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மெய்ப்பொருள் - A Parenting Checklist


Discussions on "மெய்ப்பொருள் - A Parenting Checklist" in "Newborn and Infants" forum.


  1. #11
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    3. How Does The Mother Position The Baby Correctly At The Breast?

    Positioning your baby correctly will ensure that she is breastfeeding and not nipple-feeding. This means that the baby should be taking not only the nipple into her mouth, but part of the breast as well.

    For effective transfer of milk from the breast to the baby’s mouth, you can choose a sitting or lying down position. The important thing is that you should feel comfortable. If you are sitting, you will find it more comfortable if your back is supported.

    Lift your breast with your palm and offer the nipple as well as the breast to the baby. Do not pinch the nipple or the breast or try to push the nipple into the baby’s mouth. Touch the baby’s lips, preferably the upper lip, with your nipple. If the baby opens her mouth a little, do not offer the breast and the nipple. Again touch her lips with your nipple. As soon as she opens her mouth wide and shows interest in feeding,quickly move her on to the breast. Let the baby’s lower lip be well below the nipple. This helps to get the baby’s chin close to the breast so that her tongue is right under the lactiferous sinuses containing milk. Then the nipple is positioned above the centre of the baby’s mouth, so that it points towards the palate. As soon as the nipple touches the palate, the baby starts suckling and when her mouth fills with milk, she swallows it.

    To make sure that your baby is positioned properly at the breast, check the following points:
    • Your baby’s entire body, including her neck, shoulder and abdomen, should be facing you and close to your body. Her chin should touch the breast.
    • Her mouth should be wide open with her lips curled outwards.
    • More of the areola should be visible above the baby’s upper lip and less below the lower lip. But if the areola is big, more of it may be visible, even if the baby is positioned properly.
    • The baby should be taking slow, deep sucks.
    • After the feed, the baby should appear relaxed and satisfied.
    • You should not feel any nipple pain.
    • You should be able to hear your baby swallow, but this is not essential.


    After offering the breast to the baby, keep your other hand free to stroke her hair or play with her fingers. Do not put a finger on the breast near the baby’s nose to prevent any difficulty in breathing; this is unnecessary and may interfere with proper milk transfer to the baby.

    Moderator Note:

    This Article has been published in
    Penmai eMagazine Jul 2013. You Can download & Read the magazines HERE.


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    Last edited by gkarti; 13th Jul 2014 at 10:03 PM.
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    Very useful thread for young mothers and mothers to be.
    Ippove ella vivarangalayum segarithu vaithu nalla thayar aagittinga polirukku.
    Well done !! GO AHEAD!!!!!!

    Parasakthi and rameshshan like this.
    Jayanthy





  3. #13
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    4. What Is Comfort Suckling?

    Some babies like to suckle more than others even if their hunger is satisfied. Your baby may be one of those who may continue to suckle for comfort. For the same reason, she may start sucking her finger or put her hand in her mouth. You may then think that she is hungry; if you are not sure, offer her your breast. You do not have to worry about overfeeding your breastfed child.

    5. How Long Should A Breastfeed Last In The First Week Or Two?

    Some doctors wrongly advise that the baby should not be fed for longer than 10 minutes at each breast. They fear that a more prolonged feed may result in the mother developing sore nipples. This is not true. Do not time a feed. Let your baby suckle in the proper position for as long as she wants. The first breastfeed - given in the delivery room or after you come to your room - may last from 10 to 45 minutes and may be from one or both breasts.

    In the first day or two, the baby may suckle for a prolonged period but may demand a feed after 4 to 6 hours and sleep in-between. After 2 days, she may want the feed very often but may suckle for a shorter period. Towards the end of the week, she may settle down to 2 to 4-hourly feeds.

    As the days pass, the feeds are likely to become shorter. But if your baby is taking more than 45 minutes for a total breastfeed after the first week,
    you should check whether you are positioning her properly.

    Moderator Note:

    This Article has been published in
    Penmai eMagazine Aug 2013. You Can download & Read the magazines HERE.

    Last edited by gkarti; 13th Jul 2014 at 10:03 PM.
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  4. #14
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    6. Some Friends Tell Me That I Will Not Have Enough Milk In The First 2 To 3 Days. What Should I Give To The Baby Till Then?

    Your newborn baby does not require anything other than colostrum — the milk that the breasts make in the first few days after delivery.

    Do not let anyone squeeze the breasts for milk. Simply let the baby be put to the breast when hungry. Elderly relatives sometimes feel that colostrum is harmful to the newborn. Try to explain to them that colostrum is essential for the baby and, though secreted in small amounts, is enough to meet all the needs of your baby. It is rich in Vitamins A and K and zinc. It contains large amounts of antibodies and other factors that protect the child against life-threatening infections.

    It also has an immunoglobulin that coats the lining of the baby’s immature intestine and prevents large protein molecules from entering the newborn’s blood system.
    This reduces the risk of her getting allergic diseases like asthma and eczema later in life.

    Moderator Note:

    This Article has been published in
    Penmai eMagazine Sep 2013. You Can download & Read the magazines HERE.

    Last edited by gkarti; 22nd Jul 2014 at 07:01 PM.
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  5. #15
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    7. What Is The Harm In Giving Water, Honey, Glucose Water Or Artificial Milk In The First Few Days?

    Such feeds given to newborns before the free flow of milk from the breasts are called, prelacteal feeds. These can be harmful for you as well as your baby and should be avoided.

    If prelacteal feeds are given, the baby may not suckle adequately at the breast as her stomach is already full. Consequently, she will not get colostrum. Such feeds may also be contaminated and result in serious infections. Allergies are more common in babies given animal milk (including powder milk) in the first months of life. If these feeds are given through a bottle, the baby may not make the required effort to suckle and empty the breast. This either results in breastfeeding failure or may cause engorgement and infection of the breasts.

    Some health workers give prelacteal feeds to otherwise normal babies who happen to be rather big in size or are small. They fear that these babies may get hypoglycaemia (less sugar in blood). This fear is unjustified. Colostrum is enough for these babies.

    Some health workers give water or glucose water, fearing that the baby may get dehydrated. Babies are born with a store of water and such feeds are therefore unnecessary.

    Sometimes, a prelacteal feed is given as a ‘test feed’ to safeguard aspiration into the lungs in a rare condition called tracheoesophageal fistula. In this condition, the trachea (the windpipe) is connected to the oesophagus (the food pipe).

    These health workers do not realise that colostrum is a physiological secretion. Even if it is aspirated into the lungs, it is not irritating and gets readily absorbed. On the other hand, sugar, water and artificial milk are quite irritating if aspirated.

    Being aware of these facts, if your doctor still feels that the baby needs any feed other than colostrum, he may prescribe it accordingly as an exception.

    Moderator Note:

    This Article has been published in
    Penmai eMagazine Oct 2013. You Can download & Read the magazines HERE.

    Last edited by gkarti; 22nd Jul 2014 at 06:59 PM.
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  6. #16
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    BREASTFEEDING: SOME BASIC FACTS

    1. Your milk is the ideal milk for your baby. All substitutes are not only inferior, but can be harmful.
    2. Women of all ages with small or big breasts can breastfeed their babies. Breastfeeding does not spoil a woman’s figure. Women employed outside the home can also conveniently breastfeed.
    3. Colostrum, the first milk, is vital for the baby. So breastfeeding should start in the delivery room itself, soon after your baby is born. Colostrum, in the first few days, and the milk produced in your breasts later on is all that your baby needs for first 6 months. No water is required even on a very hot day.
    4. From 6 months onwards, fruits and home made soft foods are to be added to breastfeeding.
    5. Breastfeeding should be continued into the second year of life.
    6. A 1-year-old requires almost half the amount of food an adult normally consumes. The child should have homecooked food.
    7. In view of their small stomach capacities, most young children need to be fed more often than adults. The diet should include fruits, vegetables and sprouts.
    8. To reduce the bulk, oil or ghee may be added to the food.
    9. Do not let your child get used to much salt, sugar, fried foods, maida (refined flour) preparations and aerated drinks.
    10. Basically, the Indian diet (including vegetarian) is well balanced. Imbalances occur because certain families may be poor or due to misconceptions prevalent in several sections of our society. For example, some families wrongly starve the pregnant mother so the foetus remains small to facilitate an easier delivery; others overfeed her. Some families ignorantly start supplementing breastfeeding before the desired age of 6 months, others delay it till the child completes one year. All these issues need to be addressed.


    Moderator Note:

    This Article has been published in
    Penmai eMagazine Nov 2013. You Can download & Read the magazines HERE.



    Last edited by gkarti; 9th Jul 2014 at 01:25 PM.
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  7. #17
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    ADVANTAGES OF BREASTFEEDING TO THE MOTHER

    Loving Bond With Your Baby
    Breastfeeding facilitates a close, loving bond between you and your baby. This may also help your child to form good relationships with other people. In the case of bottle-feeding, the baby might be fed by someone else, and is likely to get less stimulation.


    Lowered Risk Of Bleeding After Delivery
    Breastfeeding the baby soon after birth helps to stop bleeding from the uterus (womb) after delivery, and assists in the expulsion of the placenta.

    Iron deficiency is very common in Indian mothers. Exclusive breastfeeding reduces this risk as it delays the return of menstruation, and thereby prevents iron loss through menstrual flow.

    Delayed Risk Of Conception
    As long as a woman does not have her periods and exclusively breastfeeds, she gets 98% protection from pregnancy in the first 6 months after delivery. However, the couple is also advised to use other family planning methods
    suitable to them.

    Reduced Risk Of Cancer
    The risk of cancer of the breast and the ovaries is reduced in breastfeeding mothers.

    Quicker Regaining Of The Figure
    Contrary to popular belief, a woman who breastfeeds regains her figure faster compared to a woman who does not. This is because a breastfeeding mother utilises the fat that is normally accumulated during pregnancy in different parts of her body for production of breast milk. Moreover, as the baby suckles, the mother’s system generates hormones that make her enlarged uterus contract. As the uterus goes back to its normal position, the abdomen of a breastfeeding mother regains its shape faster than the abdomen of one who does not.

    As far as the breasts are concerned, having a baby alters the breasts —whether or not a woman breastfeeds. Most changes, however, that are seen in older women are partly due to age. Wearing a well-fitting brassiere will ensure that the breasts have a good shape.

    Convenience
    Breast milk is always ready to be given to the baby; it does not need any preparation. It does not get spoilt in the breast even if the mother is not able to feed her baby for a number of days.

    Then there is the economics of it; a mother has to spend about Rs. 1,000 a month to feed her child with powder milk. This amount does not include the time costs of preparing an infant formula.

    Artificially fed children are also more prone to illnesses like diarrhoea and pneumonia. The family may have to spend a lot for the treatment of such diseases.


    Calming Effect
    For many women, breastfeeding confers a sense of calm and satisfaction, which is probably related to the helpful hormonal changes while breastfeeding.

    Moderator Note:

    This Article has been published in
    Penmai eMagazine Dec 2013. You Can download & Read the magazines HERE.


    Last edited by gkarti; 9th Jul 2014 at 01:25 PM.
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  8. #18
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    ADVANTAGES TO YOUR BABY

    Complete Nutrition
    The human brain has to grow very fast in the first years of life. Breast milk is ideally suited to fuel this growth. It provides complete nutrition for your baby in the first 6 months. Quickly and easily digested, it contains the most suitable protein and fat for your baby and in the right quantities; more lactose (milk sugar) which a human baby needs; enough vitamins and iron; enough water for your baby even in an extremely hot climate; the correct amount of salt, calcium and phosphate and a special enzyme which digests fat.

    The absorption of zinc and iron from breast milk is unsurpassed by any other source in early infancy. This protects the baby against early zinc deficiency and iron deficiency anaemia.

    In later infancy, the ideal balance of amino acids provided by breast milk adds to the quality of protein in the total diet, which is frequently deficient in other sources of protein. That is why breastfeeding is recommended well into the second year of your baby’s life. Being a rich source of Vitamin A, breast milk reduces the risk of Vitamin A deficiency and blindness.

    Breastfed babies do not need multivitamins and Vitamin C drops. Take these vitamins yourself if you are not taking enough fruits, vegetables and sprouts in your diet. Your breastfed baby also does not need digestive enzyme preparations, carminative mixtures and gripe water. Moreover, some of these preparations contain alcohol, which is not good for your child’s health.

    Protection Against Infections
    Research has shown that, in developing countries, a non-breastfed infant is 14 times more likely to die from diarrhoea, 4 times more likely to die from respiratory diseases, and 2.5 times more from other infections when compared to an exclusively breastfed infant. Breastfed babies also have less risk of cholera, newborn sepsis and meningitis, amoebiasis, giardiasis, ear infections and appendicitis. Breast milk also enhances the infant’s immune response to certain vaccines.

    Breastfeeding during diarrhoea and other infections helps a baby to recover much more quickly. This protection against infections is provided by a host of substances present in your milk, like antibodies, white blood cells, bifidus factor, lactoferrin and several others. They protect the baby against many bacterial and viral infections.


    Fewer Allergic Disorders
    Allergic diseases like asthma and eczema are less common in breastfed babies. If you have a family history of allergy on your or your husband’s side, it is important to avoid adding on artifical milk, egg, cocoa and wheat and peanut preparations to your baby’s diet until she completes 6 months.


    Reduced Risks Of Cancer
    There is evidence to show that the risk of certain cancers (like lymphoma) is reduced in breastfed babies.


    Better Teeth
    Other factors being equal, your breastfed baby is likely to have a better configuration of the face and alignment of teeth. Caries in the teeth are also less in breastfed children.


    Lowered Risk Of Diabetes
    There is a reduced risk of insulin-dependent diabetes mellitus among breastfed children.


    Protection Against Sudden Infant Death Syndrome (SIDS)
    Sudden Infant Death Syndrome (SIDS), also called cot death, is ascribed to deaths that take place suddenly in healthy infants without any obvious cause. The risk of this tragic condition is probably reduced in breastfed babies and babies put to sleep on their backs.


    Enhanced Intelligence
    Recent research appears to suggest that babies who are breastfed attain their milestones of development earlier and turn out to be more intelligent than those who are not.

    Catering To Unique Needs
    Recent research has shown that the milk of mothers who deliver prematurely (before the expected time) has a different composition compared to that of mothers who deliver at the expected time. Nevertheless, in both cases, the milk is ideally suited to their babies, as if matched for each other.

    Moderator's Note: This Article has been published in Penmai eMagazine January 2014. You Can download & Read the magazines HERE.





    Last edited by sumathisrini; 30th Apr 2014 at 03:36 PM.
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  9. #19
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    8. Do I Have To Give Calcium And Iron To My Breastfed Baby?

    Breast milk has enough calcium to meet the normal requirements of the baby. Even if your baby is teething, you need not give her calcium. Your milk also has one of the best forms of iron that is absorbed into the baby’s system remarkably well. Till the child triples her birth weight, all her iron requirements are met by your milk alone.

    In one study reported in the Journal of Pediatrics, none of the infants receiving human milk as the only milk in the first 12 months of life, without other foods containing iron, were anaemic at 7 months, compared with 43% of those breastfed for a shorter period. Good iron status was found at 12 and 24 months of age. However, we recommend addition of foods other than your milk after the baby completes 6 months of age. That provides her extra iron from other sources as well. I have seen iron-deficiency anaemia in breastfed children where introduction of other foods was delayed much beyond 6 months. Such children can become irritable and develop loss of appetite and may need more breast milk, iron-containing foods and, at times, iron in medicinal form.

    9. Does My Child Need Extra Calcium For Healthy Teeth?

    No extra calcium is needed in breastfed children born at the expected time. Caries of teeth are common in bottle-fed children. Breastfed children can also get caries, but this is extremely rare. It is generally seen in children who have an inherent tendency to get caries and who, even after they have started teething, have a tendency to go to sleep on the breast after feeding.

    It is important to note that breastfed children can also get diseases seen in bottle-fed babies. But it must be appreciated that the incidence of these diseases is much higher in artificially fed children. Don’t stop breastfeeding if a dentist tells you that prolonged breastfeeding causes caries of teeth; follow his advice regarding ways of preventing caries.

    Moderator Note:

    This Article has been published in
    Penmai eMagazine Feb 2014. You Can download & Read the magazines HERE.




    Last edited by Parasakthi; 30th Jun 2014 at 05:47 PM.
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  10. #20
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    Re: மெய்ப்பொருள் - A Parenting Checklist

    10. Should I Breastfeed My Child At Night Or Not?

    Yes, you must do so as long as you want to. You can breastfeed in a lying-down position. Breastfeeding at night increases your milk supply because more prolactin is secreted at night than during the day. This also plays an important role in preventing another pregnancy.

    11. What Is Demand Feeding? How Frequently Should My Baby Be Breastfed?

    You must breastfeed whenever the baby wants to. This is called demand feeding or unrestricted breastfeeding. The more the suckling, the more breast milk will be produced. It also helps to prevent engorgement or undue fullness of your breasts.

    Breast milk is digested easily and more rapidly than artificial milk. So your baby may want to feed frequently. She may feed irregularly at first; only a few times in the first day or two, then very often for several days. Every baby is different, but most settle down into some sort of rhythm after a week or two.

    However, follow your instincts and recognise when your child’s cries are not for a feed. This is termed ‘intelligent demand feeding’.

    For example, if your baby had a proper feed and then starts crying within half an hour or so, the reason is probably not hunger but something else. It could be a wet nappy. The baby may need to be wiped or may want to be picked up for more body contact. She may be feeling hot or may want to be covered up. After ruling out these possibilities, if the baby continues to cry, try nursing her again. A breastfed baby is not likely to be overfed.

    This Article has been published in Penmai eMagazine March 2014. You Can download & Read the magazines HERE.





    Last edited by sumathisrini; 21st Mar 2014 at 03:59 PM.
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