Feeding your Baby

The first years of your baby’s life are very important for their health in the Mother feeding babyfuture; breastfeeding helps your baby get off to a healthy start. Breast milk gives your baby all the nutrients they need for the first 6 months of life.

Southmead Maternity Service (which covers both hospital and community maternity care) achieved full Baby Friendly accreditation in 2004 and all of our maternity staff receive regular training in infant feeding, including extensive training in breastfeeding support. We will support you however you choose to feed your baby.

Our breastfeeding policy, displayed on the postnatal wards, reflects the World Health Organisation/Unicef’s ten steps for successful breastfeeding.

Infant feeding specialist midwives
Kate Battersby and Marion Copeland can give you extra help and advice for breastfeeding and infant formula feeding. Telephone: 0117 3233527 for further information.

Some of the benefits of breastfeeding for you both. For your baby - reduced risk of:

  • Diarrhoea and vomiting
  • Ear infections
  • Chest infections
  • Urine infections
  • Diabetes
  • Allergies
  • Childhood cancers
  • Sudden Infant Death Syndrome
  • Heart disease

For you - reduced risk of:

  • Breast cancer
  • Ovarian cancer
  • Hip fractures

Breastfeeding is also convenient and free.

Your milk is perfectly suited to your baby and each feed is different to the last.The milk is always changing to meet the needs of your growing and developing baby. Breast milk gives your baby all the food and drink he needs for the first six months of life. It also gives your baby protection. Through your breast milk you will pass on protection from everyday coughs,colds, infections and diseases. The longer you breast feed the more protection your baby will have, but remember, any breast milk will benefit your baby.

Once you decide that you would like to breastfeed your baby, you may be worried that you won’t be able to do it. It is normal to feel this way but our fully trained hospital and community maternity staff will give you information, guidance and support to enable you to succeed, and are committed to help you get breastfeeding off to the very best start.

What happens after my baby is born?
After your baby is born you will be encouraged to cuddle your baby with skin to skin contact. This will allow both of you to get to know each other. Skin contact will calm and keep your babay warm your baby after birth. It will also allow your baby to search and find the breast. Most babies will breastfeed within about an hour after they are born.

How often will my baby feed?
Babies like to feed fairly often. Their stomachs are about the size of a small marble when they are born and the size of a table tennis ball when they are 10 days old. Breastfed babies feed on average between 8 – 12 times in 24 hours. Babies are encouraged to find their own pattern and allow them to feed as often as they like and for as long as they like. Your baby will tell you he has finished his breastfeed by taking himself off the breast and looking satisfied or even fall asleep.

How do I know when my baby is hungry?
Most babies are fairly patient and they give you a bit of warning that they are hungry. Babies show you ‘feeding cues’ when they are hungry. These include:

  • Wriggling and stirring
  • Turning his head from side to side
  • Opening his mouth
  • Licking his lips
  • Sucking on his fingers

How do I breastfeed my baby?
It is important that your baby is attached to the breast correctly when breastfeeding. When babies are attached well they will get all the milk they need and it will be comfortable for you. Babies are born with all the right instincts to breastfeed and you can make it as easy for your baby as possible by holding him/her in a good position.

What position should I use?
You can feed your baby in any position that is comfortable for you.

  1. Hold your baby with his or her head and body in a straight line. If your baby’s body is twisted he or she may find it difficult to feed and swallow.
  2. Hold your baby close to your body so that your baby doesn’t have to stretch and reach for the breast.
  3. support your baby along his or her back shoulder and neck using your arm. Your baby needs to be able to tilt his or her head back when feeding
  4. Your baby needs to be able to take in a big mouthful of breast when he feeds and your baby will find this easier if you hold your baby with his or her nose opposite your nipple.

After you have given birth your midwife or healthcare assistant will also show you, and give you lots of support and help so that positioning and attachment is correct.

How do I know my baby is feeding well?
You baby will take long sucks and swallows with pauses during a breastfeed and towards the end of a breastfeed smaller, fluttery sucks. Each baby and each feed will vary the length of feeding time. You will get to know what is normal for your baby.

  • Baby has a wide open mouth
  • Chin pressing into the breast leaving the nose clear
  • More areola (the dark skin around the nipple) seen above the baby’s top lip than below the bottom lip
  • Baby’s cheeks are full and round.

How do I know my baby is getting enough milk?

  • Weight; It is usual for babies to lose some weight in the first few days after birth. Your baby should start gaining weight after the first 2 weeks.
  • Wet nappies; Your baby may only have 2 or 3 wet nappies in the first couple of days. After that your baby should have lots of wet nappies. From day 5 your baby should have about 6 nappies a day that are very wet. This is a good sign that your baby is getting plenty of milk.
  • Poos; the first poo your baby passes will be the thick black meconium. By day 3 you should see this meconium becoming lighter and not as thick. From day 5 your baby’s poos should be yellow and runny. Your baby should have at least 2 of these yellow poos each day for the first 2 weeks.
  • Happy; your baby should come off the breast on their own and should look content after most feeds. Your breasts and nipples should not be sore.

If you are concerned about any of these points, please speak to your midwife, Health visitor or contact the Infant feeding specialist midwives.

The more you breast milk you give your baby the more milk your breasts will produce. Giving infant formula to a breastfed baby will reduce your milk supply. Your baby will get all he needs from your milk for the first 6 months of life. Every day counts; each day of breast milk makes a difference to your baby’s health.

Support and help

Mother feeding babyIt can take a few weeks to feel confident breastfeeding your baby and at times you may feel tired. Our hospital and community staff recognise this and are there to help and support you. You can also get lots of support from other mothers and we would recommend that you find a support group near you.

Other sources of support

Infant feeding specialist Midwives
Telephone: 0117 3233527

National breastfeeding helpline                              
Telephone: 0300 100 0212        
Visit: www.nationalbreastfeedinghelpline.org.uk

The breastfeeding support line in Bengali/Sylheti
Telephone: 0300 456 2421

Association of breastfeeding mothers                     
Visit: www.abm.me.uk

The breastfeeding network                                         
Visit: www.breastfeedingnetwork.org.uk

NCT breastfeeding line                                             
Telephone: 030 0330 0771           
Visit: www.nct.org.uk

La Leche League                                                       
Telephone: 0845 120 2918          
Visit: www.laleche.org.uk

Further information can be found on the Baby Friendly website http://www.babyfriendly.org.uk/page.asp?page=1

Sharing a bed with your baby (on the Baby Friendly website)
http://www.babyfriendly.org.uk/page.asp?page=115&category=3

From bump to breastfeeding DVD online visit http://www.bestbeginnings.org.uk/our-films/fbbdb8b2-4027-4fb8-a05f-dbca1329680c

Information leaflets

Breastfeeding & work is available to download at http://www.breastfeeding.nhs.uk/en/materialforclients/downloads/breastfeedingandwork.pdf
Photographs © Unicef Baby Friendly Initiative

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