With the increasing awareness of breastfeeding, most people have accepted the concept that breastmilk is the best food for babies. The so-called "first milk" has always been the focus of attention. In particular, after CCTV has exposed a certain milk powder to bribe medical workers and "fed" milk powder to infants, the debate about "first milk" is even more fiery. What does the first drink mean?
Milk powder is not the source of the problem
In the news, the "first milk" feeding powder was sensational. In fact, milk powder is not so terrible, it will not make the baby "dependent" or "addicted", it will not "deprive infants of the opportunity to establish immune function." The real problem is that the bottle may affect breastfeeding.
When the bottle is sucked, the baby mainly uses the cheeks to force the teat. When the breast milk is sucked, the baby's cheeks are in a relaxed state, mainly the tongue and the jaw force and the breast (rather than the teat). There is a big difference between the two ways of "sucking milk" and it is much easier to obtain milk through the former. Therefore, if accustomed to sucking bottles, then the baby may be difficult to learn or do not want to suck breasts to obtain breast milk. In the absence of sufficient sucking stimuli, the production of breast milk will be affected and milk powder will have to be used to supplement it, thus making the baby more and more away from breast milk.
Normal infants should not need milk powder
No breast milk within 3 days after birth is considered normal. In these days, the infant's demand for milk is actually very small. It is generally believed that the first day only needs about 7mL, a little more than a small spoonful; 14mL the next day; on the third day, it does not reach 40mL. Although breast milk was late, the mother prepared colostrum for the baby. The amount of colostrum is very small and it contains more nutrients than conventional breast milk, enough for the baby's needs.
For healthy babies delivered at term, these colostrums are sufficient. It should be noted that colostrum is very fragile and if it does not begin to be absorbed as early as possible, it may be difficult to take it out after a few hours. During this time period, the baby may not have learned to suck. In this case, the mother can squeeze the colostrum into the teaspoon by hand.
But this should not be dogma. Some special circumstances, such as premature delivery or underweight babies (birth weight less than 2.75kg), the baby is too small to form enough to stimulate the breast to produce milk, and he needs more energy, such children need to add milk powder . In addition, some symptoms such as hypoglycemia may also need to be supplemented with milk powder. In this case, it is necessary to work closely with the medical staff to determine the appropriate breast milk substitutes and supplements. In order to avoid problems with bottle feeding, care should be taken to give only the minimum amount, avoiding bottles, and feeding with spoons, syringes or hoses.
No milk also sucks
Most mothers do not have milk in the two or three days after giving birth. However, if you don’t have milk, you still have to stick to it. First of all, before the breast milk is produced, the breast is in a relatively soft state, which is good for baby sucking. In the initial stage, it was not easy for infants to learn to properly hold breasts (instead of nipples) for sucking. At this time, the help and guidance of a nurse or other experienced person are necessary. Second, the mother needs constant sucking to stimulate milk production.
From an evolutionary point of view, it is reasonable that the mother had no milk for two or three days before. When the baby is born, extra water and nutrients are stored in the body, so only a small amount of colostrum is sufficient for two or three days. During this time, the breasts are soft and suitable for infants to learn to suck. If the baby does not learn to suck and wait until a large amount of breast milk is produced and the breasts harden, it will be more difficult for the baby to grasp the movements that contain the breast and suck.
The Newborn Breastfeeding Guidelines at the Stanford University School of Medicine recommends that after the birth of a newborn baby, the mother should let her child adhere to her skin. This helps mothers and infants to sleep, helps keep baby's temperature, and helps babies learn to suck and stimulate milk production faster.
Those particularly difficult situations
Some babies are difficult to learn to hold breasts and suck. In addition to continuing to patiently try, the mother also pays attention to pumping milk out. On the one hand, the breasts are softened and the baby is easy to suck; on the other hand, it is also to maintain the stimulation of the breast and guarantee the milk production. Whether it is the baby sucking himself or pumping his milk, he should maintain more than 8 stimulations per day. As for the milk from the pump, you can feed it with a spoon, and you should still avoid using a bottle.
If all the efforts are tried, there is still not enough breast milk. Parents do not need to have too much psychological pressure. Today's formula milk has been designed to be quite good to meet the baby's growth and development.
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