kangaroo care Archives - Nutmeg Consulting https://nutmegconsulting.ca/category/kangaroo-care/ Expert care for Birth, Babies & Breastfeeding Wed, 20 Apr 2022 13:40:44 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.2 https://nutmegconsulting.ca/wp-content/uploads/2017/01/cropped-Nutmeg-consulting-32x32.png kangaroo care Archives - Nutmeg Consulting https://nutmegconsulting.ca/category/kangaroo-care/ 32 32 145204435 How can you plan for birth when it’s so unpredictable? https://nutmegconsulting.ca/how-can-you-plan-for-birth/ Sat, 09 Apr 2022 01:08:22 +0000 https://nutmegconsulting.ca/?p=3169 Labour and birth are very unpredictable, and there will always be unknowns during the experience. Despite this, there are some elements of your birth experience that you can plan for!  I have put together a list of my Top 10 tips for things you CAN plan for, or learn about, to prepare for labour. #1 […]

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Labour and birth are very unpredictable, and there will always be unknowns during the experience. Despite this, there are some elements of your birth experience that you can plan for!  I have put together a list of my Top 10 tips for things you CAN plan for, or learn about, to prepare for labour.

#1 – Plan for the long haul:

Labour is not like it is in the movies, and is rarely the hectic race to the hospital that you usually see.  A lot of expecting parents don’t realize how long labour can be, and that much of it can be frankly, uneventful.

First time labour lasts an average of 12 – 24 hours, and early labour is the longest part of the process, but it’s also the easiest!  Contractions can be 10-20 minutes apart at first, irregular and not hard to deal with at all (and for some no more than the feeling of menstrual cramps). So, try to sleep if you can (you won’t miss it when things get more intense) because you need rest and energy to get through it!  Some of our clients don’t even tell anyone they’re in labour, because if you call family and friends as soon as labour starts, it can add an extra stress that you’re keeping others waiting, and impatient (although well meaning) texts and calls can be an extra stress for some parents.

#2 – Plan for packing:

Pack two bags: The first one is for you, during the birth. It will have snacks, drinks, a camera, a phone charger, comfy socks, etc. Essentially, anything your will need at for your own comfort during the birth.

The second bag is for after the baby is born. Things that the baby will need, like diapers and clothes, and things that you will need, like fresh clothes and other postpartum stuff like pads and giant underwear! Remember other great options like a breastfeeding pillow, and a pillow for sleeping (with a bright colour pillowcase so it doesn’t get left behind) are great to have! 

#3 – Plan for some pain: No matter what your plan is (epidural, bath, massage, moving or a cesarean), – learn about breathing, moving, massage, walking etc.  Things can move faster than you expect sometimes, and it’s important to know what to do in the meantime to manage contractions, even while you’re waiting for an epidural.  Check out our Private Labour & Birth Prep sessions if you feel unprepared! 

#4 – Plan for the unexpected: It’s a great idea to create a list of things that are important to you for your birth.  Many clients want help creating a Birth Plan, but we encourage people to make a Birth Wishes list (plans are made to be broken!) 

It’s important to remember that every birth is different, and we can do everything possible to be ready, and we still can’t control everything.  It’s helpful to go through all the options available when creating a list, because you can learn what is and isn’t something you care about.  Remember though, that the unexpected is possible, so learning about all possibilities can help everything feel less scary if or when it happens!

#5 – Plan for a Doula : No matter what kind of birth you’re hoping for, having a support person that is ONLY there to help you and your partner, who will patiently answer your questions, explain things that are confusing or new, and who will not change shift right when you need them most, can make a big difference for expecting parents.  Reducing  anxiety around pregnancy and birth, allowing you to relax and feel safe, heard and in control (as much as is possible) is a beautiful thing!  Get in touch if you’d like to meet with some of Nutmeg’s doulas!

#6 – Plan for “messy” : Learning as much as possible about what ACTUALLY happens to your body during labour/birth and in the first few weeks after birth is so important for healing.  Learning about everything from dealing with haemorrhoids, how much bleeding to expect, how to use ice packs, depends, and knowing what medications are safe, is so useful to allow your postpartum stage to be more pleasant and less stressful.  

#7 Plan to be tired:  People sometimes think I’m joking when I say they should sleep during labour, but I’m serious!  Labour can be long and this could be the last chance to sleep for a LONG while.  After baby is born, going to sleep whenever baby sleeps is worth it and so important for healing!  Learn about normal newborn behaviour, cluster feeding, why babies don’t want to be put down in the early weeks, and the fact that babies have their nights and the fact that babies have their days reversed for the first month, will help you know how to best cope with lack of sleep, and  you also won’t be worried that something is wrong when they’re doing these normal newborn behaviours!

#8 Plan for Breastfeeding: If you’re wanting to Breastfeed/Chestfeed or pump, it’s important to know that it’s not as natural as many people say.  Breastfeeding is a learned skill and it’s normal to need help.  If everyone knew that it’s really not supposed to hurt, you should be comfortable while feeding, what swallows look like and how to know when baby is getting enough milk, more people would reach their feeding goals!  Learn as much as possible about breastfeeding BEFORE baby arrives, to avoid problems from the start! 

#9 – Plan for needing help :  Get a list of resources in order so you will be ready to call in reinforcements when you need them!  Search out and ask for recommendations from other new parents to have these things on speed dial:

  • Food delivery, groceries or grandma
  • Doctor’s office
  • Lactation Consultant, Postpartum Doula
  • Dog walker, cloth diaper service

or anything else that you want to have ready to go to help you once baby is home.  Check out the Nutmeg Postpartum Planner for TONS of great checklists and guides!

#10 – Plan to love that baby!! Love will come, even if it’s not easy at first.  The practical day to day of a new baby is HARD, but it gets better.  For no logical reason you will take care of this baby, and love this baby, and it will be amazing.  Even if it’s not instant and overwhelming, it’s ok.  It will come, and  it is worth it!

To learn ALL the things:

Check out our on demand Baby care and Breastfeeding Prep Classes, our one-on-one Lactation Consultant sessions, Birth Doula Support options if you want more support during pregnancy, labour and birth, and our Postpartum Doula Visits are here if you need them after baby is born!

Remember to check out our new Postpartum Planner too, so you can feel even more ready and prepared for what comes after baby is born! 

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Preparing to breastfeed? 5 tips to avoid problems! https://nutmegconsulting.ca/preparing-to-breastfeed-5-tips-to-avoid-problems/ Wed, 09 Sep 2020 18:05:07 +0000 https://nutmegconsulting.ca/?p=2022 Top tips from a Lactation Consultant and Registered Nurse to help you prepare to brestfeed, and avoid problems!

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How exactly does one prepare to breastfeed or chestfeed?  Shouldn’t it just be natural?

Do you feel ready to breastfeed? Did you know there are things you can do BEFORE baby is born that will help you be more prepared?

First, what have you heard about breastfeeding / chestfeeding?  Is it natural, healthy, convenient and free?   Sure, Public health flyers will remind you all about that.  But what about painful, exhausting, hard and stressful?  You don’t see that on any posters, but that’s what many expectant parents hear from their friends! 

Well, which is it?  Is it a calm, enjoyable bonding experience or a gauntlet of pumps, cracked nipples and babies with excess weight loss?

Honest answer?  It can be both.

It is very common to have at least a few struggles with breastfeeding, especially in the first week.

Whether it’s a painful latch, a sleepy baby, constant crying or someone telling you that baby isn’t getting enough milk.  There are lots of challenges you might encounter, because most of us didn’t grow up in a village where everyone was topless and sat around a fire feeding their babies all day.  If we had, more of us would find breastfeeding/chestfeeding natural, instinctive and easy. But for many, it’s not.  

Feeding your newborn is something you need practice, information, support, and time to get good at.  Also, there are some great tricks that can make a big difference if you know about them ahead of time, so you can know what to expect and what to try before any trouble starts!

Learning about breastfeeding BEFORE your baby is born, is actually very helpful, although there’s nothing like the real thing when it comes to actually practicing latch, and holding a real-live baby!  Knowing what is normal (like REALLY frequent feeding so baby can tell your body how much milk to make) and what it’s supposed to feel like (it’t NOT supposed to hurt!) are really good to know ahead of time.  Trying to Google “what is clusterfeeding” or “How to breastfeed a sleepy baby” after 30 hours labour is not as much fun as you might think!

Seriously, SO MANY issues that people have with breastfeeding stem from not knowing what to expect, how to prevent nipple pain, and what to do if baby is not latching, is too sleepy to feed well, or when baby is losing too much weight… learning all the ins and outs ahead of time can prevent may of these issues!

Here are some of my TOP TIPS to get you started….

1. Learn about Hand Expression 

If there is ANY reason a baby is having trouble breastfeeding in the first few days after birth, hand express your colostrum every 2-3 hours for 10-15 minutes.  You might only get a few drops but it signals your body that you’re still ‘IN’ for becoming a breastfeeder and that you would like to request a great milk supply even if baby isn’t feeding well right now.  

We can figure a lot of things out later on about a deep latch, nipple comfort, sleepy baby and excess weight loss if your body is reminded to continue making milk.

2. Spoons are made for babies too!

If your baby isn’t able to get colostrum out of your breast the ‘usual’ way because he’s tongue-tied, sleepy, it hurts you or he just won’t latch, then use a spoon!  

First, read #1 …..  Now hand express right into a spoon & give it to the baby! Spoons are easy to use, hold small amounts (which is usually all newborns need anyway….seriously!) and you can express your thick colostrum right into it so you don’t lose your 3 precious drops in the pump valve thingy!

3. Take off your shirt and hold your naked baby!

This one seems simple and obvious once you learn about how much ‘skin-to-skin holding’ can improve breastfeeding outcomes.  Most parents however, think they’re supposed to immediately put their new baby in all the cute outfits and hats they’ve had washed and waiting for this moment. I don’t blame you, that outfit IS super cute, BUT if your baby is having trouble waking up, calming down, latching, or is cold, I promise that the science here is right.  Your chest is the place to be.  Put your feet up, get comfy and hold your baby.  

4. Keep trying, and get help.
Ask for help, ask for more help, then if you still need help, find different help. (Yes, I do LIVE private virtual sessions ANYWHERE!)

5. We recommend that all our pregnant clients take this on-demand, online Breastfeeding Prep class :

“How to Breastfeed” from our Virtual Academy! 

(use code NUTMEGMOM50 any time to get 50% off!!)

This Breastfeeding Prep course will teach you

* how to sit * how to hold * how to latch * how to know if baby is getting enough milk… and what to do if they aren’t * what to expect in the first few days * how to avoid nipple pain * how to get a great milk supply * what to do with a sleepy baby * what to do if baby won’t latch

…. and how to get breastfeeding off to a great start!!

Breastfeeding takes practice.  Learning about what to expect in REAL life can make a big difference in your confidence.  The sooner you find help the better, but even if things aren’t perfect right from the start, try these things and reach out! Your breastfeeding career really can continue almost always with the right information, if you are a bit stubborn, and just a little bit lucky.

Angela Grant Buechner, BA, BScN, RN, IBCLC is a Registered Nurse • Lactation Consultant • Birth Doula • Postpartum Doula • Newborn Care Specialist • Educator in Toronto offering LIVE virtual support sessions worldwide!

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How Kangaroo Care Gives the Smallest Babies the Best Chance https://nutmegconsulting.ca/how-kangaroo-care-gives-the-smallest-babies-the-best-chance/ Tue, 17 Nov 2015 14:43:10 +0000 https://nutmegconsulting.ca/?p=827 November 17th – WORLD PREMATURITY DAY! Kangaroo Care, also known as skin-to-skin, helps give even the smallest of premature babies a better chance at life. This is why: It’s something that no expectant parent can prepare for. Most parents won’t even let themselves think it could happen …. never, no…not to them and their baby-to-be. […]

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November 17th – WORLD PREMATURITY DAY!

Kangaroo Care, also known as skin-to-skin, helps give even the smallest of premature babies a better chance at life.

This is why:

It’s something that no expectant parent can prepare for. Most parents won’t even let themselves think it could happen …. never, no…not to them and their baby-to-be. Luckily, most will never know how it feels to have a premature baby in the Neonatal Intensive Care Unit (NICU). Most mothers will never give birth to a micro preemie born at the cusp of viability. Most people will never know what it’s like to have their baby born too soon, but for many parents it will become a reality.

Premature birth is a global issue and the numbers are alarming. Worldwide, an estimated 15 million babies are born preterm every year. That is more than 1 in 10 babies. The numbers are similar in Canada where currently, 1 out of every 12 babies is born prematurely.

The good news is that treatment and care for premature infants continue to improve. Neonatal intensive care units across the country have adopted new standards of care that have resulted in better survival rates. The simple power of touch is proving to be one of the most effective methods.

THE POWER OF TOUCH

What could be more natural than a mother holding her ‪‎newborn baby skin-to-skin close to her chest? As a neonatal nurse, I have been fortunate to help facilitate this moment hundreds of times. Known as Kangaroo Care for premature infants, this powerful interaction of mother and child benefits babies in more ways than we think. Holding your baby skin-to-skin during the first moments of life is an opportunity to shape your baby’s overall health, and it is one of the most beneficial things that a mother can do for her newborn baby.

Why is touch so vitally important? Touch is one of the first senses to develop while the baby is still in the womb (between 7-8 weeks gestation). From their earliest weeks, babies depend on touch for exploring their world. There are many medical benefits too.

BENEFITS FOR BABY

Research on Kangaroo Care shows that it helps babies in the NICU regulate their heart rate, breathing and temperature, improve head circumference, growth and weight gain. It also helps stabilize baby’s organ function and self-regulation abilities, experience less pain and less crying, facilitate better sleep patterns and improves breastfeeding outcomes. Research shows that skin-to-skin time with parents is calming, which positively impacts their brain and emotional development, and it can even shorten a preterm baby’s hospital stay.

CAN I REALLY DO SKIN-TO-SKIN WITH MY TINY PREMATURE BABY?

Depending on your baby’s condition, Kangaroo Care can begin immediately after delivery or start once your baby is more stable. Even very small babies with major health issues can benefit from short sessions. Once baby is stabilized, sessions should be at least an hour (NICU policies vary). Your baby’s health care team will give advice about when your baby is ready for Kangaroo Care and will help you prepare.

HOW WILL SKIN-TO-SKIN CONTACT HELP ME WITH BREASTFEEDING?

Holding your baby skin-to-skin can help trigger the release of the hormones that can help to increase your breastmilk supply. During skin-to-skin contact your baby is close to his food. He can see and smell your skin and nipple/areola and this encourages him when it’s time to start breastfeeding.

PRACTICING SAFE SKIN-TO-SKIN

Here are a few tips I use to help parents safely practice skin-to-skin holding while in the NICU and after they go home. These can also be adapted for a full term baby.

  • Find a comfortable place to sit. Kangaroo Care requires a comfortable chair with several pillows for support to help position the baby. Mom should be in a reclined and relaxed position. Being inclined helps to ensure that baby’s airway stays open so breathing is not affected.
  • Undress your baby down to the diaper and place him directly on your bare chest, vertically between your breasts. In the NICU babies are often cared for in a warm incubator so they are already undressed and ready for skin-to-skin! Your nurse will help you carefully position wires and tubes.
  • Cover baby with a blanket or consider using a wrap like SleepBelt for added support. In our NICU we now provide a SleepBelt for parents during skin-to-skin holding sessions, which helps securely position your baby on your belly, while also maintaining warmth and privacy. SleepBelt has a soft, stretchy fabric that mimics the womb, so even the smallest of babies can be comfortable and secure. It doesn’t have complicated buckles, knots or straps and doesn’t interfere with medical tubing or wires, and has been used in NICU’s on babies as small as 1000g. SleepBelt can also be a terrific hospital bag item for parents with full-term babies because it enables a hands-free, and safer skin-to-skin experience (I used one myself!)
  • Practice skin-to-skin for as long as possible and as frequently as possible during the post-partum period. You can enjoy skin-to-skin contact as soon as the NICU staff feel it is safe. I encourage families to practice skin-to-skin for an uninterrupted 60 minutes, as much and as often as possible, during the first 12 weeks and beyond; even once they are able to take their babies home
  • Get dad involved too. Kangaroo Care can empower dads so they also feel like a significant person in their infant’s life. Babies love skin-to-skin holding with Dads and partners too!

Parents often tell me how helpless they feel while their baby is in the NICU. I always tell them that participating in Kangaroo Care means they are giving their baby the best care possible.

Also published on the Yummy Mummy Club Online!

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