What is the general knowledge of breastfeeding

  1.Can I continue to breastfeed with a cold and cough?
  The general cold and fever, it is possible to continue breastfeeding. But it should be noted that the mother must wash her hands before breastfeeding, and wear a mask when breastfeeding to avoid infecting the child. If the mother has a fever of 38.5 degrees or more and it does not go away, she should suspend breastfeeding and get treatment first. The mother can drink some ginger and onion soup, or cold and fever granules, which have no effect on the baby.
  2. Is it necessary to wake the baby up at night for breastfeeding?
  It is not necessary to wake the baby up for breastfeeding when he is sleeping, no matter it is day or night, the baby will wake up by himself when he is hungry or pulling.
  3.What should I do if my baby’s nipples are confused?
  (1) Immediately and firmly stop using the bottle, and stop the bottle must be thorough. Try kissing when your baby is not hungry, feeding with a small spoon or finger nursing method when your baby is hungry, or using a feeding aid to assist in kissing. In short, don’t use a bottle. Many mothers don’t want to see their baby annoyed and crying, and once the baby is crying they take out the bottle again. Such an approach teaches the baby that he or she must cry to get the bottle and that if he or she insists on crying and insists on not eating the breast, the mother will definitely give the bottle. Many mothers claim to have corrected this for a month or more, with adults and children suffering, but never succeeding, because they did not stop using the bottle completely. The mother must remember that if she does not stop the bottle completely and take it out from time to time to use it when the baby cries, she is artificially prolonging the baby’s confusion and making the baby suffer more torment.
  (2) Increase the amount of milk. Mothers of babies with nipple confusion often suffer from “lack of milk” as well. It is normal for the nipple areola to lack the stimulation of the baby’s sucking, so the amount of milk does not come up. The less milk you have, the less your baby will want to eat. The more your baby doesn’t eat, the less milk you get. In addition to correcting the baby’s nipple confusion, it is also imperative for the mother to improve her milk supply.
  4. Is breast milk after menstruation not nutritious?
  There is no evidence so far that there is any change in the quality of breast milk after menstruation. Mothers who have had their periods should continue to breastfeed, but should use non-hormonal forms of birth control. Hormonal contraceptive methods containing estrogen or progesterone do change the composition of breast milk and reduce milk production, so it is best to avoid them.
  5.What’s wrong with the tingling sensation in the breast?
  This is a common disease among women, and is caused by mastopexy and mastitis. You can take some medication after the doctor’s diagnosis, eat less spicy and other stimulating food, ensure the quality of sleep, and also maintain a relaxed mood. If the treatment effect is not good, you should go to the regular hospital surgery for consultation and treatment, such as ultrasound examination of the affected area, and according to the examination results to develop reasonable treatment measures.
  6.Can I still breastfeed my baby if he has breast milk jaundice?
  Jaundice that appears 2 or 3 days after birth is early-onset breast milk jaundice, often related to factors such as late initiation of milk and low milk intake. It is not necessary to stop breastfeeding at this time, and frequent sucking may help the early jaundice to subside. Jaundice that appears 1 week after birth is late-onset breast milk jaundice, which often lasts 2 to 3 weeks or even 2 to 3 months.
  For more severe cases, breastfeeding can be suspended for 3 days and replaced by artificial feeding, with milk volume calculated at 150 ml/kg.d. During the suspension of breastfeeding, breast milk should be sucked out with a breast pump to keep the milk fully secreted and provide breastfeeding to continue after the jaundice subsides. Also give supportive therapy: pay attention to warmth, increase heat and nutrition, and prevent infection; encourage lactating mothers to breastfeed several times in small amounts and increase the number of bowel movements of the child. In severe cases, hepatoprotective and enzyme-inducing agents are given. The prognosis of breast milk jaundice is good, and the jaundice will subside after stopping breastfeeding, and there have been no reports of bilirubin encephalopathy due to it. In order to reduce the incidence of this disease, early initiation of breast milk should be encouraged, multiple small amounts of milk feedings, increase the number of stools, reduce intestinal absorption of bilirubin, which can reduce the incidence of jaundice. In addition, the child should be given supportive therapy such as warmth, increased heat, and infection prevention to prevent aggravation of jaundice.
  If the jaundice is not severe, the newborn is in good spirits and has gained weight, it can mostly subside spontaneously. Jaundice generally decreases significantly after stopping breastfeeding, and after resuming breastfeeding, the degree of jaundice increases slightly, but is lighter than before stopping breastfeeding. If formula or cow’s milk feeding is switched to, there is no significant difference in jaundice regression time between newborns who continue to breastfeed. Therefore, it is recommended to continue breastfeeding and to increase the number of daytime and nighttime feedings if the newborn can suckle better. A very small number of newborns with severe hyperbilirubinemia should temporarily stop breastfeeding.
  7, has been to the baby exclusively breastfeeding, really do not need to feed water?
  Many women believe that feeding warm water between feedings can effectively prevent dehydration in children. This idea is contrary to the current “new view of breastfeeding” proposed by UNICEF. The new view is that, in general, breastfed babies do not need to add other foods and drinks, including water, for 4 months.
  It contains not only protein, fat and lactose, but also sufficient amount of vitamins, water and iron, calcium, phosphorus and trace elements. The main component of breast milk is water, which is sufficient for infants.
  Therefore, the general breast-fed babies do not need to feed water, but in some special circumstances, such as high fever, diarrhea, dehydration, or taking sulfa drugs, or in the summer when the baby sweats a lot, you must feed some warm water to replenish the loss of water in the body.
  8.When do I need to give my baby calcium?
  As long as the mother’s calcium intake is sufficient (China’s Nutrition Society recommends a daily intake of calcium for mothers from 800mg to 1500mg for women in general), the calcium content in breast milk is relatively stable, and the calcium to phosphorus ratio is suitable for the absorption of calcium in the baby’s intestines. Therefore, babies who are exclusively breastfed can be free from calcium supplementation until 3 months of age, and after 3 months of age, the baby’s body will develop faster and can start to take calcium supplements. But vitamin D is difficult to enter the breast milk through the mammary glands, breast-fed children should start to supplement vitamin D and more sunlight after 2 weeks of life.
  9, the longer the breast milk, the higher the IQ of the baby, is this statement reliable?
  A: According to research, breastfeeding time may be related to the IQ of the baby. Medical experts at the Norwegian University of Science and Technology tested the IQ and motor skills of 345 13-month-old babies and re-tested them at the age of five. Nearly two-thirds of these subjects were breastfed for at least six months, although 17 percent of them were bottle-fed when they were less than three months old.
  There was no absolute correlation between breastfeeding and motor skills at any age, but those who stopped breastfeeding at three months of age were more likely to have lower than average mental and overall IQ performance by 13 months of age and five years of age, respectively.
  This finding supports most physicians’ recommendation that “breastfeeding is best. The study concludes, “We found a positive association between duration of breastfeeding and mental development, even after adjusting for maternal age, education, IQ, and smoking during pregnancy.” “Our data support the hypothesis that longer periods of breastfeeding are beneficial for cognitive development.”
  10, When does a mother need to stop breastfeeding?
  Breastfeeding should not be stopped when suffering from acute infectious diseases such as high fever, acute tonsillitis, pneumonia, urinary tract infections, etc. Breastfeeding must be stopped under the guidance of a physician, and medications that adversely affect the infant must be avoided as much as possible.
  It is advisable to temporarily stop breastfeeding when drugs that may be detrimental to the infant (such as gentamicin injections for urinary tract infections) are used because the condition requires it.
  When you have acute mastitis, breastfeeding should be suspended and the infection should be controlled with antibacterial drugs as soon as possible.
  When breastfeeding is suspended, the breastfeeding mother needs to suck out the milk with a breast pump regularly every day, otherwise it will lead to a decrease in milk secretion or even stop.
  When a breastfeeding mother has hyperthyroidism, nephritis, open tuberculosis, chronic hepatitis, lupus erythematosus or heart disease, or poor heart function, she should be fed artificially. This is because these diseases often require the use of drugs that are not good for the baby.

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