Antenatal Breastfeeding Class

Scarborough Health Network

• Mute or turn of All cellphones

• Complete the patient feedback at the end of the class . Let us know who referred you.

• Washrooms located outside the hallway to the left beside specialty clinic.

• Don’t be shy ask lots of questions

Scarborough Health Network (SHN) is on a journey to becoming “Baby Friendly Initiative”

SHN has very high standards on how we support mothers and families. We would help you:

• Make an informed decision on how to feed your baby.

• Get prepared with the best evidence & knowledge about breastfeeding.

• Get a good start to breastfeeding in the hospital.

• Feel supported as you continue to breastfeed your baby.

• Mom• Baby

Benefits of Breastfeeding

• Benefits• FrequencySkin to Skin

• Benefits • How to Hand expressionHand Expression

• Positioning • How to tell if it’s a good latchLatching

• In/Out• Stomach size

How to tell if your baby is getting enough

• Breast/nipple care• EngorgementCaring for the breast

Mom• Its convenient • Its Inexpensive • Right temperature• Always available • Controls Post-partum bleed • Lowers risk of uterine ovarian and

breast cancer • Helps control weight

Baby• Promotes bonding,• Decreases the risk of ear, chest

and stomach infections.• Decreases the risk of digestive

diseases,• such as Crohn’s disease and colitis• Prevents Diarrhea• Decreases SIDS• Promote proper jaw & tooth

development, • Promotes healthy brain

development

1. Benefits of breastfeeding

o Stabilizes heart rate and breathing

o Babies are warmer than when swaddled in blankets

o Higher blood glucose level o Increases breastfeeding

successo Improves moodo Partners can be involved!o https://med.stanford.edu/new

borns/professional-education/breastfeeding/breastfeeding-in-the-first-hour.html

•Benefits2. Skin-to-Skin

• Increases milk production!• Express a few drops of milk to get baby interested• Gently rub a few drops of milk onto your nipples to

prevent soreness• Soften your breasts near your nipples before latching

your baby• Make your breasts comfortable if they are full• Express milk if you are away from your baby

• Importance and reasons to hand express3. Hand Expressing Colostrum or Breastmilk

•How to hand expressHand Expressing Colostrum or Breastmilk

https://med.stanford.edu/newborns/professional-education/breastfeeding/hand-expressing-milk.html

•Many different positions4. Positions

Helping to latch:o Tummy to mommyo Face to breasto Nose to nipple

Latched well:o Breastfeeding will be

comfortableo Strong, slow, regular sucko Hear swallowingo Mouth wide open and flared

lips

• How to get a correct latch5. Latching

•Early feeding cuesa. Feeding Cues

•Mid feeding cuesb. Feeding Cues

•Late feeding cuesc. Feeding Cues

o Baby feeds often- at least 8 times every 24 hours

o Feeds with strong sucking and swallowing

o Plenty of wet and dirty diapers according to age

o Active and has a strong cry

o Wet, pink mouth and bright eyes

•Best start guidelines5. Getting Enough Milk?

Caring for the breast

Breast/nipple care

Some mothers may experience nipple or breast discomfort while breastfeeding. The most common cause is a poor latch.• Signs of sore nipples:• Pain usually begins 1 – 4 days after birth.• Pain may be worse at the start of feedings,

and then improve.• Nipples may appear pinched or misshaped

after feedings.• Nipples may be damaged or bleeding.

Swallowing blood from your nipples will not hurt your baby

Engorgementwhat is engorgement?: is swollen tender breast. It happens during the first week of breastfeeding, when your milk production starts to change from colostrum to milk. How to prevent engorgement• Breastfeed at least 8 times in 24 hours.• Make sure your baby is latched well and

feeding efficiently. You should hear your baby swallowing often.

• Always offer your baby both breasts at each feeding

• Cold compress. If fever develops, use Advil if no allergies.

• Massage your breast to encourage your milk to flow.

• Cold Cabbage leaves

Healthy Eating During Pregnancy

Eating well when you're pregnant helps you to:• Support the growth of your baby• Get the nutrients you and your baby

need• Have more energy• Control your blood sugar• Gain a healthy amount of weight• Have a healthy baby

Ensure you eat from the 5 food groups• Vegetables and legumes/beans.• Fruits• Grain (cereal) foods, mostly wholegrain

and/or high cereal fibre varieties.• Lean meats and poultry, fish, eggs, tofu,

nuts and seeds and legumes/beans.• Milk, yoghurt cheese and/or alternatives,

mostly reduced fat.

For more information on the Pre-natal breastfeeding classes or the hospital’s Breastfeeding Clinics:

Call: 416-438-2911, ext. 8241 at the General hospital, Interactive features of SHN’s BestFeeding App• Timers for women to log their baby’s feedings on each breast• A log that tracks the duration and amount of breast milk each time a

mother pumps her breasts. • Parents can log the number of wet and dirty diapers their baby has each

day• Additionally a ‘search’ feature provides the name and location of

breastfeeding clinics in Toronto.

Toronto Public Health Breastfeeding ClinicGeneral hospital o Monday to Friday

from 10-3pm no appointment necessary just register

o La Leche League Canada groups

•Community ResourcesHelp when Home

You’ve got questions we’ve got answers