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How to Relieve Your Post-Baby Breast Engorgement Pain

For the first few days after giving birth, a new mother’s breasts remain soft. They will produce colostrum. Colostrum, the first milk, is available in just the right amount, and is rich in immune factors that protect newborns. Sometime during the next few days, the breasts will become full, firm, warm, and perhaps tender. When this occurs, people say: “the milk is coming in!” The scientific term for this event is: engorgement. Engorgement is normal, and lasts for various periods of time depending on the individual woman. Some women experience only a day or so of mild, easy-to-manage engorgement. For other women, engorgement may be more intense, and can last from several days to two weeks.

Some women seem to bring in a larger early milk supply. Others seem to experience more breast swelling. For these women and their babies, the engorgement period may seem more difficult. The breasts will adjust over time, eventually making exactly the right amount of milk for the baby.

It is the baby’s job to help the mother through engorgement by removing milk. If the baby is not latching properly or feeding frequently enough, the breasts may become overly full. This reduces the elasticity of the breasts and nipples. When the breasts are too firm, some babies cannot grasp enough tissue to latch on well. They may suck overly hard trying to pull in the breast tissue. This can lead to sore nipples. If poor latch results in poor emptying of the milk, the build-up can cause breast engorgement to become severe. The breasts may redden and become painful. Mothers may sometime develop a low-grade fever. (Fever may also signal infection, so at the first sign, call the doctor.)

Along with making mothers feel ill, severe engorgement may interfere with milk production. The milk pooling in engorged breasts releases chemical signals that tell the body to decrease milk production. If unrelieved, prolonged engorgement can contribute to insufficient milk supply or begin the weaning process.

Prevention:
  • Begin breastfeeding as soon as possible after the birth, to give the baby time to learn to breastfeed before the breasts become full and firm.
  • Unless medically indicated, avoid early use of bottles and pacifiers while the baby is learning to breastfeed.
  • Once the milk comes in, breastfeed at least 8 times in 24 hours to prevent over fullness.
  • Ask for help from the hospital lactation consultant so that latch-on problems are solved as soon as possible.
  • Any time a feeding is missed, use hand expression or a breast pump to remove the milk.
  • Always wean gradually
Treatment:
  • Use moist heat on the breasts for a few minutes, or take a brief hot shower before breastfeeding. This may help the milk begin to flow. Note: Use of heat for extended periods of time (over 5 minutes) may make swelling worse.
  • Use cold compresses for 10 minutes after feedings to reduce swelling.
  • Gently massage and compress the breast when the baby pauses between sucks. This may help drain the breast, leaving less milk behind.
  • Ask your health care professional about medications such as ibuprofen to reduce pain and inflammation.
  • A well-fitted, supportive nursing bra makes some women feel better. Others prefer to go bra-less during engorgement.
  • Gentle breast massage and relaxation techniques may help improve milk flow and reduce engorgement.
  • Hand expression or brief use of a breast pump may help soften the nipple and areola so that the baby can get a better latch.
  • Some women find that a single use of a breast pump to soften severely engorged breasts diminishes painful inflammation. They then return to frequent breastfeeding as the main way to manage engorgement.
  • Pumping, hand expressing, or nursing to comfort prevents the negative consequences of retained milk. Relieving the milk pressure will not make engorgement worse.
  • If the baby is premature or complications interfere with breastfeeding, a hospital grade pump can help the mother through engorgement until her baby can breastfeed.
  • Fever higher than 101° F or severe pain may signal a breast infection. Call your medical care provider for advice if this occurs.

This article originally appeared in Medela breastpump’s blog.

Study: Experience Grief During Pregnancy Impacts Baby

Grieving the death of a loved one can affect an entire family, including babies. In fact, losing a relative during pregnancy may affect the mental health of a child later in life, according to a new report.

Researchers from Stanford University recently conducted a study, published in the American Economic Review, to determine the effect a family member’s death may have on children.

To do so, they examined Swedish infants born between 1973 and 2011 whose mother lost a close relative, such as a sibling, parent, maternal grandparent, the child’s father or her own older child, during her pregnancy.

They followed those children through adulthood, comparing their health outcomes to kids whose maternal relatives died in the year after their birth. They gathered the data from their medical records and Sweden’s novel prescription drug registry, which contains all prescription drug purchases.

Lastly, they considered the impact the death may have had on the fetus, including fetal exposure to maternal stress from bereavement and even changes to family resources or household composition.

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Why You Wash Newborn Clothes You Get From Your Baby Shower

One of the last nesting chores that moms-to-be have to do before the arrival of baby is the washing and folding of all the baby’s new clothes.

The reason you wash all of the clothes your newborn will wear for the earliest months of her life is that they have very sensitive skin. New clothes sometimes have chemical residue on them from processing, packaging and shipping. Also, different grubby hands man-handle the clothes in stores before you pluck them off the shelves or racks. Babies’ skin could break out easily if any residue or agents aren’t washed out of them before you put the clothes on them.

With all of my kids, I relied on Dreft which is one of several specially formulated gentler detergents.

It has a light scent and was great for preparing all their towels, blankets, bedding and clothing for when they would arrive. Dreft has been a parent staple for years and so has Ivory Snow. I know that since I last gave birth, that there has been several other companies to spring up providing soap just for babies.

After washing, you have to organize and arrange the clothing in the baby’s nursery, wardrobe, drawers and closet. Check out the BabyTalk with Bellyitch video I did years ago, back in 2012, with tips on how to prep our baby’s clothing in the nursery before the baby arrives:

She Picked Her Baby’s Sex in IVF then Felt Punished When Born with A Birth Defect

I love the Real Housewives series on Bravo TV though I am not always up to speed on the seasons and the newer members. I was catching up with the latest season of the Beverly Hills housewives series of the franchise when I got introduced to Teddi Jo Mellencamp Arroyave. (Yes, her dad is John Cougar Mellencamp. *swoon*)

The gorgeous blonde seems down-to-earth and has a 5-year olf daughter, Slate and 3-year old son,  Cruz, and a hunky security company owner husband Edwin Arroyave. During a couple dinner date hosted by Dorit Kemsley and her husband Paul “P.K.: Kemsley  in an early episode, Teddi and Edwin share about the guilt they endured over their son’s health following their decision to select his gender.

After getting pregnant easily the first time, they struggled the second time and turned to IVF for help. During the process, they had 12 embryos fertilized and all but one was female. Edwin wanted a boy, perhaps given they already had a daughter at the time, so they rejected the overwhelming majority of available fertilized embryos to implant the only male egg.

Their son was born with two healthy instead of three aortic chambers and as a result, may have lifelong challenges though he is quite healthy now and the prognosis seems good that he will live a good life. It started out pretty horrific.

“We had a really scary delivery with Cruz,” Teddi relayed during  the episode, explaining that Cruz wasn’t breathing when he was born. “They put him on me and one of the nurses was like, ‘He’s not okay, Code Blue.’ And I was just sitting there, and he wasn’t breathing.”

As docs rushed in to attend to their baby, Edwin immediately connected the trauma to his decision to pick the baby’s sex.

“I just remember my sisters were in the room and they’re crying. [Teddi’s] crying. I was like, ‘Holy crap,’ ” he said. “I was just praying like, ‘Lord, give me one more chance. I’ll never do this again.’ ”

He was referring to the selecting of the baby’s sex during in vitro fertilization.

“I made sure it was a boy,” he told the Kemsleys. “I kept saying, ‘I want the boy, I want the boy.’ ”

The couple sincerely expressed regret and felt they were being punished for picking their child’s gender (or sex) when they could have just been grateful for whatever God gave them. I am presuming this. Not putting words in their mouth.

“I’m his mother. My job is to protect him, and that little bit of me who felt like I was selecting something — I choose for him to be a boy, God didn’t choose for me — it’ll always make me feel a little guilty,” Teddi said.

“IVF is one of the hardest things you can go through as a woman,” she added. “One of your biggest jobs is to make babies and when you can’t, you feel sad cause you’re not able to make your baby. And you also feel sad cause you feel like you’re failing.”

You guys know I have an institutional memory and so the disclosure and exchange reminded me a bit of Toni Braxton who revealed in her book that she felt that God punished her for a previous abortion she decided to have in the middle of her then-sizzling hot career. Her son Diezel has Autism. She since went on to explain that her un-evolved notions at the time have changed, after a lot of backlash.

It is not uncommon as I, personally, know women who had fertility struggles and said they felt they too were being punished for an abortion they elected to have when younger. It is a touchy subject.

The ethics of selecting a child’s gender came into play publicly among another celebrity lately. Chrissy Teigen revealed that she felt her first child should be a girl because she wanted her husband, John Legend, to have a daughter. She also got blasted for expressing her decision.

In any event, I have no opinion on the matter other than I am happy that people are being open about these very sensitive issues beause someone out there can relate and perhaps can benefit from hearing and seeing these topics actively and candidly being aired.

Bravo! (Pun intended)

Photo: Jorge Bautista

5 Tips For Traveling with Baby This Holiday Season

Just last Thanksgiving, 48.7 million Americans traveled over 50 miles or more and we can expect much more of the same this year. For those traveling with a newborn, infant or toddler, we know how stressful travel can be, especially when it comes to nap schedules.

However, for your peace of mind, Denise Stern, founder of Let Mommy Sleep, the country’s leading Baby Nurse and Postpartum Care service, is revealing a few fool-proof tips as you prepare your baby for travel during the holidays. In a guest post, Denise can share her Fool Proof Sleep Tips for Traveling this Holiday Season with a Newborn, Infant or Toddler, which includes:

1. Practice at home! Many times babies are not used to sleeping in a travel bed or pack-n-play. Put baby in travel bed or pack-n-play for naptime at home in weeks leading up to the trip.

2.  Keep sleep routine as close to home as possible to help baby feel safe and secure. If weather permits, dress baby in pajamas/sleepsack/swaddle blanket that he/she is accustomed to. If renting a full-sized travel crib from a hotel, bring bedsheets and breathable bumper from baby’s crib at home to recreate familiar sleep environment. Sing the same bedtime songs you sing at home and read favorite books.

3.Try to stay on baby’s time. If possible, try to keep naptimes and bedtimes as close to the same schedule as at home. When traveling across time zones, gradually adjust baby’s bedtime. Some parents like to travel at night so baby can sleep and wake up in destination refreshed. This can lead to an exhausting first day of the trip. If you can “tag-team” with your partner by alternating napping and caring for baby during the first day, then traveling at night could be a possibility.

4. While it is tempting to let a sleeping baby spend the night in a Once at the destination, do not rely on carseats for safe sleep. Car seat  or stroller, carseats can sometimes cause breathing problems in babies. Follow the recommendations of the American Association of Pediatrics and the “Back to Sleep” campaign by creating a safe sleep environment and putting baby on back for sleeping.

5. Slow it down – You’re on Baby’s Time! Don’t expect to have a jam-packed site seeing schedule. All the new sights, sounds, and experiences are very stimulating and exciting for baby. Baby could get fussy if overstimulated and too exhausted. Remember that sleep begets sleep. Keeping baby awake longer than his/her bodies need may work for one night or one nap, but fighting against baby’s natural rhythms leads to meltdown.

While it is nice to have alone time with your partner, caring for a baby can be even more exhausting than usual when traveling. We like to remind parents to not stay up too late too!

7 Fun Ways to Read To and With Your Baby

by Kathryn Brown Ramsperger

Do you love to read and want your child to fall in love with books, too? Do you want them to get the academic and emotional benefits literature offers?

Here are some tips that you can start now, while you’ve still got your baby in your tummy, which will help instill a love of reading, greater empathy for others, and better bonding with you, their one and only mommy:

Start reading to them early.Babies can hear us as early as the early second trimester. At first they hear the tone and cadence of your voice, which promotes bonding, a voice they’ll carry with them always. Yet babies also learn in the womb by the last trimester. Reading to your belly will not only make them long for books once they’re born, they’ll make you two closer to each other.

  1. Don’t worry about what you read to your belly. They love your voice. Read to reduce your own stress after a long day, and they’ll respond likewise. They hear vowels first, so rhyming books are best early on. Soon, they’ll be begging for you to read those books and others.
  2. Ask for books for your baby shower.As a writer, I always bring books to baby showers, one of my childhood favorites, and one of my own books that my own 20-somethings drew illustrations for when they were little. You can request that your shower guests bring their favorite children’s book, either as an additional gift, or the only one. I mean, who needs one more mint green organic onesie?
  3.   Incorporate books or book themes in the nursery. Make sure there’s a bookshelf in their room filled with books. You’ll need a place to put all your shower, gifts, right? Plus, if your bookshelf is DIY, it will be something they’ll treasure forever, if you keep copies of their favorite books within its shelves. Primary colors and a favorite saying from a book you read each night, or their initials, will attract even the most sporty toddler. Make sure your bookcase has one empty shelf for them to eventually choose their own books.
  4. Read them books that echo their experience and perspective. My daughter is adopted. My son had to have surgery at 10 months. The books I chose for my daughter were completely different than those I chose for my son. My son loved Dr. Seuss‘ “Mr. Brown Can Moo and Sendak’s “Where The Wild Things Areand a Sesame Street book about a hospital stay. My daughter’s two favorites were Eileen Spinelli‘s “When Mama Comes Home Tonight” and Rose Lewis‘ “ I Love You Like Crazy Cakes”a book about adoption.
  5. Read them a bedtime story every night. Consistency is key to help them learn language and reading skills, and what better way to say “sweet dreams” than some parent-child together time? Be happy if they make you read it over and over. That means they love being with you and that they’re learning words and a love of reading, too.

Bonus Tip: After you finish reading their bedtime story and kiss them tonight, pick up one for yourself. Children notice what you do even more than what you say. If you have a book in your hand as much as you check your Twitter feed, they’ll notice and will probably follow suit. My novel, The Shores of Our Souls, published by TouchPoint Press, is available on amazon.combarnesandnoble.comibooks.com, and kobo.com, or ask for it at a bookstore near you.

Kathy is a mom, novelist, blogger, life coach, and contributor to yourtango.comyahoo.com/parenting, and thoughtcatalog.com about relationships and family matters. She believes books can change your life and change the world, one page at a time. You can find her on Facebook, Twitter, Pinterest and Instagram. 

New Moms: 10 Ways to Get Self Care After Baby Arrives

photo by Chris Thornton

A newborn can bring a whirlwind of activity and excitement to your life — and plenty of stress and fatigue, too. Whether you’re a first-time parent or a veteran, consider 10 practical tips to keep stress under control.

1. Take care of yourself

Resist the urge to count caffeine as a major food group or a substitute for sleep.Instead, eat a healthy diet, drink plenty of water and get some fresh air. Sleep when the baby sleeps — and try to work out a nighttime schedule with your partner that allows both of you to rest and care for the baby. Good habits will help you maintain the energy you need to care for your newborn.

2. Establish visiting rules

Friends and loved ones might come out of the woodwork to admire your newborn. Let them know which days work best and how much time you have for a visit.Insist that visitors wash their hands before holding the baby, and ask anyone who’s ill to stay home. Let trusted visitors care for the baby while you get some much needed rest

 3. Go with the flow

Allow plenty of time each day for nursing sessions, naps and crying spells. Keep scheduled activities to a minimum. When you need to head out, give yourself extra time to pack your supplies and make that inevitable last-minute diaper change

4. Expect a roller coaster of emotions

You might go from adoring your baby and marveling at tiny fingers and toes to grieving your loss of independence and worrying about your ability to care for a newborn, all in the space of an hour.

Chances are, you and your partner are both tired and anxious as well. To help you stay connected, talk about what’s bothering you — such as a strained budget or difficulty soothing the baby. A shared laugh might help lighten the mood.

5. Relax your standards

Leave dust bunnies where they lie for now. Store clean clothes in the laundry basket — or in stacks on the floor — until you need them. Clean the bathroom with a fresh diaper wipe. Serve cold cereal and peanut butter toast for dinner when you’re too tired to prepare a more traditional meal.

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Inside Serena Williams’ First Week with Baby

Serena Williams is doing “beyond perfect” as she completes her first week as a mom, E! News has learned.

It was announced last Friday that the tennis champion gave birth to her and fiancé Alexis Ohanian’s first child, a baby girl.

Serena is doing beyond perfect. She feels great and is just glowing about being a mother for the first time,” a source told E! News exclusively Friday. “Her baby girl is healthy and beautiful.”

“Her fiancé is the nicest man alive,” the source added about Alexis. “He really is so in love with Serena and is really supportive not only as a new dad but also as a partner. He is a busy man but puts Serena first in everything he does.”

More than a week before Serena gave birth, Alexis posted on social media a video of him getting her some groceries to fulfill her late-night pregnancy cravings: A bunch of fresh vegetables.

The Reddit co-founder and Serena have been engaged since December 2016. She announced her pregnancy on Snapchat—by accident—this past April.

The source also told E! News that both Serena and Alexis’ family members have been helping out since the child’s arrival and that “a few close friends have seen the baby.” Serena has not revealed her daughter’s name and has not shared a photo of her publicly.

The source said Serena sent her sister Venus Williams photos and videos of the baby after she was born.

Last Friday, after it was reported Serena had given birth, Venus was asked about the arrival of her new niece as she prepared to step out on the court at the 2017 U.S. Open.

“Obviously I’m super excited,” she said. “Words can’t describe.”

The source also told E! News Serena “got some beautiful flowers sent to her hospital from big-named celebrities.”

No names were disclosed. Serena is friends with the likes of BeyoncéKelly RowlandCiaraand Eva Longoria.

This article originally appeared in E! News: http://www.eonline.com/news/878769/inside-serena-williams-first-week-as-a-mom

photo source

FDA Tells 3-Person DNA Baby Pioneer to Stop Promoting Services

The doctor responsible for the first life birth of a baby with the DNA of three people has been told by the US Federal Drug Administration that he cannot advertise his services in America.

The experimental procedure uses DNA from three people — a mother, a father and an egg donor — for the purpose of removing certain deadly genetic diseases from the baby’s overal DNA before the baby is born.

The doctor, John Zhang of the New Hope Fertility Clinic in New York, used the technique to help a couple from Jordan welcome a baby boy last year.

Not only is the procedure not aothorized in the US, but Congress banned the FDA from even reviewing research applications to study it.

Zhang heads the clinic and a related company, Darwin Life Inc.

Zhang told the FDA that his companies wouldn’t use the technology in the U.S. again without permission, however, they are still promoting it widely and online.

Among other fertility options, New Hope’s website references the fact that it achieved the “first live birth” using technology.

FDA sent a letter to Zhang’s attention, citing the fact that clinic makes other marketing claims, including a reference to “the first proven treatment for certain genetic disorders.”

In that case, the mom has DNA of Leigh syndrome, a severe neurological disorder that usually kills within a few years of birth, which she could have passed on to her baby.

The way it works is: the mom’s DNA is extracted from an egg, leaving the disease-causing DNA behind. The healthy DNA gets slipped into a donor’s egg, which is then fertilized. As a result, the baby inherits DNA from both parents and the egg donor — producing what’s been called “three-parent babies” — though the DNA contribution from the egg donor is very small.

H:t/ WTOP

Control What Your Future Child Likes to Eat; Hint: It Happens Before They’re Born

Want your child to love veggies? Start early. Very early. Research shows that what a woman eats during pregnancy not only nourishes her baby in the womb, but may shape food preferences later in life.

At 21 weeks after conception, a developing baby weighs about as much as a can of Coke — and he or she can taste it, too. Still in the womb, the growing baby gulps down several ounces of amniotic fluid daily. That fluid surrounding the baby is actually flavored by the foods and beverages the mother has eaten in the last few hours.

“Things like vanilla, carrot, garlic, anise, mint — these are some of the flavors that have been shown to be transmitted to amniotic fluid or mother’s milk,” says Julie Mennella, who studies taste in infants at the Monell Chemical Senses Center. In fact, Mennella says there isn’t a single flavor they have found that doesn’t show up in utero. Her work has been published in the journal Pediatrics.

The Scent Of Amniotic Fluid

To determine if flavors are passed from the mother to the the baby via the amniotic fluid, researchers gave women garlic capsules or sugar capsules before taking a routine sample of their amniotic fluid — and then asked a panel of people to smell the samples.

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