Friday, 19 March 2010

Breastfeeding and Onions

OK, so, my other blog, Those Aren't Your Onions, keeps getting hits for 'breastfeeding and onions.'

It's not a breastfeeding resource, but there was a post about breastfeeding support groups on there. Obviously, search engines were making a non-existent connection about breastfeeding and onions! So, to help the poor souls directed to that blog in search of breastfeeding and onions tips, here is the post you may/may not have been looking for.

As a general rule, there is no strict reason why mothers should stop eating certain foods whilst breastfeeding. A healthy balanced diet is usually all that is necessary for a mother feeding her baby. There are all sorts of opinions online, so here I've tried to gather a good selection and present an average view.

Sometimes, with foods such as cow's milk or eggs, proteins can pass out of the mother's gastrointestinal tract and get into breastmilk, causing the baby to have a reaction; though this is normally restricted to babies with a tendency towards allergies (La Leche League (1997) The Womanly Art of Breastfeeding 6th Edition, 3rd Printing, p.355).

The method of dealing with this? Cut out the food from the mother's diet to see if the baby improves.

However, La Leche League suggest that before you conclude a problem is down to your diet, you should investigate all other possible causes.

When infants react to something, they normally have congestion, rashes, vomiting and diarrhoea, alongside colic/fussiness. There are many possible reasons for these reactions: medication, illnesses, supplemental (artificial) feeds, growth spurts and teething have all been commonly recognised as causing one or more of these symptoms.

Another factor to consider is whether your baby has had any contact with allergens such as a new washing powder, fabric softener, soap, shampoo, baby lotion or household cleaning products.

Try to think about all the things your baby has come into contact with and try to eliminate those possibilities first.

Young babies are often fussy, so if this is the only symptom, it may not be your diet that is to blame. Try to use some comforting strategies first - useful ones can be found at Kelly Mom.

Furthermore, Kellymom points out that:
"Fussiness that is not accompanied by other symptoms and calms with more frequent nursing is probably not food-related."

But, if you've tried removing all other possibilities, you've comforted, fed and fed until baby wants no more, and s/he is still suffering, perhaps from colic, then, some sources suggest it could be worth adapting what you are eating.

The easiest way of finding out if something is causing a problem is to cut out particular foods gradually.

If your baby seems to improve after removing a certain food, give it a few weeks then reintroduce foods one at a time to find the real culprit.

Keeping a food diary that also tracks your baby's level of irritability can help you to keep on top of this and perhaps see connections you never knew were there.

Always make sure you are eating a consistently healthy diet, don't cut back on everything or your health will suffer!

Finally, there are always anecdotes about fussiness getting better after cutting out certain foods. If it works, making life easier for you and your baby, then fantastic. Here are a few reference links about foods that people have said make a difference. Remember, this is unproven and anecdotal, but if it works for you then let me know!


"Cabbage, onion, garlic, broccoli, brussel sprouts, turnips and even chocolate can cause colic symptoms"



"Some mothers say certain foods, such as onions, garlic and citrus fruits, seem to upset their babies"



"Spicy and other food: There are no hard and fast rules about other foods. Some babies react to certain foods while others don't. Mine didn't seem too keen if I went overboard on the garlic, strawberries or brussel sprouts so avoided these while they were little. By the time they were bigger, the problem seemed to have resolved itself."


More good tips about breastfeeding myths

If you have anything to add please leave a comment, I'm always glad to hear more points of view or new methods!


Tuesday, 2 February 2010

Nipple Confusion

There is some debate concerning whether nipple confusion exists, Sally Inch at Baby Centre states that she is “not aware of any evidence that a baby will forget how to breastfeed if he is given something else to suck.” However, anecdotally, many mums who have suffered with a baby with feeding difficulties would say that it DOES exist, and can be a huge cause for concern.

It is easy to see the thinking behind the claim that ‘nipple confusion does not exist’ if you understand that the problem is usually a poor latch. Nipple confusion generally improves when a better latch is discovered by mum and baby, but the term is still useful because it emphasises that using alternative nipples and teats does not help baby to learn how to latch on better.

Additionally, using bottles or nipple shields during the first weeks of a baby’s life may not give the best stimulation to the breast during the important time when breastfeeding is being established.

Many websites and other sources of advice simply state how to avoid nipple confusion occurring in the first place. Unfortunately, not many explain what to do if you think your baby is suffering from it!

Here I’ll look at a few strategies for dealing with nipple confusion, hopefully giving you some ideas that might work for you and your baby.

  • It might be worth going cold turkey on nipple shields and dummies. Practice makes perfect – your baby needs to learn how to latch on properly, the more practice s/he gets, the better it will go and the less time it will take!
  • Using a feeding cup, syringe or a spoon instead of a bottle to feed baby if s/he needs supplements means s/he doesn’t need to use artificial nipples.
  • If baby is getting frustrated trying to latch on, try expressing a little milk with a pump or by hand. Sometimes babies are frustrated at the amount of work they have to do to start the let-down reflex, if you can start the flow of milk for your baby s/he may find it easier to latch on. This also works if you have very engorged breasts and baby is having difficulty getting enough breast into his/her mouth.
  • Another idea if baby is getting frustrated is taking baby off and soothing him/her away from your breast, perhaps over your shoulder for a bit of a burp, or give baby to someone else for a minute or so. Sometimes babies need a little time to calm down before trying again, and being near the breast can be frustrating because they can still smell the milk they can’t get at!
  • Breastfeed regularly to give baby lots of practice and to increase your supply. This may be every hour in the first weeks, up to every two hours. (P.S. This is quite a natural amount of feeding for a breastfed baby)
  • Give lots of skin to skin contact when feeding, this is calming to the baby and a fab way of bonding.
  • Check baby has a good latch, all of the nipple and most of the areola should be taken into baby’s mouth, and baby’s lips should be spread out all the way around the latch, not sucked into his/her mouth.
  • If you’re unsure about how baby is latching on, seek out someone to check it out in person – your midwife, health visitor, breastfeeding councillor or your local breastfeeding group! Having someone watch your baby feed can sometimes be the best way of figuring out a solution or re-assuring you that everything is going well. Make sure you feel comfortable with whoever is supporting you, if one person doesn’t work for you, try someone else.

I hope this list has given you a few ideas for fighting nipple confusion, please post a reply if you have anything to add!

references:

Dr Sears
breastfeeding.com


Welcome

Hi and welcome to my breastfeeding blog!

Here I will be posting articles on issues that I have come across in my time as a breastfeeding peer supporter and group leader.

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