Feeding pregnant .Lactation.Feeding a child at Timofeeva AM
Children's Doctor Conversations / / August 12, 2017
third conversation.About feeding infants
How to feed your baby and why is it so important?Eating small child lays the foundation of health for all his future life.Children who are breastfed suffer far less than the "bottle-", and immunity is stronger.By the Russian medical school honor us, doctors have never been taught that children are more useful to translate from the thoracic to artificial feeding.
Artificial feeding lowers immunity.
In the West, for example, the industry produced and produces a wide variety of blends, easy-to-use, prepared on the basis of cow's milk with the addition of iron, vitamins and flavors.Children willingly ate the mixture, and the mother of the children feel "free."However, in the seventies children's doctors noted a significant increase in allergic diseases in childhood.In the United States, which is also preferred to bottle-feeding, there was an increase of diseases asthma is almost 10 times as compared to the sixties.After that, in medical journals began toappear more and more articles in which the allergic disease growth was associated with almost total artificial feeding.
& gt;What and how to eat pregnant?
however start a discussion threads need baby food with the expectant mother food.Generally speaking, you need not provide any special diet.But we must not forget about two things.Firstly, if a woman suffers from a food allergy, it should be avoided, allergen products.Second, in the initial months of pregnancy toxemia appears often: nausea, vomiting, dizziness, weakness.In some women completely lost appetite, while others abstain from eating, for fear of nausea and vomiting.In such cases it is not necessary to use drugs.It is best to drink diluted juices: lemon, apple, pomegranate or cranberry juice, cranberries and dried fruit compote.Well there are a lot of fruit: apples, plums, grapefruit, orange - depending on the time of year.There are better lying down, in small portions.The food is recommended to cool.These days should abstain from meat and dairy foods, and if it is difficult to give up milk, it is best to consume dairy products - they are easier to digest.
main food for pregnant women - a porridge, vegetables, fresh juices and fruits.
& gt;Why porridge become so important?
Why I recommend the porridge?Yes, because at the moment of cereals - perhaps the only food with a very low content of herbicides.preferable to use a timber, instead of these considerations garden berries.With the introduction of agricultural nitrogen fertilizer is to be feared the most common vegetables, unless they are grown in their own garden.Today is better to exclude from the diet of pregnant and nursing mothers, and young children melons.
& gt;Pregnancy and vegetarianism
Some women find that during pregnancy is necessary to eat abundantly, especially protein food, such as meat.Otherwise, in their opinion, may be born weak and small babies.This is not true.Among my patients was a lot of children from mothers-vegetarian.They are well developed and significantly less likely to suffer from various allergic conditions.Undoubtedly, the next question is: "So, during pregnancy and subsequent breast-feeding should all become vegetarians and refuse from eating meat?"No, not necessarily.First of all, these strict rules must be observed during pregnancy toxemia or acute diseases of pregnant women and nursing mothers during the high temperature period.
& gt;More about nutrition of pregnant women and mothers
Food pregnant and nursing mothers should be simple, natural.Not bad use of products containing vegetable protein - nuts, legumes.You can eat boiled meat, fish, eggs, cheese.However, you should avoid strong soups, smoked meats, sausages, fatty cakes and pastries.Not bad 1-2 times a week to do the fasting day: juices, fruit drinks, fruit (winter - dried fruits, honey), and if hard without hot food, you can add any porridge without milk is better.
Here is an example that confirms the impact of malnutrition on pregnant child health.At the hospital, I had to treat the two-year baby.It was a real martyr.At night he could not sleep because of the asthmatic breathing and itching.His skin was completely covered with oozing scabs.During the day he forgets for a moment and again woke up itching and pain at the site scratching.Skin allergy appeared in his first days of life, and asthma emerged in the second year.It turned out that his mother worked as a waitress in a cafe.She did not want to cook your own food at home due to great fatigue, and she preferred to eat in the cafe, where there were only dishes such as hot liquid chocolate and cakes.So she ate almost every day before the pre-natal leave.The consequences were inevitable ...
& gt;The newborn should be immediately applied to the chest!
But your baby is born.The hour of arrival to the world of the little man.It is desirable to apply it to the breast immediately after birth.The fact that at this time in a woman's milk is not yet formed, and the so-called colostrum.It is in its composition is almost identical to the liquid portion of the mother's blood - plasma.Thus, during the first days of life after birth power will be almost no different from the pre-natal.And this is very important: only such power can fully understand the newborn's digestive system.In the early hours of the mother may also not be colostrum, but early attachment promotes lactation.The earlier a child is applied to the breast, the more milk is education.
& gt;Bad pumping
women in the maternity ward often call for expressing milk.According to many, the inflow of pumping milk, increases lactation in the first days after birth.And whether it is necessary to strengthen, because the baby takes a very small amount of milk?Mothers are advised to drink as much milk or tea with milk.But drunk the liquid is not mechanically transformed into breast milk.After each feeding in the hospital advised women - to express.And what is the result?Woman suffering with breast pump, it really intensifies the flow of milk, but the baby it is not yet able to dispose of.From standstill, as they say, "engorgement."The baby sucking a breast can not.Women are advised to use the pump.She cracks nipples, and then - the temperature rise and the possibility of mastitis.Is not it better to trust in the human body, so beautifully created the Creator?How much milk the baby, and so will appear.The older baby sucks the more active, the more milk is produced.
It seems to me that in the first days after birth is not necessary to decant, but be sure to apply a healthy newborn baby to the breast in the first hours of life.Milk will be as much as necessary to the child.If there are medical contraindications to breastfeeding, then, of course, need to decant to maintain lactation in the future.
& gt;The importance of the internal status of the mother
Be sure to remember the following: in the family, where there is a nursing mother, sparing regime should be created for it.It is very important!It is necessary that she could sleep at night, so that she could go for a walk, so she had some positive emotions.After the birth of the baby of a woman there is fear for the child: what if he gets sick, he suddenly nedoest, then something would be wrong for him to do.
We always live in some kind of trouble.And if we calm down, we will understand: a person was born.This - the good, it is - happiness.We must live for today, enjoy the baby, the mother of his first smile.I sometimes come to her mother and saw it all in suspense, it does not rejoice in your child does not communicate with him.She had only one thought: feeding, clean diapers and fear of possible diseases.
& gt;feeding mode
How best to build a feeding mode?Navigate best for feeding through 2.5-3 hours.Do I need to strictly adhere to certain hours?For example, a suitable feeding hour, and the baby is asleep.Should I wake him?Or on the contrary, the child woke up crying after 2-2,5 hours after the last feeding.Do I have to wait for another strictly for 25-30 minutes, and only then begin to feed tortured, crying baby?There is an interesting observation of American pediatricians, which showed that the strict observance of hours of meticulous feeding leads to a decrease in lactation.It is much better to look at the mother-to-child - the baby itself is well set for itself the best mode.In one feeding the baby can eat more milk - and then he no longer sleeps in the other less - and then he used to wake up.
Thus one rule must be observed: the interval between feeds should be at least two hours, and once a day, usually after midnight, the interval between feeds should be increased to 5-6 hours.feeding mode can be quite varied: for some children intervals between feedings may be beginning to 2-3 hours, for others, even in the neonatal period, the intervals can be extended up to 3-3.5 hours.
& gt;Creek is not only hunger
We must not forget about the other extreme.Not always the baby cries from hunger.He may torment abdominal pain.Especially those modern children suffer.In a previous conversation we touched on the problem of dysbiosis, this scourge of our times.And here is the first manifestation of dysbiosis - a cry in poor, green, frothy and sometimes undigested stool.Or, on the contrary - for constipation.Various allergic reactions, neurological disorders may also be cause for concern.Therefore, do not always have to shout at the child to think about what he is undernourished.When the child malnutrition poorly gaining weight, sometimes anxious, and often becomes sluggish, inactive.Consequently, the need to monitor the baby's weight.
& gt;Feeding and weighing
All mothers are always afraid of child malnutrition.How to check how much the baby sucks?More often resorted to weigh children before and after feeding.But, as one American study found, weighing the children after each feeding and harmful effect on lactation.Indeed, the mother worried, she spends a lot of time for this procedure.Better to do this: to weigh the child on a certain date prior to feeding, and a week to weigh it in the same diaper, vest at the same hour, too, to feed and look at weight gain.So weigh your baby once a week.If no signs of acute disease, a week with a baby nothing bad will happen.
If weight curve rises gradually, then everything is fine, the baby is fed.Roughly a newborn baby should add about 100-150 grams weekly.In the first month of life, children are usually put on weight 600 to 700 g (calculated on the weight at birth), in the second month - 800 g or more, and further weight gain is reduced by 50-100 per month, the
If the curve is onspot does not rise, then you need to check the number of sucks milk at different times of the day.With a lack of milk did not enter immediately supplementation.Try to relax, sleep, walk.Often, the amount of milk by such simple measures are gradually increasing.
& gt;Breast milk and mix
best nutrition for infants - breast milk.Children who are breastfed clean, add less weight than children with supplementary feeding mixtures.Despite this, breastfeeding immeasurably better for the baby.Most mixtures proposed for infant feeding, due to which country they are received, are made from cow's milk, which is very different from breast-content of proteins, fats, carbohydrates.If one human protein differs from another human protein, the more different human and animal protein.The digestive tract of the newborn is prepared to splitting and absorption of mother's milk.When mixed feeding digestion mixtures are always difficult - hence often the baby bloating, constipation or conversely, thin, poorly digested chair.Insufficient digestion with artificial feeding or mixed lead to the accumulation of foreign substances in the body, facilitate the emergence of a child allergic conditions (diathesis and others).
& gt;Breastfeeding - the most important means of prevention
all necessary and useful for the proper development of the child is available in the mother's body, and it transmits this baby through breast milk.For example, if the mother is ill with measles, it will give the child measles antibodies, and the kid is not sick at a meeting with the sick with measles.Is transmitted through the milk vitamins, many special substances that protect the baby from different diseases not only in early childhood.Even later, in the preschool and school age children, fed their mother's milk, much less and is easier to get sick.They are also less likely to occur, for example, chronic gastrointestinal disease, so common among older children in recent years.
& gt;If little milk
If you think you have a sudden decrease in the number of breast milk, it is not immediately panic.Rather, it is only temporarily.But if you start to worry about it, cry because the milk may actually disappear.We must not be discouraged, and often put the baby to the breast, and to think that milk is required to be added.
Even in such cases, good in the power to introduce nuts, drink tea with lactiferous herbs (such as cumin).Before feeding is useful to make a water massage breasts (a warm shower in a clockwise direction).
Sometimes, when a sufficient amount of milk the mother still wants to enter the mixture, considering that she had a "bad" low-fat milk.It is not right.Only the mother's milk will be fully understood by her child.The value of human milk is not in the amount of fat therein.
& gt;How to breastfeed?
During feeding mother should focus on, to closely monitor that the child picked up not only the nipple and areola.Thus warned of air entrainment sucking.If the child grasps the air, then it creates a feeling of fullness in the stomach, and he no longer suck.Usually in the first five minutes of feeding the baby sucks almost 3/4 required him milk.Then he starts to suck slowly, may doze off at the breast.In such cases, the child is well translate into a vertical position quietly and slowly, and wait until the air is released from the stomach, and then re-attach to the breast.Enough to feed your baby for 25-30 minutes, but that time should be fully given to the child.During feeding should not be distracted, talking to others, and on the phone, think about unmade affairs.Baby feels very good abstraction mother begins to suck badly, poorly gaining weight.
& gt;During breast-feeding should not be distracted!
In my experience, there were children who poorly developed, inadequate gain weight, although born healthy and were breastfed, and the whole environment around them is nothing unusual.It turned out that mothers feed their children during the work, one of them read at this time, and the other, holding the baby at the breast, dusted or doing other household chores.The attentive and loving mother to be with the child during feeding and during wakefulness, the stronger will subsequently be the child's attachment to his mother.Think about that.
& gt;How to wean from the breast?
When the time comes, you need to separate from the breast at once.It is better to leave at night.At the same time, create the most comfortable environment for the baby.Prepare his favorite drink: juice, decoction of the fruit juice.Leave with a baby on the night dad or grandma.Distract your baby in every way possible.And show determination, say to yourself, "everything."It is difficult, but we need to survive.
& gt;How long should I breastfeed?
it possible to feed the baby breast milk (try giving other food) to two or three years?Now it is recommended by many authors.However, such long-term breastfeeding, children usually eat bad food For further.As they often require the mother only breast milk during the day and night, refusing normal food.How to introduce solid foods?