jaydensmum
hey all, my baby was born 3 weeks ago but he is in intensive care because he was premature, and all the while i have been expressing milk and taking it to the hospital every day, the first week was fine i had plenty of milk coming out even though the doctors werent giving him milk then, but in the last couple of weeks it has badly dwindled down, i think some of its due to stress, also i dont quite make the 8 times a day due to travelling back and forth, im really stressing now so does anyone know anything i can do to get a good supply going again? i cant hold my baby because hes in an incubator so i dont even remember his scent, also i drink plenty of water and eat good.
to insert nickname, i can hold him in a few weeks but his gestations only 27 weeks and the doctors dont think hes well enough or big enough not sure which
Answer
Where do you live? Honestly I am aghast that you can't hold your baby.=, even at 27 weeks gestational age.
I'm also concerned that they aren't using your milk.
http://en.wikipedia.org/wiki/Kangaroo_care
Kangaroo care is a way of holding a preterm or full term infant so that there is skin-to-skin contact between the infant and the person holding it. The baby, wearing only a diaper, is held against the parent's bare chest. Kangaroo care for preterm infants is typically practiced for two to three hours per day over an extended time period in early infancy. With babies who are medically stable, there is no maximum duration for kangaroo care, some parents may keep their babies in-arms for many hours per day.
[...]
Originally babies who were eligible for kangaroo care were pre-term infants, less than 1500 grams, and breathing on their own. Cardiopulmonary monitoring, oximetry, supplemental oxygen or nasal continuous positive airway pressure (CPAP) ventilation, intravenous infusions, and monitor leads do not prevent kangaroo care. In fact, babies who are in kangaroo care tend to be less prone to apnea and bradycardia and have stabilization of oxygen needs. (London, Ladewig, Ball & Bindler, 2006; Robles, 1995).
During the early 1990âs, the concept was advocated in North America for premature babies in NICU and later for full term babies. Research has been done in developed countries but there is a lag in implementation of kangaroo care due to ready access of incubators and technology. In developing countries, the advantages of
http://www.ncbi.nlm.nih.gov/pubmed/2054424
Kangaroo care for preterm infants has great benefits for the parents and for the parent-infant bonding process. A clinical observational study was conducted in which several physiological variables were collected, including among others transcutaneous oxygen pressure, heart rate, respiratory rate, occurrence of apneic attacks, breathing pattern (studied with power spectrum analysis), behavioral states and rectal temperature, during kangaroo care in small preterm infants. Kangaroo-care did not significantly affect any of these physiological variables comparing the period of 1 h before, 1 h during and 1 h after kangaroo care. We conclude that kangaroo care is a safe method, even for very small nonstabilized preterm infants.
http://www.kellymom.com/bf/supply/maintainsupply-pump.html
How much milk should mom be pumping if baby is not nursing?
* Aim for pumping 750-800 mL (25-27 oz) per day by 7-10 days postpartum. If you have twins or higher order multiples, aim for pumping 800-950 mL (27-32 oz) by 14 days postpartum.
* It's useful to evaluate mom's 24 hour pumping output at 10 days. If supply is borderline (350-500 ml / 11-17 oz) or low (less than 350 ml / 11 oz), then galactagogues (prescription meds or herbs to increase supply) or other interventions should be considered.
* The research tells us that milk production at 2 weeks is an indicator of breastfeeding outcome, so it is important to get a good start. Even if milk production doesn't start out well, however, don't get discouraged--many moms will see an increase (even as late as 9-15 weeks after birth) if they continue with regular pumping.
How often should mom pump?
* 8-10 times per day: Until supply is well established, it is important to get at least eight good nursing and/or pumping sessions per 24 hours. Ten sessions per day is better, particularly if you have twins or higher order multiples.
* These sessions don't need to be evenly spaced, but you should be nursing/pumping at least once during the night in the first few months or anytime you notice a decrease in supply. Avoid going longer than 5-6 hours without pumping during the first few months.
* When pumping during the night, milk yield tends to be better if you pump when you naturally wake (to go to the bathroom or because your breasts are uncomfortably full) than if you set an alarm to wake for pumping.
* If you are having a hard time getting in enough pumping sessions, adding even a short pumping session (increasing frequency even if milk is not removed thoroughly) is helpful.
How long should mom pump at each pumping session?
* If baby does not nurse at all:
o The first few days, before mom's milk comes in, hand expression is often the most effective way to express colostrum. Double pump for 10-15 minutes per session for additional stimulation.
o Once mom's milk is in, pump for 30 minutes per session, or for 2-5 minutes after the last drops of milk.
* If baby nurses but does not soften the breast well
o Double pump for 10-15 minutes after nursing.
* Empty the breast as thoroughly as possible at each session. To ensure that the pump removes an optimum amount of milk from the breast, keep pumping for 2-5 minutes after the last drops of milk. Use breast massage prior to pumping, and massage and compressions during pumping to better empty the breasts and increase pumping output.
Additional tips
* Rest & relax as much as possible.
* Skin-to-skin (Kangaroo care) can make a significant difference in pumping output.
* If double pumping is difficult to coordinate in the beginning, then single pump, alternating sides. Move to double pumping as soon as you can.
* Avoid any medications that might interfere with milk supply (hormonal birth control, pseudoephedrine, ethanol/alcoholic beverages, bromocriptine, ergotamine, cabergoline)
* If supply is not increasing as expected by 7-10 days after birth, consider the use of galactagogues. Fenugreek, metoclopramide (Reglan) or domperidone (Motilium) can be helpful for increasing milk supply.
========
Expressions
thoughts and advice on breastfeeding...increasing your supply
http://home.vicnet.net.au/~earlyed/oct/oexpress.htm
Most books on breastfeeding are woefully inadequate in their coverage of the special needs of premature babies, and when they do the common line is : if you keep pumping your supply WILL increase. This is just not always true. The information presented for premature babies is lackluster at best. Very few of the books mention in any detail the stress and the supply problems one might encounter. Those books that do have sections on premature babies only focus on "successes" and that is highly subjective. This adds to the guilt and frustration when try what you may, you can not get supply to equal demand.
[...]
A common solution is to turn to the NICU unit nurses or to various lactation specialists. If you seek the advice of one, you should make sure the specialist is well versed with preemie nursing. Supporting a breastfeeding preemie mom is NOT the same as supporting a full termer..and suggestion that might work for a FT could be dangerous for a preemie.
Many of the mothers on the list responded that when they were pumping, they become almost obsessed with the amount of milk they pump..and to see this amount go down often leads to additional feelings of failure.
"I still regret not being able to keep up my supply. I would cry after leaving the pumping rooms with other moms who pumped TONS in � the time. " (Kerry, preemie mom)
Many times, the milk supply WILL increase to meet the babies needs once you are actually able to nurse (alas not always) but there are some things that you can do to try to increase your milk supply while you are still pumping:
=============
Laura's Pumping Page
http://www.deleons.com/Pumping_info/index.htm
=========
http://groups.yahoo.com/group/epers/
This group is purely for mothers who have to exclusively express milk for their babies.
This group is not for mothers who choose to pump exclusively; nor is it for mums who pump part-time and nurse part-time. It is only for mothers of babies who are completely unable to nurse
=========
http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/hrnewborn/notenuff.html
When milk production is delayed or not enough:
A delay in the time when milk "comes in" sometimes occurs after the birth of a high-risk baby. Also, it is not unusual to experience a drop in the amount being pumped after several weeks. A drop may be gradual or it may occur suddenly.
Do not wait to get help if milk production is ever a concern. The sooner you intervene, the better. Ask a certified lactation consultant (IBCLC - International Board of Certified Lactation Consultants), your baby's nurse, physician, or a breastfeeding support leader to help you figure out what might be affecting milk production if:
* you are not producing a daily total of at least 16 ounces (about 470 ml) of milk by seven to 10 days postpartum.
* you begin obtaining less and less milk each day for three or four consecutive days.
* the daily total dips below 12 or 13 ounces (350 to 400 ml) for more than two or three consecutive days.
Possible causes for delayed or low milk production:
Infrequent or insufficient breast pumping (milk removal) is the most common reason for a delay in the time when the milk "comes in," for insufficient milk production, or for any drop in milk production. A review of the number and length of pumping sessions should always be first thing you do if you are ever concerned about milk production.
It is easy to fall into the trap of letting more and more time pass between pumping sessions when recovering from birth and visiting the baby in the NICU. Also, a mother may initially obtain more milk quickly when several hours pass between pumping sessions. However, without frequent and effective milk removal, the breasts soon get the message to slow milk production. Within a day or two, a mother who pumps less and less often will start producing less milk.
(See article)
http://www.kellymom.com/newman/12more_bf_myths.html#9
9. Premature babies
Where do you live? Honestly I am aghast that you can't hold your baby.=, even at 27 weeks gestational age.
I'm also concerned that they aren't using your milk.
http://en.wikipedia.org/wiki/Kangaroo_care
Kangaroo care is a way of holding a preterm or full term infant so that there is skin-to-skin contact between the infant and the person holding it. The baby, wearing only a diaper, is held against the parent's bare chest. Kangaroo care for preterm infants is typically practiced for two to three hours per day over an extended time period in early infancy. With babies who are medically stable, there is no maximum duration for kangaroo care, some parents may keep their babies in-arms for many hours per day.
[...]
Originally babies who were eligible for kangaroo care were pre-term infants, less than 1500 grams, and breathing on their own. Cardiopulmonary monitoring, oximetry, supplemental oxygen or nasal continuous positive airway pressure (CPAP) ventilation, intravenous infusions, and monitor leads do not prevent kangaroo care. In fact, babies who are in kangaroo care tend to be less prone to apnea and bradycardia and have stabilization of oxygen needs. (London, Ladewig, Ball & Bindler, 2006; Robles, 1995).
During the early 1990âs, the concept was advocated in North America for premature babies in NICU and later for full term babies. Research has been done in developed countries but there is a lag in implementation of kangaroo care due to ready access of incubators and technology. In developing countries, the advantages of
http://www.ncbi.nlm.nih.gov/pubmed/2054424
Kangaroo care for preterm infants has great benefits for the parents and for the parent-infant bonding process. A clinical observational study was conducted in which several physiological variables were collected, including among others transcutaneous oxygen pressure, heart rate, respiratory rate, occurrence of apneic attacks, breathing pattern (studied with power spectrum analysis), behavioral states and rectal temperature, during kangaroo care in small preterm infants. Kangaroo-care did not significantly affect any of these physiological variables comparing the period of 1 h before, 1 h during and 1 h after kangaroo care. We conclude that kangaroo care is a safe method, even for very small nonstabilized preterm infants.
http://www.kellymom.com/bf/supply/maintainsupply-pump.html
How much milk should mom be pumping if baby is not nursing?
* Aim for pumping 750-800 mL (25-27 oz) per day by 7-10 days postpartum. If you have twins or higher order multiples, aim for pumping 800-950 mL (27-32 oz) by 14 days postpartum.
* It's useful to evaluate mom's 24 hour pumping output at 10 days. If supply is borderline (350-500 ml / 11-17 oz) or low (less than 350 ml / 11 oz), then galactagogues (prescription meds or herbs to increase supply) or other interventions should be considered.
* The research tells us that milk production at 2 weeks is an indicator of breastfeeding outcome, so it is important to get a good start. Even if milk production doesn't start out well, however, don't get discouraged--many moms will see an increase (even as late as 9-15 weeks after birth) if they continue with regular pumping.
How often should mom pump?
* 8-10 times per day: Until supply is well established, it is important to get at least eight good nursing and/or pumping sessions per 24 hours. Ten sessions per day is better, particularly if you have twins or higher order multiples.
* These sessions don't need to be evenly spaced, but you should be nursing/pumping at least once during the night in the first few months or anytime you notice a decrease in supply. Avoid going longer than 5-6 hours without pumping during the first few months.
* When pumping during the night, milk yield tends to be better if you pump when you naturally wake (to go to the bathroom or because your breasts are uncomfortably full) than if you set an alarm to wake for pumping.
* If you are having a hard time getting in enough pumping sessions, adding even a short pumping session (increasing frequency even if milk is not removed thoroughly) is helpful.
How long should mom pump at each pumping session?
* If baby does not nurse at all:
o The first few days, before mom's milk comes in, hand expression is often the most effective way to express colostrum. Double pump for 10-15 minutes per session for additional stimulation.
o Once mom's milk is in, pump for 30 minutes per session, or for 2-5 minutes after the last drops of milk.
* If baby nurses but does not soften the breast well
o Double pump for 10-15 minutes after nursing.
* Empty the breast as thoroughly as possible at each session. To ensure that the pump removes an optimum amount of milk from the breast, keep pumping for 2-5 minutes after the last drops of milk. Use breast massage prior to pumping, and massage and compressions during pumping to better empty the breasts and increase pumping output.
Additional tips
* Rest & relax as much as possible.
* Skin-to-skin (Kangaroo care) can make a significant difference in pumping output.
* If double pumping is difficult to coordinate in the beginning, then single pump, alternating sides. Move to double pumping as soon as you can.
* Avoid any medications that might interfere with milk supply (hormonal birth control, pseudoephedrine, ethanol/alcoholic beverages, bromocriptine, ergotamine, cabergoline)
* If supply is not increasing as expected by 7-10 days after birth, consider the use of galactagogues. Fenugreek, metoclopramide (Reglan) or domperidone (Motilium) can be helpful for increasing milk supply.
========
Expressions
thoughts and advice on breastfeeding...increasing your supply
http://home.vicnet.net.au/~earlyed/oct/oexpress.htm
Most books on breastfeeding are woefully inadequate in their coverage of the special needs of premature babies, and when they do the common line is : if you keep pumping your supply WILL increase. This is just not always true. The information presented for premature babies is lackluster at best. Very few of the books mention in any detail the stress and the supply problems one might encounter. Those books that do have sections on premature babies only focus on "successes" and that is highly subjective. This adds to the guilt and frustration when try what you may, you can not get supply to equal demand.
[...]
A common solution is to turn to the NICU unit nurses or to various lactation specialists. If you seek the advice of one, you should make sure the specialist is well versed with preemie nursing. Supporting a breastfeeding preemie mom is NOT the same as supporting a full termer..and suggestion that might work for a FT could be dangerous for a preemie.
Many of the mothers on the list responded that when they were pumping, they become almost obsessed with the amount of milk they pump..and to see this amount go down often leads to additional feelings of failure.
"I still regret not being able to keep up my supply. I would cry after leaving the pumping rooms with other moms who pumped TONS in � the time. " (Kerry, preemie mom)
Many times, the milk supply WILL increase to meet the babies needs once you are actually able to nurse (alas not always) but there are some things that you can do to try to increase your milk supply while you are still pumping:
=============
Laura's Pumping Page
http://www.deleons.com/Pumping_info/index.htm
=========
http://groups.yahoo.com/group/epers/
This group is purely for mothers who have to exclusively express milk for their babies.
This group is not for mothers who choose to pump exclusively; nor is it for mums who pump part-time and nurse part-time. It is only for mothers of babies who are completely unable to nurse
=========
http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/hrnewborn/notenuff.html
When milk production is delayed or not enough:
A delay in the time when milk "comes in" sometimes occurs after the birth of a high-risk baby. Also, it is not unusual to experience a drop in the amount being pumped after several weeks. A drop may be gradual or it may occur suddenly.
Do not wait to get help if milk production is ever a concern. The sooner you intervene, the better. Ask a certified lactation consultant (IBCLC - International Board of Certified Lactation Consultants), your baby's nurse, physician, or a breastfeeding support leader to help you figure out what might be affecting milk production if:
* you are not producing a daily total of at least 16 ounces (about 470 ml) of milk by seven to 10 days postpartum.
* you begin obtaining less and less milk each day for three or four consecutive days.
* the daily total dips below 12 or 13 ounces (350 to 400 ml) for more than two or three consecutive days.
Possible causes for delayed or low milk production:
Infrequent or insufficient breast pumping (milk removal) is the most common reason for a delay in the time when the milk "comes in," for insufficient milk production, or for any drop in milk production. A review of the number and length of pumping sessions should always be first thing you do if you are ever concerned about milk production.
It is easy to fall into the trap of letting more and more time pass between pumping sessions when recovering from birth and visiting the baby in the NICU. Also, a mother may initially obtain more milk quickly when several hours pass between pumping sessions. However, without frequent and effective milk removal, the breasts soon get the message to slow milk production. Within a day or two, a mother who pumps less and less often will start producing less milk.
(See article)
http://www.kellymom.com/newman/12more_bf_myths.html#9
9. Premature babies
Using food colour to dye hair?
Ellie
I am dying my hair a pastel blue, with food colouring, but is there any kind a should do? And what way works the best to make it stay in the longest?
I've tried to use pale blue hair dyes, and they only tint my hair (my hair is stripped, and very blonde)
I've also tried to dye it with food colouring and conditioner, but it hasn't done anything?
Any ideas?
Also, could I know what kind of food die I should use? I've used Dr. Oetker blue food colouring with white conditioner, but it hasn't done anything? (It washed out as soon as I got in the shower)
if you're not going to read the question, and just type that i should use kool aid, please don't answer:)
I don't want it to be permanent, I want it to only last for around 2 weeks. I am not dying my hair again, it has been ruined enough from dying in the past- and food dye doesn't have chemicals in that can kill your hair.
Answer
Kool-Aid for Red head or Brunette:
Mix the Kool-Aid powder with a small amount of warm water, 4-6 ounces of cranberry juice and 5 pumps shampoo. Apply the mixture to newly shampooed hair, and let it sit for 5 minutes, rinse, and condition then blow dry, says Garren a master hairstylist.
Know your school policy mandating a "natural color, brown, blond, black, natural red/auburn, blue." before dyeing your hair pink, for example: 3-21-12 "Honor Student Banned from School for Pink Hair." a 6th grader who was rewarded for getting good grades.
Red hair gets 13-year-old suspended KCTV-5 Posted: Apr 12, 2012 8:13 PM PDT Updated: Apr 13, 2012 4:01 AM PDT
Recently from YA HAIR: "I have red tips on my fringe, I got in trouble at school and they want it out by tomorrow."
And another: "I dyed it purple. It was supposed to wash out after about a month. Now, many months later, it's still there. And it looks really stupid because it's grown out about three or four inches from my roots. I'm also not suppose dot have it at my job. I've tried dying my hair the same color as my natural hair color but that didn't work."
Three Somerset High School seniors learned the hard way that there are limits to showing their support for Breast Cancer Awareness Month by wearing pink. The teens were asked to leave the campus or sit in suspension when they showed up with pink hair. The teens said they were just trying to support one of their teachers.
HOT PINK ROOTS?
i dyed my hair with loreal hicolor hilights magenta hair dye yesterday and ended up with hot hot hot pink roots and barely red hair?!?! i did it like i was doing a root touch up so i worked roots down, that was my mistake. now i have hot ppink roots omg. HELP!!!!!! what color can i use to make my whole head the color of ariana grande ah help i neeed to even this out
Example: I died my hair about 2 months ago and it hasnt faded, i used aussie shampoo and conditioner.
Semi-permanent or permanent USUALLY takes up to 28 washings or months, some brands takes 2 washings for semi-perm., depends on the brand really.
Example: GREELEY â Ariel Davila was asked to leave Brentwood Middle School in Greeley on Monday when she showed up with blue hair, which is a violation of school dress code directly related to gang colors.
Her parents were okay with the blue hair, and they say they are now upset her daughter is being punished for self-expression.
The school handbook includes a section on dress code that specifically refers to blue and red.
And another: Utah 15-year-old suspended after dying her hair a âdistractingâ red
Rylee MacKay learned last week she was in violation of a Hurricane Middle School policy that hair âshould be within the spectrum of color that grows naturally." 2-12-13
Kool-Aid for Red head or Brunette:
Mix the Kool-Aid powder with a small amount of warm water, 4-6 ounces of cranberry juice and 5 pumps shampoo. Apply the mixture to newly shampooed hair, and let it sit for 5 minutes, rinse, and condition then blow dry, says Garren a master hairstylist.
Know your school policy mandating a "natural color, brown, blond, black, natural red/auburn, blue." before dyeing your hair pink, for example: 3-21-12 "Honor Student Banned from School for Pink Hair." a 6th grader who was rewarded for getting good grades.
Red hair gets 13-year-old suspended KCTV-5 Posted: Apr 12, 2012 8:13 PM PDT Updated: Apr 13, 2012 4:01 AM PDT
Recently from YA HAIR: "I have red tips on my fringe, I got in trouble at school and they want it out by tomorrow."
And another: "I dyed it purple. It was supposed to wash out after about a month. Now, many months later, it's still there. And it looks really stupid because it's grown out about three or four inches from my roots. I'm also not suppose dot have it at my job. I've tried dying my hair the same color as my natural hair color but that didn't work."
Three Somerset High School seniors learned the hard way that there are limits to showing their support for Breast Cancer Awareness Month by wearing pink. The teens were asked to leave the campus or sit in suspension when they showed up with pink hair. The teens said they were just trying to support one of their teachers.
HOT PINK ROOTS?
i dyed my hair with loreal hicolor hilights magenta hair dye yesterday and ended up with hot hot hot pink roots and barely red hair?!?! i did it like i was doing a root touch up so i worked roots down, that was my mistake. now i have hot ppink roots omg. HELP!!!!!! what color can i use to make my whole head the color of ariana grande ah help i neeed to even this out
Example: I died my hair about 2 months ago and it hasnt faded, i used aussie shampoo and conditioner.
Semi-permanent or permanent USUALLY takes up to 28 washings or months, some brands takes 2 washings for semi-perm., depends on the brand really.
Example: GREELEY â Ariel Davila was asked to leave Brentwood Middle School in Greeley on Monday when she showed up with blue hair, which is a violation of school dress code directly related to gang colors.
Her parents were okay with the blue hair, and they say they are now upset her daughter is being punished for self-expression.
The school handbook includes a section on dress code that specifically refers to blue and red.
And another: Utah 15-year-old suspended after dying her hair a âdistractingâ red
Rylee MacKay learned last week she was in violation of a Hurricane Middle School policy that hair âshould be within the spectrum of color that grows naturally." 2-12-13
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