Authors: Nancy Mohrbacher, Julie Stock, Edward Newton
ISBN-13: 9780912500928, ISBN-10: 0912500921
Format: Other Format
Publisher: La Leche League International
Date Published: January 2002
Edition: Third Revised Edition, Spiral bound
The Breastfeeding Answer Book offers complete and current information for those who help mothers breastfeed. Its easy-to-use format makes it practical for quick reference when a mother telephones with a breastfeeding question, yet its broad scope makes it a complete resource.
When La Leche League International introduced The Breastfeeding Answer Book in 1991, it was welcomed by breastfeeding counselors worldwide as the most complete and comprehensive guide to helping mothers find answers to their breastfeeding questions. This new edition, revised and expanded, covers even more breastfeeding situations. Complete and up-to-date references are included with every chapter along with suggestions of further reading for parents. LLLI's Center for Breastfeeding Information, the world's most extensive collection of research related to breastfeeding, was the primary source of scientific studies used for this comprehensive revision. All chapters have been carefully reviewed by members of LLLI's Health Advisory Council and other experts. The result is a complete guide to breastfeeding that can be used with confidence to help mothers establish and enjoy a satisfying breastfeeding relationship with their babies.
Foreword | xiii | |
Acknowledgements | xv | |
Introduction | xvii | |
1 | Giving Effective Breastfeeding Help | 1 |
Using Active Listening | 2 | |
Asking Questions | 3 | |
Giving Information and Suggestions | 5 | |
Respecting Differences among Mothers | 7 | |
Helping the Mother Work with Her Doctor | 11 | |
When Breastfeeding Doesn't Work Out | 13 | |
2 | The Breast and How it Works | 15 |
Breast Anatomy | 16 | |
Hormonal Influences | 18 | |
Other Physical Factors That Affect Milk Production | 19 | |
3 | Breastfeeding Basics | 25 |
Normal Breastfeeding Patterns | 26 | |
After a Cesarean Birth | 31 | |
During the Early Months | 36 | |
The Let-Down, or Milk-Ejection, Reflex | 41 | |
Common Questions | 43 | |
Breastfeeding in Emergency Situations | 54 | |
4 | Positioning, Latch-On, and the Baby's Suck | 63 |
Positioning | 64 | |
Latch-On--How the Baby Goes on to the Breast | 72 | |
The Baby's Suck | 79 | |
If Breastfeeding Hurts--Review the Basics | 98 | |
5 | Fussy at the Breast and Breast Refusal | 103 |
Determining the Cause | 104 | |
The Mother's Feelings | 105 | |
Asking Questions and Gathering Information | 106 | |
Fussy at the Breast | 107 | |
Breast Refusal | 135 | |
Persuading the Baby to Take the Breast | 138 | |
Refusal of One Breast | 140 | |
6 | Weight Gain | 147 |
Normal Growth Patterns | 148 | |
Slow Weight Gain in the Early Months | 150 | |
Slow Weight Gain in the Baby Older Than Three Months | 166 | |
Working with the Doctor and Supplementation | 171 | |
Rapid Weight Gain during the First Year | 174 | |
7 | Starting Solid Foods | 179 |
Determining a Baby's Readiness for Solids | 180 | |
How to Introduce Solids | 183 | |
What Foods to Offer | 185 | |
Foods to Avoid | 187 | |
Introducing the Cup | 188 | |
8 | Weaning | 191 |
The Mother's Feelings | 192 | |
Approaches to Weaning | 196 | |
If the Baby Refuses to Breastfeed | 205 | |
Physical Changes That Occur with Weaning | 205 | |
9 | Expression and Storage of Human Milk | 209 |
Choosing a Method of Expression | 210 | |
Basics of Milk Expression | 212 | |
Hand-Expression | 215 | |
Milk-Expression Strategies for Different Situations | 219 | |
Storage and Handling of Human Milk | 228 | |
10 | Employment and Breastfeeding | 237 |
The Mother's Feelings | 238 | |
Milk Expression | 243 | |
Home Strategies | 250 | |
Feeding Tips for the Baby's Caregiver | 252 | |
11 | Newborn Jaundice | 257 |
The Mother's Feelings | 258 | |
Causes of Newborn Jaundice and Elevated Bilirubin | 260 | |
Why and When Newborn Jaundice May Need Treatment | 265 | |
Treatment Options for a Jaundiced Baby | 267 | |
Helping the Mother Work with Her Baby's Doctor | 273 | |
12 | Prematurity | 279 |
The Mother's Feelings | 280 | |
The Advantages of Breastfeeding a Premature Baby | 282 | |
Building a Relationship between Mother and Baby | 283 | |
The Premie Weighing More Than 1500 Grams (3.3 lbs) | 287 | |
The Premie Weighing Less Than 1500 Grams (3.3 lbs) | 288 | |
The First Nursings | 302 | |
Working with Hospital Personnel | 312 | |
The First Weeks at Home | 315 | |
13 | Health Problems--Baby | 327 |
When the Baby Is III | 328 | |
Hospitalization of the Breastfed Baby | 338 | |
The Baby with a Chronic Illness or Physical Limitation | 343 | |
14 | Multiples--Breastfeeding Twins, Triplets, or More | 371 |
Reacting to the Idea of Having More Than One Baby | 372 | |
Advantages of Breastfeeding Multiples | 373 | |
Preparations during Pregnancy | 373 | |
Adjusting to Life with Multiples | 374 | |
Breastfeeding Basics for Multiple Babies | 375 | |
Mother Care for the Mother of Multiples | 380 | |
Breastfeeding Triplets, Quadruplets, and More | 382 | |
15 | Relactation and Induced Lactation | 385 |
Talk about Feelings, Goals, and Realistic Expectations | 386 | |
Relactation--Stimulating a Milk Supply | 390 | |
Induced Lactation--Stimulating a Milk Supply | 394 | |
Encouraging the Baby to Take the Breast | 399 | |
Making the Transition--How to Be Sure That Baby Is Getting Enough | 401 | |
16 | Pregnancy and Tandem Nursing | 405 |
Breastfeeding during Pregnancy | 406 | |
Tandem Nursing | 410 | |
17 | Sexuality, Fertility, and Contraception | 417 |
Breastfeeding and Sexuality | 418 | |
Breastfeeding, Fertility, and Contraception | 420 | |
18 | Nutrition, Weight Loss, Exercise, and Personal Grooming | 435 |
Nutrition for the Nursing Mother | 436 | |
Is Baby Reacting to a Food in the Mother's Diet? | 439 | |
Bone Density | 443 | |
The Vegetarian Mother | 444 | |
Fluids--Drink to Thirst | 445 | |
Weight Loss, Eating Disorders, and Obesity | 446 | |
Exercise | 448 | |
Personal Grooming | 449 | |
19 | Nipple Problems | 455 |
Sore Nipples | 456 | |
Treatment of Sore, Cracked, or Bleeding Nipples | 465 | |
Flat and Inverted Nipples | 470 | |
Teething and Biting | 478 | |
Thrush | 480 | |
Nipple Blisters and Sores | 484 | |
20 | Breast Problems | 491 |
Engorgement | 492 | |
Mastitis--Plugged Ducts and Breast Infections | 496 | |
Breast Abscess | 506 | |
Breast Lumps | 507 | |
Blood in the Milk | 509 | |
Deep Breast Pain | 510 | |
Breastfeeding after Breast Surgery or Injury | 515 | |
21 | Health Problems--Mother | 529 |
When Mother Is III | 530 | |
Specific Illnesses | 531 | |
When the Mother Is Hospitalized | 553 | |
Chronic Illness or Physical Limitation | 557 | |
Postpartum Depression | 570 | |
22 | Drugs, Vitamins, Vaccines, and Diagnostic Tests | 587 |
Prescription and Over-the-Counter Drugs | 588 | |
Substances of Concern | 597 | |
Substances of Abuse | 602 | |
Vitamin and Mineral Supplements for Babies | 604 | |
Vaccines | 607 | |
Diagnostic Materials and Tests | 608 | |
Supplements | ||
A | Transfer of Drugs and Other Chemicals into Human Milk | 619 |
B | The Use of Breast Pumps and Other Products | 633 |
Alternative Feeding Methods | 634 | |
Breast Pumps | 640 | |
Breast Shells | 650 | |
Creams, Ointments, and Hydrogel Products | 651 | |
Milk Storage Bags | 655 | |
Nipple Shields | 655 | |
Nursing Pads | 658 | |
Nursing Pillows and Footstools | 658 | |
Electronic Scales | 659 | |
Product Information | 659 | |
Appendix | ||
About La Leche League | 665 | |
Photo Credits | 669 | |
Index | 671 |