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The first few days of motherhood Mum's changes

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Transcript

So the hospitals day, so as you know, you'll be in hospital for four hours, six hours a day, or five to seven days. And this really depends on the hospital that you've booked in. I find the public system these days is sending new moms home with great support after four to six hours or within 24 hours. So a lot of this stuff that I'm going through with you you might be doing at home. If not, you'll be in hospital. And so you will have access to midwives coming into the all the time.

It's hard. I guess it's about funding and look, we can walk on all day about funding and how long should you be in and I guess you just have to make peace with what you've got. And staying in hospital doesn't necessarily give you a better outcome. I guess one of the real problems in the health system is inconsistency of inflammation. Now you're going to find this is a really big problem. You'll have someone that will be like, Alright, let's do this and do that.

And you need this. You need that and you're like, and then the next midwife comes on chicken goes, What are you doing? And you just think it is really hard. So I always want you to focus on being confident with yourself, if you know what you're doing, you're confident with the advice you've been given, then you just put lightly and you just let it roll off and let it go. Because you don't need to have lots of different ways to do it. If you're doing it well.

And you know, I guess I'm mostly talking about feeling. If you're feeling confident with your positioning and your attachment, then you know, keep going with what you're doing smile politely. And don't do it and know that the next midwife is probably going to contradict them. And you know, you stop asking Which is what I want you to do. I want you to be confident and not keep asking because, you know, if you're having a problem, then you need more advice. But if it's working well, then you need to get more confident with what you're doing.

So, moving on, we're obviously going to talk about fading in a bit more detail, but lots of new mums focus on the birth and forget about the baby. Now, I know that sounds really silly, but you do you think I was just focused on pain relief for will I need an episiotomy? Or I don't want to sit there and and forgot about this little person coming and he thought, oh, what did they say about fading again? It's not going to be this big. It's a pretend baby. Don't worry.

It's not real. But this new little baby's gonna come out and you know, we want you to feed it in that first hour. The first hour, yes, the first hour. So this baby is ready to go. is hungry, it needs to feed. So probably about half an hour after it's born, the baby starts to make the tongue thrust though it takes its tongue out of it.

And that's showing you that the baby is ready to have that first feed. So you know, you've just given birth to it, you like it, the boy, we're gonna call it bruises, how exciting. You tasting everyone. And then the meat was like, Okay, let's give it a face and you're like, I haven't even had a cup of tea yet be a chance. But we need to grab that little window. So that kind of 30 minutes to 60 minutes old, the baby's ready to get some cluster, which is that first milk that's sitting in your boobs already.

So we need to give the baby a chance to feed on both sides for as long as it wants to. And that's actually going to give us the best hormonal chance of making a great supply. So I know you feel overwhelmed, but it's good to go. You need to you know, you need to take a deep breath. sippy cup of tea and let that baby have a feed for hopefully 10 or 20 minutes each side. Because I'm not sure if you realize that breast feeding, you know, is a hormonal event, it's not a tap, that gets turned on and turned off.

So we need the hormones to get moving. And that happens once that placenta is born. So the placenta comes out the hormones that we need to make breast milk turn off, and you don't need those hormones. And that turns on from stimulation on your boob. Now, I think it's a little bit inappropriate for me to get my boobs out. So I have decided to bring us some food, which is really fun.

But Welcome to the baby manual. It's all out on this program. So you've got two of these congratulations. They're not fine. They're real, but your boobs are linked to nerves which linked to hormones which linked to milk production. So you You know, you might have the big boob in a little booth, you might have that boom that points that way.

And that way, everybody is a bit different. And to be honest, you probably just kept these boobs tucked in your bra, drive them off every day, put a bit of moisturizer on them, and not really paid any attention. I want you to look at the boobs and think which way just my nickel points. So if you only pull points straight ahead, you know that you'll probably feed your baby in a front hold position. If your food points to the side or your nipple, sorry, so you might find and normally women with slightly bigger boobs have this that their breasts falls and the nipple points to the side. So if I swallow the angle of this nipple, it's going that way.

So if I'm going to bring my baby to the food, I'm really having them fed by the far away from the middle of my body, which this little baby that's been wrapped up all snuggly and tie, it makes them feel a bit overwhelmed and they will be unsure and they Get a bit nervous, and then they don't fade as well. So in that situation where we bring the baby like a football, so it's called a football called, which is to the side. And so then if you've got so then the baby's lining up with the breast, rather than in this position, you would have to drag your boobs the whole way across, because we want you both to just bull naturally. So you're not having to work terribly hard. Now there is lots of information about these, you know, put breastfeeding on YouTube and goodness may you know there's lots and lots of different videos on positioning attachment, tips and tricks.

And this is going to be something that you learn along the way. So to start with that midwife that's been there when you've had the baby is going to help you put them on which is great and it will be the worst thing that you ever do. Because you're all you know, left hands and you know what to do. What did Class I can't remember. But there's really three key points I want you to think about. So point one is chest chest, so the baby's chest to your chest.

And the simple reason for that is if you have the chest facing upward, then the baby's more inclined to roll their head that way, which means that they'll get, you know, they'll start to pull off a few nipple, which you don't want. And then we say switch chest to chest, nose to nipple. So we want that nose to be right at the nipple so that again, you're not dragging your boob over which is gonna put some discomfort on your body in the long term, and it also means that if you've dragged your feet across and you let go that you're likely to change some of the position of the nipple. So chest to chest, nipple to nose and chin to bring the chin and the baby's chin leaves and so that kind of allows the baby's mouth to open up a little bit wider, so that it can be A nice mouthful of milk.

So when we're talking about feeding this is positioning. attachment is what happens when this nipple goes into the baby's mouth. And I guess I like you didn't look, understand the logic of it. So your baby is just got a small version of your mouth. So if you roll your tongue over the roof of your mouth, you'll feel it's hard, hard soft. So the soft palate is right at the back of the mouth.

That's where your nipple needs to be. And I've attached a great little video and that's done by the raising children network that's got a really good little graphic so you to understand exactly how this works. So the babies actually don't use their cheeks like we do to feed they use their tongue. So the nipple is all the way back on the soft palate was right at the back of their mouth. They're going to roll their tongue to squeeze the milk out. But as they do that, then, you know that just rolls off the tongue on the nipple and The move just comes out like squirts, basically.

So if your nipple is on your baby's hard palate, it's still going to roll the tongue on the hard palate, but it's going to squeeze the nipple against the bone. So you mentioned that with each page 20 minutes each side, that baby might roll your nipple against the tide pallet 2000 times and so that's where we get the grazing blisters. Ah, the discomfort that you don't want. So you go, Well, I don't want that to happen to me. So you need to be quite aware when the baby's on, look down at its cheek. Now the cheek if that whole mouth is full of nipple, it should feel nice and you shouldn't feel any sucking in.

You also have a good look at the amount of areola which is this bit of your nipple. So all of that should be in the baby's mouth. So you don't see any of the brown unless you've got quite a big areola. Obviously you might see a little Little bit, be a bit more out of the baby's mouth. But you, this is an individual review. So you look down and you're looking at the baby's cheek, and you're looking at the name, the Nicola was in the bath and what's out of the mouth.

Nice and bold. It's not too uncomfortable, and the areolas all in the baby's mouth, then you go. But if you're like, baby, you need to take the nipple, a little finger to break this deal, so that you tipping the edge of the baby's tongue. So they released their sanction. And then you take the baby off and you try again. And remember to be in charge, like this baby knows how to suck just like your boobs know how to make milk.

So you're in charge of this, you're going to hold you boo. You're going to touch the nose with the nipple, wait for a big wide open mouth and put the baby on the side. Or if it wants to suck it in like a straw. Nope, nope, no, no, you're gonna have another go at this. And this is something that you kind of get the pleasure of practicing lots and lots of times. So that's what we talk about when we're starting to figure out those first few feeds the first few days, you might have gone that way, this one this way, so that means that your position of the baby will change.

Or you might find that you've got quite big areola so therefore, you're not going to have lots of this brown bit in the baby's mouth. We might have quite small ones. And so it all goes in every time. So positioning and attachment. You know, there's lots of resources. There's something that we're going to talk about a lot in this next eight weeks.

So that's just going to give you a bit of a startup on what to expect. So my book here, it's very exciting. So the first few days you boobs it quite empty. So under the skin here We've got all of the little moved up. And this is really just an example so that you can understand how do my boobs work. And again, you've not really thought about this before.

But this is just an extension of all of these normal changes that happen in your body every day. So they don't peak. So you know, you've got lots of those similar to lungs, so they always be under the skin and you might have in one room, you might have 1000, you have a baby, you might have 800. So that will hopefully give you an understanding of the little filtration systems that make the milk from taking things from your bloodstream, that you might have a booth that makes more milk and one that doesn't make as much because you don't have an exact replica on each side. So this, you know, lefty might be a good producer. It's always always a good, good feta.

Righty, well, he might not be as good and might be the tricky side. We could not get the baby on Playing the baby passes a bit more, because there's not quite as much milk. and I both play a role that they can be different. And so don't expect well this is my crap food and this is my good food. They're all quite different. So each of these little alveolus we call them produce milk.

And so we need them to do that, which hopefully will help to give you an understanding of if you feel some lump under your skin when you making breast milk, that it's more likely affect blockage, then a massive cancer. Now obviously if you get little lumps than you think all that doesn't feel right, you know, I encourage you to see JP but ultimately these little alveolus will fill up an empty all the time. And so the milk fills up in there squeezes out and it gets squeezed down a choo choo bill that goes to nipple and squirts out. All you've really thought about is this good and happy, not the other stuff. This breast tissue can go all the way to the middle of you chest and all the way to under your armpit, which. So if you get some milk ducts that aren't attached to anything under your armpit, you're going to get some lumps.

And you're going to think Holy moly, that man, what is that? And that tends to pop up day three, and it will just subside away. But yeah, it's quite weird. You didn't think you had breast tissue around but you can. So this is where the production happened. So to start with, these doctors have all got colostrum in them.

Now, colostrum is the first milk that your baby needs sitting in there from about 32 weeks of pregnancy ready to go. Looks a lot like cookie honey, to be honest with you. So it's full of antibodies and sugar. So that's all your baby needs for the first two days is antibodies and sugar. Doesn't a border doesn't really need the nuke yet. So the antibodies protect the baby against everything.

You know, the world is this new place that this It hasn't been before you know, infection, gastro bands, flu viruses, hand wash, there's so many things I've never come in contact with. And so the colostrum and the antibodies is your body's way of protecting this baby. So the sugar is to give him some energy. So you notice I didn't say water, so there's no water yet. So that's why this little Brutus, he was born at 3.6 might lose 360 grams in the first three days now that's okay. And that's because he's got a bit dehydrated, he's got a little bit jaundice, which is the bit yellow.

And that's a normal process in these first few days. That sorts itself out over the first two weeks, but you'll find that there these changes anything good purchase is looking a bit like a Jaffa and that's fine. So you just gonna roll with that and if the pediatrician or the midwife is worried they might do a little blood test to check that jaundice level but it is a normal part of being a baby. And when we hear from the pediatricians you found that a bit more about how Joan display so Bruce had beautiful costume is fed every, you know, four or five hours for the first day of his life. nipples, good. Boobs, you thinking otherwise, I feel the same as I always do.

But you've here heard him suck and swallow a few times depressed, which is great. And to give you a bit of an example, got all my tips and tricks here. An example of Brutus and Tommy is actually really small. So Brutus, has a stomach that will hold about two or three meals at its maximum. So that's why he doesn't swallow very often because he's claustrum powerful. You don't need a lot of a bit like chocolate to most people.

Some people need a lot, but you really don't. You only need a little bit. So this cluster and the Two or three Mills is going to fill his tummy for every, you know, four hours or so. And he's not going to need a huge, frequent feeding volume on day one, because he's just thinking, Holy moly, I've been born, I'm thinking, God, what am I going to do? day two. So you know, remember, our days and his days can be a bit different.

So Day One might be 10pm to 10pm. But in your mind, he's two days old. But in his mind, he's only 24 hours old, say 10pm on day two to 10pm. The next day is that 24 to 48 hours old, where he thought, Oh, I'm hungry. And I want it all now. And he's still getting two or three meals.

And he's like, No, no, I want seven to 10 meals, but he has to frequently demand for it. So that's when we talk about the frequency of feeding and you go tell me Donna, I will feed when you tell me to and I'm like, What does Brutus want to do in your life? So day one, he might feed it every four to six hours and maybe clock. Six feeds to be great. Day two, he might feed every two hours or every hour and a half. And you think, Oh my God, why are you doing this?

And it's because he's got hungry, he's realized I'm here. I want the milk now. But the milk hasn't come yet. Because the whole mines is still getting going. So you can make day to day better by doing things differently on day one, because Brutus has to be ready to go like with his mouth open and eager and hungry for the milk, and you have to wait for him to be hungry for that. So sorry, all the planets out there, you're like I want to protect myself and not have these baby feeding really frequently.

But you know It's just what it is we just have to roll with it. So day one, he might do one way, he might do a few really sticky pose, which is called macwilliam. I'll talk about in a minute, and he might feed Six, five to six times ag Porter five hour a day to he'll feed all the time, and he'll just be the hungriest baby you've ever seen. And you want that milk to come in and he'll be a bit more unsettled because the system is ready for it, but the system isn't making it yet. So then the milk will come in like a thunderstorm that makes to look forward to and so basically your body the hormones go to high like they don't just stay here they have me think Holy moly. So the boobs back to the boom.

So to make the milk, you've already got some understanding that this is a filtration system. So the filter filters your blood Mix the milk. So that's why feed the feta, what you ate. When you eating good food that's in your bloodstream, that means that you make good milk for the baby. So to increase the amount of milk that you make your body sends lots of blood to your boobs. Now the byproduct of bloods is fluid.

So I'm just going to adjust my boat. Terrific. So when all the fluids and the blood comes to you, boom, it kind of makes you have to sprained boobs to be honest. Like a fluid package, sorry, I've just put it here. So this is to give you an understanding of the lighter fluid that we stay on top of breast tissue. So people talk about you juicy day three boobs.

Well, this is why and it's because your body's been all this extra blood supply to your boobs to make great milk and lots of it. So the fluid sits on Top of the breast tissue, so that's why you best breast get really hot, single a swollen, sore, lumpy, the list goes on. Very, very normal. So two sets of super boobs. So you've got fluids, and you've got a high functioning breast tissue, Anthony's producing lots of milk. So therefore they lumpy cuz remember all those little ducks full of milk and they're not, you know you're making too much milk now.

So unless you want to feed the screaming baby next door, we have to normalize this supply. So I want you to think about your feet for a minute. And I weed things. So you know how your feet are quite swollen at the moment on that day three, and you think oh my god, what's this? So that swelling that sitting on top of your feet, you're not going to be able to squeeze that out of your toes. So the swelling that's sitting on top of your breast tissue, you can't squeeze it out in April, because it's there's fluid sitting on top that actually needs to go back to you.

Because it's, it's a demon. And it's a byproduct of the new production and it's very necessary, but it's quite uncomfortable. And you know, normally in your life, when you've had a problem, you've come up with a solution, you've taken a tablet, you've put a cream on, you've put some hot packs on or whatever, because you want it to go away. And I guess this is the first time in your life where you have to be patient. No, this is normal, and roll with us. So the big juicy, boom, with the swelling on top, you know, the milk that's getting under the swelling will come out in the fall and nourish your baby.

And the swelling that sitting on top will go back into your system and you weigh it out in a few days time. But if you're really uncomfortable, you can message towards your armpit generally with the heel of your hands in a warm shower. And so you'll be like, you know, and it will just loosen it and make it feel better. But obviously, this production and this engagement does lie For a few days, that's the big changes. Then that phone goes away and we'll talk about it being full boobs in next week's question because that's when it's quite important.

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