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After delivery FAQ's

Do I want my infant given the Hep B vaccine after birth?

**Hepatitis B Vaccine sheet**

If I have a male infant, do I want him circumcised?

Feeding options for the baby

Bottle feeding

  • You will need to chose a brand of formula if you are planning on bottle feeding
  • Similac or Enfamil are the basic brands to start with.

Breastfeeding

  • You need to initiate breastfeeding within the first hour after birth if possible!
  • The baby is in a state of quiet alertness the first 2 hours after birth
Guidelines and Technical Pointers
  • Most babies need and naturally request 8-12 feedings in a 24 hour period.
  • Approximately every 1-3 hours
  • They may cluster feed (feed every hour for several hours in a row)
  • Early sleepy days the baby tends to not request feeds often enough
  • Notice hunger cues
  • Wake the baby by 2 ½ hours from the beginning of last feed
  • Keep baby interested and awake during feeding
How do I know my baby is getting enough to eat?
  • Is the baby eating every 1-3 hours?
  • Sleeping no longer than 3 hours between feeds during the day
  • Should have no more than one 4 hour stretch at night the first week of life.
Other positive signs to be aware of
  • Audible swallowing- you will hear milk being swallowed
  • Breast feel less full
  • Baby is satisfied
  • Baby is content between feedings
  • Expect initial weight loss of baby after delivery; weight gain of 4-7 oz per week once milk is in greater supply.
  • Your baby should be back to birth weight by day 10
Milk production is regulated by DEMAND and supply. The concept being:
  • The more milk that is removed, the more milk that is made.
  • The less milk that is removed, the less milk that is made.

Breastmilk

Colostrum

  • This is the first milk
  • Very high in protein
  • Easily digested
  • Provides protection by containing antibodies and passive immunities

Transitional Milk

  • This occurs after colostrum in approximately 48-72 hours
  • High levels of fat, lactose and water soluble vitamins
  • More calories and high protein
Mature milk
  • Your milk will change and increase in quantity in approximately 48-72 hours. It may take longer depending on when breastfeeding was initiated and breastfeeding frequency.

Breastmilk Storage

Breastmilk

Refrigerator Storage

Freezer Storage

Expressed Breastmilk

-Store for 5-7 days in coldest part of refrigerator
-Do not store in door of refrigerator

-Store for 3-4 months in the back of freezer. Do not store in door of freezer.
- 6 months in deep freeze.

Frozen Breastmilk

-Thawed breastmilk that is unopened or unused is fine in the refrigerator for 24 hours.

- Do not refreeze breastmilk

If you intend to freeze breastmilk

-Always chill freshly pumped breastmilk in refrigerator before adding to frozen or refrigerated breastmilk

Freeze within 24 hours




How much can my baby's stomach hold?

  • A newborn baby's stomach is the size of a small marble.
  • It can hold 5-7 mls
  • The walls of stomach cannot stretch
  • Perfect for small amounts of colostrum.
  • From 7-10 days it increases to around the size of a ping pong or golf ball
  • It can hold 1.5-2 oz

Engorgement: What do I do?!!

  • Three to four days postpartum, your breasts will feel heavy and become swollen
  • This is due to: increase in blood flow, swelling of surrounding tissue, accumulation of milk

Some effective treatment measures for engorgement

  • Nurse frequently
  • Apply warm compresses or stand in shower to initiate let-down with breast massage
  • Manually express or pump out milk to soften areola and nipple (the baby cannot latch-on if it is too hard)
  • Apply cold compresses to breast after nursing to relieve the swelling and soothe discomfort
  • Wear a sleep bra even at night but make sure it is not too tigh


Lactation Consults

  • Maternal Child Department - 688-2200
  • CC Public Health -

Stool and Urine in the breast fed infant

  • Baby will be passing meconium for the first stools. (thick black tarry stool)
  • Stool will change to mustard color, runny and seedy in texture once your milk is in greater supply.
  • 3-4 stools pre day in the first month
  • May have a little stool after each feeding as well

Urine

  • Your infant should have 1 wet diaper in the first 24 hours after delivery
  • 2 on the second day of life
  • 3 on the third day of life
  • 5-6 wet diapers of urine that is yellow in color once milk is in greater supply

Nutrition during pregnancy

  • On average, the increased demands of pregnancy require an additional 300 calories each day.
  • Women who are pregnant with twins or higher-order multiples need an additional 300 calories per fetus each day.
  • Recommended weight gain is 28-40 lbs for underweight women
  • 25-35 lbs for normal weight women
  • 15-25 lbs for overweight women

Nutrition during Breastfeeding

For each 20 calories of breastmilk produced. The women must consume an additional 30 calories. This results in a dietary increase of 500 to 1000 calories each day for women who are maintaining body weight.

Visiting Guidelines

  • We have visiting guidelines to protect our patients, their families, other visitors, and staff from potentially contagious disease.
  • We will allow only 4 visitors at one time + FOB

Visiting Restrictions

  • During heightened flu awareness, usually October thru March, only 4 designated visitors + father of the baby and or support person will be allowed on unit.
  • Patient will be given 4 bands that can be given to any 4 individuals (age 12 and above) the patient chooses. These bands will only allow these 4 people to visit during the duration of patient's stay. We will not honor cut off or taped on bands.
  • In severe flu outbreaks, the patient will only be allowed to have the father of the baby and/or the support person visit the mother for the duration of the stay.

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Website Survey

In 2016, Campbell County Health (CCH) is redesigning its website, www.cchwyo.org, to help the organization provide the best quality care to our patients and residents. To begin this effort, we are asking the public to answer a six-question survey on what items they would like to have on our website. The survey should take no more than five minutes to complete and will closed at noon on Friday, January 29.