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
- 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.
Guidelines and Technical Pointers
- 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
How do I know my baby is getting enough to eat?
- 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
Other positive signs to be aware of
- 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.
Milk production is regulated by DEMAND and supply. The concept being:
- 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
- The more milk that is removed, the more milk that is made.
- The less milk that is removed, the less milk that is made.
- This is the first milk
- Very high in protein
- Easily digested
- Provides protection by containing antibodies and passive immunities
- This occurs after colostrum in approximately 48-72 hours
- High levels of fat, lactose and water soluble vitamins
- More calories and high protein
- 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
-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.
-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
- Wear a sleep bra even at night but make sure it is not too tigh
- 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
- 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.
- 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
- 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.