A breastfed baby may nurse every 1 to 3 hours. It is not uncommon for a breastfed baby to feed frequently in the evening. This is called cluster feeding. A breastfed baby will usually nurse more frequently than a formula-fed baby. Encourage your baby to stay on one side until the breast is emptied, typically at least 15-20 minutes, prior to offering the other side. It is not necessary to switch breasts at each feeding.
You can feed your baby when he or she shows signs of hunger; you do not need to use a clock to tell you when to feed your baby. Signs that your baby is hungry include:
Frequent nursing will provide the stimulation needed for a good milk supply. For sore nipples, you can rub a little milk or lanolin into your nipples after feeding then allow your nipples to air dry. You may choose to use disposable or washable breast pads if your breasts leak milk between feedings. Change these pads frequently. If you have excessive soreness or cracked nipples, call for help.
Usually, your milk will come in by the third day. If you are so full (engorged) that it is difficult for your baby to latch, hand-express just enough milk to soften the nipple for easier attachment. If you have difficulty getting baby to latch or if you are in pain, call your midwife. Flu-like symptoms, red tender bumps on your breast, or fever can be signs of an infection and you should inform your midwife.
Bottle-fed babies need to eat every four hours. They should not go more than 6 hours between daytime feedings. By day three, you can feed 1 to 2 oz. per feeding. Newborns do not need to drink water. All babies should be burped after each feeding. However, some babies burp a lot, while others rarely need to. To burp, gently pat or rub your baby’s back while placed on your chest, over your shoulder, or on your lap, with head well-supported at the chin.
Whether you choose to bed-share with your new baby or use a crib, safe sleep practices are important to keep your baby happy and safe as well as to prevent sudden infant death syndrome (SIDS). It is important for anyone who will be caring for your baby to know about safe sleep.
Regardless of whether you choose to bed share or use a crib, you should do the following to decrease the risk of SIDS.
If you choose to bed-share, these are a few safety guidelines to make your bed as safe as possible:
If you choose to use a crib, these are a few safety issues to be aware of when using a crib or bassinet:
Bed-sharing in the absence of risk factors is not associated with a higher risk of SIDS.2
Remember to give your baby plenty of supervised tummy time during the day!1. American Academy of Pediatrics (2011). SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment. Pediatrics.2. Blair et al. (2014). Bed-Sharing in the Absence of Hazardous Circumstances: Is There a Risk of Sudden Infant Death Syndrome? An Analysis from Two Case-Control Studies Conducted in the UK. PLoS ONE.3. Blair et al. (1999) Babies sleeping with parents: case-control study of factors influencing the risk of the sudden infant death syndrome. BMJ.
The Birth Center at PCC is happy to offer our patients the option to labor and deliver in one of our birthing tubs. Being in the water has many benefits and is a practice supported by the American College of Nurse Midwives and the American Association of Birth Centers.
There are many potential benefits of water labor and water birth, including:
Research shows that the rate of infection is not higher in women and babies after labor or birth in water compared to women and babies who did not use water during labor and birth.1
There are some circumstances where laboring or delivering in water is not recommended:
If desired, you can bring a swimsuit top for you to wear in the tub and a swimsuit for your partner so they can be in the tub with you.
Talk to your midwife if you have any questions about using the tub during labor and birth.1. ACNM (2014) “Using water for labor and birth” Journal of Midwifery and Women’s Health. 59(3).2. Evidencebasedbirth.com (2015) “Evidence on the safety of water birth”3. Richmond, H (2003) “Women’s experience of water birth” The Practicing Midwife 6(3).4. Waterbirth.org
The Birth Center at PCC offers patients many natural options for pain relief. You will be surprised how effective seemingly simple things, like massage and movement, can help you cope. The best pain relief method is the one that works for you. Our supportive midwives and birth assistants will work with you to find what feels best. These are some common pain relief techniques available at the birth center.
Each birthing suite has a deep tub available for you to use. Water immersion during labor relieves pain, helps relaxation, reduces pressure on the abdomen, and allows you to easily change positions. Many women like to deliver their babies in the tub as well. Each room also has a private shower that can be used in labor for pain relief.
Here at the birth center, you are able to walk around and labor in whatever position is comfortable. You may find that swaying, standing, kneeling, or lying on your side helps relieve pain. These positions also help the baby to come down through the birth canal. Only you know what is the most comfortable for you. Don’t be afraid to experiment with positions and move around as much as you want. We also have a birth ball and a squatting stool in each room to support you in whichever positions are comfortable. Some good ideas for comfortable positions can be found here.
Steady, rhythmic breathing can help women work through contractions by promoting relaxation. Breathing techniques can also help reduce feelings of nausea and dizziness. You are welcome to bring your own aromatherapy oils to help with relaxation. You may also find music soothing and you are welcome to bring an iPod with you.
There are many ways that massage can help you cope with labor pain. You can gently massage your belly during contractions or you can have your partner or labor support person massage your back or feet. Your labor partner can also provide counter-pressure if your back or hips hurt during contractions. You may also find warm or cold compresses soothing on areas that hurt.
The Birth Center at PCC does not offer epidurals or narcotic pain relief. However, the majority of our patients find they do not need these to cope with pain. Feel free to experiment with pain coping techniques. Our midwives and birth assistants are here to help you find which techniques work the best for you and provide you with support and encouragement as you bring your baby into the world.
We realize the importance of naming your baby and we would like to assist you in making that process as easy as possible. Please observe the following: