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Parenting & Breastfeeding Blog:MEMARTABATKAN PENYUSUAN SUSU IBU

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source:  Drsears

I’m worried my baby isn’t getting enough milk. How can I know for sure?

Rather than worrying and wondering about whether your breastfed baby is getting enough milk, check the following signs:

NUMBER OF WET DIAPERS

  • A baby who is getting enough milk will have 4 to 6 wet diapers a day by the fourth day after birth (6 to 8 wet diapers if you’re using cloth–which hold less).
  • To learn what a wet diaper feels like, put two tablespoons of water on a clean diaper. Cloth diapers will be more noticeably wet than super-absorbent disposables.
  • It may be easier to judge the wetness of a disposable by comparing its weight to a dry diaper than by the way the surface of the diaper feels to the touch.
  • After the first month or so, your baby’s wet diapers will be even wetter–the equivalent of 4 to 6 tablespoons of water.
  • The color of the urine tells you whether baby is getting enough milk to keep him adequately hydrated. Pale or water-colored urine suggests adequate hydration; darker, apple-juice-colored urine (after the first four days) suggests that baby is not getting enough milk. If your baby is not getting sufficient amounts of milk, you may notice a "brick dust" residue on the diaper, due to urate crystals from overconcentrated urine (a normal finding in the first few days), which should disappear after increasing baby’s milk intake. Talk to your doctor to determine if your baby needs extra milk during the time he is learning to breastfeed more efficiently.

NUMBER AND NATURE OF BOWEL MOVEMENT

If lots of stools come out, lots of milk must have gone in.

  • In the first few days, infants’ stools gradually change from the sticky black meconium stools to green, then brown. Within a day or two of mother’s milk "coming in." they become "milk stools," which are yellow and seedy–the color of mustard and the consistency of cottage cheese.
  • Between week one and week four, babies who are getting enough hindmilk will produce at least 2-3 yellow, seedy stools a day. Because breastmilk is a natural laxative, some breastfed babies produce a stool with each feeding, which is a good sign that baby is getting enough milk. When a baby has only two or three bowel movements a day, expect to see a substantial amount in the diaper–more than just a stain.
  • After the first month or two, as the gut matures, the frequency of bowel movements decreases. At this stage, your baby may normally have only one bowel movement a day; some breastfed babies have one bowel movement every 3-4 days, yet are still getting enough milk. (You’ll see other signs of adequate growth.)

While urine output tells you that baby is getting a sufficient quantity of fluid in the milk, stool output tells you about the quality of the milk, (i.e., whether baby is nursing long enough and well enough to trigger mother’s milk ejection reflex, which brings the creamier, high-calorie hindmilk). When week-old babies are not producing sufficient stools, it’s time to take a closer look at what’s going on at the breast. Check the Signs of Efficient Latch-on and Suck and get help from a lactation consultant. Talk to your doctor to determine if your baby needs extra milk during the time he is learning to breastfeed more effeciently.

EVALUATING THE FEEDING

  • Usually your breasts will feel fuller before and softer after a feeding. Changes in fullness will be less noticeable when baby is older and your breasts become more efficient at producing the exact amount of milk your baby needs.
  • Most mothers will notice a milk ejection reflex a few minutes after the feeding begins. If you don’t feel any sensation in your breasts, watch your baby. His sucking will strengthen and you’ll hear more frequent swallowing when the milk ejection reflex increases the milk flow.
  • Other signs that affirm that your baby is getting enough milk include seeing a few drops of milk leaking from the sides of baby’s mouth and hearing baby swallow after every one or two sucks. Baby should generally seem content during and after a feeding.
  • If you feel your baby sucking vigorously, hear her swallowing through much of the feeding, notice your milk ejection reflex, and see your baby drift contentedly off to sleep, chances are she’s getting enough milk.

WEIGHT GAIN

Your doctor will check your newborn’s weight gain a few days after you leave the hospital, and perhaps again a week or two later.

  • Most infants, whether breastfed or bottle-fed, will lose an average of five to seven percent of their birth weight in the first days of life, due to the loss of excess fluid. How much they lose depends on the plumpness of the baby and individual variations in fluid retention, as well as on how well they are nursing.
  • When mothers and babies share an uncomplicated birth and feed frequently with a good latch-on, babies lose less weight. Babies who get off to a slow start at breastfeeding (either because of a medical complication or problems with latch-on) tend to lose more.
  • Babies who are getting adequate amounts of milk will weigh within an ounce or two of their birth weight when they come into our office for the one-week check-up. Some infants normally take a couple of weeks to regain their birth weight, especially if they lose a lot initially.
  • When you are discharged from the hospital, remember to ask the nurses to tell you baby’s weight. This is a figure your doctor will want to know at your baby’s first check-up, since weight gain is measured from baby’s lowest weight, not the birth weight.
  • After regaining his birthweight, the average infant gains 4 to 7 ounces a week, or a minimum of one pound a month. Some babies gain weight quickly in the first months after birth; others gain more slowly, but are still within the normal range.

DON’T WORRY ABOUT YOUR MILK SUPPLY

  • Breastfeeding is a confidence game, and nothing undermines a mother’s confidence like being afraid her baby isn’t getting enough milk. If your baby is producing enough wet diapers and bowel movements and he is gaining sufficient weight, he is getting enough milk.
  • Feeding frequently (cluster feeding) or wanting to nurse soon after the last feeding are not necessarily signs that your baby is hungry. Babies nurse for lots of reasons besides hunger. Baby may be seeking just the closeness and comfort of breastfeeding, or may need a little more sucking to ease himself into sleep.
  • If the diaper count is telling you that baby is getting enough milk, don’t worry about your milk supply. Nurse your baby frequently throughout the day. Be sure he is latched on and sucking well, and then don’t worry.

Banyakkan panduan  bagaimana nak tahu bayi mendapat susu secukupnya…selain daripada buat tanggapan sendiri…tak nampak susu melimpah kita anggap susu dah kering…

Mari sama-sama mencari ilmu penyusuan susu ibu!

Bayi yang minum susu ibu tak perlukan air masak/kosong??

apa kata anda?

Fakta: Bayi yang minum susu ibu tak perlukan air lain selain susu ibu(bagi kes bayi 6 bulan ke bawah)

kandungan susu ibu terdiri daripada 88% air!

Susu ibu akan membentuk satu lapisan yang memberikan pelindungan kepada bayi di dalam ususnya

jika kita beri dia air, lapisan itu akan ‘dicuci’

rugilaaa..

kan?

artikel daripada kellymom

 

Guidelines for offering water to breastfed babies

Breastfed babies do not need water – keep in mind that breastmilk is 88% water. Even in the first few days after birth, before mom’s milk has "come in", colostrum is all that is needed to keep baby well hydrated (assuming baby is nursing effectively). Per theAmerican Academy of Pediatrics, "Supplements (water, glucose water, formula, and other fluids) should not be given to breastfeeding newborn infants unless ordered by a physician when a medical indication exists… During the first 6 months of age, even in hot climates, water and juice are unnecessary for breastfed infants and may introduce contaminants or allergens."

In addition, breastfed babies do not require water when it is very hot outside, assuming baby is allowed to nurse as needed. Baby can get all the liquids needed via breastmilk. A number of studies have determined that an exclusively breastfed baby does not need extra water – these studies have been done in various locations (both humid and dry) at temperatures ranging from 22-41°C (71.6-105.8°F) and 9-96% relative humidity[see references below].

Note: Formula fed babies do not routinely need extra water. Some sources do suggest offering water to a formula fed baby when it is very hot outside (though baby may prefer to get extra water from more frequent feeding), or when baby is sick with a fever (consult baby’s doctor for guidelines).

For newborns (especially under 4-5 weeks), water supplements can be risky

  • Babies under two months should not be given supplemental water.
  • Water supplements are associated with increased bilirubin levels in jaundiced newborns.
  • Too much water can lead to a serious condition called oral water intoxication.
  • Water supplements fill baby up without adding calories, so water supplements can result in weight loss (or insufficient weight gain) for the baby.
  • Babies who get water supplements are less interested in nursing. If baby is not nursing as often as he should, it will take longer for mom’s milk to come in and can delay or prevent mom from establishing an optimum milk supply.

For babies past the newborn stage

  • Too much water can interfere with breastfeeding because it fills baby up so that he nurses less. Babies need the nutrition and calories in breastmilk to grow – water has none of these.
  • Breastmilk has all the water your baby needs, even in very hot weather.
  • When your 4-6 month old baby is learning to use a cup, giving him a few sips of water a couple of times a day (no more than 2 ounces per 24 hours) is fine and fun.
  • Once baby starts solids, you might want to give him a few sips of expressed milk or water with his solids – some babies need this to prevent constipation





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DISCLAIMER

Artikel yang ditulis atau dikumpul sebelum tarikh 4 April 2010 adalah artikel yang terhasil/terkumpul dengan campur aduk perasaann tanpa pengetahuan yang sepatutnya.Namun entry dan artikel selepas 4 April 2010 adalah entry/artikel yang lebih menjurus kepada promosi susu ibu yang sebenar..selepas menyertai Malaysian Breastfeeding Peer Counselor(MBFPC) Training.

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