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Benefits of
Breastfeeding
Breastfeeding Growth Chart for Boys
Breastfeeding Growth Chart for Girls
Breast Infections
Breast milk Collection and Storage
Breast Pump Comparison
Buying or Selling a Used Breast pump
Cracked Nipples
Engorgement
Feeding Frequency
Growth Spurts
Increasing Milk Supply
Introducing the Bottle
Latching On
Medications & Mother's Milk
Breast Milk
Intake
Nursing Mother's Diet
Plugged Milk Ducts
Positioning Baby at the Breast
Starting
Solids
Sleepy Baby
Sore Nipples
Yeast/Thrush
Engorgement
If you are experiencing difficulty with breast pain or latch-on 3 to 5 days
postpartum, it is probably due to engorgement. Advil is safe for
breastfeeding and contains an anti-inflammatory that may reduce some swelling
and discomfort. Your best friend during this time is a hot compress.
Turn the tap water and let it run until hot. Take two disposable baby
diaper and swipe it under the tap three or four times. Mold the diapers
around your breast. Repeat this procedure before each feeding.
Commercial hot packs are
also available, but the diapers work just as well so you may want to save your
money for a
good breast pump. If
the
areola
is
still
too
hard
for
the
baby
to
grasp,
use
a
quality
breast
pump
for
three
to
five
minutes
before
latching
the
baby
on.
If
the
baby
goes
to
sleep
before
emptying
the
breast,
finish
pumping
afterward.
Take
heart!
Engorgement
only
lasts
for
48-72
hours.
Sore
Nipples
Early
onset
of
nipple
soreness
can
be
due
to
a
number
of
things.
Poor
positioning,
poor
latch-on,
not
breaking
the suction properly,
bras
and
pads
that
aren't
cotton
or
changed
infrequently,
or
bad
breast
pumps.
Make
sure
that
the
baby's
ear,
shoulder,
and
hips
are
aligned.
Make
sure
the
baby
has
1
-
1
1/2"
of
the
areola
in
his/her
mouth.
Make
sure
you
break
the
suction
when
you
take
the
baby
off
the
breast
by
releasing
the
seal
with
your
finger.
Keep
the
baby
from
slipping
down
by
supporting
the
breast
during
the
entire
feeding.
Use
a
firm
pillow
or
nursing
pillow to
the
baby's
body
from
becoming
too
heavy
to
hold.
Air
dry
the
nipples
after
each
feeding.
Use
expressed
milk
or
hospital
grade
lanolin
sparingly
on
sore
spots.
Comfortgel pads can also be used to speed healing. Use only 100% cotton
or paper,
breathable
nursing pads
and
change
them
frequently.
Nipples
may
still
be
uncomfortable
for
a
few
seconds
after
latch-on,
but
they
should
be
getting
better
daily.
Cracked
Nipples
If
nipples
are
cracked
or
bleeding,
follow
the
steps
above
for
sore
nipples,
but
use
breast
shells to
keep
the
skin
from
pulling
away
when
you
change
bra
pads.
A
little
blood
won't
hurt
the
baby
because
breast milk
is
blood
product. A new product is now available that had been used to treat burn
victims in the past. These
Comfortgel pads
are extremely helpful in healing wounded nipples.
Milk
Supply
Your
body
makes
milk
on
a
supply
and
demand
basis.
We
don't
need
ounce
markers
on
the
side
of
our
breasts,
to
know
the
baby
is
getting
enough.
When
your
baby
is
first
born,
his
wet
diapers
should
increase
daily.
On
day
one,
he
should
have
at
least
one,
day
two,
he
should
have
two,
up
until
day
six.
After
six
days
of
age,
they
have
six
to
eight
pale
wet
diapers
daily
and
three
to
four
"cottage
cheese
and
mustard"
stools.
Other
ways
we
can
tell
the
baby
is
getting
enough
milk
is
that
he
makes
quiet
swallowing
sounds
at
the
breast.
The
breast
feel
full
before
the
feeding
and
softer
afterward.
The
baby
seems
satisfied
after
twenty
minutes
of
swallowing.
Babies
may
loose
7-10%
of
their
birth
weight,
but
begin
regaining
at
day
6
and
gain
5-7
ounces
per
week
on
the
average
until
6
months
of
age.
The
stools
can
change
at
4-6
weeks
of
age.
See
growth
spurts.
Make
sure
you
are
drinking
to
thirst
and
still
taking
your prenatal vitamins.
If
you
want
a
boost
increasing
milk
supply,
Fenugreek
is
safe
and
effective.
It
increases
milk
supply
in
about
48
hours. Blessed thistle and Mother's Milk Tea can also be helpful in milk
production. Click on links below for more info on the most widely used of
this herbs, Fenugreek.
Fenugreek:
One Remedy for Milk Production
by
Kathleen Huggins, RN, MS
Fenugreek:
Overlooked but not Forgotten by Rima Jensen, MD
Growth
Spurts
You
can
almost
set
your
watch
by
a
baby's
growth
spurt.
The
first
one
occurs
anywhere
from
10
days
to
3
weeks
of
age.
The
following
ones
come
at
6
weeks,
3
months,
and
6
months.
When
babies
go
through
growth
spurts,
their
feeding
times
change
from
every
two
to
three
hours
to
every
hour
on
the
hour.
You
just
finish
feeding
them
and
they
go
rooting
around
again
and
act
like
they
are
starving.
During
the
3
week
growth
spurt,
you
can
definitely
see
that
the
baby
is
pooping
4+
times
daily
and
having
lots
of
wet
diapers.
What
goes
in,
must
come
out,
so
we
know
the
baby
is
getting
enough.
The
6
week
growth
spurt
can
really
floor
you
because
at
that
time
their
digestive
system
matures
and
they
have
fewer
dirty
diapers.
Some
babies
only
have
one
every
3-5
days.
Don't
dismay,
you
can
still
tell
he/she
has
plenty
of
fluids
by
the
fact
that
the
baby
is
still
having
six
to
eight
wet
diapers
daily.
The
three
month
and
six
month
growth
spurts
are
pretty
typical.
Growth
spurts
usually
only
last
5
days
if
you
don't
interfere
with
imposed
schedules
and
supplements.
Make
sure
to
keep
drinking
to
thirst
and
taking
your
prenatal vitamins.
If
you
want
a
boost
for
your
milk
supply,
try
Fenugreek.
Bottles
Waiting
until
you
baby
is
three
to
four
weeks
old
to
start
a
bottle
is
the
best
way
to
get
him/her
to
learn
to
suckle
the
breast
first.
When
you
do
begin
a
bottle,
use
your
own
expressed
milk
as
not
to
interfere
with
your
milk
supply
and
use
a
silicone
bottle
nipple that
doesn't
have
a
smell
and
taste.
Choose
a
slow
flow
nipple.
To
calculate
how
much
to
put
in
a
bottle,
see
our
chart
under
milk
intake.
Make
sure
to
express
you
milk
if
you
skip
a
feeding.
The
rule
of
thumb
for
a
baby
under
six
months
of
age
is
to
pump
every
three
hours
with
a
pump
that
imitates
you
baby's
suck
cycle.
After
six
months,
if
your
baby
is
on
solids,
you
would
only
need
to
pump
twice
on
an
eight
hour
workday
instead
of
three
times.
Plugged
Milk
Ducts
Plugged
milk
ducts
feel
like
a
pebble
or
a
pea
under
the
skin
or
areola.
They
are
best
treated
with hot compresses,
breast
massage
during
feeding
,
and
pumping
after
the
feeding.
Place
the
baby's
chin
toward
the
plug
if
possible,
massage
from
behind
the
plug
towards
the
nipple,
and
pump
for
ten
minutes
after
each
nursing
until
resolved.
Make
sure
you
are
not
wearing
a
nursing bra
that
is
too
tight
or
that
has
an
under wire
pushing
into
your
milk
ducts.
Breast
Infections
Mastitis
is
an
infection
of
the
breast
usually
following
an
untreated
plugged
milk
duct.
Watch
for
chills,
fever,
and
flu-like
symptoms.
Use
the
same
techniques
as
for
a
plugged
milk
duct
and
call
the
doctor
for
an
antibiotic.
If
you
have
been
wearing
tight-fitting
or
under wire
bras,
treat
yourself
to
a
supportive
nursing bra
that
won't
plug
your
milk
ducts.
Remember...heat,
rest,
empty
the
breast.
Sleepy
Baby
This
is
a
common
concern
for
newborn
infants.
First
I
would
take
a
look
at
any
painkillers
you
are
taking.
Pain
medication
from
the
hospital
can
cause
the
baby
to
be
sleepy.
Tylenol,
Advil,
and
Aleve
are
all
safe
for
breastfeeding
and
will
not
make
the
baby
sleepy.
Next,
be
aggressive.
New
moms
tend
to
be
very
gentle,
but
newborns
don't
always
know
when
they
are
hungry,
so
you
have
to
wake
them
up
every
two
to
three
hours
with
no
more
than
one
five
hour
stretch
in
any
24
hour
period.
Techniques
for
waking
a
baby
include,
stripping
him/her
down
to
a
diaper,
using
the
clutch/football
hold
so
the
baby
is
more
upright,
washing
their
face
before
nursing,
changing
their
diaper,
rubbing
their
hands, face, feet,
or
back.
My
personal
favorite
is
alternate
breast
massage.
As
soon
as
the
baby
stops
sucking
or
swallowing
and
begins
to
fall
asleep.
Massage
the
breast
from
underneath
towards
the
nipple.
This
wiggles
the
nipple
and
"milks"
the
breast
into
the
baby's,
reminding
him
or
her
to
start
nursing
again.
Breast milk
Collection
and
Storage
Before
beginning
collection
of
breast milk,
always
wash
your
hands.
Make
sure
the
pump
parts
that
will
touch
the
milk
are
sterile
(can
be
sterilized
in
the
top
rack
of
the
dishwasher, a
microwave
sterilizer or
boiling
water
for
5-10
minutes).
After
pumping
store
milk
in
2-4
oz
increments
to
reduce
waste.
Pump
directly
into
hard
plastic or glass bottles that
you
will
seal
with
a
solid
or
ring
and
disk
lid
or
freezer
bags
that
are
specifically
designed
for
storing
mothers'
milk.
Breast
milk
is
good
at
room
temperature
for
6-10
hours,
refrigerator
for
5-7
days,
freezer
for
3-6
months
and
deep
freeze
for
6-12
months.
Make
sure
to
freeze
refrigerated
milk
within
24
hours
if
you
are
not
going
to
use
it
within
the
5-7
day
time
frame.
Refrigerate
milk
immediately
if
you
are
not
going
to
use
it
within
the
6-10
hours
that
it
is
good
at
room
temperature.
Never
refreeze
breast milk
or
put
milk
back
in
the
fridge.
Never
put
milk
on
the
stove
or
in
the
microwave.
To
thaw
or
warm,
simply
place
the
milk
in
warm
water.
To
determine
more
closely
how
much
breast milk
to
put
in
each
bottle
for
a
baby
who
is
less
than
six
months
old,
take
the
baby's
weight
and
multiply
by
2.5.
Then
divide
by
the
number
of
feeding
per
day.
After
the
age
of
six
months,
the
baby
needs
24-32
oz
per
day
which
is
approximately
5-6
oz
per
feeding
5-6
times
per
day.
Positioning
Baby
at
the
Breast
To
position
baby
at
the
breast
make
sure
that
the
baby's
body
is
turned
in
to
mother.
For
example,
in
the
cradle
hold,
the
baby
would
be
tummy
to
tummy
with
mom
so
that
he/she
doesn't
have
to
turn
his/her
head
to
swallow.
The
baby's
ear,
shoulder,
and
hips
should
be
in
a
straight
line.
Use
a
pillow and stool to
make
sure
baby
is
at
breast
level.
Foods
to
Avoid
There
is
no
set
list
of
foods
that
every
nursing
mother
should/should
not
eat.
Some
baby's
however
are
more
sensitive
to
certain
gassy
foods
especially
in
the
early
weeks
or
months.
If
you
are
experiencing
a
gassy
baby,
look
for
correlations
when
the
baby
is
gassy
and
you
have
eaten
these
foods
in
the
last
24
hours:
green
leafy
vegetables,
broccoli,
tomato
or
sauce,
citrus
juices
or
fruit.
If
you
cut
out
these
foods
temporarily,
the
baby
should
feel
relief
in
the
next
24
hours
if
that
food
was
the
culprit.
If
the
problem
is
dairy
products,
you
won't
find
relief
for
10
days
to
2
weeks.
Starting
Solids
Solids
should
not
be
started
until
the
age
of
six
months
in
most
cases.
Waiting
until
this
age
greatly
reduces
the
incidence
of
allergies.
Developmental
phases
should
also
be
taken
into
consideration.
The
baby
should
not
only
have
doubled
his/her
birth
weight,
but
should
be
sitting
alone
without
support.
Readiness
signs
include
grasping
at
the
parents
plate
or
food.
Breast milk
is
still
the
main
source
of
nutrition
so
always
breastfeed
immediately
before
offering
solids
as
to
ensure
a
healthy
milk
supply
and
a
healthy
appetite
for
the
superior
breast milk.
Latching
On
After
positioning
the
baby
properly
(see
Positioning
Baby
at
Breast),
make
sure
that
your
hands
are
supporting
the
breast
with
your
thumb
on
top
and
the
rest
of
your
fingers
near
the
chest
wall,
well
behind
the
areola.
If
you
can't
tell
where
your
fingers
are,
practice
your
breast
hold
in
front
of
a
mirror
before
you
start.
Then
tickle
down
in
the
same
direction
towards
the
baby's
chin
until
the
baby
opens
wide
like
a
yawn
or
a
cry.
Make
sure
the
baby's
tongue
is
down
and
then
bring
the
baby
to
the
breast
swiftly.
Buying
or
Selling
a
Used
Breast
Pump?
The
issue
of
buying
or
selling
used
pumps
is
something
some
breastfeeding
moms
encounter.
Although
a
used
pump
may
be
more
affordable
than
a
new
one,
there
are
possible
legal
and
health
implications
involved.
Below
you
will
find
more
on
the
legality
of
selling
used
breast pumps,
what
some
pump
manufacturers
say
about
used
pumps.
If
you
are
thinking
about
buying
or
selling
a
used
pump,
we
urge
you
to
read
over
this
information
before
making
your
decision.
U.S.
Food
and
Drug
Administration's
Position
on
used
breast
pumps:
According
to
the
FDA,
if
a breast pump
is
labeled
a
"single
user"
or
"single
patient"
device,
that
pump
is
only
intended
for
one
user
and
cannot
legally
be
resold.
By
selling
a
pump
that
has
been
designated
"single
user"
by
the
FDA,
the
pump
is
not
being
used
in
accordance
with
the
FDA
and
is
being
"mis-branded,"
which
is
against
the
law,
and
the
FDA
could
take
action.
The
reason
the
FDA
designates
many
breast pumps
as
"single
user"
devices,
is
that
there
is
no
complete
way
to
clean
certain
pumps
to
ensure
that
the
breast milk
of
the
original
user
is
not
still
within
the
pump
system.
Because
some
diseases
have
been
shown
to
exist
in
breast milk,
the
possibility
of
transmitting
diseases
through
a
used
breast pump
does
exist,
although
it
appears
that
no
such
cases
have
been
documented.
To
find
out
if
your
breast pump
has
been
designated
"single
user"
by
the
FDA,
please
consult
the
operating
instructions
that
came
with
the
breast pump
when
you
purchased
it.
Here
are
some
common
breast pumps
that
are
labeled
"single
user"
devices: Isis
Breast
Pump
by Avent,
The
Ameda ®
Purely
Yours
Breast
pump, WhisperWear®
Breast
pump, The
Medela
Pump
In
Style®
Breast
pump
Some
breast pumps
that
are
not
labeled
"single
user"
devices:
Medela
Classic™
Breast
pump
Medela
Lactina®
Breast
pump
Ameda
Lact-E
®
Breast
pump
Ameda
Elite®
Breast
pump
Breast pumps
purchased
at
department
stores
(Wal-Mart,
Target,
Babies
R
Us,
Baby
Depot,
etc.)
baby
stores
and
maternity
stores
are
often
"single
user"
breast pumps.
Pumps
that
are
designated
by
the
FDA
to
be
safe
for
multiple
users
are
generally
hospital
grade
breast pumps
and
often
used
specifically
as
rental
pumps.
If
you
have
a breast pump
you
are
considering
selling,
please
consult
the
product
information
first,
to
be
sure
the
pump
is
not
labeled
"single
user."
And,
if
you
are
considering
buying
a
used
breast pump,
please
determine
whether
or
not
the
pump
is
a
"single
user"
pump
before
purchasing
it.
You
could
ask
the
seller
to
check
the
product
information
to
be
sure.
Medela's
Position:
Many
mothers
have
asked
if
they
can
safely
sell,
purchase,
or
use
a
previously
owned
breast pump.
Medela
is
concerned
about
the
health
and
welfare
of
breastfeeding
mothers
and
their
babies.
Breastfeeding
is
certainly
the
best
way
to
feed
your
baby,
and
is
the
gold
standard
of
infant
nutrition.
There
is
some
evidence,
however,
that
certain
serious
viruses*
may
be
transmittable
through
breast milk.
For
this
reason,
it
is
not
advisable
to
use
a
previously
owned
breast pump.
Breast pumps
are
single-user
products,
or
personal
care
items,
much
like
a
toothbrush,
and
are
registered
with
the
FDA
as
single
user
items.
For
safety,
breast pumps
should
never
be
shared,
resold,
or
lent
among
mothers.
Medela
strongly
discourages
mothers
from
re-using
or
re-selling
previously
owned
breast pump
equipment.
The
Medela
Pump
In
Style®
Breast pump
has
an
internal
diaphragm
that
cannot
be
removed,
replaced,
or
fully
sterilized.
Therefore,
the
risk
of
cross-contamination
associated
with
re-using
a
previously
owned
pump
such
as
the
Pump
In
Style
cannot
be
totally
dismissed.
Multiple
use
of
single-user
breast pump
automatically
voids
the
warranty
of
the
Medela
product.
Each
mother
who
wishes
to
express
milk
with
a
pump
should
use
a
clean,
uncontaminated
breast pump.
This
is
the
safest
way
to
eliminate
any
risk
of
cross-contamination.
Rental
pumps
such
as
the
Ameda Lact-E and Elite as well as the Medela
Classic™
and
Lactina®
pumps
are
made
to
be
safely
used
by
repeated
clients
who
each
use
their
own
clean
personal
rental
kit,
therefore
avoiding
any
possible
cross-contamination.
Rental pumps,
when
used
according
to
the
instructions,
are
safe
to
use
by
multiple
mothers
who
have
their
own
personal
kits. Ameda has the only personal pump kit approved by the FDA.
We
are
invested
in
continuing
health
and
safety
of
mothers
and
babies.
Many
mothers
who
wish
or
need
to
express
milk
regularly
find
that
using
a
high
quality
breast pump
can
help
avoid
the
costly
alternative
of
using
artificial
baby
milk,
which
sometimes
approaches
or
exceeds
$1000
for
the
first
year
of
baby's
life.
Mothers
who
pump
frequently
may
find
that
the
cost
of
a
high
quality
breast pump,
when
compared
to
the
price
of
artificial
baby
milk
is
reasonable,
and
a
wise
investment
in
the
present
and
future
health
of
their
children
and
themselves.
1.
*It
is
believed
by
some
physicians
and
researchers
that
human
breast milk
can
possibly
contain
viruses
if
the
mother
is
infected.
Such
viruses
may
include
CMV
(Cytomegalovirus),
HIV-Human
Immunodeficiency
Virus
(AIDS),
and
HTLV-1
(Human
T-Cell
Leukemia
Virus
Type
1.)
1.
Ruth
A.
Lawrence,
MD,
Breastfeeding:
A
Guide
for
the
Medical
Profession
(St.
Louis,
Missouri:
Mosby-Year
Book,
Inc.,
1999),
pp.
225.
Avent
America's
Position:
We
at
Avent
America
are
always
striving
to
provide
mothers
with
quality
products
at
reasonable
prices
to
help
them
breastfeed
longer.
Research
has
shown
that
breast milk
can
transmit
many
contagious
viruses.
It
is
for
this
reason
that
we
strongly
recommend
that
you
NEVER
use
a
previously
owned
breast
pump.
The
Isis
Breast
Pump
is
considered
to
be
a
personal
care
item
and
has
been
designed
to
be
for
single
use
only.
Mothers
should
never
share
breast
pumps.
Sharing
or
using
a
previously
owned
breast
pump
could
put
you
and
your
baby
at
a
potential
risk
for
exposure
to
serious
health
risks.
Some
of
the
viruses
that
can
be
within
breast
milk
are:
- HIV
-
Human
Immunodeficiency
Virus
(AIDS)
- HTLV-1
Human
T-Cell
Leukemia
Virus
Type
I
- CMV
-
Cytomegalovirus
When
you
are
using
a
previously
owned
breast
pump
you
create
the
risk
of
cross
contamination.
It
is
for
this
reason
that
AVENT
AMERICA
STRONGLY
SUGGESTS
NEVER
USING,
BORROWING,
PURCHASING
OR
SELLING
A
PREVIOUSLY
USED/PRE-OWNED
BREAST
PUMP.
Since
a
mother's
breast
milk
is
the
most
precious
gifts
of
nutrition/health
she
can
give
her
baby,
DON'T
take
the
chance
of
sharing
someone
else's
viruses
with
your
baby. Quality
affordable breast pumps can be purchased for less than the cost of two
months worth of formula.
Feeding
Frequency
Babies
under
the
age
of
six
months
will
normally
nurse
every
2-3
hours
from
the
beginning
of
one
feeding
to
the
beginning
of
the
next
which
is
usually
8-10
times
per
day.
During
growth
spurts
at
3
weeks,
6
weeks,
and
3
months,
they
will
up
their
feedings
to
10-12
times
per
day.
Between
6
and
12
months,
babies
will
normally
feed
4
or
5
times
daily.
Milk
Intake
Breast
milk
intake
depends
on
the
age
and
weight
of
that
baby.
Below
is
a
chart
for
babies
under
six
months.
Use
these
numbers
if
you
are
expressing
a
bottle
for
work
or
other
times
away
from
baby.
Divide
the
second
number
below
by
the
number
of
feedings
your
baby
takes
if
it
is
a
number
other
than
8.
This
is
only
an
average
amount.
You
may
adjust
to
the
next
ounce,
but
usually
not
more
than
that. Babies
over
six
months
who
are
on
solid
foods
three
times
daily
still
need
24-32
oz
per
day
which
is
either
five
and
six
ounces
if
you
expressing
for
a
cup
or
bottle.
|
weight
in
lbs |
#of
oz/day |
#of
oz
per
feedings |
|
5# |
12.5 |
1.5 |
|
6# |
15 |
2 |
|
7# |
17.5 |
2.25 |
|
8# |
20 |
2.5 |
|
9# |
22.5 |
3 |
|
10# |
25 |
3.25 |
|
11# |
27.5 |
3.5 |
|
12# |
30 |
3.75 |
|
13# |
32.5 |
4 |
|
14# |
35 |
4.5 |
|
15# |
37.5 |
5 |
|
16# |
40 |
5 |
|
17# |
42.5 |
5.5 |
|
18# |
45 |
6 |
Yeast/Thrust
Vaginal
yeast
infections
are
something
every
woman
wants
to
avoid.
Mothers
may
get
yeast
infections
on
their
nipples
as
well
if
the
conditions
are
right
for
yeast
to
overgrow.
Antibiotics
are
the
culprit
in
many
situations.
If
you
find
yourself
on
an
antibiotic
for
any
reason
or
if
your
baby
has
thrush,
it
is
important
to
protect
yourself
from
a
yeast
infection
by
limiting
wheat,
refined
sugar,
honey
and
of
course
alcohol
in
your
diet. Acidophilus is
a
supplement
that
can
be
helpful
in
maintaining
normal
intestinal
flora.
If
you
do
get
a
yeast
infection
on
your
nipples,
symptoms
may
include
a
red
"sunburned"
area
around
the
nipple
covering
part
of
the
areola,
white
bumps
on
this
nipple
or
areola,
OR
you
may
have
neither
of
these
visible
signs,
but
you
have
sharp
shooting
burning
pains
even
in-between
feedings,
not
just
when
the
baby
latches
on.
Healing
always
necessitates
that
you
and
the
baby
are
treated
simultaneously.
If
the
pediatrician
has
prescribed
oral
Nystatin
for
oral
thrush
or
Nystatin
cream
for
a
yeast
diaper
rash,
these
products
can
be
used
on
your
nipple
as
well.
Diflucan
may
be
prescribed
by
your
OBGYN
or
family
doctor,
but
if
you
have
topical
symptoms,
treat
them
as
well
with
cream
or
Gentian
Violet.
If
you
are
using
over-the
counter-medications,
Monistat
cream
can
be
used
on
your
nipples
after
the
baby
nurses
and
on
the
baby's
bottom.
The
baby's
mouth
would
need
to
be
treated
with
Gentian
Violet
which
is
a
purple
substance
obtained
at
a
pharmacy.
It
usually
comes
in
1%
solution,
but
need
to
be
diluted
to
.5%
by
using
half
Gentian
Violet
and
half
water.
If
using
Gentian
Violet,
it
is
not
necessary
to
use
another
product
on
the
same
area.
Paint
the
baby's
mouth
or
your
nipples
with
the
diluted
solution.
Wait
for
the
purple
to
disappear
before
re-applying.
Do
not
apply
more
than
three
times!
If
you
are
using
a
cream
instead,
you
may
want
to
rince
the
nipples
in
a
glass
bowl
filled
with
warm
water
and
a
tablespoon
of
vinegar.
To
prevent
yeast
from
re-occurring:
- Do
not
freeze
breastmilk
for
later
use.
Spores
with
become
active
again
when
defrosted.
- Use
breathable
disposable
bra
pads
like
the La Leche League Disposable pads.
Most
other
brands
are
not
100%
paper
and
will
greenhouse
the
yeast.
Change
them
with
every
feeding.
- Boil
plastic
items
like
bottle
nipples,
bottles,
and
breast
pump
parts
with
each
use.
Use
as
few
of
these
items
at
this
time
as
possible
because
they
will
need
to
be
replaced
near
the
end
of
your
treatment.
- Treat
both
mom
and
baby
until
both
no
longer
exhibit
symptoms.
Then
treat
for
three
days
after
that
point
to
prevent
recurrence.
During
this
time,
discard
and
replace
bottle
nipples,
breast
pump
parts
that
touch
the
milk,
plastic
bottles,
pacifiers,
etc.
- Never
loan
out
your
breast pump
or
use
someone
else's
used
personal
breast
pump.
It
is
just
like
sharing
underwear,
a
toothbrush
or
a
swimsuit!
- Take
Acidophilus,
eat
plain
vanilla
yogurt,
limit
refined
sugar,
wheat,
honey
and
alcohol
in
your
diet
for
two
weeks
after
yeast
infection.
Medications
Many medications are safe for breastfeeding and alternatives are usually
available for those that are not so it is unusual to have to stop breastfeeding
due to a short term drug regimen. Thomas Hale, PHD is the foremost
authority on medications and mothers milk and his
book
is vital for nursing mothers and health care professionals alike.
This information is intended for reference only and is in no way to take the
place of the individualized care of a qualified physician. If copying this
information for publication, please include references at the bottom and a link
to our web site: www.lactationconnection.com
We are listing some common medications which are approved by the AAP for
use in breastfeeding mothers:
ACNE - Clindamycin (topical), Erythromycin (oral)
ALLERGIC RHINITIS - Triprolidine
ANESTHETIC - Bupivacaine, Fentanyl, Halothane, Ketorolac, Lidocaine,
Lorazepam, Metoclopramide, Morphine, Thiopental Sodium
ANGINA PECTORIS - Metoprolol, Nifedipine, Propranolol, Verapamil
ANTICOAGULATION THERAPY - Warfarin
ANXIETY DISORDERS - Clomipramine, Propranolol
ASTHMA - Terbutaline, Theophylline, Methylprednisolone
BIPOLAR DISORDER - Carbamazepine, Valproic Acid, Verapamil
CARDIAC ARRHYTHMIAS - Atenolol, Digoxin, Disopyramide, Lidocaine, Metoprolol,
Mexiletine HCL, Phenytoin, Procainamide, Propranolol, Quinidine, Sotalol,
Verapamil, Warfarin
CONGESTIVE HEART FAILURE - Captopril, Digoxin, Enalapril Maleate, Hydralazine,
Metoprolol, Nifedipine, Verapamil
CONJUNCTIVITIS - Ceftriaxone, Erythromiacin, Tetracycline (short term)
CONTRACEPTION - Levonorgestrel
COUGH - Cisapride, Codeine
DEPRESSION - Clomipramine
DIABETES - Tolbutamide
FEVER - Acetaminophen, Ibuprofen
GASTROESOPHAGEAL REFLUX - Cisapride
GLAUCOMA - Acetazolamide, Timolol
HEADACHE/PAIN, GENERAL - Acetaminophen, Codeine, Ibuprofen, Naproxen
HYPERTENSION - Atenolol, Captopril, Enalapril Maleate, Hydralazine, Labetalol,
Metaprolol, Nifedipine, Propranolol, Sotalol, Verapamil
HYPERTHYROIDISM - Methimazole, Proprnolol, Propylthiouracil,
INFECTIOUS DISEASES
Acute Sinusitis - Amoxicillin+ Clavulanate,
Cefprozil, Co-Trimoxazole
Chlamydia - Erythromycin
Gonorrhea - Ceftriaxone
Herpes Simplex - Acyclovir
Lyme Disease - Amoxicilin, Ceftriaxone, Penicillin G
Malaria - Chloroquine, Hydroxychloroquine, Quinidine,
Quinine
Salmonellosis - Cefotaxime, Ceftriaxone, Co-Trimoxazole
Tuberculosis - Cycloserine, Ethambutol, Isoniazid,
Rifampin, Streptomycin
INFLAMMATORY BOWEL DISEASE - Prednisone,
INSUFFICIENT MILK SUPPLY - Metoclopramide, Domperidone
LOW BACK PAIN - Acetaminophen, Codeine, Ibuprofen, Naproxen
MASTITIS - Cefazolin, Cephalexin, Clindamycin
METABOLIC BONE DISEASE - Fluoride, Vitamin D
MIGRAINE - Butorphanol, Ketorolac, Metoprolol, Nifedipine,
Propranolol, Valproic Acid, Verapamil
MUSCLE SPASTICITY - Quinine
NIPPLE VASOSPASM - Captopril, Methyldopa, Nifedipine,
Terbutaline
PELVIC INFLAMMATORY DISEASE - Ceftriaxone, Cefoxitin
PEPTIC ULCER DISEASE - Amoxicillin, Tetracycline (short term)
RADIOPAQUE/RADIOCONTRAST AGENTS - Trade names: Conray,
Chlolebrine, Telepaque, Oragrafin, Bilivist, Hypaque, Gastrografin, Renovue-Dip,
Angiovist, Optiray
RADIOACTIVE PROCEDURES - The following are approved with
temporary cessation of breastfeeding: Technetium-99M Pertechnetate (pump
and dump for 24 hours), Iodine 123 (pump and dump for 24 hours), Thallium 201
(pump and dump for 2 weeks)
RAYNAUD'S PHENOMENON - Catopril, Methyldopa, Nifedipine,
Terbutaline
RHEUMATOID ARTHRITIS - Hydroxychloroquine, Ibuprofen,
Ketorolac, Piroxicam, Prednisone
ROSACEA - Clindamycin lotion/gel, Erythromycin, Tetracycline
(short term)
SEIZURE DISORDERS - Carbamazepine, Ethosuximide, Phenitoin,
Valproic Acid
URINARY TRACT INFECTION - Trimethoprim
VENOUS THROMBOEMBOLISM - Warfarin, .
A list of drugs which are usually contraindicated in lactating women
follows:
Amiodarone
Antineoplastic Agents
Chloramphenicol
Ergotamine
Gold Salts
Lithium
Phenindione
Radiopharmaceuticals
Retinoids
Tetracyclines (chronic use over three weeks may cause infant bone changes)
Pseudoephedrine (preliminary unpublished studies indicate inhibition of
prolactin and milk production)
References: Clinical Therapy in Breastfeeding Patients, Thomas W Hale,
PHD;
Medications and Mother's Milk 10th Edition,
Thomas W Hale, PHD
Growth Chart, Girls Birth - 36 Months
The Center for Disease came out with growth charts for 2000 that include
breastfed babies! Previous charts were based on only formula fed
girls. To print this growth chart, print page 13 of this file.

Growth Chart, Boys Birth - 36 Months
The Center for Disease came out with growth charts for 2000 that include
breastfed babies! Previous charts were based only on formula
fed boys. To print this growth chart, print page 15 of this file.
Reasons/Benefits to Breastfeeding
This is a condensed version of 101 Reasons to
Breastfeed, written by Leslie Burby for those of us with too little
time. For the full version along with explanation and references,
visit promom.org.
- The American Academy of Pediatrics recommends it
- Breastfeeding promotes bonding between mother and baby
- Breastfeeding satisfies baby's emotional needs
- Breast milk provides perfect infant nutrition
- Not breastfeeding increases mother's risk of breast cancer
- Formula feeding increases baby girls' risk of developing breast cancer in
later life
- Formula Feeding is associated with lower I.Q.
- Breast milk is always ready and comes in a nicer package than formula does
Need we say more?
- Breast milk helps pass meconium
- Breast milk contains immunities to diseases and aids in the development of
baby's immune system.
- Breast milk is more digestible than formula
- Baby's suckling helps shrink mother's uterus after childbirth
- Baby's suckling helps prevent post-partum hemorrhage in mother
- Nursing helps mom lose weight after baby is born
- Pre-term milk is specially designed for premature infants
- The World Health Organization and UNICEF recommend it
- Breastfeeding protects against Crohn's disease (intestinal disorder)
- Formula feeding increases risk of baby developing type I (juvenile,
insulin-dependent) diabetes
- Breastfeeding baby helps decrease insulin requirements in diabetic mothers
- Breastfeeding may help stabilize progress of maternal endometriosis
- Not breastfeeding increases mother's risk of developing ovarian cancer
- Not breastfeeding increases mother's risk of developing endometrial cancer
- Formula feeding increases chances of baby developing allergies
- Breast milk lowers risk of baby developing asthma
- Formula feeding increases baby's risk of otitis media (ear infections)
- Formula feeding may increase risk of sudden infant death syndrome (S.I.D.S.)
- Breastfeeding protects baby against diarrheal infections
- Breastfeeding protects baby against bacterial meningitis
- Breastfeeding protects baby against respiratory infections
- Formula fed babies have a higher risk of developing certain childhood
cancers
- Breastfeeding decreases chances of juvenile rheumatoid arthritis
- Breastfeeding decreases child's chances of contracting Hodgkins disease
- Breastfeeding protects baby against vision defects
- Breastfeeding decreases chances of osteoporosis
- Breast milk is aids in proper intestinal development
- Cows milk is an intestinal irritant
- Formula-fed babies are more at risk for obesity in later life
- Breastfed babies have less chance of cardiopulmonary distress while
feeding
- Breastfed babies have less chance of developing ulcerative colitis
- Breast milk protects against hemophilus b. bacteria
- Breastfed babies require shorter pre and post-surgical fasting
- Breastfeeding results in less sick days for parents
- Breastfeeding enhances vaccine effectiveness
- Breastfed babies have less chance of developing necrotizing enterocolitis
- Breastfeeding is a natural contraceptive
- Breastfeeding is easier than using formula
- Breast milk is free
- Formula is expensive (approx $120/mo)
- Formula costs the government (and taxpayers) millions of dollars
- Breast milk is always the right temperature
- Breast milk always has the right proportions of fat, carbohydrates and
protein
- Breast milk acts like a natural tranquilizer for baby
- Breastfeeding acts like a natural tranquilizer for mom
- Breast milk tastes better than formula
- Breastfed babies are healthier over-all
- Breastfed babies are less likely to die before their third birthday
- Breastfed babies require fewer doctor visits
- Breastfeeding mothers spend less time and money on doctor visits
- Fewer waste packaging products
- No bottles to tote: Have milk will travel.
- Less cow induced global greenhouse gasses
- No need to refrigerate
- Cows milk is designed for baby cows
- Human milk is designed for baby humans
- Natural pain relief for baby
- Perfect food for sick baby
- More sleep for mom
- More sleep for baby
- More sleep for dad
- Less equipment to maintain and store
- Less equipment to buy
- Breast milk has never been recalled
- Fresh breast milk is never contaminated with bacteria
- No need to worry about which brand is better
- No need to worry about adding contaminated water
- Breastfeeding helps reduce cruelty to farm animals
- Facilitates proper dental and jaw development
- Breastfed babies get fewer cavities
- Less money spent on corrective orthodontia
- Better speech development
- Less chance of baby getting eczema
- Breastfed babies have great skin
- Less gastrointestinal reflux (Spit-up)
- Easier to clean spit-up stains
- Breast milk contains no genetically engineered materials
- Breast Milk contains no synthetic growth hormones
- Lack of breastfeeding associated with multiple sclerosis in later life
- Less chance of inguinal hernia
- Better cognitive development
- Better social development
- Decreased risk of baby developing urinary tract infections
- Suckling optimizes hand-to-eye coordination
- Protects mothers against anemia (iron deficiency)
- Less money spent on menstrual supplies for mom
- Self confidence booster for mom
- Breast milk may help combat eye infections
- Breast milk may be a good natural antibiotic for wounds
- No worry about latest ingredient discovered to be missing from formula
- Much nicer diaper changes
- Breastfed babies smell fantastic.
- It's what breasts were designed for!
Breast pump Comparison Chart
|
Photo of Double Breast Pump
(Click
on image for purchase info.) |
Brand/Name |
Automatic Cycles Per Minute/ Duration of pump
session. |
Warranty |
Power Sources |
Cost |
*Manufacturer Information |
|
 |
Medela
Pump In Style |
60 cycles
Takes 10-15 min. |
1 yr |
AC Included |
$249-$319 |
Medela
(Est. 1979)
Does not allow this product to be discounted. |
 |
Ameda
Purely Yours |
60 cycles
Takes 10-15 min. |
1 yr |
AC/Battery Included
Optional Car Adapter |
$159-$229*
Best Value! |
Ameda
(Est. 1951)
Allows discounts. |
|

|
Medela DoubleSelect
Recommended for at home moms only. |
32 cycles
Takes 20-25 minutes. |
90 days |
Electric |
$159-$169 |
Medela
(Est. 1979) |
|

|
WhisperWear
Double |
60 cycles
Takes 10-15 min. |
1 year |
Battery Capabilty Included
Optional Car/AC adapters |
$197-$219 |
WhisperWear (Est. 2002)
Allows discounts. |
|
Photo of Single Breast Pump (Click
on image for purchase info.) |
Brand/Name |
Automatic Cycles Per Minute/ Duration of pump
session |
Warranty |
Power Sources |
Cost |
Manufacturer/ Aditional Features |
|
 |
Medela
Single Deluxe |
32 cycles
per minute Takes 20-30 minutes. |
90 days |
AC/Battery
No Car Option |
$79 |
Medela No |
|

|
WhisperWear Single |
60 cycles per minute |
1 year |
Battery
Optional Car/AC adapters |
$99-$109 |
WhisperWear Microprocessor Technology for variable cyles.
Cooler bag included. |
|
 |
Medela Harmony |
Manual |
90 days |
Manual |
$25-50 |
Medela No |
|
 |
Avent
Isis |
Manual |
90 days |
Manual |
$38-50 |
Avent Models in this price range
available with disposable nurser or On-The-Go Bag. |
 |
Avent Isis IQ Uno or Duo Breast
Pumps |
Infinite Speed and Suction
Settings |
1 year |
Manual and Electric |
$149-$349
Latest Tech-nology! |
Avent
Electronic Memory learns your preferred rhythm. Combines the comfort
of the Isis breast pump with the convenience of an electric pump. |
Pumps not listed here are not generally recommeded by
Lactation Consultants including but not limited to the Playtex Embrace, Bailey
Nurture III, Whittlestone Breast Expresser, Medela Swing and others. |