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After delivery FAQ's

Do I want my infant given the Hep B vaccine after birth?

**Hepatitis B Vaccine sheet**

If I have a male infant, do I want him circumcised?

Feeding options for the baby

    Bottle feeding
  • You will need to chose a brand of formula if you are planning on bottle feeding
  • Similac or Enfamil are the basic brands to start with.
Breastfeeding
  • You need to initiate breastfeeding within the first hour after birth if possible!
  • The baby is in a state of quiet alertness the first 2 hours after birth
Guidelines and Technical Pointers
  • Most babies need and naturally request 8-12 feedings in a 24 hour period.
  • Approximately every 1-3 hours
  • They may cluster feed (feed every hour for several hours in a row)
  • Early sleepy days the baby tends to not request feeds often enough
  • Notice hunger cues
  • Wake the baby by 2 ½ hours from the beginning of last feed
  • Keep baby interested and awake during feeding
How do I know my baby is getting enough to eat?
  • Is the baby eating every 1-3 hours?
  • Sleeping no longer than 3 hours between feeds during the day
  • Should have no more than one 4 hour stretch at night the first week of life.
Other positive signs to be aware of
  • Audible swallowing- you will hear milk being swallowed
  • Breast feel less full
  • Baby is satisfied
  • Baby is content between feedings
  • Expect initial weight loss of baby after delivery; weight gain of 4-7 oz per week once milk is in greater supply.
  • Your baby should be back to birth weight by day 10
Milk production is regulated by DEMAND and supply.  The concept being:
  • The more milk that is removed, the more milk that is made.
  • The less milk that is removed, the less milk that is made.

Breastmilk

Colostrum
  • This is the first milk
  • Very high in protein
  • Easily digested
  • Provides protection by containing antibodies and passive immunities
Transitional Milk
  • This occurs after colostrum in approximately 48-72 hours
  • High levels of fat, lactose and water soluble vitamins
  • More calories and high protein
Mature milk
  • Your milk will change and increase in quantity in approximately 48-72 hours.  It may take longer depending on when breastfeeding was initiated and breastfeeding frequency.

Breastmilk Storage

Breastmilk

Refrigerator Storage

Freezer Storage

Expressed Breastmilk

-Store for 5-7 days in coldest part of refrigerator
-Do not store in door of refrigerator

-Store for 3-4 months in the back of freezer. Do not store in door of freezer.
- 6 months in deep freeze.

Frozen Breastmilk

-Thawed breastmilk that is unopened or unused is fine in the refrigerator for 24 hours.

- Do not refreeze breastmilk

If you intend to freeze breastmilk

-Always chill freshly pumped breastmilk in refrigerator before adding to frozen or refrigerated breastmilk

Freeze within 24 hours




How much can my baby's stomach hold?

  • A newborn baby's stomach is the size of a small marble.
  • It can hold 5-7 mls
  • The walls of stomach cannot stretch
  • Perfect for small amounts of colostrum.
  • From 7-10 days it increases to around the size of a ping pong or golf ball
  • It can hold 1.5-2 oz
 Engorgement:  What do I do?!!
  • Three to four days postpartum, your breasts will feel heavy and become swollen
  • This is due to: increase in blood flow, swelling of surrounding tissue, accumulation of milk
Some effective treatment measures for engorgement
  • Nurse frequently
  • Apply warm compresses or stand in shower to initiate let-down with breast massage
  • Manually express or pump out milk to soften areola and nipple (the baby cannot latch-on if it is too hard)
  • Apply cold compresses to breast after nursing to relieve the swelling and soothe discomfort
  • Wear a sleep bra even at night but make sure it is not too tigh

Lactation Consults

  • Maternal Child Department -  688-2200
  • CC Public Health - 

Stool and Urine in the breast fed infant

  • Baby will be passing meconium for the first stools. (thick black tarry stool)
  • Stool will change to mustard color, runny and seedy in texture once your milk is in greater supply.
  • 3-4 stools pre day in the first month
  • May have a little stool after each feeding as well
Urine
  •  Your infant should have 1 wet diaper in the first 24 hours after delivery
  •  2 on the second day of life
  •  3 on the third day of life
  •  5-6 wet diapers of urine that is yellow in color once milk is in greater supply

Nutrition during pregnancy

  • On average, the increased demands of pregnancy require an additional 300 calories each day.
  • Women who are pregnant with twins or higher-order multiples need an additional 300 calories per fetus each day.
  • Recommended weight gain is 28-40 lbs for underweight women
  • 25-35 lbs for normal weight women
  • 15-25 lbs for overweight women

Nutrition during Breastfeeding

For each 20 calories of breastmilk produced.  The women must consume an additional 30 calories.  This results in a dietary increase of 500 to 1000 calories each day for women who are maintaining body weight.

Visiting Guidelines

  • We have visiting guidelines to protect our patients, their families, other visitors, and staff from potentially contagious disease. 
  • We will allow only 4 visitors at one time + FOB

Visiting Restrictions

  • During heightened flu awareness, usually October thru March,  only 4 designated visitors + father of the baby and or support person will be allowed on unit.
  • Patient will be given 4 bands that can be given to any 4 individuals (age 12 and above) the patient chooses.  These bands will only allow these 4 people to visit during the duration of patient's stay.  We will not honor cut off or taped on bands.
  • In severe flu outbreaks, the patient will only be allowed to have the father of the baby and/or the support person visit the mother for the duration of the stay.

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