Learn about Breast Feeding Video

Join a discussion about growth and development by Dr. Hands, who presents all that any parent would like to know about any health concern during the first few years of child's life. This video teaches you about breast feeding.
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Learn about Breast Feeding At this point what we’re going to do is go from nutrition in general to specific forms in infant feeding. Our first form of infant feeding is the preferred form of infant feeding called breastfeeding. Now everyone knows that breastfeeding has some definite benefits- optimum nutrition, protection against infection, anti-inflammatory effects. Even immured modulation it affects allergy, chronic digestive disorders, maybe less Type 1 Diabetes, then maybe less Lymphoma, there’s increased antibody levels, all these maybe a benefit from a breastfeeding. Also there’s the maternal infant bonding phenomena related to breastfeeding. The physiology of breastfeeding that people are familiar with and in deals with colostrum for the first 72 hours after birth and subsequently the milk production occurs and involves oxytocin and the let down phenomena which is stimulated by the infant sucking and prolactin which stimulates production of the breast milk. There are some risks involved. The risk involved transmission of viral infections, HIV, hepatitis B, Hepatitis C, C and V, Herpes and Rubella. However, Hepatitis B and Hepatitis C are no longer reasons to not breastfeed. In Hepatitis B, the baby can be immunized against the virus and then breast feed. Another limitation in breastfeeding can be in medications. It can be absolute limits or relative limits and all medication should be checked with your doctor whether they are compatible with breastfeeding. The bigger problem for pediatrician in breastfeeding is breastfeeding failure. These are factors that people should be aware of. The first group are the mother factors. They include previous breast fed infants who failed to gain weight, flat or inverted nipples, variation in breasts appearance, previous breast surgery, that’s every milk ducts, previous beast abscesses, extremely sore nipples, failure of lactogenesis, the milk did not come in noticeably and perinatal complications such as hemorrhage, high blood pressure, infection and depression. The group below are the infants you should be aware or may have trouble with breastfeeding. They are the small infants, the premature infants, the infants that therefore have difficulty in latching on to one or both breasts, ineffective or unsustained sucking, oral anatomatic abnormalities, twins, medical problems that babies may have-jaundice, heart problems, respiratory distress, cystic fibrosis and also as you should expect neurologic problems. I do want to mention one comment on this chart as we take this off the screen that we talked about breast surgery. We have found in our practice that the mothers who have had augmentation by the plastic surgeon have actually breast fed quite well and this should not be a reason for these mothers to think that they cannot breast feed. Now, the next thing is a assessing which child is not doing well at the breast. Obviously, weight loss and failure to return to birth weight by two weeks of age are major markers of feeding that’s failing. Rate of weight gain has to be followed and obviously that’s a course for concern. Also the infant elimination criteria looking for voiding, stooling patterns, how often the child nurses, can you tell if your infant is hungry or not, does your child prefer to sleep rather than feed, all of these maybe indications of unsuccessful nursing. And then the medical indications-fever, dehydration, a jaundice baby that’s a baby who’s yellow from jaundice, a very fretful baby or a very passive baby. All of these things are things that we look for can tell the parents to look for.

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