and hips inline. If baby is too far away from the breast it makes it very difficult to get a deep latch.  Chin on breast- By placing the baby’s chin on the breast , it helps to tilt the baby’s head upwards which in turns helps to open the baby’s throat for easier swallowing  Have a listen and watch- Active suckling and swallowing are good indicators of milk transfer The nipple should stay the same shape before and after a feed. If the nipple has a white line or changes shape this means that the baby’s tongue/ gums are putting pressure on your nipple which can result in pain.  What can be done if a mother has sore or painful nipples? Firstly, contact a lactation consultant to assist with a latch and to assess for other issues that may cause the pain Nipple shields can be used as a temporary “band-aid” to help the nipple heal while still direct feeding off it. When purchasing a nipple shield it is important to know how to fit it correctly as you can get different sizes: 16mm, 20mm and 24mm. Sizing is important as you need to have a comfortable fit. It is also important to put the nipple shield on correctly so that the nipple is drawn up into the cap of the shield. This will allow the baby to latch on to the shield with a deep latch. You also need to look for a nipple shield that is ultra-thin. Like the Ameda Silicone nipple shields this allows for maximum stimulation in the baby’s mouth. This is important as thick nipple shields can reduce a mothers milk supply and then she may need to pump after each feed to ensure that her breasts have been emptied.  Nipple shields are also used with baby’s that have tongue ties. The shield helps to protect the nipple before the baby can have a tongue tie correction. For more information about nipple shields ComfortGel® HydroGel Pads. These are an amazing aid to help damaged nipples heal. They give instant relief and help to sooth sore nipples. They help create a moist wound environment that is recommended for optimal wound care. Pads fit discreetly and securely inside most nursing bras for extra cushioning and protection from rubbing against clothing while healing. Long life, pads can be rinsed and reused for as long as 6 days. Nipple Shells help to keep fabric friction away for any damaged nipples in between feeds. The shells allow the nipples to have air movement and can collect any dripping milk. This helps to prevent thrush and other infections which can cause other issues like mastitis.  An added benefit of the Ameda Duo Shells is that they also can be used to help pull out inverted nipples in a gentle way. Triple Zero Lanolin cream is 100% pure lanolin and is great to have in your maternity bag  when you go to hospital. The lanolin helps to sooth nipples and does not need to be washed off while baby feeds.  You can also use your breast pump to let your nipples heal while keeping up your milk supply. It is so important to find a breast pump that fits you well. The Ameda range of breast pumps have seven different size flanges making sure that you will be able to find your best fit. This is important because you do not want your flange to be too tight fitting and rub on your nipple. It is reassuring that with Ameda mothers can get help if breastfeeding is painful for them. It is also great to know that sore nipples do not necessarily mean that it is the end of a mothers breastfeeding journey.  If a mother with sore nipples can allow her nipples to heal properly while working on getting her latch deeper, she will be able to change her journey from discomfort to a much more satisfying, comfortable

Vital Baby

8 Breastfeeding myths busted

There is an abundance of information available on breastfeeding. From books, to videos, to promotional material and online articles, preparing yourself for the breastfeeding journey seems easier than ever before. However, despite all the information available at our fingertips, there are still too many myths being punted as truths. Here are ten of the most common myths you may have come across. Myth 1: Babies that are breastfed become clingy. Truth: Some babies and children are clingy, and others aren’t. There is absolutely no evidence to suggest it has anything to do with whether or not they were breastfed.  Myth 2: If your baby feeds often, they are not getting enough milk or nutrients.  Truth: Breast milk is very easy for babies to digest, which means that breastfed babies generally get hungrier more quickly than formula-fed babies. Newborn babies will feed every two to three hours and it is normal for baby to feed often. Regular feeding does not indicate that there is anything wrong with your breast milk. Myth 3: If you get ill, you should immediately stop breastfeeding Truth: If you catch a cold or flu, continuing to breastfeed your baby will protect them from the virus. By the time a mother’s symptoms develop, she would have already passed the virus on to her baby, and baby’s best protection against the virus is their mother’s breastmilk.  Myth 4: Breastfeeding protects you from getting pregnant Truth: The number of families with children ten or eleven months apart in age serves as major evidence against this myth! Whilst breastfeeding offers around 98% protection, it is not guaranteed birth control. Myth 5: You have to follow a plain diet while breastfeeding Truth: Breastfeeding moms should follow a balanced diet. There is no need to avoid flavoursome foods, as baby would have been exposed to mom’s eating habits while they were in the womb. If your baby reacts to a specific food you eat, it’s best to consult a medical practitioner. Myth 6: You have to wash your nipples every time before baby feeds. Truth: There is no need to wash your nipples before breastfeeding. The nipples actually produce a substance that baby can recognise and has good bacteria that helps build baby’s own healthy immune system.   Myth 7: All breastfeeding moms experience pain and inflamed nipples Truth: While it is not uncommon for moms to develop cracked nipples or painful nipples, it is not inevitable that they will. And if they do, a consultation with a lactation expert could help solve the problem. There are various things you can do to eliminate pain – do not feel as if you have to suffer through it! Myth 8: Breastfeeding is easy. Truth: Both mom and baby’s bodies are naturally equipped for breastfeeding. Babies are born with the reflex to look for their mothers breast, and mom’s body knows exactly when to start producing milk. This, however, does not mean breastfeeding is easy. No matter how well you are prepared, breastfeeding is likely to pose challenges along the way, and for some moms, it may be a very difficult process to master. Don’t be afraid to ask for help. Vital Baby knows the beauty of breastfeeding, but also recognises the challenges it may pose. That’s why all Vital Baby breastfeeding accessories have been designed for ease, comfort and convenience. Find your perfect breast pump, bottle, breast milk storage bags or breast pads here: https://www.vitalbaby.co.za/products/. Vital Baby products are available at: Clicks, Babies R Us, Baby City and online at Babies Africa, Loot and Takealot.  Learn more about Vital Baby on www.vitalbaby.co.za or follow them on social media @vitalbabysa. 

Vital Baby

Vital Baby: What to look for in a breast pad

For moms who have decided to breastfeed, breast pads are a real God-send. While they may not be necessary in the first few days after baby’s birth, they will play an important role when your milk comes in. Leaking is very common; a woman’s breasts may leak when she hears a baby cry, or when baby’s next feeding time approaches. It is also common and normal for one of your breasts to leak milk while you are busy feeding with the other. This is because your “let down” reflex happens in both breasts at the same time. It takes some time for breast milk to become regulated, so you can expect to use breast pads for the first few months after giving birth. What are breast pads? Breast pads, also known as nursing pads, are placed inside your bra, and serve the purpose of absorbing excess milk that may leak between feeds. They prevent milk from staining your clothing. There are various shapes and sizes available, and some are reuseable, whilst others are disposable. No matter what type you choose, the most important factor to consider is comfort. Your breast pad should be contoured to fit snugly against your body. A flat circular breast pad will bunch up in your bra. Breast pads should be soft and absorbent, and allow your skin to breathe. It’s important not to trap moisture around the nipple, as this can lead to irritation or even yeast infections. As such, breast pads should be changed regularly.  vital baby® NURTURE™ ultra comfort breast pads help keep you dry by absorbing breast milk that may leak between feeds.  They have self-adhesive tabs to secure each breast pad discreetly onto the inside of your bra, preventing embarrassing leaks from showing through your clothing. We’re sure you’ll agree, vital baby® NURTURE™ ultra comfort breast pads are one of the best breast pads available to mums. The vital baby® NURTURE™ ultra comfort breast pads are shaped to provide comfort and absorbency, locking in wetness away from your nipple, helping to avoid irritation and infection. The vital baby® NURTURE™ ultra comfort breast pads have: • An absorbent layer to help keep you dry and comfortable day and night. • Double sticky tabs for security and to help prevent slipping. • A crinkle-free 3D contour for a natural comfortable fit. • Soft and breathable fabric with a backing that’s waterproofed to help wick moisture away from the skin. • Individually packaged for hygiene. For hygiene and comfort, we recommend that breast pads are replaced regularly. RSP: R103.02 (56pk) / R23.55 (6pk) Vital Baby products are available at: Clicks, Babies R Us, Baby City and online at Babies Africa, Loot and Takealot.  Learn more about Vital Baby on www.vitalbaby.co.za or follow them on social media @vitalbabysa. 

Philips Avent

Expert top tips for new mums on how to comfortably express milk for baby

The ability to express breast milk is invaluable in supporting and prolonging breastfeeding with today’s busy lifestyles. Of course breastfeeding is all your baby needs, but many moms need or choose to express their milk at times to give them more flexibility. In the very early days expressing can help new moms get over any early hurdles they may face as they establish breastfeeding, and then later on, mom’s breast milk can be given by bottle if she cannot be there for a feed.  Many moms find expressing comes easily, whereas some need more practice to get started. Here are my tips for successful expressing: Practice makes perfect – or certainly improves how easily you can express! Try 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 shower or placing warm flannels over the breast and then gently massage the breast with the flat of the hand. Expressing from one side whilst feeding from the other is effective as the baby is doing the job of stimulating let-down for you! Having sterilized and assembled the pump, place the pump centrally on the breast. The design of the Philips AVENT Comfort manual breast pump (RSP R1000,55) means that you don’t have to lean forward and can sit in a more comfortable position. Begin to pump gently and increase the amount of suction as far as is comfortable 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. The comfort petals on the Philips AVENT Comfort manual breast pump gently massage the breast during expressing to help milk 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 Successful expressing depends on various factors – being relaxed, comfortable and unhurried are very important. However do be aware that many moms express less from their breast than the baby would take at that time. Most babies feed more quickly and take more volume of milk than the same time spent pumping. Don’t be disheartened if you express less than you’d hoped. With practice you’ll find what works for you. Available at Baby City, Toys R Us, Baby Boom, Dis-Chem and Clicks as well as online at www.takelot.com, www.babiesrus.co.za, www.loot.co.za and www.babiesafrica.com. 

Philips Avent

Make Breastfeeding Easier with Philips AVENT’s Breast Care Accessories

With Breastfeeding Week taking place during 1-7 August, Philips AVENT is sharing their top breastfeeding accessories designed to support you through every step of your breastfeeding journey. Whether you want to develop your milk supply, take care of your breasts, or simply fit more into your day, Philips AVENT breast care accessories make breastfeeding easier. Give your breasts excellent care You might experience a few bumps in the road in the early days. Having the right tools to soothe and protect your breasts makes it easier to stay comfortable and continue breastfeeding. Philips AVENT Nipple Shields – helping you to breastfeed for longer Philips AVENT nipple shields (RSP R183, 60) made of ultra-fine, soft, odourless, taste-free silicone protects sore or cracked nipples during breastfeeding. It provides an easy latch on for your baby and is shaped to allow skin contact with baby.  Philips AVENT Niplette – a simple, effective solution for inverted nipples Inverted or non-protractile nipples affect up to 10% of women, causing psychological distress and making breast feeding difficult for mother and baby. The suckling action of the baby should draw out the nipple. If not, the Niplette (RSP R1678, 38) is a simple, comfortable solution that can help. The device makes it possible for women with flat or inverted nipples to comfortably breastfeed without the need for invasive surgery. It consists of a transparent nipple mould with a sealing flange, attached to a valve and a syringe port.  Philips AVENT Washable Breast Pads – Cotton Lace- comfort with confidence Developed with breastfeeding expert, Vicky Scott, Philips AVENT Washable Breast Pads (RSP R298, 59) have a brushed cotton lining which is soft and gentle and features an absorbent layer which draws moisture away from the skin behind a leak-proof liner.  The breast pads have a contoured shape that allows you to discretely wear them under your clothing with adhesive tape to keep the breasts in place. The pads are individually wrapped for extra hygiene. Philips AVENT Comfort Breast Shell Set – Comfort and protection The ultra-soft Philips AVENT breast shells (RSP R384, 71) are worn inside your bra to protect your nipples from chafing and to collect excess breast milk when feeding or using a breast pump. Ventilated shells- protect sore or cracked nipples and help them heal more quickly. Their gentle pressure helps relieve engorgement and the holes allow air to circulate.  They come with ultrasoft silicone backing cushions.  Find more flexibility Whether you’re going back to work, or just want to fit a little extra into your day, there are easy ways to keep giving your baby the benefits of breast milk when you can’t be there. Philips AVENT Breast milk storage cups – store breast milk securely Express, transport, store and feed your breast milk efficiently, with Philips AVENT storage cups (RSP R445, 88). Sterilise and reuse the storage cups with the Philips AVENT pump or teats—one system, many options! Stackable cups and lids make for an organised fridge and freezer. Write-on cups and lids to track easy dates & contents. The breast milk storage cups are BPA free and easy to clean.  Philips AVENT Breastmilk Storage Bags – Ultimate protection for your breastmilk Philips AVENT breastmilk storage bags (RSP R213, 44) made out of BPA free material provide safe and secure storage for your precious breastmilk. They can be stored in the fridge or freezer and are pre-sterilized for immediate use. The wide opening allows for easy filling and pouring whilst the sturdy design of the bag enables it to be self-standing. Bags can be laid flat for easy storage too.  Available at Baby City, Toys R Us, Baby Boom, Dis-Chem and Clicks as well as online at www.takelot.com, www.babiesrus.co.za and www.babiesafrica.com.

My Breastpump

9 top tips to increase your breast milk supply

If you need to increase your milk supply due your baby being hospitalised, try these 9 tips below. Having a baby during this pandemic is very stressful and even more complicated when your baby is hospitalised in Neonatal ICU (NICU). Some mothers of premature babies are reporting that they have less time (in some cases only 1 hour per day) to spend with their little one. This affects their ability to bond and their breast milk supply. Many hospitals are not allowing Kangaroo Care, which is know to help with bonding and increasing milk supply. The wearing of masks, gloves and aprons can create an additional barrier to bonding. My Breastpump has compiled a list of tips that can assist you in increasing your milk supply as well as bonding better with your baby.  Here are some tips to help you bond better with your baby and help you to increase your milk supply while expressing; Rent a hospital grade breast pumpand express at least 8 times in 24 hours. Your body needs to know that there is a baby who needs breastmilk. Therefore, you need to pump as often as you would be feeding your baby directly. If you are not able to rent a hospital grade breast pump, try to get a double electric breast pump. The double electric breast pumps help you to save time by expressing both breast at the same time. They have also been found to increase your milk supply because both breasts are stimulated at the same time.  Use heat and massage to help to “wake up” your breast. The warmth and massage help with your letdown and start your milk to flow. A great way to do this is to use a small baby’s bottle with warm water. Pour water into the bottle so that the temperature is hot but comfortable, make sure that the lid is closed tightly. Roll the bottle from the base of your breast to the nipple, use some pressure but make sure that this is a comfortable movement. Massage all the way around your breast. You can also use your hand, fist or finger to gently massage your breasts. After a few minutes you can start using your pump. If you are very new to pumping you might want to repeat the heat and massage during your expressing.  Have a picture or video of your baby. Being able to see and think about your baby really helps to boost your milk product. If your baby is hospitalised and you are not able to hold or sit next to your baby, looking at a video or hearing your baby is another way that you can focus your attention on your child and making breast milk. By watching your baby you are able to remove all other thoughts and worries.  Practice hands on pumping. Hands on pumping is done while or just after you have used your electric breast pump. You also massage the breast and squeeze it gently to help move the milk out of the breast. This helps to remove more milk and also the milk with the higher fat content which is great for your babies weight gain.  Practice kangaroo care as soon as possible. You may need to wait until you are home or just before you leave the hospital before you can do kangaroo care, but as soon as you are able  do as much as possible. Kangaroo are is when you have your baby in nothing but a nappy and they are lying directly on your chest. There they are comfortable, can hear your heartbeat and breathing and are kept the perfect temperature.  This is so important for bonding and your baby and knows you from when he was in the womb and you are able to smell see and hear your baby. Not only is kangaroo care good for bonding it is also very good at increasing you milk supply.  Get a bonding heart or two.  Bonding hearts are made from fabric. They help your baby to smell you when you leave the hospital. How it works is that you wash and iron the heart and place in a clean ziplock bag. Once you are inside the NICU you place it on your chest. The heart will absorbed your smell. Just before you leave, you place the bonding heart inside your baby’s cot. Your baby will then smell you instead of the hospital disinfectants. It is a lovely way of leaving some of your love with your baby.  Ask the hospital for breastmilk storage containers. Most hospital will have disposable breast milk storage bottle that you can take home and sterilise to bring back to the hospital. Make sure that you label your milk with your baby’s name and date.  Find a support group. You will need extra support during this time and it is best to be able to talk to other mothers are also NICU moms be it current or past. They will be able to listen to you and help you understanding what the doctors are saying. Manage your expectations. As the saying goes “Rome was not built in a day” and the same is with breast feeding.  For the first few days your baby only needs a few mls of breast milk and this slowly increases. You should find that your milk supply will be ahead of your baby’s needs. If using a hospital grade breast pump, following the tips above and express 8 or more times a day. You should expect your milk to reach about 500ml between day 5 and 7. This will help to get your milk supply to its full potential within the next few weeks.  Expressing full time is a lot of work and it does take time, but it can also be so rewarding. Once your baby is strong enough to latch directly you will have a strong milk supply which can make your breast-feeding journey so much easier.  Please let us know

Philips Avent

How to successfully breast and bottle feed to ensure baby receives all the breast milk he needs for the best start in life

The latest recommendations are to offer your baby nothing but breast for at least 6 months, for the healthiest start.  Many new mothers quite rightly relish this special time when their most important job is to feed and care for their child, and can easily commit to being there for every single feed. They may rely on having the lifestyle and support systems to enable them to do that, however, this isn’t easy for all moms.  Not all moms can be there for every feed, or they may choose to have a more flexible method of feeding, but which still ensures their baby has 100% breast milk even if she is not there to give the feed herself. Expressing breast milk is easier and more comfortable than ever, and storage of milk in the freezer is safe and efficient. First things first though – if you want your baby to take both breast and bottle it’s vital that you concentrate on getting breastfeeding off to a great start first and establishing a good milk supply. It’s vital that breastfeeding is your baby’s first and preferred method of feeding. It’s important that he learns the technique of feeding from the breast, and that you establish your milk supply to suit your baby’s needs. Expressing too much too soon can interfere with that, and introducing a bottle to your baby too soon may interfere with his breastfeeding.  You both need time to establish that, and it normally takes around a month or so.  It works well to start expressing after the first couple of weeks or so, when you feel ready. In the morning, after your baby’s first feed is a good time as many moms find they have extra milk first thing. Try every morning, and freeze this milk for use later. Some moms find expressing easy, others need to get used to it – practice really does help! You may express a small amount at first, but do it every day, for 20 minutes or so and see how you get on. It helps to be comfortable, relaxed and unhurried – after a bath or shower is ideal at first, being in the right frame of mind is important to allow the milk to flow! The Philips AVENT Comfort manual breast pump (RSP R1000,55) has features which improve comfort even more – it’s simple to use, allows a natural sitting position, and has a soft, warm massage cushion to aid milk flow.  Collecting and storing your milk is easy with the Breast milk Storage Containers (RSP R445, 88) which fit onto the breast pump and go in the fridge or freezer. It’s possible to fit the bottle teat straight onto the container to feed baby, or you can transfer the milk to a bottle. How often you feed baby your milk from a bottle will depend on your needs and lifestyle. Many fathers enjoy the nurturing and bonding experience of feeding their baby – this might give mom a break too for an early night or a night out! Having the option of giving a bottle means that if you are going somewhere with your baby where you would rather not breastfeed then you don’t need to.  Here are some important things to remember when feeding your baby from both breast and bottle: Establish breastfeeding first before introducing a bottle Keep breastfeeding as baby’s main feeding method Never miss a feed – you will need to express milk more or less around the time baby is taking his feed from a bottle. Leaving yourself uncomfortably full can lead to problems like mastitis and can reduce your milk supply Some babies refuse to take a bottle if you wait until 3 or 4 months to introduce it. If you know that you want your baby to be able to take a bottle at some point (for example when you return to work) then introduce it earlier and keep it as a regular feature alongside breastfeeding If your baby shows any signs of favoring the bottle, stop using it for a few days to protect breastfeeding Breastfed babies can be used to a fast milk flow so be aware of the flow of the teat you are using so he doesn’t get too frustrated Available at Baby City, Toys R Us, Baby Boom, Dis-Chem and Clicks as well as online at www.takelot.com, www.babiesrus.co.za, www.loot.co.za and www.babiesafrica.com.   

Parenting Hub

BREASTFEEDING & COVID-19: BUSTING THE MYTHS

We’ve had an overload of fake news over the past pandemic months.  One of the most damaging falsehoods to emerge has been that COVID-19 + moms can transmit the virus through breastmilk to their little ones, and should stop breastfeeding.    Spokesperson for ADSA (The Association for Dietetics in South Africa), Andiswa Ngqaka, a registered dietitian says, “There are anecdotes from various countries indicating that this misinformation is causing moms to avoid breastfeeding during the pandemic. While some may see infant formula as a ‘safer alternative’ during this time, this is not the case. Breastmilk is the safest and most nutritious food for babies, and COVID-19 does not change that.” There is no evidence of COVID-19 transmission through breastmilk As the medical profession’s foremost experts in nutrition, registered dietitians are constantly keeping up to date with the latest scientific evidence. Worldwide, there is currently no evidence that breastfed babies have been infected by mothers who have tested positive to COVID-19. Andiswa explains, “The WHO cites one study where there was a detection of non-infectious COVID-19 viral RNA in breastmilk, and this is definitely not the same thing as finding viable and infective virus.  Therefore, there is unanimous agreement across international health organisations that moms can have complete peace of mind breastfeeding their children through the pandemic, even if they are COVID-19 + or suspect they might be infected.  The benefits of skin-to-skin contact with your baby and breastfeeding as normal are overwhelmingly immune-boosting and protective of your baby’s health.” Lisanne du Plessis, Associate Professor at Stellenbosch University and ADSA spokesperson, gives her top 5 tips for breastfeeding moms during the pandemic: Mothers should breastfeed on demand, whenever baby wants to breastfeed, day and night. Breastfeed exclusively for 6 months. Breastmilk provides all the food and water that babies need during this time. Breastmilk also protects babies against sickness or infection. Do not give any other food or liquids to babies, not even water, during the first 6 months of life. Even during very hot weather, breastmilk will satisfy babies’ thirst. Giving babies under 6 months anything other than breastmilk will cause them to suckle less, will reduce the amount of breastmilk that a mother produces and may make babies sick. Practice hygienic measures to protect moms and babies against COVID-19 and other harmful bacteria and viruses in our environments. Breastfeeding is food security for babies Breastfeeding from birth supports the healthy development of babies and plays an important role in prevention of all forms of childhood malnutrition including wasting, stunting, obesity and underweight and micronutrient deficiencies.  Breastmilk protects against many infections including COVID-19. At a time when many South African families are facing serious food shortages, breastmilk provides complete food security for babies under 6 months, and boosts nutrition and health for other young ones.  Breastfeeding saves on the food budget, making more money available to feed the family.  When it comes to food, you can’t get anything safer, more convenient and more economical than breastmilk. “It would make good sense to see a boost in breastfeeding across South Africa at this time,” says Lisanne. What precautions should a COVID-19 + mom take? The WHO provides the following breastfeeding guidelines if you suspect or know you have COVID-19:  Wash hands frequently with soap and water for at least 20 seconds or use alcohol-based hand rub and especially before touching the baby; Wear a medical mask during any contact with the baby, including while feeding; Sneeze or cough into a tissue. Then dispose of it immediately and wash hands for at least 20 seconds again; Routinely clean and disinfect surfaces that you have touched. It is vital that partners, family and friends support breastfeeding moms who may be COVID-19 infected.  They need to understand that there is no evidence that the virus is transmitted through breastmilk, and that by continuing breastfeeding, the mother is doing the best she can do to protect her baby from COVID-19. What should happen if you’re just too ill to breastfeed? Andiswa says, “If you’re too ill to breastfeed, try to express your milk for your baby and give it with a clean cup or spoon and cup. Expressing breastmilk is important to sustain your milk production so that you can carry on breastfeeding when you recover.  If you can’t express your breastmilk, you can consider donor human milk.  Wet nursing is another option if culturally acceptable to you.  Your last option would be to provide a breastmilk substitute. Reunite with your baby as soon as your recover. Get support if you need help re-lactating and bonding with your baby.” Get Messages for Mothers – M4M A global pandemic is certainly not the easiest time to be a new mom and the mom of young children.  Mothering babies and small children is often an isolating experience at the best of times, so now, with social distancing and staying-at-home, you may need to make some extra efforts to ensure you are well-supported at this critical parenting time. Grow Great, a campaign to prevent stunting by 2030, partnered with other NGOs Embrace, ilifa labantwana and the Perinatal Mental Health Project, to launch Messages4Mothers, a new digital platform to connect with South African moms during the pandemic. Messages for Mothers can be accessed at M4M or you can connect with Grow Great on social media @GrowGreatza on both Twitter and Facebook.  Grow Great Communications Specialist, Duduzile Mkhize says, “Some of the biggest concerns for mothers are around how they can safely continue to breastfeed their children while dealing with COVID-19.  Some mothers are essential workers and they worry about how they can continue to keep their families safe. Mothers of small children worry about taking them for immunisations as they fear clinics might not be safe. Pregnant mothers who have to go for checks ups also worry about this. COVID-19 lockdown has caused a lot of anxiety for many people, so many mothers ask questions about how to cope with anxiety and depression.” You’re not alone  On a daily basis,

Philips Avent

Breastfeeding Week 8 – starting solids

Well done on continuing to breastfeed your baby!  By this stage many babies are becoming a little more efficient and may be taking less time to feed. This doesn’t mean your baby is taking less milk, just that he is getting bigger and stronger and you are becoming more confident and releasing your milk well. At this stage many babies also start to sleep longer at night if they are feeding regularly and well during the day. Feeding during the night is good for milk supply but it doesn’t mean your baby has to be up and about! Keep the lights low, keep the night time atmosphere and put your baby back down as soon as he has finished feeding. Most babies need to feed once or twice at night until they start on solid foods at around 6 months old. You may now also be feeling more confident about feeding your baby outside the home. Babies love to get out and see the world and it’s great for mum too. As your baby becomes more of an expert feeder you can be more relaxed about your feeding position so practice some ‘on the go’ feeding positions at home first to boost your confidence. Mothers all over the world are keen to breastfeed their babies, and the more that mums are seen feeding their babies out and about the more commonplace it will become again so get out there! As your baby grows, he will go through ‘growth spurts’ and this means that he will need you to produce more milk to meet his needs. Babies who are going through a growth spurt may appear to be hungry and unsatisfied with feeds. It can take a couple of days but allowing your baby to suckle more frequently and for longer is the best way to increase your supply again and take you both on to the next stage. Sometimes mums feel less confident in their body’s ability and might offer formula milk instead – be patient if you can and give your body a chance to ‘catch up’ with your baby. We know from research that low milk supply is one of the main reasons why mothers stop breastfeeding at this stage. Managing growth spurts when they happen is an important way to continue breastfeeding for longer. Having a supply of breast milk in the freezer for those times when your baby is having a growth spurt and you have been feeding all day, is a great way to satisfy your baby’s hunger and give you a chance to rest. If you are going back to work at 3 months it is important to think about your baby’s feeds now. By starting to express and store milk regularly once breastfeeding is established you give yourself more flexibility as you and your baby get used to the new routine. Introducing a bottle (even just once a day or every other day) to your baby by about 8 weeks means he is less likely to refuse to take it when you need him to. It’s a good idea to talk to your manager or colleagues before you go back and find out where you can go in private to express and store your milk while you are at work. In many countries, employers have a responsibility to make this provision so do look into this.  At around 6 months of age your baby may show signs of being ready for other foods as well as milk. Continue to offer your usual breastfeeds, or formula feeds if you are not breastfeeding, and introduce simple foods like fruits, vegetables and cereals first. Moving onto solids is an exciting time, a big step to take, and there is lots of good advice on introducing foods at the right time, and different approaches, either pureeing food or following baby-led weaning.  Philips AVENT products are available at Baby City, Toys R Us, Baby Boom, Dis-Chem and Clicks as well as online at www.takelot.com, www.babiesrus.co.za, www.loot.co.za and www.babiesafrica.com.  

Parenting Hub

Only one-third of infants under six months are exclusively breastfed in South Africa

Breast milk is the best food for babies. The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of an infant’s life, and continued breastfeeding with complementary foods for up to two years of age. Key findings in the most recent World Health Organisation report and South Africa Demographic and Health Survey showed that South Africa has one of the lowest breastfeeding rates in the world, with only 32% of women breastfeeding infants under the age of six months.  While exclusive breastfeeding in the first six months of a baby’s life has steadily increased in South Africa over the past decade, the country still has a long way to reach global targets, according to Health Minister Dr Zwelini Mkhize, who addressed the media and public during World Breastfeeding Awareness Week in 2019. Why not all mothers breastfeed  There are many contributing factors to these statistics. While breastfeeding is beneficial for both mothers and babies, many women in South Africa cannot, should not, or choose not to breastfeed. The reasons might include the following factors:  The mother needs to take certain medication that is incompatible with breastfeeding. The mother has an infectious disease. The mother needs to undergo a medical treatment that isn’t safe while she’s breastfeeding.  The baby is unable to breastfeed (galactosemia). The mother is dependent on illegal drugs. True low breast milk supply, which is usually the result of an underlying condition such as polycystic ovary syndrome, hypothyroidism, breast surgery, radiation treatment or insufficient glandular tissue. The mother needs to return to work. Although breastfeeding provides much more than just nutrition, for women who experience any of the above and cannot breastfeed exclusively, and where donor breast milk is not feasible, infant milk formula is considered an effective alternative. (A registered healthcare professional should always be consulted.)  Why we are what we eat (and drink) All humans have a microbiome, which is a population of trillions of microorganisms, also called microbiota or microbes², bustling inside and outside our bodies. Each person has an entirely unique network of microbiota determined by their DNA. We’re first exposed to microorganisms when we’re babies, during delivery in the birth canal and through breast milk.  In a healthy person, these microbiota live peacefully in large numbers in the small and large intestines (gut), and throughout the body.3 Microbes in our gut influence much more than just digestion: good intestinal bacteria play a crucial role in maintaining our immune systems and fighting off infections and disease.4 The composition of these microbes is shaped mainly by our diet. How goat milk compares with human milk  Breast milk is the best food for babies, but where breastfeeding is not possible, research shows that goat milk measures up well.  The Global Outlook & Forecast 2019–2024 on Goat Milk Powder by Arizton reported that, when comparing nutritional content between human breast milk, powdered goat milk and powdered cow milk, the goat milk is the best alternative to human breast milk. Breast milk contains a fatty acid called ß-palmitate, high levels of which can positively influence gut health, growth and comfort of infants. ß-palmitate is also found in high levels in goat milk-based formula. Human milk also contains an abundant supply and diverse array of oligosaccharides, which have significantly beneficial prebiotic properties for breastfed infants. (Prebiotics help to stimulate, grow and maintain beneficial gut bacteria.5) Oligosaccharides help to establish and maintain healthy intestines, support the immune system and protect against gastrointestinal infections.6  The milk of goats contains the highest amount of oligosaccharides amongst all of the domestic animals. Studies continue to show that oligosaccharides present in goat milk-based infant formula have strong prebiotic and anti-infection properties and may help protect against gastrointestinal infections to the infant7, and enhance immune function.8 Most types of milk contain both A1-type β-casein protein and A2-type β-casein protein. There is evidence that type A1 of β-casein may be more likely to cause digestive issues, inflammatory or allergic reactions, resulting in diarrhoea and abdominal cramping among infants.  Goat milk mostly contains type A2 β-casein, and therefore tends to be more easily digested by infants. It is the relatively low amount of A1 β-casein protein in goats’ milk that helps to form the softer curd in the stomach and makes it more digestible. Furthermore, while the fat content of goat milk is similar to that of cow milk, the fat globules are up to 75% smaller, and this may make them easier to digest. 9,10 For these reasons, goat milk powder solutions are growing in popularity among consumers all over the world.  World Breastfeeding Week is an opportunity to reflect on the challenges faced by mothers when it comes to feeding their babies. Many mothers feel judged and attacked on the subject of breastfeeding, from undergoing scrutiny when breastfeeding in public, to being made to feel ‘less than’ if they can’t or don’t breastfeed. It is vital to bring awareness of this cause to the public, educate about the contributing factors for why some women can’t breastfeed, and provide information on the best milk alternatives. For more information on the nutritional and lifestyle benefits of goat milk powder or to connect with nutritional consultant Megan Pentz-Kluyts RD (SA), send an email to susan@hatchco.co.za.  

Parenting Hub

Food security for children starts at the breast – support breastfeeding

South Africa has one of the lowest breastfeeding rates in the world. Not because women do not understand the importance of breastfeeding for their children but because women face a hostile environment to care for their children. This World Breastfeeding Week, observed from 01 to 07 August, the South African Civil Society for Women’s, Adolescents’ and Children’s Health (SACSoWACH) are focusing on creating an environment that enables and supports women to breastfeed successfully. Due to our current global crises, with the engulfing COVID-19 pandemic and the subsequent economic crash, women are bearing the brunt of job losses. Female-headed households, especially, are experiencing a financial shock,1 adding to the burden of finding food for their families and caring for their children. In South Africa, nearly one in two households are headed by women, skewing the need to provide unfairly on mothers. South Africa is known as ‘the fatherless nation’ as it has one of the highest numbers of absent fathers in the world. It is estimated that nine million children in South Africa grow up without fathers.2,3 In a recent media report, even our Springbok captain has had to call on men to support and eradicate the scourge of abuse and violence against women.4 Breastfeeding is excellent for infants and young children as a food source, for immunity and for neurocognitive development, and emotional self-regulation.5 “The first step to creating a supportive and safe environment for women and children is the essential provision of food for pregnant women and breastfeeding mothers. Safety and protection for moms, as the life-carrier and carer of children, is non-negotiable,” explains Dr Tshepo Motsepe, First Lady of South Africa, patron of the Coalition, passionate breastfeeding activist and humanitarian. The high rates of violence in South Africa cannot be ignored. Breastfeeding is associated with less violence in societies.5 Research also shows that 80% of rapists are the product of absent fathers.3 Young men who grow up without involved fathers are more likely to develop ‘hyper-masculine’ behaviours such as aggression and emotional instabilities. In contrast, young women are more likely to develop lower self-esteem and become victims of violence.3 Many hungry and stunted children live in fatherless homes1 where suicide is more likely in these individuals.3 “We need fathers and empowered men to step up and invest in the future of our society. Children are our future; the outcomes we want for tomorrow begins with what we do today. We call on all men to set an example and provide emotional and financial support, as far as possible, for the family and breastfeeding partners. This will help women to breastfeed exclusively and relieve them of the pressure to return to work too early,” explains Patrick Shivuri, Maternal and Child Health Programme Manager from Save the Children and a father himself. “Food security for infants and young children starts at the breast. Breastmilk is a living food; it protects against many infections that include COVID-19. If we want to protect children’s health, we need to protect and support their mothers,” adds Dr Chantell Witten, nutrition lead for SACSoWACH and lecturer at the University of the Free State. This has never been more relevant in a time when food is scarce and financial resources constrained. “Reducing Gender-Based Violence starts with protecting, promoting and supporting breastfeeding mothers at all cost. Paternal presence both emotionally and financially is a long-term investment for a healthy and less violent South Africa,” ends Precious Robinson, SACSOWACH chairperson and health advocate from Right to Care. In celebration of World Breastfeeding Week, SACSoWACH will host a breastfeeding dialogue on Thursday, 06 August 2020. The discussion will be live-streamed on their website; please visit www.sacsowach.org.za to find out more and sign up.

Vital Baby

What you need to know about combination feeding

During the early days after the birth, parents are faced with many new decisions and experiences.  One of the most important decisions for parents is whether to breast or bottle-feed, and sometimes that is an option they cannot be in control of. For mums who choose to bottle feed because they want to, or because they find it difficult to breast feed, they are then faced with conflicting advice on how to prepare a bottle correctly. The World Health Organisation (WHO) is the ideal place to find the latest guidelines. Many mums, if they can, feel the best option is to combine breast and bottle-feeding. Some mums may decide to offer exclusively breast milk, by expressing, and then giving their partner, carer or grandparent the opportunity to feed baby by bottle; others may choose to combine breastfeeding with formula milk. How much at which stage? A baby can be bottle fed with expressed breast milk, milk formula or a combination of both. If milk formula feeding feels best for mum and baby, start with little and often, spacing out to fewer, bigger bottles as they develop and grow. There is no single answer as to how much milk formula baby will need, as it depends on their appetite. The general recommendation is to feed baby whenever they seem hungry, keeping an eye on wet nappies and weight gain to ensure they are taking on enough milk. How to make up a feed Warm milk is a breeding ground for bacteria, so milk formula should be made up freshly, as and when needed. Breast milk can be stored in the fridge for up to 24 hours or up to 6 months in a freezer. After feeding, always throw any remaining milk away. Never re-heat or re-use it. Combining bottle & breast Some mums may not be able to breastfeed exclusively, or choose to introduce a bottle for some feeds – especially when returning to work. When introducing milk formula, starting gradually gives mum’s body and baby time to adapt. Myth busting At first, bottle feeding may seem complicated, with many confusing messages.  With a bit of planning, the whole process can be stress-free and enjoyable for parents and babies. With bottle feeding, a routine can be established sooner than on-demand breastfeeding, as you can easily tell how much milk a baby is taking on. Although bottle feeding does need more time to sterilise bottles and prepare milk, the main benefit of bottle and combination feeding is that partners or carers can take turns with feeds, allowing for more bonding time with baby and to give mum a rest. Vital Baby’s NURTURE™ range comprises a range of breastfeeding accessories including an electric and manual breast pump, breast pads, sterilisers, breast milk storage bags and bottles.   Follow Vital Baby on social media: @vitalbabysa Vital Baby products are available at Clicks, Babies R Us, Loot, Baby City, Takealot and at www.babiesafrica.com. 

All4Woman

5 Benefits of breastfeeding – for moms and babies

According to the Association for Dietetics in South Africa (ADSA) breastfeeding wherever and whenever a baby gets hungry is perfectly legal and deserves to be fully supported. In contrast, shaming moms into desperately breastfeeding their babies or expressing breastmilk in cold toilet cubicles and cramped cars in parking lots is not supportive of moms or their children.

Vital Baby

The wonders of breast milk

We’ve been told it’s the most nutritious fluid on Earth. Some even refer to it as “liquid gold.” But what is it about breast milk that makes it so unique and special? We take a deeper look. The first 1000 days of your baby’s life, from the first day of your pregnancy up to two years of life, represent a critical period of growth and development. It gives us parents an opportunity to provide an environment that will help support life-long health. This includes the nutrition a baby receives during this period, which can have a resounding impact. The most complete form of nutrition for infants – breast milk – offers a range of benefits for health, growth, immunity, and development. The World Health Organization recommends breastfeeding exclusively for at least six months (and even up to two years and beyond) because of the long-lasting benefits of breastfeeding for both you and your baby. Many studies, whether focusing on the properties of the milk itself or its effects on babies’ short and long-term health, confirm the significance of these recommendations. Breast not only is the “best” for both you and baby, but it’s also the norm – it’s how our babies have been fed since the beginning of time. One of the most important decisions you can make during these first 1000 days of your baby’s life is to choose to breastfeed your baby. What exactly is in breastmilk? It’s a unique nutritional source that is easy to digest and provides the perfect balance of protein, fat, carbohydrates, and nutrients to promote the growth and development of your baby.  In the first few days after giving birth, the body produces a special kind of breastmilk known as “colostrum.” Thick and yellowish in colour, colostrum is very nutritious and is rich in antibodies that help baby fight off infections and bacteria. It also helps baby’s digestive tract develop, helping it prepare to digest breast milk. After a few days, mom’s breast milk comes through, which is runnier than colostrum, and whiter in colour.  Breastmilk contains hundreds of invaluable substances in human milk – probably more that have yet to be identified – including: Antibodies and white blood cells Probiotics (as many as 600 different species!) Hormones Growth factors Antibacterial properties Oligosaccharides (special carbohydrates that encourage the growth of friendly bacteria in the digestive system) Long chain polyunsaturated fatty acids (important for the development of their brain, eyes and nervous system) Cytokines (special proteins involved in cell communication and immune system formation) and many, many more. Breastfeeding not only provides your baby with tailored nutrition, but it’s available on demand, day or night, and it’s free of charge! The health benefits go well beyond convenience and cost, however, and will have a far-reaching impact on both you and your baby long after the breastfeeding journey has ended. Health benefits of breastfeeding for your baby Scientific research suggests a substantial number of potential health benefits from breastfeeding.  These benefits include: Decreased rates of sudden infant death syndrome in the first year of life (an effect that becomes even stronger when breastfeeding is exclusive). Lower post neonatal infant mortality rates (a reduction of approximately 21% in the U.S.). Decreased risk of baby developing eczema, asthma, and food allergies later in life. Slightly enhanced performance on tests of cognitive development. Lower incidence of infectious diseases, such as diarrhoea, pneumonia, ear infections, respiratory tract illness bacterial meningitis, urinary tract infection, bacteraemia, necrotizing enterocolitis, and late onset sepsis in preterm infants. Improved dental health with less risk of tooth decay. Reduction of the risk of obesity later in life when exclusively breastfed for at least 4 months. Decreased rates of type 1 and type 2 diabetes mellitus, lymphoma, leukaemia and Hodgkin disease in older children and adults. And if this wasn’t enough, breastfeeding also exposes your baby – through the milk you’re producing – to the varying tastes and flavour profiles of the foods you eat, which can influence food acceptance and preferences when they themselves begin to eat food, and throughout their lifetime as well. Are there any circumstances in which breast milk can be harmful to your baby? Yes, there are a few circumstances in which breast milk may pose a danger to a baby, but these are directly related to the health of the mother. If a mother is taking prescription medication, for example, the medication may affect the baby via the mom’s breast milk. Illegal drugs are extremely harmful to babies, and if a mom is taking them, they can be transmitted to baby via breast milk too. Certain health conditions in the mother may also make her breast milk unsuitable for her baby. These include: HIV / AIDS, active tuberculosis, certain cancers and chemotherapy. Regular colds, flus or minor health problems should not pose any risks. If you are taking medication, or have any serious health conditions, chat to your doctor about the possibility of breastfeeding to ensure the safety of your baby. Health benefits of breastfeeding for you Your baby isn’t the only one who benefits from breastfeeding. The health benefits for the mama (you!) are also significant and include: A unique and powerful physical and emotional connection between you and your baby – breastfeeding is the one parenting behaviour only the mother can do. A non-verbal communication and bond with your baby that only grows to support an ever more intimate and effortless mutual exchange, especially if you stay present while nursing with lots of touching, talking, singing, and eye contact. Stimulation of your body to produce antibodies in your milk which in turn helps your baby stay well or recover faster if sick. Help with your return to your pre-pregnancy weight by increasing your energy requirements, promoting the mobilization of fat stores, and quickens your uterus to contract to its pre-pregnancy size. Decreased risk of breast cancer and ovarian cancer. Possibly decreased risk of hip fractures and osteoporosis in the post-menopausal period. Delay the return of your menstrual

Vital Baby

A simple guide to the basics of breastfeeding

Becoming a mom is one of life’s greatest gifts, and whether it is your first or your third time, the feeling of immense joy you experience when you first lay eyes on your baby, is unbeatable. Having said that, many new moms express that these feelings of joy are quickly pushed aside by feelings of complete panic and helplessness when it comes to breastfeeding for the first time.

Philips Avent

Challenges new moms face in Breastfeeding and how to overcome them

The arrival of a new baby into the family is a time of great joy, excitement and change, and breastfeeding is known to be the best start a family can give their baby in terms of health and wellbeing. However, successfully breastfeeding a baby is not without its challenges, and there are various obstacles a new mother may need to overcome in order to achieve her goal.

Vital Baby

Choosing the right breast pump for you: Manual vs Electric

Newly pregnant moms may be wondering, why invest in a breast pump? Truth is, owning one has endless benefits. A breast pump ensures you have the choice to offer all the benefits of breast milk to your baby at all times, even when you cannot be with them. It also enables your partner and family members to help out with feeding times.

Philips Avent

How to Prevent Common Physical Problems of Breastfeeding

Tip – prepare for successful breastfeeding by learning what to expect and how to do it! Attend a class if possible during pregnancy. Don’t wait for things to get better on their own. Ask for help from a skilled professional in the first few days if you need it.

Philips Avent

Philips Avent Breastfeeding Accessories

The Philips Avent breastfeeding range is designed to support you through every step of your breastfeeding journey. Whether you want to develop your milk supply, take care of your breasts, or simply fit more into your day, our breast care accessories make breastfeeding easier.

Philips Avent

More comfort, more milk naturally

Recent studies have proven a clear correlation between comfort and milk flow during expressing. Relaxed mothers feel more comfortable and express significantly more milk more easily. Independent research also confirms that infant suckling is a synergistic combination of breast compression and intra-oral vacuum, originating from the peristaltic action of the infants tongue.

Philips Avent

Top Money Saving Tips for New Parents

Prepare in advance for the financial changes a baby will bring. Start saving as soon as you know you are pregnant, so you get used to living on a reduced income

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