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CLOSE THIS BOOKInfant Feeding in Emergencies: A Guide for Mothers (WHO, 1997, 48 p.)
VIEW THE DOCUMENT(introduction...)
VIEW THE DOCUMENTForeword
VIEW THE DOCUMENTIntroduction
VIEW THE DOCUMENTWhy is breastfeeding so important?
VIEW THE DOCUMENTAre commercially-made baby milks as good as breastfeeding?
VIEW THE DOCUMENTWhy are commercially-made baby milks not so good?
VIEW THE DOCUMENTBut can every woman breastfeed?
VIEW THE DOCUMENTBut why don't the experts tell us this if breastfeeding is so important?
VIEW THE DOCUMENTDo babies also need tea and water?
VIEW THE DOCUMENTWhen do babies need more than just breast-milk?
VIEW THE DOCUMENTSo a sick baby should go on breastfeeding?
VIEW THE DOCUMENTDo breastfed babies get fewer diseases?
VIEW THE DOCUMENTBut my friend's baby got ill and he was breastfed
VIEW THE DOCUMENTSo breastfeeding is like a medicine?
VIEW THE DOCUMENTPeople say that stress stops the milk, so during stressful times how can we breastfeed?
VIEW THE DOCUMENTWhat about women who have lost a lot of weight? Can they produce milk?
VIEW THE DOCUMENTDo we need special nutrition for breastfeeding?
VIEW THE DOCUMENTBut what about anaemic women? Does breastfeeding drain their strength?
VIEW THE DOCUMENTSomeone told me breastfeeding stopped you getting pregnant, but isn't that just a story?
VIEW THE DOCUMENTHow does breastfeeding work?
VIEW THE DOCUMENTWhat about women with small breasts or flat nipples?
VIEW THE DOCUMENTYou said the baby has a part too. What can he do?
VIEW THE DOCUMENTWhy is the baby's suckling-action important?
VIEW THE DOCUMENTHow does a baby stimulate the milk?
VIEW THE DOCUMENTThe first principle of breastfeeding: good attachment
VIEW THE DOCUMENTWhy does good attachment not always come naturally to the baby?
VIEW THE DOCUMENTWhy does the baby not always get this right?
VIEW THE DOCUMENTSometimes it is hard to get a baby close because he is swaddled and his clothing gets in the way
VIEW THE DOCUMENTEven if my baby attaches well, how can I be sure there will be enough milk?
VIEW THE DOCUMENTYou said earlier that milk changes during a feed. Can you explain that?
VIEW THE DOCUMENTBut I thought you must feed from both breasts?
VIEW THE DOCUMENTYou said earlier that confidence was important but not everyone has that. What can we do?
VIEW THE DOCUMENTI know women with breastfeeding problems. Can they be helped?
VIEW THE DOCUMENTMy mother told me that you always get sore nipples and you just have to put up with them
VIEW THE DOCUMENTWhat about special creams for sore nipples? How can we get them during an emergency?
VIEW THE DOCUMENTWith this baby-led feeding how can I be hygienic and wash my nipples?
VIEW THE DOCUMENTSo if I get my baby well-attached, I will never get sore nipples?
VIEW THE DOCUMENTYou say breastfeeding should not hurt, but what about the engorgement that every woman gets a few days after the birth?
VIEW THE DOCUMENTYou mentioned blocked ducts, mastitis and abscess. Are they common and how can we treat them?
VIEW THE DOCUMENTAll these problems make breastfeeding look too difficult
VIEW THE DOCUMENTYou said earlier that you can breastfeed even if you have stopped completely. How can this be done?
VIEW THE DOCUMENTFood supplies can be precarious. How can we feed the babies over 6 months who need more than breast-milk alone?
VIEW THE DOCUMENTWhat about premature or very small babies?
VIEW THE DOCUMENTI can see the reason for expressing milk for sick or premature babies, but must all women learn to express?
VIEW THE DOCUMENTHow do I express milk?
VIEW THE DOCUMENTI can see that breastfeeding is possible in most cases, but we still have to face the times when it is not possible: emergencies create orphans, abandoned babies and severely ill or wounded mothers
VIEW THE DOCUMENTIs it possible to feed a baby artificially without a bottle?
VIEW THE DOCUMENTHow do you cup-feed a baby?
VIEW THE DOCUMENTA final word

What about premature or very small babies?

As we said earlier, the more vulnerable the baby the more important it is he receives breast-milk. Breastfeeding is less stressful than bottle-feeding for a premature or small baby who can suckle.

If a baby is too premature or too weak to breastfeed, he can be tube fed with your expressed breast-milk. A cup can be safely used to feed a healthy pre-term baby from around 32 weeks gestation. Cups have several advantages over tubes. The baby controls his own intake and the contact with the expressed breast-milk may stimulate the digestive enzymes in his mouth. He is also held closely to be fed which is good for his development.

If a baby has to be tube-fed he can benefit from nuzzling at your breast. He will then learn to associate the smell and taste of your breast with a full stomach. You can express a little breast-milk directly into his mouth. Stay near your baby as much as you can. Express your milk as soon as possible after the birth. Express frequently, at least 6-8 times a day. However small the amount any breast-milk is valuable for your baby's progress. Some mothers of premature or low birth weight babies can produce sufficient breast-milk, others need to supplement, ideally with expressed breast-milk from other mothers.

It is important when feeding expressed breast-milk to ensure that the baby gets enough of the fat-rich hindmilk. This fattier milk is more likely to stick to the sides of the feeding tubes. Less fat is lost from cup feeding.

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