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Got Milk? With the right breast pump you will!At some point in time, almost all mothers have to leave their infant and need to have pumped milk available.  Like most decisions for first-time mothers, purchasing a breast pump can be a daunting task.  With pressure to do what is best for mom and baby, we hope these tips can help you make a purchase you’re comfortable with.

Manual or Electric?
If you are only planning to occasionally pump, a manual pump might be the right fit.  They are fairly inexpensive and many do a good job.  Moms who use the Avent “Isis” pump report that it works well and is available at most of the big box stores.  No matter what pump you choose, look for adjustable suction and ease of operation and cleaning.

If you need to pump on a daily basis, it will be well worth the money to invest in a double-electric breast pump.  Many available in the lower price range do not stand up to daily use or provide poor suction and ease of use.  Among others, Medela “Pump in Style”Ameda “Purely Yours” and the “Hygeia” pumps meet the criteria of durability, strength and ease of use.  It may seem like there are endless options out there, but just remember, you get what you pay for.

New or Used?
Pumps are designed to last for approximately one year of use.
If you are pumping only 2-3 times per week, you may be able to use the same pump for several children but if used daily, you may find that the suction strength becomes insufficient over time.   Due to the high cost of good electric pumps, you may be tempted to buy a used pump; however, viruses (like hepatitis) can be cultured from pumps years after use, so if the used pump does NOT have a HEPA  filter that prevents the transmission of viruses into the motor, it is NOT recommended.  The Ameda “Purely Yours” (available from the Fort HealthCare Lactation department) does have a HEPA filter and can be used between multiple moms.

Supply and Demand:
Breasts are designed to alter the type and volume of milk produced.  The more frequently they are emptied the more milk you make.  When you are pumping it is important to increase the frequency of pumps when you see your infant increase the amount they are taking in.

Further Questions?
There are many sites online that compare various pumps, we strongly encourage visiting these sites, and asking other mothers for their opinion.  Fort HealthCare’s Lactation department provides the “Pump in Style” and the “Purely Yours” for purchase, at cost, to all of our clients.  Please call our Lactation department for pricing and purchasing information.

Fort HealthCare’s Breastfeeding Support Group meets the last Thursday of every month
from 1:30-3:00 in the OB Classroom at the hospital.  There is a lactation consultant who can answer questions and perform infant weight checks. Moms who attend are typically nearing the end of their pregnancy or have a nursing newborn, infant or toddler. All  nursing or curious moms are welcome! As always, moms are invited and encouraged to call our Lactation department (920) 568-5396) for guidance on any breastfeeding related issue.

 

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We parents love to chart our children’s developmental milestones. From the first little smile,  to the first tooth, to the first steps – we look forward to these important moments
as our children grow
.

First words are among the more memorable milestones, and when they’re late to arrive, parents may worry. Like everything else, language develops at different rates for different children – but, as parents, we  cannot help but compare our children to their peers or older siblings.

Here’s some good news for parents of toddlers with few words: a recent study reports that late talking does not foreshadow problems down the road.

The study looked at two-year-olds with language delays and checked in with them in elementary and high school. As toddlers, these children had more problems getting along with others and managing their behavior – which the researchers chalked up to the frustration of having few words. But, as they grew (and caught up in language development,) the late-talkers were just as well-adjusted as their peers.

This does not mean we should ignore language delays. If you are concerned about your child’s late talking, talk to your child’s doctor – either a family medicine physician or a pediatrician. It’s important to monitor  overall development to ensure that any problems are identified and addressed as early as possible.  As long as children have the vocabulary they need when kindergarten rolls around, parents can rest assured that their late talkers will do just fine.

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yummy, yummy for tiny tummiesOnce your baby moves beyond those first weeks of round-the-clock feedings, making sure your baby has the proper nutrition can get a bit more complicated. Breast milk or formula was all baby needed for the first six months of life. Over the next year to 18 months, though, expect a bit more adventure on the feeding front. Introducing solids, trying out table foods and weaning can leave many parents unsure about their little one’s nutrition. Starting good habits early helps set the stage for a lifetime of healthy eating.

Table talk
Healthy eating from the start Try some of these tips when starting solids:

  • Offer one new food at a time. Use single ingredient foods and wait a few days to watch for signs of allergy (rash, diarrhea, increased gas or fussiness) before
    trying another.
  • Start with rice cereal first and go through the grains available in your area. Veggies should be next, followed by fruits and then meats.
  • Limit juice, offer water if any other beverages are needed, such as during hot weather.
  • Use a rubber-tipped sppon to start. Don’t put cereal or food in your baby’s bottle. This can cause babies  to eat too fast, leading to overeating, and doesn’t teach them to eat solids.
  • Pay attention to cues that baby is full. Your baby may turn away from the spoon,
    lean backward or refuse to open his or her mouth. Resist trying to force
    another bite.
  • Keep trying new tastes and textures. At about 8 months, your baby’s probably ready for chunkier and coarser foods that require more chewing, such as mashed potatoes, yogurt, some dry cereals, light crackers, cottage cheese, shredded cheese, small pieces of chicken, ripe banana, well-cooked pasta and well-cooked or canned fruits and vegetables. You may also choose to fork-mash, cut up or grind whatever food the rest of the family is eating.
  • Always monitor for changes in behavior, skin and bowel patterns with dietary changes.

Making mealtimes work
During your child’s second year, his or her eating habits will evolve to be more like your own. Draw the high chair up to the table so he or she can join the rest of the family and try some of these strategies:

  • Establish a routine. Offer three meals and two to three snacks a day on a regular
    schedule so that your child learns to expect food at certain times.
  • Accept a missed meal. Toddlers may skip meals from time to time simply because they’re not hungry. Resist the temptation to keep offering something else. Don’t push food on a child who isn’t hungry.
  • Allow some control. Don’t make mealtimes a power struggle. You decide what healthy foods to offer, and your child decides which to eat, how much to eat and whether to eat at all.
  • Start the sippy cup. Offer whole milk (after age 1), breast milk, formula, water or
    juice in a trainer cup with a lid and spout. It may take several weeks before
    the cup becomes more than a new toy, but using a cup helps improve hand-to-mouth coordination and can pave the way for weaning.
  • Use whole milk. Continue to breastfeed if you wish, but if you use cow’s milk after
    age 1, opt for whole milk instead of lower-fat versions until age 2.
  • Be persistent with new foods. Children often need at least 10 exposures to a new
    food before they’ll accept it. So keep offering broccoli, peas or any other foods about which they may seem hesitant.
  • Limit sweets and empty calories. Little tummies can only hold so much, so serve foods packed with the nutrients they need.

Remember to set a good example. Your baby will develop and model many food preferences and habits after your own.

What’s off limits?
Remember to keep solid food items pea-sized or smaller and that not every food is suitable for young children. Avoid feeding:

  • Cow’s milk, eggs, citrus or honey before age 1
  • Peanuts, peanut butter, fish or shellfish before age 3
  • Choking hazards like whole grapes, hot dogs, hard candy, raisins, popcorn, raw carrots, nuts or large pieces of meat before age 3

If you have questions about what to feed your toddler, bring it up to your provider at your next Well Child visit. Proper nutrition is CRITICAL in these early years and can set your child up for a lifetime of good choices.

www.FortHealthCare.com/Integrated

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