Community Health Care

Archive for the ‘Baby Health Care’ Category

Bedtime for babies is so important since this is the time the baby is able to relax and unwind after a playful busy time during the day. When developing a bedtime routine for babies it is imperative to help the baby to realize between day and night. This is because; night sleep and day sleep should be distinguished by the baby in order to ensure that the baby sleeps more during the night than the day.

The bedtime routine for babies should also be developed by initiating certain aspects in the evening, which signal that it is bedtime. This includes a warm bath in order to clean the baby of the dirty and also help relax the body. When a baby gets a bathe, he will feel relaxed and refreshed. This helps in falling asleep quickly.

A massage can also be applied with use of moisturizer such as a bedtime lotion or oil. This also helps in relaxing the baby’s body, mind and soul as such the baby is able to sleep quickly. It should be mentioned that although in the early days of the baby, there will be patterns of short sleeps during the day and night, this changes over time with the development of the bedtime routine for babies. Moreover, a story telling can be used as a way of preparing the baby to bed.

3 How do you remove the breast milk breast pumps?

• In the market there are different sizes and models available. The most common consist of a glass tube with a larger diameter end like the broad side of a funnel, which is attached to the chest and the other end attached to a rubber bulb that intermittently squeeze the milk extracted and placed in a vial that holds the glass tube on the side. These are not recommended because they are inefficient, can damage the nipple and contaminate the milk.
• Other models, which are most effective use of piston-syringe system that suck the milk and place it in a bottle interchangeably, they should ideally have a pressure cap to prevent damage to the breast.
• There are electric breast pumps, activated with batteries or connected to the network. The milk is stored in removable bottles that come with the system.
• The simplest models use the principle of vacuum suction and the most sophisticated use the principle of suction-injection, alternately pressing and releasing the base of the areola. The latter simulate better rhythmic massage that makes the child in the process of breastfeeding and possible removal of both breasts simultaneously.
• Electric pumps are expensive and need a good service and spares. The more complete models are large and too heavy to carry them everywhere, so are used more in hospitals or nursing.

4 How do we proceed to remove the milk with a breast pump?

• The previous preparation of the breasts is similar to that shown for hand, adapting to the situation and the type of pump used.
• If removal is to be simultaneously put them on both breasts at once. If on a deferred basis, apply to be removed in the first and then, shortly before finishing it, put it in the other.
• If the pump does not bring the mother mechanical regulator should regulate it manually, avoiding a suction force maintained for too long as it can cause damage to the breasts.
• All elements of the pump that have had contact with milk should be thoroughly washed after each extraction, first with cold water and then with hot water and detergent.

5 How often should express milk?

The frequency of removal is determined by the purpose and use which will give the expressed milk.

* Removal of milk to feed the child and maintain milk production.

To feed a child and maintain normal or premature milk production in case of temporary separation of mother and child, the pumping must be done as often as the child is breastfed, ie, 6 to 8 times a day and at least once in the evening. It must be remembered that the more milk is extracted more milk is produced. In each drawing must accomplish two types of milk (first and second milk). For working mothers, it is recommended not to exceed more than 4 hours without removing.

* Removal of breast milk to relieve the

In this case the extraction should be done whenever necessary to reduce excess pressure on the breasts. Usually enough to remove a small amount for the mother to feel relief. Remember that as you remove more is produced.

* Removal of milk to facilitate the departure from the nipple

when the breasts are too full is difficult to link the child’s mouth, especially if the nipples are small, flat or umbilicated. In these cases it is necessary to express a little milk before beginning the feeding to “soften the areolar area”, increasing the output of the nipple and allow both entering the child’s mouth.

* Removal of milk to supplement in a deferred

here you can express milk from the beginning and the end separately in different vials, then the child to give it as the medical advice.

Is it possible to continue breastfeeding when returning to work?
Yes, you can maintain exclusive breastfeeding to return to work. If you are not able to carry the baby to work or be around to nurse, you should start practicing the manual removal of milk to feed your baby.

1 What are the recommendations for the removal of the breast milk?
To express milk, you should maintain a routine both times as the elements to be used. The containers chosen to store the milk must be of glass or hard plastic to withstand hot water sterilization and have tight-fitting lid. Daily must label each container with the date, time and the amount withdrawn, and whether it will be sent to the nursery, the child’s name visibly. Prior to extraction is necessary to prepare the breasts, making a gentle massage with small circular movements, following the whole body contour of the breast. You can also press the nipple gently and rhythmically imitating the pressure that the tongue of the child on it. When the breasts are engorged, it can stimulate the flow of milk by placing warm compresses on them before starting the extraction.

Milk flow is variable drops out first and then, when triggered ejection reflexes (“feeling low milk”), it is more abundant. The appearance of the milk changes. The first drops are transparent blue-white and then you see white, creamy milk. Some foods, medicines and vitamins can vary the color of milk.
The amount of milk in each session may vary according to circumstances, the psychological state of the mother, time, the environment, the time devoted to it. Ideally, the mother does the extraction in a pleasant and quiet. When milk is stored, the fat portion is separated and stuck in the walls of the containers, but gently shake mixture.

2 How is the manual removal of breast milk?

* Wash hands thoroughly with soap and hopefully Escobille nails. The breastfeeding mother should keep fingernails short to facilitate good hygiene and avoid them scratches on the baby’s chest.

* Dry hands with a clean, used only for that purpose, or towels.

* Massage the breast gently in a circular fashion, following the location of the breast lobules to stimulate milk production.

* Gently rub the nipple and areola to stimulate the reflex hormonal lactation.

* Hold the bottle or container in hand, standing on a table to remain in a stable position.

* Tilt the body closer to the recipient’s chest.

* With the free hand, take the breast surrounding it with your fingers in “C” above the thumb resting on the outer edge of the areola and other fingers below making sure that the index is also supported on the outer edge of the areola.

* Press the base of the breast by pushing against the wall of the ribs (chest wall), to squeeze the milk sinuses is in the alveoli or ducts.

* Compress the breast with your thumb over the outer edge of the areola, or 3 or 4 inches from the base of the nipple when the breast is large and the index below.

* Press your fingers in the same place, without slipping toward the nipple or rubbing her fingers over the skin.

* Press and release between the forefinger and thumb on an intermittent and rhythmic: press, release, press, etc..

* If the milk does not flow immediately, do not press harder, but more constant and evenly. Once stimulated reflex, will one or more streams of milk for several minutes.

* Following the circular distribution of the sinuses, change the pressure of the fingers around the edge of the areola to empty the different areas of the breast, in sequence.

* Do not push or pull the nipple only because it inhibits the ejection reflex milk.

* When you decrease the flow, repeat the massage and then a gentle vibration of the breast with the body leaning forward. If more milk out, remove the other breast.

* After removal, soak the nipple and areola with few drops of milk and let it air dry. Tape the container for better conservation and do not forget to label it.

* Select a conservation system as needed, at room temperature in refrigerator, freezer into the refrigerator or freezer separate from the refrigerator.

As your baby becomes a toddler, all of him will grow… Including his bladder. It’s essential to put your toddler in an adequately sized nappy for his comfort and to minimise leaks.

Newborns and babies will grow out of nappies faster than toddlers, as babies grow at a much faster rate than toddlers. If your toddler is leaking a lot, then perhaps the time has come to go up a size. The size nappy that your toddler will need depends greatly on his size and body shape.

A good way to ensure a proper fit for your toddler’s nappy change is to use his weight. Most reusable nappies come in five sizes, the smallest being for premature babies, up to extra large nappies for children who weigh nine to 16 kilograms. Disposable nappies are sized similarly. Toddlers who weigh over 15 kilograms will generally wear a size six, and children between 12 and 15 kilos should fit into a size five. You may need to experiment as some nappy brands run larger than others, whether disposable or reusable.

Leaking can be a huge problem with toddlers and it can be incredibly frustrating to deal with. Certain brands are much better about leaks than others, and happily, some of the more environmentally friendly disposable nappies tend to be better with absorbing liquids.

If leaks have become unbearable, try to cut down on the liquids your toddler is drinking a few hours before bedtime and changing his nappy more often. If you’re using cloth nappies, try putting more liners into your toddler’s diaper at night, or even use a disposable nappy with a cloth insert. Natural wool covers, or soakers, are very comfortable and can absorb up to 1/3 of its weight in moisture without even feeling wet or clammy. Disposable nappies that are specifically for nighttime are much more absorbent than regular daytime nappies. You could also consider potty training.