Info tentang Penyusuan

Ada beberapa info yang ummi dapat daripada Bengkel MBfPC baru2 ni. Antaranya:-

Persoalan Pertama

Sama ada expressed breast milk boleh diberikan kepada bayi untuk diminum sekiranya ibu/bayi dijangkiti thrush?

sebelum itu, mari kita lihat apa itu trush?

Source of Article : www.babycenter.com

What is it?

Thrush is a common and harmless yeast infection in a baby's mouth that can affect your nipples during breastfeeding. Yeast is a normal part of everyone's digestive system, but when there's an overgrowth, an infection sets in.

Many infants first come in contact with yeast as they travel down the birth canal (you can have a vaginal yeast infection during pregnancy and not be aware of it). After your baby is born, or during labor and delivery, antibiotics taken by you or your baby can trigger a case of thrush. That's because antibiotics, which get into your breast milk, kill off "good" bacteria that keep yeast in check.

So, for example, a baby delivered by c-section can develop a yeast infection if his mother is given antibiotics right after surgery. Similarly, antibiotics given to moms during labor for group B strep can also set the stage for an infection.

Your baby can pass thrush on to you, so it's important to seek treatment for yourself and your baby at the same time. Otherwise, you may pass the infection back and forth.

Sometimes it's hard to pinpoint any one cause of thrush. Some women and babies are simply more susceptible than others to yeast. It thrives in warm, moist, sugary environments, and that's exactly what your baby's mouth and your nipples provide during nursing.

Some common signs of a yeast infection in nursing mothers are:

• itchy, pink, red, shiny, or burning nipples (may be cracked) (Note that pink, tender nipples can also be a sign of a bacterial infection, or dermatitis, which should be diagnosed and treated by a dermatologist.)
• deep, shooting breast pain during or after feedings
• a vaginal yeast infection

Most young babies have symptoms, but older babies might not. Those who do may:

• have white patches on the inside of the lips and cheeks that look like cottage cheese and aren't easily washed off. If you notice a white coating on your baby's tongue but nowhere else, it's probably just milk residue.
• cry when nursing or sucking on a pacifier or bottle. The white patches mentioned above may be painful and make feeding uncomfortable if the infection is severe.
• have raised, patchy bright or dark red diaper rash with distinct borders. Small, red spots frequently appear around the edges of the main rash. The affected area is red and may be tender or painful, and the rash can creep into the folds of skin around your child's genitals and legs. It almost never appears on the buttocks.

untuk kefahaman yang lebih mudah, thrush ini terjadi di dalam bahagian mulut bayi dan boleh berjangkit kepada breast/nipple ibu. ia berbentuk putih-putih berada disekitar dalam mulut bayi.

Persoalan sama ada selamat atau tidak ebm dari si ibu yg dijangkiti thrush ini untuk diminum oleh bayinya. Jawapannya:

1) Susu yang baru diperah (fresh) boleh diberikan kepada bayi DENGAN SYARAT ibu sedang dalam rawatan (on medication)

2) Ebm yang dibekukan tidak digalakkan untuk diberikan kepada bayi kerana ebm tersebut ditakuti contaminated dengan yeast yang datangnya daripada thrush.


Persoalan Kedua

How long colostrum will last?

Colostrum biasanya akan keluar bergantung kepada badan si ibu. Ada yang terus keluar dan ada juga memakan masa berhari2. Walau bagaimanapun, colostrum berakhir 2 hingga 4 hari sejurus selepas ia keluar untuk kali pertama.

Persoalan Ke tiga

Bagaimana untuk mengenal pasti Nursing Strike?

Apa itu Nursing Strike?

Source of Article : kellymom.com

Nursing Strikes

When babies abruptly stop nursing, it's a nursing strike - not weaning. Babies rarely wean on their own before 18-24 months, and self-weaning is almost never abrupt.

Will baby nurse while asleep or just waking up? This is usually one of the best times to try. You also might try nursing lying down or while walking around. See also the tips at the top of this page for persuading baby to nurse.

As long as baby is not nursing as often as before, you'll want to express milk to maintain your supply, stay comfortable, and reduce the risk of plugged ducts and mastitis.

Mengikut text book Womenly Art of Breastfeeding nursing strike berlaku bila bayi tiba-tiba enggan menyusu secara terus daripada ibunya. ia berkemungkinan berlaku atas faktor-faktor berikut:

1) susu si ibu berubah rasa contohnya si ibu mengandung. Kerana susu ibu mengandung, rasanya mengikut kajian bertukar rasa;

2) bila berlaku perpisahan lama antara si ibu dan bayi. Bayi seakan merajuk dan ia memerlukan masa dan menuntut kesabaran untuk ibu memujuk bayi untuk kembali menyusu seperti biasa.

3) juga boleh berlaku bila bau si ibu bertukar. contohnya si ibu bertukar perfume, bau si ibu yang asal telah tiada. ini juga boleh menyumbang kepada keadaan ini;

4) bila bayi mahu tumbuh gigi atau sakit. bayi mungkin tiba-tiba tidak mahu menyusu terus dari ibunya. ini bukan memberi tanda bayi sudah mahu wean off dari ibunya;

5) bila si ibu lambat pulang kerja. bila si ibu biasanya pulang kerja pukul 6.00 petang. tetapi ada satu hari ibu terpaksa pulang selepas pukul 8.00 malam. jika keadaan ini berulang, bayi mungkin merajuk dan tidak mahu menyusu terus dari ibunya;

6) adakalanya, bila bayi mula menggigit nipple ibunya dan ibunya memarahi si bayi. bayi mungkin merajuk apabila dimarahi. ini antara sebab menyumbang kepada berlakunya nursing strike.

Cukupla untuk kali ini. Next entry ummi akan share myths regarding penyusuan dan kenyataan yang salah tetapi dianggap betul oleh ibu-ibu.

Tunggu ya!