Please refer to the infographics for information regarding the covid-19 vaccine safety for breastfeeding mothers. If you have any other questions or concerns, just call MOH at 1800-333-9999 or consult with your healthcare provider.
Please refer to the infographics for information regarding the covid-19 vaccine safety for breastfeeding mothers. If you have any other questions or concerns, just call MOH at 1800-333-9999 or consult with your healthcare provider.
5 Gifts ideas for new mums that they’ll actually use during Heightened Phase 2 of covid in Singapore. Of course, all mothers want the same thing: rest. But since we can’t wrap that up and give it to her as a present, we’ll have to settle for the next best thing.
We’ve compiled a list of gift ideas that new mothers will love; whether it is skincare to do an at-home spa, or yummy treats to feast on, or adorable clothes for her and the baby, we’ve got it all here on this list! No matter if it’s her first baby, or baby no. 3, she is sure to appreciate and love all these gifts. Especially with covid-19 around and a second wave in Singapore, she may not feel safe shopping around for herself, so you can be sure that she will appreciate new things.
We’d all love to head to the spa and get some facials done, especially in this stressful period. Unfortunately, the government just announced the closure of all facilities that require your mask to be off, so we have to settle for the next best thing. Ksisters is your one-stop shop for everything feminine related – skincare, makeup, clothes for mama and baby, jewelry, even other lifestyle goods! She can easily do an at-home spa day with their amazing skincare products. With their wide range of goods, we’re sure that mum will appreciate anything on this website.
2. Singapore Lactation Bakes complete New Mom Gift Hamper
It’s a common worry for any mummy wishing to breastfeed their child to worry about their milk supply. But not to fret, SLB’s gift hamper comes with everything a new mum needs! Lactation cookies and their other lactation bakes all help to increase your milk supply through the use of superfoods, and the gift set also comes with a nursing cover, soft toys and even a teething toy! If you know that mum is worrying about her milk supply, be sure to get these for her to ease her worry. She’ll also get to enjoy the yummy cookies, brownies… drool
3. Oeteo newborn gift set
Oeteo, a local supplier of baby clothes, has some of the cutest baby clothes we’ve ever seen. With covid rampaging around, it’s best for mum to stay at home to keep herself safe. Unfortunately, she won’t be able to shop for baby clothes, so you can help her out by doing the shopping for her! Oeteo’s newborn gift set is perfect for mum since it comes with all the clothes, blankets, mittens that she’ll ever need!
4. Hegen PCTO™ Double Electric Breast Pump
This gift set is curated perfectly for newborn babies, making it easy and efficient for mum to breastfeed! Hegen’s innovative, all-in-one express, store and feed system allows mums to use the same container for everything by simply switching out the attachment, so there’s no wastage. All the attachments mum will ever need are included in this gift set, so it’s perfect for her! Their patent pending one-handed closing system is perfect for mums who only have one free hand from holding the baby!
5. Jump Eat Cry’s Nursing line
If mum is a fashionista, look no further than Jump Eat Cry! They have a nursing and maternity line, easily accommodating both nursing needs and a growing belly. Many people associate nursing clothes with un-fashionable articles of clothing, but these are trendy while still being functional! If you know the baby’s gender, you can even buy a matching set for mum and baby, so they can wear matching clothes and look adorable together. And make sure to purchase their gift packaging so it looks extra special!
All these gifts are great for mums, but at the end of the day the most important thing is that you stay by mum’s side and give her reassurance and encouragement! Make sure she knows that you’re there for her. Motherhood is amazing and incredible, but also frustrating and tiring. She will most definitely appreciate your support if you do!
Thank you mummies for having SLB here with you in your marvellous breastfeeding journey! Now that you have the bakes with you, let us SLB eating guide you on how to have the bakes, the SLB eating instructions, how the bakes are suppose to help and things to take note of when you are having our bakes! Feel free to copy and save the above infographic so that you could do reference at any point of time.
Breastfeeding is nature’s gift to mothers: It’s all-natural and free, and it provides a host of benefits to you and your baby’s overall health. However, it’s often a concern for new mothers that their milk supply isn’t enough. Your milk supply may indeed temporarily diminish if you’re not feeding your little one often enough for a variety of reasons.
Singapore Lactation Bakes’s bake contains some key ingredients that can help support your breast milk supply.
SLB cookies helps in a way in which our bakes will help with your let down sensation. Once you feel the let down at any point of time, latch or pump immediately. This way your body will respond to the need to make more milk as there are “demand”.
So say you pump 5 times a day with 20ml per pump, now with more let downs, maybe you pump 7 times a day with extra 10ml each pump. So your total output of milk would increase from 100ml to 120ml per day. If you continue with this routine, you could then slowly wean off the cookies while maintaining the “new” output.
SLB eating guide suggests you enjoy 8-10 cookies per day and or with 1-2 muffins / brownies a day for best results. You may feel fuller/ more let downs by that evening, or it may take a few days before you notice a boost in supply. Some women may not experience an increase; each body is different and responds differently to foods.
However, SLB ‘s cookies, muffins and brownies have helped to support many mummies with milk supply and deliver on taste and nutrition to everyone. Each mother respond differently to lactation cookies. Some moms notice a significant increase in their milk supply within a few hours, while some take a 4-5 days while other could take 1-2 weeks after following the SLB eating instructions.
Absolutely! There is no mystery estrogen in Our lactation bakes, just whole, honest ingredients. With sustained energy from oats, omega 3s from flax, these bakes are the perfect addition to any man’s gym bag, briefcase. Bring on the daddies! It’s also great for toddlers, kids and older folks too!
Basically anyone in the family can eat the cookies! ( my 3, 5 and 8 year olds are my cookie testers!). However, Lactation bakes are not suitable for pregnant ladies but its ok to start eating them straight after birth.
We also have some Articles on breastfeeding such as how do you know if you are low supply do you have sore nipples or why your baby keeps drinking and well as some Breastfeeding Tips and pumping hacks that you could adopt to make your breastfeeding journey a little easier. Read thru our breastfeeding recipes too as we have compiled some easy recipe for you too! Lastly, Don’t forget to Eat SLB . Breastfeed. Repeat and continue to put baby to breast as often as possible, pump when necessary, stay hydrated and, most importantly, well-rested (yeah, right). Thank you for reading our SLB eating guide. I commend you for even reading this far.
More questions? read our FAQ for more infos or live chat us if you have more questions ya =)
*Our bakes are not intended as a replacement for professional lactation support. Our bakes provide nutritious and valuable lactation support for nursing mothers and their little ones only when used in collaboration with best breastfeeding practices and/or while under the care of lactation professionals.
The way your baby is cared for and nurtured immediately after birth significantly impacts their transition from the womb to life outside. Our modern culture commonly separates mothers and babies for routines procedures like cleaning, weighing and measuring. This leads to babies missing the critical skin-to-skin time with their mothers, which has both short and long term consequences for both of them.
As these procedures are not necessary to maintain or enhance the wellbeing of either mother or baby, there is no reason why they cannot be delayed beyond the first critical hour. The first hour should be focused on the baby’s first breastfeed and mother-baby bonding. Unless the mother or baby requires medical assistance, hospital protocols should support this time of new beginnings for both vaginal and caesarean births.
Personally, I requested for skin-to-skin right after birth and with the newborn checks not executed till much later. I was able to bond with Jo2 and Jo3 for at least an hour before the nurses carried them for their newborn checks.
What Is An Undisturbed First Hour?
Babies are born and immediately placed tummy down on their mother’s stomach. A warm blanket should be placed over both of them to keep the mother warm. This slows the production of adrenaline in her to aid in the production of oxytocin and prolactin; both hormones necessary for bonding and breastfeeding.
At this time, the mother’s needs are simple: warmth and a quiet, calm environment. It is important to remember that she is still in labour — she still has to birth the placenta and membranes, and her uterus needs to contract down.
#1: Baby-Led Initiation of Breastfeeding
These days, it’s quite common for hospital staff to want the baby to begin breastfeeding within the first hour. However, early feeding is important for both the mother and the baby. It’s essential for bonding and helps to expel the placenta quicker and more easily, which reduces the risk of postpartum haemorrhage. It’s common for caregivers to assist the baby to latch onto the nipple, which is unnecessary in most cases. When babies who have not been exposed to medications are placed skin-to-skin with their mothers and left undisturbed, they will instinctually crawl to their mother’s breast and attach themselves to the nipple. This is now known as the ‘breast crawl’ and was first observed by Swedish researchers in the 1980s. Further observation discovered that babies are born with innate instincts that assist them in finding their mother’s nipple, like all newborn mammals. I noticed that with Jo3, it took her about 30 minutes to latch on instinctively, so don’t worry if your baby doesn’t want to latch immediately.
Babies who are left skin-to-skin with their mothers for the first hours immediately after birth are better able to regulate their temperature and respiration. Newborns aren’t able to adjust their body temperature as well as older children and adults since they don’t have the same insulating fat levels, after spending 9 months in an environment that is perfectly temperature controlled. If babies lose too much heat, they have to use more energy and oxygen than they can spare to try and keep their temperature stable. An undisturbed first hour with skin-to-skin also reduces the risk of hypoglycaemia (low blood sugar levels). Newborn babies can produce glucose from their body stores of energy until they are breastfeeding well and are more likely to do so when they remain skin-to-skin with their mothers.
Prolonged skin-to-skin after birth allows mother and baby to get to know each other. Mothers who have skin-to-skin contact after birth are more likely to feel confident and comfortable in meeting their babies’ needs than those who had none. Attachment is critical to newborn survival and mothers are hard-wired to look after their young. The number of oxytocin receptors in a woman’s brain increase during pregnancy. After birth, she is more responsive to the hormone, which promotes maternal behaviour. Oxytocin is produced in large amounts when breastfeeding and during skin-to-skin. Mothers who had early skin-to-skin with their babies are more likely to demonstrate bonding behaviours later in their child’s life, such as kissing, holding, positive speaking and so on. Skin-to-skin is becoming a reality for more c-section mothers and skin-to-skin as you have in the first few days will really promote and help with your breastfeeding journey.
Breastfeeding is more successful when babies have early skin-to-skin contact. The World Health Organization recommends exclusive breastfeeding for babies in the first six months to achieve optimal growth, development and health. Creating the right conditions for the initiation of breastfeeding would help promote longer durations of breastfeeding for many women. Babies who are left to self attach usually have a better chance of proper tongue positioning when latching. This can increase long term breastfeeding as mothers experience more ease and fewer problems when latching is not an issue.
Babies are born ready to interact with their mothers – a newborn baby who has not been exposed to excessive medication will be very alert and gaze intently into their mother’s face, recognising her smell, the sound of her voice and the touch of her skin. Remaining with their mother is key to a baby’s survival and separation can be life-threatening. Babies are born with a mammal’s primal instinct to stay within the safe habitat of their mother, where there is warmth, safety and nourishment. When babies are separated from their mother they will protest loudly, drawing their mother’s attention to their distress. Babies undergo what is literally a cold turkey withdrawal from the sensory stimulation of their mother’s body. If they are not reunited with their mother despite their protests, they will go into a despair state – essentially giving up and becoming quiet and still. This is partly a survival instinct to avoid attracting predators, and their body systems slow down to preserve energy and heat.
Naturally, when babies are born, they emerge from a near-sterile environment in the uterus and are seeded by their mother’s bacteria. This essentially trains the baby’s cells to understand what is ‘good’ and ‘bad’ bacteria. This kickstarts their immune system to fight off infections and protects them from disease in the future. Research indicates that if babies aren’t given this opportunity to be exposed to their mother’s bacteria, their immune system may not reach its full potential, increasing the future risk of disease. If you’ve had a c-section, skin-to-skin and early breastfeeding is needed to increase your baby’s exposure to bacteria.
Remember that skin-to-skin can continue past the birth period and early postpartum. Many mothers have found that snuggling their baby can be soothing at any time and at any age.
Belly Belly Australia
Breastfeeding may be the most natural way to feed your baby, but it can take time and practice for you both to get the hang of it. Understanding how a good breastfeeding latch (also known as breastfeeding attachment) should look and feel can be a huge help in getting feeding established.
There’s no right or wrong way to hold and feed your baby, and each mum and baby will find their own preferred position to feed in. What’s important is that you both feel comfortable. Knowing a few different breastfeeding positions and techniques can be helpful as your baby gets bigger and you start to go out more. Read on to find out how to get a good breastfeeding latch!
Before breastfeeding, a mother needs to get into a comfortable position as feeding may take 5 minutes to an hour. Use cushions to support the back to prevent it from getting strained. Not only will it help with the back, but it will also help the baby to latch properly. To start feeding, bring the baby towards the nipple; do not bend towards the baby, as it will result in a poor latch and will hurt in the process.
Holding your breast in a “U” shape will help the baby with good latching. It also makes it easy for the baby to latch on. Keep hands 2 inches away from the nipple. Support the neck of the baby with your hand and gently bring the baby towards the breast.
Aim your nipple towards the upper lip of the baby and not towards the centre. If the baby does not latch on the breast, try rubbing the nipple on its upper lip. This way the baby’s head will tilt back. If the baby does not open its mouth, do not force it in but instead gently rub your breast against its mouth. Squeezing a little milk out and then rubbing will also help the baby open its mouth.
Make sure that the mother and the baby are chest to chest with its nose slightly above the breast. As the baby latches on to the breast, ensure that the nipple and areola (the dark area surrounding the nipple) is in the baby’s mouth. This is considered to be a good latch!
As you and your baby become more experienced and comfortable with breastfeeding, you’ll find that you can alter your positions in many ways, even from feeding to feeding. As long as you’re comfortable and the baby is nursing successfully, do what works best for you.
Before you start, and whichever breastfeeding position you choose, make sure your baby’s head, neck and spine are aligned, not twisted. His chin should be up, not dropped towards his chest. Make sure you feel comfortable too – you could use pillows or cushions to support your back, arms or baby.1
Hold your baby close, your nipple level with his nose. Touch your nipple gently against his upper lip to encourage him to open his mouth wide. The wider his mouth is, the easier it will be to get a good latch on.
Once your baby has opened his mouth wide and has brought his tongue over his bottom gum, bring him onto your breast, aiming your nipple towards the top of his mouth. Your baby’s chin should be the first thing that touches your breast. He should take a large portion of your areola into his mouth, with his bottom lip and jaw covering more of the underneath of the areola. It’s OK if you see part of your areola isn’t inside his mouth – we all have different-sized areolae and different-sized babies! Some mums find that gently shaping their breast at the same time as bringing their baby on to feed helps. Experiment and see what works.
Remember mums all have different breast shapes and nipple positions, so you may not always have that ‘textbook’ latch. Whenever possible, keep your baby close to you, with his chin in contact with your breast. Newborn baby’s noses are turned up so they can breathe easily while attached to the breast. This lets them coordinate sucking and breathing with ease.
As your baby feeds, your nipple will be against the roof of his mouth, cupped gently by his tongue underneath. The latch should not feel uncomfortable – it should be more of a tugging sensation. Watch your baby – at first, he’ll do short, rapid sucks to stimulate your milk flow (let-down reflex). Once the milk starts flowing, he’ll suck more slowly and deeply with some pauses, which may indicate he’s taking in milk – a good sign! You should see his jaw moving, and may also hear sucking and swallowing as he feeds. These are all good signs, but it’s also important to check your baby is producing plenty of wet and dirty nappies and gaining weight as expected.
If your baby’s latch is shallow or painful, or he starts chomping on your nipple or brushing the end of it with his tongue, remove him from your breast and try again. Ease your clean finger gently inside the corner of his mouth to break his suction if you need to.
Knowing the right breastfeeding latching tips and being aware of common latching signs can make your problems go away in no time. It will make breastfeeding a seamless and hassle-free process. Here are the signs of proper breastfeeding latching amongst babies:
The cheeks of the baby will look full, its chin must rest on the breast, and the nose must be free and above the breast. The baby does not make any noise except for swallowing. After the feeding, there will be no change in the shape of the nipple and the baby will look satisfied, any previous irritation disappears, and the baby might even fall asleep.
There will be no movement in the lower jaw of the baby. Instead of an up and down movement, there will be circular movements in the baby’s mouth. With good latching, the baby will be relaxed. If the baby is still restless then the latch is not done properly and will have to be redone.
Here’s a video on how to get on a good latch for new mothers.
Here’s another awesome video on how to latch!
Remember, breastfeeding should not be painful. A good breastfeeding latch will help keep discomfort to a minimum. If your baby is not latched on well, problems like cracked and sore nipples can develop. Once a good position and latch are established, breastfeeding can be a wonderful, pain-free bonding experience between you and your baby.
If you are still experiencing any nipple pain, dryness or discomfort, try a nipple cream.
If you need further assistance, many hospitals have lactation consultants. Seek to work with a lactation consultant at the hospital or birthing centre in which you delivered. If you are already home, you can speak with your healthcare provider. You can also call a breastfeeding helpline or contact an independent lactation consultant. Join our breastfeeding community to ask fellow mummies for support too!
Last but not least like what Kellymom mentions
No matter what latch and positioning look like, the true measure is in the answers to these two questions:
Even if the latch and positioning look perfect (yes, even if a lactation consultant told you it was fine), pain (particularly after the first two weeks) and/or ineffective milk transfer indicates that something needs to change, and the first suspect is ineffective latch/positioning.
If the baby is transferring milk and gaining weight well, and mom is not hurting, then latch and positioning are – by definition – good, even if they look nothing like the “textbook” latch.
“Rules and regulations have no place in the mother-baby relationship. Each mother and baby dyad is different and what works well for one mother and baby may not work well for another mother and baby. The important thing to do is to look at the mother and baby as individuals.”– Andrea Eastman, MA, CCE, IBCLC in The Mother-Baby Dance
If anyone deserves a break, it’s a nursing mom! Your desire to have your little one take breast milk from a bottle every now and again so that you can get out of the house and go for a much-needed walk (or at least take a shower or a nap) is completely understandable. But are you worried that your little one won’t take to the bottle easily? Heard one too many “nipple confusion” sagas from friends and lactation specialists? Or has that theory been discounted by your paediatrician and your mother-in-law, leaving you more confused than ever?
Nipple confusion is when babies who are used to sucking from bottles have a hard time getting back on the breast. They may have difficulty latching on and may protest the different size or texture. Nipple confusion sometimes occurs in young infants who are breastfed, given both a bottle and a pacifier within a few days of birth. Sucking on a breast, a bottle and a pacifier all require different sucking techniques. Young infants can become confused about which sucking technique to use for which kind of nipple.
A hungry infant who has difficulty sucking becomes quickly frustrated, making feeding your baby difficult and frustrating both for you and your child. While not all young infants suffer from nipple confusion, enough do that it poses a real problem for many new parents.
Most babies have no problem switching from breast to bottle and back again. Others, particularly those who take a little longer perfecting the art of suckling at the breast, do find it hard to transition from breast to bottle, and then back to the breast. This is why most experts agree that you should wait until your newborn gets the hang of breastfeeding (about three weeks) before you break out the bottle.
If breastfeeding hasn’t hit its groove by the three-week mark, wait a little longer before introducing the bottle.
Why do you need to hold off before you switch off? If you don’t wait until your baby has perfected her breastfeeding skill, there’s a risk she’ll give up breastfeeding sooner than you’d like.
Newborns catch on pretty quickly they don’t have to work nearly as hard to get milk from a bottle with a rubber (or silicone) nipple as from your breast. To breastfeed, your baby needs to master the fine art of taking your nipple far back into her mouth and then using her tongue to pump out the milk (which can take a minute or so before it starts flowing). With a tilted bottle, a baby has gravity on her side: She can suck with her lips and get all the milk she wants right away. So the baby suffering from nipple confusion may not be befuddled so much as opinionated. She prefers the bottle. And why wouldn’t she? It’s the quicker, easier route to a full belly.
The main reason for nipple confusion is just simply the fact that bottle feeding for a breastfed baby is completely different from natural breastfeeding. Regardless of what’s in the bottle, it is all about “your breast vs the bottle”, in which your baby has to suck in 2 different ways.
Additionally, the difference in:
Nipple confusion can result at the end of breastfeeding and is a big issue.
Usually, breastfeeding mothers face the nipple confusion issue when they tend to pump/express breastmilk before returning to work or study.
Here are the measures you should take to avoid and fix nipple confusion during mixing between breast and bottle feeding.
Give breast-only feeding the recommended three weeks for your milk supply to get well established and for your newborn to really master the technique, and then feel free to give yourself that longed-for break.
Some babies take to bottle-feeding right away, others protest. If you’ve got a stubborn bottle feeder on your hands, be ready to offer a choice of formula, nipple sizes and style, and formula-feeding times until he decides which one he prefers. If your baby baulks at breast or bottle, here’s a game plan for handling that nipple confusion (or preference!):
Go back to square one. Revisit the basics of latching on and remind your baby how soothing breastfeeding can be by cuddling her skin-to-skin. It may require a few sessions of fumbling at the breast before she gets back on track, but it’ll be worth it!
Make it easier. Get your milk flowing (either manually or by pumping your breast milk) before your baby starts to eat, so she doesn’t have to work that hard for the milk. (Just pump enough to get things dripping; you’re not looking to fill a bottle just yet.)
Time it right. She should be in the mood for a meal (aka hungry) so she’s motivated to give it a try…but not so famished that she can’t get her baby brain around relearning an old trick. If she’s starving, she may not have the patience to latch on or suck hard enough to get the milk she wants—and that might lead to a full-blown frenzy of frustration, which can throw both of you off track.
Back off on the faux nipples. If the whole switching process has given your baby a bad case of nipple confusion, just stick with breastfeeding till she’s got it down solid. (This means you’ll need to put away the pacifiers too, just in case she’s gotten too fond of sucking for satisfaction with her lips.)
Let Daddy do the feeding. Sometimes a baby is just too attached to Mom’s nipple, so hitting the bottle while Mom is so close by (yet buttoned-up) seems wrong. But it may be a different story if someone else is bringing on the bottle — whether it’s Dad, Grandma, or your best pal. But don’t worry that you’ll always need a Mommy stand-in at feeding time — once your wee one gets the hang of the bottle, she won’t care who gives it to her!
Try different nipples types. If one nipple doesn’t succeed, try, try another one. Just watch the flow rate. The milk should come out fast enough that your baby doesn’t get frustrated…but not so fast that she can’t keep up with the flow. A drop a second when you turn the bottle upside-down is just right.
Make bottle feeding as much like breastfeeding as you can. Interact with your baby. Switch arms halfway through so she has something different to look at. Burp her. But remember that while some newborns want bottle feeding to be just like breastfeeding, others take to it better if the experience is completely different. So if that’s the case with yours, try a different location or even a different position.
You can do that by decreasing the gap as much as you can between breast and bottle. The whole idea of how to fix nipple confusion is to mimic the natural process of breastfeeding.
While you try to introduce the artificial nipple, do your best to decrease the difference between the natural nipple of you and the synthetic bottle nipple.
The ordinary classic baby bottle has 2 huge disadvantages with regards to nipple confusion:
And for that, it is much easier for your breastfed baby to get his milk from the regular bottle rather than your heavy, wide breast. By the time, he would prefer this small/light nipple rather than your breast. So, it is far from your heavy, wide breast nipple.
Pick a wide base baby bottle that has a wide nipple to mimic the size of your breast. Also, the wide neck bottles are closer to your breast regarding their weight. And remember that your breast is like a heavy sandwich for your breastfed baby to latch on to it.
Breast milk ejection from the breast is a time-consuming process. This process is mediated through the lactation hormones, Oxytocin and Prolactin. Your breastfed baby may take around 2 mins to receive the breast milk during natural breastfeeding.
However, the milk comes easily and quickly in the case of bottle-feeding.
Try to choose the slow flow rate teat to make the process slower. On the fast flow bottle nipple teat, it may make it easier for your baby to get choked.
Another way to mimic the slow milk rate of breastfeeding is to apply pauses while bottle-feeding. Don’t let your baby latch on to the bottle for the whole 10 mins of feeding, as gravity makes the milk flow faster from the bottle compared to the breast.
During bottle feeding, you can control the flow by making pauses every 2 minutes for 10 seconds. These pauses will stretch the time needed to finish the milk from the bottle.
By doing that, you mimic breastfeeding sessions’ duration and flow rate. This lets your baby switch between both ways of feeding without feeling a huge difference.
Your baby having a good latch during breastfeeding is crucial for a successful breastfeeding journey. After latching onto your breast deeply, he should do so on the bottle as well. A shallow latch on the bottle is a probable cause of nipple confusion.
Simply, ensure that your baby is catching the wide base of the bottle rather than the tip. Like what happens in the normal latching process while breastfeeding, where your baby is catching the most of your areola within his mouth.
First, you should stimulate your breastfed newborn for the wide mouth opening. This could be done by raising the bottle at a higher level than his mouth.
Then hit his nose with the tip of the baby bottle tip.
Naturally, he would widen his mouth opening to catch the bottle nipple.
The second step is to pick the widest mouth opening and insert gently and deeply the bottle. You can control this process by grabbing your baby’s head using your hand.
Bottle or breastfeeding doesn’t have to be an all-or-nothing choice. By spacing out feedings, finding a formula baby likes almost as much as mom’s breast milk, and making sure nursing time includes lots of skin-on-skin bonding, you’ll be able to enjoy the flexibility of both.
Did you know that breast shields ( flanges) come in different sizes? Many mummy experience inefficient pumping session, and the reason is usually because of wrong breast shield size. Many breast pumps ship with size 27mm or 28mm in Singapore; however, that doesn’t mean that everyone will fit that size (we don’t all wear the same sized shoes, after all). There are breast shields on the market ranging in size from 15mm to 36mm!
Follow this simple guide to determine your breast shield size but first thing first
It’s a common misunderstanding to measure your nipple before you start pumping, but you actually have to measure the nipple after you pump. The reason is simple. The nipple swells while pumping, and since the rate of swelling varies between women, it’s important to take this swollen measurement to select a comfortable shield size. Grab the shield that came with your pump, assemble it to the milk collection kit and then pump on a low setting for 5 minutes, so the nipple swells. You might even express milk while doing this (if this is your first time pumping, be sure to use the lowest vacuum setting to avoid any pain or discomfort).
After your nipple has swollen, measure the diameter of the nipple at the base of the nipple. Be careful not to include any areola in the measurement. Gently lay a ruler onto the areola next to the base of the nipple so the measurement lines are visible when looking straight at the breast. This can be tricky so some women find that doing it in front of a mirror or using a smart phone in selfie mode is helpful.
To allow the nipple to move freely within the flange while pumping and to avoid any pain or discomfort (or worse – blisters!) from rubbing, select a shield size that is 2-3mm larger than the diameter of your nipple. For example, if your nipple measures at 18mm, you would want to try the 20mm shield. It’s important not to go too large either because excess areola can be drawn into the flange, causing discomfort, pain, or even constriction of milk flow.
Although the above instructions provide a good indication of the size of breast shield you will need, there are few things to consider:
However, you should not follow this guideline blindly because the info graphic merely relies on nipple diameter only. In addition to nipple diameter, you should also consider the following factors:
- Check how your nipple moves while pumping.
The nipple should move freely and it should not rub the side wall of the flange. You may see a little bit of areola gets pulled, but not the whole areola. And your nipple should not hit the back wall of the breast shield.
Even if you think you already choose the best breast shield size, but you feel uncomfortable / painful while pumping, that means something is not right. Try to size up or down. Nipple redness / or sore feeling after pumping is also an alarm that you may need to choose different breast shield size.
- Effectiveness of pumping
If you feel you breast is not emptied after pumping, you may suspect that you don’t use the correct breast shield size (note: various factors can affect this, breast shield size is just one of possible reason).
- Breast tissue / elasticity
Some women has a very elastic tissue so that the skin will get pulled easier. In this case, it is possible that pumping makes nipple get elongated so much until it hits the back wall of the flange. For this case, using breast shield with longer ‘tunnel’, or using smaller insert in bigger breast shield may help.
We also found Nipple Ruler by pumpables.co
Simply print it out, fold along the line, and carefully cut out the circles.
The nipple ruler works on both US Letter and A4 paper sizes. Make sure you select “full size” or “100%” in your print menu (don’t “scale to fit”). You can also print it on larger sizes like US Legal or A7, but you might have to trim off the extra
At the end of your pumping session, use the circles to measure the diameter of your nipple at the base. You should select a size that is snug, but not constricting, around your nipple.
Here’s another Nipple Ruler we found from MayMom
If you have more questions or need further help with breast shield sizing, reach out to a Certified Lactation Consultant. In the long run, it’s worth taking the time to determine the breast shield size that’s right for you. You’ll benefit by maximising your pumping sessions so you can get back to what matters most – the little one you’re pumping for!
Everything you need to know about breastfeeding your newborn, in one article! This article is organised into weeks, to make it easier for new mummies!
Frequent nursing encourages a good milk supply and reduces engorgement. Aim for nursing at least 8 – 12 times per day (24 hours). You CAN’T nurse too often–you CAN nurse too little.
Go on-demand feeding. Nurse at the first signs of hunger (stirring, rooting, hands in mouth)–don’t wait until the baby is crying. Allow the baby unlimited time at the breast when sucking actively, then offer the second breast. Some newborns are excessively sleepy at first–wake baby to nurse if 2 hours (during the day) or 4 hours (at night) have passed without nursing.
Weight gain: Normal newborns may lose up to 7% of birth weight in the first few days. After mom’s milk comes in, if you are breastfeeding your newborn, they should gain about 170 g/week. Take baby for a weight check at the end of the first week or the beginning of the second week. Consult with the baby’s doctor if the baby is not gaining as expected.
Dirty diapers: In the early days, the baby typically has one dirty diaper for each day of life (1 on day one, 2 on day two…). After day 4, stools should be yellow and the baby should have at least 3-4 stools daily that are the size of about2.5 cm or larger. Some babies stool every time they nurse, or even more often–this is normal, too. The normal stool of a breastfed baby is loose (soft to runny) and may be seedy or curdy.
Wet diapers: In the early days, the baby typically has one wet diaper for each day of life (1 on day one, 2 on day two…). Once mom’s milk comes in, expect 5-6+ wet diapers every 24 hours. To feel what a sufficiently wet diaper is like, pour 3 tablespoons (45 mL) of water into a clean diaper. A piece of tissue in a disposable diaper will help you determine if the diaper is wet.
Your milk should start to “come in” (increase in quantity and change from colostrum to mature milk) between days 2 and 5. To minimize engorgement: nurse often, don’t skip feedings (even at night), ensure good latch/positioning, and let your baby finish the first breast before offering the other side.
Call your doctor if your baby has:
Get Singapore Lactation Bakes’s Cookies 1-2 weeks in advance and put them in your hospital bag. Skin to skin and latch baby immediately after birth and you may start having the lactation cookies. 10-12 cookies per day promote more letdowns or fuller breasts. Pump or latch baby immediately when you feel the let downs or fuller breast to encourage more milk production.
Frequent nursing in the early weeks is important for establishing a good milk supply. You should be breastfeeding your newborn 8 – 12+ times per day (24 hours). You CAN’T nurse too often—you CAN nurse too little.
Nurse at the first signs of hunger (stirring, rooting, hands in mouth) and don’t wait until the baby is crying. Allow the baby unlimited time at the breast when sucking actively, then offer the second breast. Some newborns are excessively sleepy, wake the baby to nurse every 2 hours during the day or 4 hours during the night if the baby doesn’t wake up to nurse. Once the baby has established a good weight gain pattern, you can stop waking the baby and nurse on the baby’s cues alone.
Weight gain: When breastfeeding your newborn, they should gain 6 ounces/week (170 grams/week). Consult with the baby’s doctor and your lactation consultant if the baby is not gaining as expected.
Dirty diapers: Expect 3-4+ stools daily that are the size of about 2.5 cm or larger. Some babies stool every time or even more often when they nurse this is normal. The normal stool of a breastfed baby is yellow and loose (soft to runny) and may be seedy or curdy. After 4 – 6 weeks, some babies stool less frequently, with stools as infrequent as once every 7-10 days. As long as the baby is gaining weight well, this is normal.
Wet diapers: Expect 5-6+ wet diapers every 24 hours. To feel what a sufficiently wet diaper is like, pour 3 tablespoons (45 mL) of water into a clean diaper. A piece of tissue in a disposable diaper will help you determine if the diaper is wet. After 6 weeks, wet diapers may drop to 4-5/day but the amount of urine will increase to 4-6+ tablespoons (60-90+ mL) as the baby’s bladder capacity grows.
Some moms worry about milk supply. As long as the baby is gaining well on mom’s milk alone, then milk supply is good. Between weight checks, a sufficient number of wet and dirty diapers will indicate that baby is getting enough milk.
Take cookies, muffins, herbs (called ‘galactagogues’) to stimulate the hormones that govern their milk supply. Eat food that boosts milk will help too. You may need to do some trial and error as everyone’s body reacts differently to food.
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