Digging Deep: In the First Two Weeks

Get Ready Traffic Digging Deep Detours

Getting Ready: The things we know Destination –Science Cell Phone –WIC Appointment Google Map –What to Expect

Destination: Science

Progesterone and Prolactin swap places after delivery. Destination: 2 Weeks

Each mother builds hormone receptors in the first two weeks after the baby is born that allow the hormones to get into the breast. The more hormone receptors, the more milk a mother makes because the more hormones she is able to use. They are grown when babies breastfeed or the milk is removed by hand or with a breast pump.

Giving formula supplements during the early weeks will cause her body not to make as many receptors as she needs.

Cell Phone: WIC Appointment

Timing of First Postpartum Visit after Delivery Median Age: 10.7 days

Timing of First Visit During Pregnancy

Google Map

BIRTHDAY/DAY 2

Expect: Birthday-Day 2/Breasts Most women notice their breasts change and grow with pregnancy. Breasts will still be soft./Some tenderness

Expect: Birthday-Day 2/Feeding Skin to Skin after birth. Alert first feed, may be sleepy rest of the day. More alert second day. Second night=lots of feeding!

Expect: Birthday-Day 2/Diapers

Expect: Birthday-Day 2/ Weight Loss of 7-10% of birth weight is very normal

Day 3-4

Expect: Day 3-4/Breasts Breasts are fuller, heavier. Slight discomfort at latch is ok as long as it goes away in 30 seconds.

Expect: Day 3-4/Feeding 8-12 times in a 24 hour period-not evenly spaced.

Expect: Day 3-4/Diapers Green what? Minimum 3-4 wet, 3-4 poop. Poop starting to turn green and pasty

Expect: Day 3-4/Weight Baby begins to gain weight

Day 5-11

Expect: Day 5-11/Breasts Breasts will feel fuller before a feed and softer after. Nipple pain should ease.

Expect: Day 5-11/Feeding 8-12 times in a 24 hour period-not evenly spaced.

Expect: Day 5-11/Diapers Minimum 6+ wet/3+ poop. Poop should be yellow, seedy and runny.

Expect: Day 5-11/Weight Normal weight gain:.5-2 ounces a day

2+ Weeks

Traffic Jam

General: Choose the Fabric/Paint Chip/Metaphor/Face that best describes how you feel about breastfeeding?

Digging Deep: Using the tools to go even deeper into breastfeeding! *The approach for these tools is the same. We encourage you to use them interchangeably.

Sore Nipples Crying/ Little Sleep Supply Issues Eating All The Time Breastfeeding Detours

Sore Nipples

Sore Nipples: Latch and Positioning

Latch and Positioning

Sore Nipples: Laid Back

Sore Nipples: Engorgement

Reverse Pressure Softening

Reverse Pressure Softening, cont.

Crying/Little Sleep

Crying/Little Sleep: Overstimulation Prevention/Treatment –Limit visitor time –Lots of Skin to Skin –Don’t “work” on breastfeeding for more than 10 minutes at a time! Signs of Overstimulation –Crying –Starting to feed and then falling right asleep

Supply Concerns

Supply Concerns: Low Milk Supply Put the baby to the breast often Increase the numbers of feedings or remove milk with pump. Offer baby unlimited access to the breast Skin-to-skin Rest and relax Breastfeed on one side and pump on the other Express milk when separated.

Eating All the Time

Eating all the time Expectation 5-9pm Cluster Feeding –Prolactin Increases –Delayed Feeding –Overstimulated

Skin to Skin… the Perfect Start!

For Dad too!!!

Questions? Concerns?