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Monthly Archives: March 2012

Breastfeeding 101 (Chinese)

哺乳101

台灣知識普及率很高,衛教宣傳做的很完善,大部份的國民都知道氣候變遷這回事,也知道人奶是對寶寶最好的營養。不過我最近常聽到親戚朋友說:”奶不 夠,沒辦法,要補充奶粉。“ 還有 “要給小朋友喝水。” ,一個新手媽媽往往會在各意見下感到氣餒,而不在繼續哺乳。可是天生奶量少的人真的是非常少數,錯過寶貴的機會給寶貝最好的是件遺憾的事。國外哺乳協會行 之有年,他們的網站上有很多很棒且有科學根據的哺乳知識,在此我希望可以跟大家分享一些我讀到對我最有用的知訊,打破一些迷失,幫助我們台灣的新手媽媽成 功哺喂自己的寶貝!

  1. 奶量不夠,快用奶粉!    剛生完小baby到第二,三天漲奶,雖然感覺漲很大,這個時候奶還是沒有通暢,出來只有一點點,寶寶又在學習吸,往往會吸不到很生氣。這不代表妳奶不 夠!還是要讓飢餓的寶寶努力吸。我有個朋友小朋友有黃疸,醫院看得時候會給小朋友餵奶粉,媽媽用集乳器吸吸的很少,這時候她的醫院就說她奶不夠,要給小朋 友餵奶粉。這是不對的!這時候該給乳房的刺激給了奶瓶,就是告訴奶頭它沒有被需要,我朋友把寶貝接回家的時候奶量就很少,很緊張寶寶吃不夠所以繼續用奶粉 補充,結果就繼續奶量不夠 … 這時候媽媽要信任自己,還是繼續讓寶寶練習吸。習慣喝奶瓶的寶寶容易偷懶(因為奶瓶奶量出來較多較快),有時在媽媽奶頭上會生氣不努力,這是正常,可是如 果不讓他練習小寶貝就不會學習吸奶頭了!這個時候媽媽有可能會很不舒服,因為妳的奶頭在被“雕塑”,且剛出生的小嬰兒還在學習吸,有可能姿勢不正確,請不 要氣餒!熬過這一關的正常哺乳將不會痛,且相當美好的!如果非常不舒服可以考慮找哺乳門診請醫生幫妳看看是哪裡有問題(可能乳腺堵塞,感染,乳頭龜 裂…等等)。* 另外,研究顯示,剛出生的黃疸喂母奶可以幫小朋友狀況好轉。
  2. 要給小朋友喝水!    母奶裡面含有小朋友所有需要的養分,包括水分!如果妳喝喝看自己的奶,會發現它比牛奶還要稀,所以水分含量絕對比牛奶還要高。完全喝母奶的嬰兒不需要另外補充水分。(喂奶粉的才可能需要。)
  3. 媽媽要遠行,暫時幾天不喂奶    我有個朋友的老婆生完不久回去娘家幾天,寶貝給先生看著,然後她回來的時候奶就枯掉了! 沒有刺激就沒有奶啊!遠行的時候至少還是要吸奶喔!*電動吸奶器通常會比手動的能力較強,不過單純用吸奶器喂母奶的媽媽會有較高比率奶量後來漸漸下降,所 以如果容許還是盡量一天有時間是讓寶寶實吸妳的乳頭。
  4. 乳房漲的才給小朋友吸    小嬰兒是很動物的,餓了需要喝奶就應該讓他喝,他可以藉此調節媽媽的奶量,調節到適合他的量。所以不是看妳,是看他。
  5. 喝奶一定要給小朋友限制時間,不然他會無理取鬧    如上,小朋友是很動物的,他真的是餓了所以想喝奶,真的不舒服希望人照顧。在他需要照顧的時候不理他,小朋友哭久了也不會哭,有人說是他放棄了,不相信大人會照顧他的需求。這是不信任關係的開端!

Some tips:

  • 一邊乳房吸軟了再換邊:奶 是持續再製造,不會吸到完全空,可是會吸到流量變很少,這時候乳房呈現“有點空”的狀態,會告訴身體要再製造更多, 滿滿的乳房會告訴身體:”不要再製造喔!“ ,所以把一邊乳房吸軟,再換令一邊,可以維持乳量。 我都是自己大約估計至少六個小時要換邊,以防乳房覺得沒有刺激就量產不力!
  • 胸部有一邊硬硬的,可能有點紅有點痛,寶寶吸這個奶頭特別容易生氣,這是什麼回事?這 有可能奶腺堵住了,這樣下去容易發炎,細菌感染,會讓媽媽胸部很痛喔!這個時候可以用溫熱毛巾敷,硬塊以外向內(朝乳頭)的方向按摩,並努力讓寶寶吸那邊 (如果已經軟了,可以剛吸的時候讓寶寶吸那邊,再換邊,因為寶寶剛開始吸的時候最用力)。另外,感染的胸部還是可以繼續哺乳,不會對小朋友的健康造成影 響。
  • 胸部好像有一邊大一邊小?我剛開始哺乳的時候右邊乳腺堵住了,我沒有馬上察覺,只是覺得寶寶吸 右邊比較容易生氣,所以不知不覺我就讓他多吸左邊。沒想到因此造成大小乳!這個後來矯正是讓寶寶吸右邊到軟還是繼續多吸一點,盡量讓左右吸的時間一樣或右 邊更多,一個月漸漸矯正回來。不過據我所知這個現象不是永久的,可以放心。斷奶之後乳房還是會回到原來小小的罩杯啦!(啜~)
  • 壓力會使奶量下降:澳 洲最近Christchurch地震,許多家庭都流離失所,澳洲的哺乳媽媽們這時候面臨強大的壓力,許多提到奶量在這個時段驟降。另外有的也是忙著整理房 子沒有時間經常餵奶,造成奶頭沒有足夠的刺激,奶量再受打擊! 所以如果妳奶量突然降,也可以考慮是不是有事情讓壓力最近突然很大。這個現象是暫時的,請不要氣餒!

不確定的問題請還是要問醫師。現在台灣開始有越來越多專門做哺乳諮商的醫師可以去找。我在台北找的青年診所的楊靖瑩醫師就非常好,教我新的姿勢喂乳才不會腰酸背痛,也幫我看阿諾吸奶的姿勢來瞭解為什麼我覺得他咬的讓我很痛(而且他那時還沒有牙齒!真是讓我覺得恐怖!)。

能好好哺喂母乳是件很幸福的事情,看到親愛的阿諾吸的很滿足我也覺得很滿足,祝福各位媽媽都可以有機會和自己的寶貝享受這樣親密的時光!

美味時刻!

哺乳的好處:

  • 寶寶會比較聰明喔!
  • 有研究顯示,寶寶生病的時候,不用等到媽媽生病,吸奶的過程就會把病菌的消息傳給媽媽的奶,媽媽的奶就會製造抗體幫寶寶抵抗病毒,縮短病程!
  • 寶寶會跟媽媽的關係更親密,很幸福喔!
  • 可以省很多很多奶粉錢!
  • 跟寶寶外出的時候隨時都可以有東西給寶寶吃!不用找地方消毒奶瓶裝熱水等等。(在環境衛生條件不佳的地方母乳更好用!)

外出哺乳好方便:

  • 台灣法律規定母親在公共場所哺乳不得遭驅離。
  • 用嬰兒背巾或背袋裡哺乳人家往往是看不到的!若擔心可以用圍巾稍微遮一下。我都邊走路邊哺乳呢!
背這個也可以哺乳喔!
  • 不一定需要買哺乳衣才可以哺乳。而哺乳內衣盡量試穿拉拉看角度再買,我有網路上買到一個非常難扳下來露出乳頭,寶寶等著我喬好都生氣了!
  • 有很多百貨公司,大眾運輸系統和公家機關都漸漸有哺乳室了!有些環境還蠻優的!
一間百貨公司的哺乳室
兩間哺乳室都有門,一個換尿布台。
這間特別高級,非常貼心還有提供不同大小的尿布,熱水器。
我覺得很舒服的哺乳沙發,旁邊還有小桌子和垃圾桶。

資料來源:

其他好用資料:

感謝我的Doula Angie Chang 給我們夫妻上的產前課程,我老公的支持鼓勵和願意一直學習新知,台安醫院給我們在醫院生產後良好哺乳環境的堅持,還有青年診所楊醫師的溫暖叮嚀照顧,也感謝台灣政策對哺乳媽媽的支持!

I can’t believe it! : baby how-to on the internet

As new parents we’re all about rocky starts (as the title of our blog implies). We are now marching onto Knox’s 2nd month, and boy have we had questions. Below is a brief list of the stuff I can’t believe the internet has info on (with links):

Since I believe Mike may be horrified by public declarations of breast related situations, let’s pose a hypothetical situation — suppose that three of the above situations are related to each other, and it all started with a hypothetical mother’s observation that the left side of her breast trembled along with her heartbeat, which made her think that the left breast comforted the infant more (heartbeat sound), and her observation of the infant’s satisfaction on that breast. Suppose she may have subconsciously fed infant on that breast more. Suppose that she observed a few days later that a small white patch seemed to have developed somewhere on her right nipple. Hypothetically she also noticed that the infant was fussier on that breast, pulling back, arching body and flailing arms about whilst turning red and crying vigorously. Suppose she looked it up and determined it was a milk blister and followed instructions online to relieve the situation. Suppose the situation cleared – but another issue remained/arose. And that situation may be… the aesthetically jarring image of the left breast being larger than the right!

Somebody’s stuffing her bikini this summer!

In Taiwan, current hospital practices keep mother and child in the hospital for 3 days after natural birth. Those first days milk flow was extremely slow, and I felt a lack of confidence with myself because I thought I wasn’t able to feed him enough. On the last day of the hospital stay this hypothetical mother was suddenly imbued with engorged, large, hard-as-melon breasts that just couldn’t get enough of the little infant.

It was also difficult in the beginning because he seemed to use his very hard gums to chew and scrap at the nipple. When she called the nurses to help, they checked his latch by checking how much of the areola the infant’s mouth had taken in, the position of his head (it should be slightly arched, not turned down, so the infant could swallow effectively), and the fact that his mouth was pouted around the areola. This did not help, and the poor miserable hypothetical woman would fall asleep into nightmares because it was so painful. Several times during this restless, painful and sad sleep with the infant suckling on her (the hospital encourages feeding while sleeping) she almost pushed the infant away … but woke up sufficiently to curb herself.

This situation continued, on and off, after she left the hospital. On the second week she couldn’t stand it anymore and booked a meeting with a lactation consultant. The mother was especially upset when the infant bit down when done with feeding. She felt it extremely disrespectful of her nourishing benevolence.

By the time the appointment with the lactation consultant came around, which was the 3rd week, the infant was occasionally feeding in a manner that didn’t seem to involve gums, which was incredibly comfortable and made the experience of looking at her nursing child lovely. This was still occasional, though.

The lactation consultant, as well, checked the pouted-ness of the mouth, which had never helped the situation. She was however extremely helpful in informing the mother that there are more than 3 positions to breastfeeding, and that she could nurse in any position she felt comfortable. This was an extreme relief to the poor suffering mother, who was beginning to develop hunched-back pain.

Thankfully, the infant gradually began to feed more without gums. It was only later that the mother read that the perfect pout doesn’t matter to the correct latch (without biting).

God bless the Internet.