hi guys i'm Heidi Kim and this is why I
brought you here. I have been so excited
about this video that I get to film for
you guys. I'm bringing you Trine Bradshaw
who is one of my favorite ibclcs or
international board certified lactation
consultant here in the Phoenix area. So I
definitely recommend her if you guys are
in the Phoenix area or I don't know feel like
driving all the way to Phoenix and I
will have her website linked down below
she's from "breast for baby" but we wanted
to do a video with you guys all about
the top things that you should be
thinking about when you are planning to
breastfeed. So as an expectant parent
what it is that you might want to know ahead of
time because sometimes I think it
it hits you by surprise. You know we
spend a lot of time planning for the
birth or planning for nesting and
that kind of thing but breastfeeding
isn't always as natural as well doesn't
always come as naturally as we expected
to. T: It doesn't come as easily as you would like it
to for some so...
H: Yes and so um I asked Trine what what the
things are that she would recommend, that
she just thinks every expectant parent that wants
to breastfeed should know so... T: Well the
first one is definitely I think
everybody should know that breast
feeding is a natural thing but it's also
a learned action so kind of like walking
or talking it takes awhile and you fall
down and eventually you get it
yeah is going to happen at least for
most but it doesn't come too easy to
everybody.
H: yeah and so I think you know we hear a
lot about how natural breastfeeding is
but for a lot of people it doesn't come
naturally and even if you know even know
a lot about breastfeeding it can still
be pretty challenging so just knowing
that eventually will become kind of
second nature like riding a bike
you're learning to drive but at first
those things can be a little bit
challenging T: and also we all watch people
walking and we watched people talking
and we watch people ride bikes and in
our society today you don't get to watch
people breastfeeding all the time so a
lot of us are coming into this at least
my generation came into it not having
really seen a lot of people
breastfeeding and not really knowing who
to ask because their mothers may have
not breastfed or aunts may never have breastfed
or sisters H:or if they did you know you
didn't necessarily see it either i think
it helps to have seen it but a lot of
us haven't so yeah that's a great point.
What else would you say? T: I would say this
is extremely important this is probably
the most important thing to know go and
create community. Go and find all your
resources while you're still pregnant
go and find La leche league meetings go
and find breastfeeding USA meetings
figure out who are the lactation
consultants in your area. Are there other
support groups in your area? Look into
whether your hospital has ibclcs on
staff and how that whole thing has
handled. How often they are available get
all those numbers together put the
numbers of the ibclcs or the la leche league
leaders in your phone prior to having
your baby because you will be tired and
you will be unable to really kind of
just sit down and figure out who is the
better choice for you and it's too late
once you have your baby to really do a
whole lot of homework so do it ahead of
time so you're not going to be quite
sleepy. H: I think that's a really great
point and the other thing that I would
add on top of that is once your baby is
born
don't be afraid to use the resources
that you've just made that list of. Like
I know with Rosalind I had done that I
have a list of people to ask but I was
terrified to call an ibclc because I
thought to myself "no I must do this" and
I was so determined and thought that
that was some failure. You're putting
those resources together so that you
have them after the fact T: and and also I
know when I was used to be a la
leche league leader we had people that were on
on phone duty all the time. There's always
going to be a la leche league leader who's on
phone duty and that's what they do. They
answer phone calls from new moms and
expecting moms answering basic questions
about breastfeeding. I even have people
who call me now having just questions
and sometimes they don't need a
consult or anything they just need to have
a couple of questions answered. A really
good idea even finding support groups on
places like facebook More Than Milk H: Yeah we have a
"more than milk" facebook that group too if guys
haven't joined it's linked down below.
T: Yeah it's it's awesome because you can
ask all those little questions that... H: At
three in the morning T: Yeah okay I always
tell my clients that text me when you
have the question even if it's two or
three in the morning. I turn my phone off
when I go to sleep and I turn on again
in the morning so when you're up nursing
at two-thirty text me the question and
I'll get back to you when I wake up so
don't feel like you're keeping me up in the
middle of the night that kind of works
with a facebook groups because you never
know who else is up at two. H: yeah
especially facebook groups are little
more similar to la leche league because
it's there's other moms that are
probably up nursing too. So yeah have
have your resources ahead of time.
T: the first one is feed your baby early
and often the first few hours. I just
would really like baby to spend time
skin-to-skin that means naked baby you
can wear diaper on mom's skin not with a
certain between out with any blankets in
between just skin to skin after the
first few hours I really would urge
people to try and feed their babies
every two hours or feed their babies
when they are alert and awake because
that may be more often than every two
hours. H: So often a lot of the like times
and stuff like that are based on
formula-fed kids
because that was really the norm and so
you might have a mother-in-law that
saying something like you just fed that
baby it can't possibly be time again but
newborns eat all the time. When in doubt
nurse T: Feed the baby whenever they
are willing to feed if your baby sleeps
a lot in those first 24 hours you may
want to wake them up to feed. Getting
baby naked getting baby skin-to-skin
turning on a fans maybe will help to
keep baby kind of alert and willing to
work with you because the meconium that
in baby system needs to be worked out of
their system and your breastmilk in the
beginning is a laxative.
So when you give your baby your milk
your you will be moving out the meconium
it's really important. H: and I
think that early and often thing is
also really important beyond just that
first 24 hours there is look important
for that first 24 hours but until baby
is up to their birth weight especially
you really want to be focusing on making
sure that you are just following their
cues so staying staying on top of it
I i also think maybe sometimes people
get a little lost in tracking how many
minutes on which side and all that kind
of stuff just if that's how you work
that's fine but if you feel confident
that your baby has eaten about every
other hour for the last 24 hours
nobody's going to ask you to document
how many minutes on which side which
breast them all.
H: Yeah because they can be tricky to.
because you're like oh she's been on for
20 minutes but has she been actively
nursing the whole time because the baby
that's nursing actively for 5 minutes would
possibly get more milk than a baby
that's just been kind of nibbling for
half an hour so those numbers are a
little trickier but when in doubt feed
the baby.
T: So it's a good one and it kind of
goes hand in hand with the next one that
I wanted to talk about is how your
breast milk volume correlates with your
baby's stomach size. In the very beginning
you will have drops because this is
about the size of yours baby stomach so
a good teaspoonful is really a full
feeding in the very beginning of your
baby's life. After a few days about day
five it's moved up to be a little bit
bigger so day three or four your milk
starts coming in day 5 you'll be able to
produce this much this much milk and
then on day 10 your baby is your baby's
stomach has gone to about this size and so
your baby should be able to take a
couple of ounces at a time and so when
your baby is born the stomach is not
this big. Your baby does not need two
ounces of food in the very beginning
Your baby just needs a little tablespoons
H: yeah and so with a tablespoon with that
being so small too
that's part of the reason why they need
to eat so often because they fill and then
you fill it again and then fill it again
so I think everyone should see those
sizes because if you can see like it's the
size of a marble it really is not much.
T: Yeah and so it takes awhile for your
colostrum to transition into full milk
and that's okay okay okay T: and also a lot
of times when people then go oh but I
don't have much milk because you have
colostrum in the beginning you only have
a little tiny bit and people start feeding
formula because they want volume coming
into the baby.
The formula is constipating and your
colostrum is really a laxative
so you're colostrum is going to in
smaller quantities be able to move the
meconium out of a baby system faster
H: Yeah that's particularly important if
your baby has jaundice for example. T: a lot
of the phone calls I get are about
babies having lost what is considered a
large amount of weight in a few days and
a lot of my time is spent kind of
appeasing mothers and saying okay how
much did your baby weight at birth and
how much did your baby weigh when you left
the hospital after a day and a half a
lot of times that weight has gone
dramatically down in the first 24 hours
in the first 24 hours baby loses a lot
of the water weight that they gained in
utero have been swimming in water for
nine months and also a lot of hospital
births load mom's up with IV fluids and
those IV fluids transfer into the baby
as well so the baby will be born with a
lot of extra fluid which then sheds in the
first 24 hours so in that way you can
see it's not really a true weight loss
its kind of so water loss. H: and you're
going to expect your baby to lose weight
no matter what so just know like your
baby will lose weight but that 24-hour
weight is generally especially if you've
had a hospital birth with a lot of
fluids a more accurate starting point
when you're looking at weight gain
overall. T: absolutely H: i think that's a
great point as well and another point I
want to make about IV fluids if you have
a lot of IV fluids that can also
increase engorgement which can most moms
get engorged but it can also create
challenges. T: if you can still feel edema in
your hands if you might in your feet
especially your feet your ankles if you
still feel swollen all that water weight
that's extra in your feet and in your
wrists
it's also going to be in your breasts. H: oh
and then the last point we talked a
little bit about this and I think the
biggest thing is planning ahead so
knowing to plan for breastfeeding you
know I think that moms a lot of times
don't plan for breastfeeding and just
expect it to come naturally and I think
that your point about nesting is really
really great.
so what is that last little bit. T: I find that
a lot of moms in that last few weeks
before having baby go into nesting
phase and they want to shop for clothes
and they want to shop for sheets and
toys and all the stuff for a baby when
baby comes out here she's not going to
need all these things and but they will
need a mom who has time to sit with them
and spend a lot of time breastfeeding
you're going to spend hours
breastfeeding in the beginning so I
really like to encourage mom's set up a
little breastfeeding area of the house.
It doesn't have to be a recliner doesn't
have to be a rocker it doesn't have to
be anything
special but if you have a basket that you
can take around with you to the couch
area or into your bed that has snacks
you going to be hungry as water because
you are going to be thirsty
it has a telephone because you are going
to somehow remember that you need to
text someone about something and you're
going to be stuck there for 20 minutes
so take your phone with you if your
reader bring a kindle which if you would
need a remote-control take that with you
get some baby wipes get the pads or
spillage and all that kind of stuff
get it together in a box that you can
take along with you wherever you are so
that when you sit down for your 25
minutes with your baby you won't feel
like oh I'm stuck here and you'll ever
eat and get element but you'll be able
to relax and you will have your things
with you
water and snacks H: do you have any suggestions for
quick easy snacks that you can eat with
one hand? T: I love larabars Laras are
amazing i love them i love them i love
them if you're not into that kind of our
little snacky granola bars and handfuls
of nuts almonds and raisins
H: yeah anything you can just grab really
really quickly anyways those are some of
our tips with Trine Bradshaw. If you guys
are in the Phoenix area and you're
looking for an ibclc i say this
wholeheartedly she's not only an amazing
ibclc she's also a very dear friend of
mine and I've seen her work and she was
just wonderful so i will have her
website linked down below I definitely
check her out of and if you're in the
Phoenix area. I would really encourage
you guys to get those resources ready
ahead of time whether la leche league,
breastfeeding USA, or an IBCLC in your
area.
I think that having that ahead of time
makes it feel much less like a crisis.
Anyways I hope you guys enjoyed her let
me know in the comments what your
biggest breastfeeding tip is that you
think new parents should know before the
baby comes and
if you haven't yet you can check out
over on the more the milk facebook group.
We've been doing a little bit of live
streaming over there as well so anyways
I'll talk to you soon bye guys bye
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