Monday, February 11, 2013

Breastfeeding - One of Nature's wonders - Diet

Did you know that diet plays a very important role in breast feeding?? A mother who exclusively breast feeds her baby spends an extra 500 calories a day (Wow, isn't that so much more than an hour of brisk walk or half an hour of sweating out on a tread mill?). 

A watchful diet can do wonders to the milk secretion as well as shed those extra flabs gained during pregnancy. Breast feeding actually contracts the uterus and brings you back in shape! Ah, yes breast feeding is "win-win" for both the baby and the mother. It provides the BEST nutrition for the baby in the process of mommy losing weight!

All the lactating mothers who breast feed their babies should ensure that they eat a well-balanced diet. It should have the right amount of carbohydrates, fats, proteins, vitamins, minerals and fibers that would take care of those extra 500 calories required during this blissful period. But yes, do not over indulge yourself in eating table spoons after table spoons of ghee, you would only be adding cushions to the flabs!

Here are few items that I ate during breast feeding and they have done wonders to me. I pretty much ate everything that I have been eating all thru' my life with no restrictions to any food items whatsoever.

1. Aqua!
Drink a lot of water, especially if it is summer. If you are dehydrated the quantity of milk could suffer. Besides, it doesn't hurt to make those extra few rounds to the restroom than to produce less amount of milk if you drink few extra glasses of water. Well, drink at least 1.5 liters to 2 liters of water a day.


2. Moo Juice! 
Milk, of course! Breast feeding saps a lot of calcium from the mother's bones and teeth. So it is important that you replenish your reserve of calcium to avoid bone related problems as you grow old. If you are not lactose intolerant and like milk products drink 3 glasses of milk and eat 2 cups of yogurt. It is recommended that you take 1 liter of milk/milk products when you exclusively breast feed. If milk doesn't go well with you, ask your doctor for calicum supplements. 


3. Fruits and Veggies!
Ensure there are 2-3 servings of fruits and vegetables in your platter everyday. You can eat any fruit or vegetable you like. Especially choose veggies that have a lot of water content in them (like bottle gourd, white pumpkin).   



4. Galactogogues!
Galactogogues are substances that enhance lactation. There are many galactogogues that are gifted to us by nature.


a. Garlic
Eat garlic in what ever form you like. Be it eating raw or drinking the aroma rich garlic rasam or adding the sauteed garlic to dosa or chapati. But if you do not like garlic (for that matter, any other galactogogues) do not force yourself into eating it. Try eating other galactogogues that you enjoy!

b. Oats
Make a porridge out of oats and eat it with milk or butter milk. You could even try eating oats upma.

c. Cumin Seeds (Jeera)
Season all your food items (ones that can be seasoned, ofcourse!!) with an extra teaspoon of cumin seeds. Otherwise, you could also drink Jeera water. Method to prepare jeera water is available online

d. Almonds
8 to 10 almonds a day does wonders! Eat them just like that. It is not necessary to soak them over night and to remove their skin. 

e. Fenugreek 
Did your eyes just pop out in shock??? Yes, it is true. Soak two teaspoons of fenugreek for 3 to 4 hours and eat it with curd. Trust me, it tastes pretty good. If the very idea still does not sound very inviting, try seasoning the food items with fenugreek. 

At times, despite eating the healthiest of food, a mother could feel that she is not secreting enough milk. Although most of the times it is only psychological(baby ) , it doesn't harm to check with your doctor for herbal and natural drugs that enhance milk production.  I am aware of two drugs in India; Lactare and Galact granules (online link unavailable) that enhance lactation. Please check with your doctor before you use any of them. 

More on breast feeding to continue...

Sunday, February 3, 2013

Breastfeeding - One of Nature's wonders - techniques



A mother forgets all the trauma and pain that she undergoes during labor just when she holds the baby for the first time.    

The small hands to hold onto,
The tiny little feet to tickle,
The chubby cheeks to kiss,
The twinkling eyes to look deep into,
The beautiful face to unconditionally smile at!!!

It is such a divine feeling and it can not be expressed in words. 
Life becomes complete… it becomes more beautiful!

Right from the day the baby is conceived a mother takes care of supporting the nutritional requirements of the baby internally. After the baby is delivered and right when the umbilical cord is cut, mother’s body starts to produce enough nutrition to support the baby externally. In fact, a mother can start feeding the baby in couple of hours right after giving birth, unless it is medically not recommended. 

However, breast feeding might not be as easy as it seems for many of us (hey! new mothers/mothers-to-be, don't get worked up!!!), but we can work towards making it as easy or as natural as it is. Once it is established, it is good both for the baby and the mommy!  
Did you know that WHO* recommends exclusively breast feeding the baby for the first 6 months and continued breast feeding for 2 years or above along with complementary foods?? 

A mother produces colostrum* for the first three or four days, after which milk secretion starts. A baby should ONLY be breast fed for the first six months (Remember, a strict NO to formula milk/sugar water unless recommended by the Paediatrician).
The first few days for most of new mothers and babies are at the hospital. So it is always a good idea to check the latching position and the feeding posture with a trained nurse/ lactation counselor/ lactation consultant/ OB/GYN. 


Here are few tips that I have collated through my experience. 

1. Just chill!
Some women take deep breaths, some read books, some listen to music. Do what it takes for you to relax five minutes before you start feeding.

2. Is my posture comfy?
Some like to sit, some like to lie down, just get yourself comfortable. Especially mothers who have had C-section would only be able to lie down for the first few days.

3. Hold the baby right! 
There are different positions and hold the baby in whichever position you are comfortable with. I found this article in babycentre* regarding different holding positions, a useful one.

4. Latch on, baby!
Pinch your entire areola* region and guide most of the areola region to your baby's mouth. If only your nipple is inside the baby's mouth, then the baby would have trouble suckling which will result in sore nipples (Mind you, they can be extremely painful). Keep in mind to do this exercise until the baby becomes a feeding Guru (Until he is able to take most of the areola region inside his mouth by himself). 

5. 30 minutes max!
Nurse on each breast for not more than 30 minutes during the first 30 days and 20 minutes there after. 

6. Swap the Sides!
If you started nursing the baby on the left breast last time, start with the right breast this time and vice versa.  

7. Hey pinky, help me!
To remove the baby's latch from your areola, slide the little finger gently between your nipple and areola so that the suction is released. If you just pull your baby's head away your nipples would be in deep trouble (Again, sore nipples!!!). 

8. Baby, Burp!
Ensure the baby is burped before the baby is put down. 

9. 8 times a day rule!
The baby should ideally nurse a minimum of 8 times during a 24 hour period (i.e. whenever the baby demands). This is very important so that the breasts do not get engorged, especially before the feeding is well established. A mother should pick cues given by the baby. Some of the feeding cues include rapid eye movement sleep when the eyeballs move fast, sucking movements of lips and crying. However it is best to avoid till the baby cries as it is a late sign. A crying baby has to be calmed down before she can latch on. 


10. Support me, will you?
Family members especially the husband should encourage the new mother to breastfeed. A husband should be with her and the baby; and support them as much as he can so that breastfeeding becomes a great success.

Check out this blog for more about breastfeeding!

* Click on the words that are star marked to know more about them