Ding Ma said
In early August 2015, the Chinese Nutrition Society issued the Guidelines for Breastfeeding Infants within 6 Months (hereinafter referred to as the Guidelines), which contain 6 recommended items to encourage mothers and fathers to work hard to do so. Today, Ding Ma will show you what nutrition experts say.
First, open milk as soon as possible
We all know that breast milk is a good thing and contains rich nutrition, which is beneficial to the development of baby’s digestive function and can also provide immune protection.
The guidelines said that the preparation for breast-feeding should start from pregnancy. Specifically, the following four attempts can be made:
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Decorate the environment more warmly;
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Adjust the mood to be more pleasant;
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Self-encouragement in spirit;
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Try a gentle breast massage.
According to the guidelines, the mother should let the baby suck the nipples repeatedly as soon as possible after giving birth, which is the key to ensure successful exclusive breastfeeding. Moreover, before sucking, the baby does not need to wipe or disinfect the nipples too much, and the baby will not get sick.
The guidelines also said that the first bite of food after the baby is born should be breast milk, and there is no need to worry that the baby will be hungry if he cannot suck the milk repeatedly, because the energy stored in the baby’s body at the time of birth is enough for him to be hungry for 3 days, and normally he will not be hungry. During the milk opening process, the baby should continue to insist on exclusive breast-feeding as long as the weight loss does not exceed 7%.
However, some mothers have once reflected that the baby can’t suck milk or even bleed. Can’t milk powder be fed at this time?
Ding Ma suggested that you can try to adjust the feeding posture so that the baby can suck more hard. At the same time, you can change the environment, change the mood and rub your breasts. Don’t worry. You can try again before your weight falls by more than 7%.
Two, adhere to exclusive breastfeeding
As we have said before, exclusive breastfeeding can provide all the water, energy and nutrients needed by babies within 6 months old. During this period, there is no need to drink extra water or eat extra formula milk powder.
In order to help mothers achieve the goal of insisting on exclusive breastfeeding for 6 months, the guidelines have the following suggestions:
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Feeding on demand instead of regular feeding;
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Alternate feeding of breasts on both sides;
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Feeding 6-8 times a day, or more;
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Adhere to let the baby suck breast milk directly, as far as possible, it is not suitable for the bottle to indirectly feed artificially squeezed breast milk, so that the baby can eat more milk;
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If special circumstances require the addition of supplementary foods before the age of 6 months, a careful decision should be made after consulting a doctor or other professionals.
However, many mothers cannot take maternity leave for that long and will always become milk-carrying families. They will find that their babies resist bottles. What should they do at this time?
Ding Ma suggested that the baby can be fed with bottles 1-2 times a week within 2-4 weeks after birth, so that the baby can receive pacifiers and will not suffer too much resistance in the future when manual milking and back milk are required.
Three, comply with feeding
Adaptive feeding means that breast feeding should conform to the process of gastrointestinal maturation and growth and development of infants, from on-demand feeding mode to regular feeding mode.
Specifically, when the baby is hungry (crying), he will feed it in time, especially the baby within 3 months of age. Don’t force the number and time of feeding, but the number of times of feeding may be more than 8 times per day, and when he was just born, he can feed it more than 10 times.
Generally speaking, babies will basically establish their own eating time rules after 2-4 weeks of birth, and parents can master them by making records and observing them carefully. In addition, as the baby grows up gradually, the stomach volume also increases, and this rule may gradually change. The overall change characteristics are as follows:
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Prolonged feeding interval;
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The number of breastfeeding decreased.
After 3 months, you can gradually establish a good eating habit of regular feeding for your baby.
It is necessary to remind parents here that if the baby’s crying obviously does not conform to the usual eating rules, priority should be given to non-hunger reasons such as gastrointestinal discomfort and wet diapers. If the reasons are not clear, it is recommended to take the child to see a doctor in time.
In addition, Ding Ma would like to say that some newborn babies have flatulence. Click here to learn the performance and treatment of flatulence.
IV. Supplementary Dimension D
To say that breast milk has insufficient what, this may be the case: low vitamin D content.
We adults can synthesize enough vitamin D by basking in the sun, but babies with delicate skin are not suitable for basking in the sun. We should stay in the shade before the age of 1 and supplement it with oral vitamin D.
So, how should we make up for it?
The guidelines point out that vitamin D3 supplementation of 10g (400 IU in international units) should be started every day a few days after the baby is born.
One of the purposes of vitamin D3 supplementation is to better promote calcium absorption and bone development. Do you want to supplement calcium in a similar way?
The answer is no, exclusively breast-fed babies can obtain calcium to meet the needs of growth and development, and do not need additional supplements. Blind calcium supplement may affect the health of children: if calcium deficiency and careless eating calcium tablets or other health care products, may lead to constipation of children, affect the absorption of iron and zinc, but also increase the burden on the kidney.
In addition to vitamin D, vitamin K is also necessary to supplement.
Generally speaking, the doctor will give a shot of vitamin K when the baby is born. Babies undergoing cesarean section are especially short of vitamin K. Parents can also consult the doctor to see if their children need extra vitamin K and how it is more appropriate.
Five, formula milk is helpless choice
The guidelines point out that in some cases, mothers cannot exclusively breastfeed their babies, such as:
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Infants suffer from some metabolic diseases that cannot eat breast milk, such as galactosemia, phenylketonuria and severe breast milk hyperbilirubinemia.
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Mother in HIV, human T cell virus infection, tuberculosis, varicella-zoster virus, herpes simplex virus, cytomegalovirus, hepatitis B virus or hepatitis C virus;
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My mother has just been vaccinated against smallpox or yellow fever, or has drunk a lot of alcohol (refined drinks), smoked or taken drugs.
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The mother is in close contact with radioactive substances during cancer treatment.
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After professional guidance and efforts, the mother’s milk secretion is insufficient or no milk secretion.
At these times, the guidelines suggest that formula milk suitable for infants within 6 months of age is the first choice, which is a last resort at this stage.
However, regarding hepatitis B, the current clinical agreement is that the baby is vaccinated with hepatitis B immunoglobulin and hepatitis B vaccine at the same time within 12 hours after birth, and the liver function and blood viral load of the mother at this time are not high, so the chance of the mother infecting the baby with hepatitis B through breast feeding is not very high.
In other words, hepatitis B mothers also have a great chance to let their babies eat exclusive breast milk.
Some families think that breast milk is not nutritious and formula milk powder is better. They will forcibly stop breast milk and switch to formula milk powder, which is not good for the health of infants. No infant formula milk can be comparable to breast milk. To put it bluntly, it is stupid to buy and return pearls.
However, replacing it with formula milk powder may still be slightly better than the following:
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Ordinary liquid milk
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Adult milk powder
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Protein powder
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Soybean milk powder
Their nutrition is not comprehensive enough, and they are also easy to cause allergy. Not only are they not suitable for simple eating, but it is also inappropriate for the baby to be fed during breast milk within 6 months-because the baby’s stomach is so big that it is occupied by relatively non-nutritious things, and the more nutritious breast milk is easy to suffer from malnutrition.
Don’t be smart!
Ding Ma suggested: I guess many mothers will struggle with whether they can continue nursing when they catch a cold or have mastitis. Click on the color character on the left and you will see the answer immediately.
Six, monitoring body length and weight
The guidelines suggest that the body length and weight should be measured every half month before the age of 6 months. If you get sick during this period, the number of measurements can be increased during the recovery period.
How do you judge whether your baby’s length and weight are normal? The guidelines recommend referring to WHO’s < < Children’s Growth Curve > > to judge whether infants are fed correctly and reasonably.
Every baby has its own unique development rules. Growing too fast or too slowly is not conducive to children’s long-term health.
Mom Ding knows, There must be parents who can’t help but want to compare their kids with other babies, Seeing people grow fast and fat, The in the mind will be uncomfortable. At this time, we should straighten out our mentality, grow up with our children, and try our best to let ourselves accept: children are unique and have their own development and development process. We cannot make decisions that may affect our babies in order to satisfy our temporary selfish desires, such as deliberately eating less or blindly adding meals, etc.
At the same time, we should actively adjust our mentality, look at our own and other babies with appreciation, and try our best to jump out of the strange circle of [comparison].