The Can-Do Five
Sweet Pea Births - ...celebrating every sweet pea and their birth
RSS Follow Become a Fan

Delivered by FeedBurner

Recent Posts

How to Reduce Breastfeeding Inequality
Postpartum Wellness Series: Nutrition
World Kindness Day 2017
Postpartum Wellness Series: SLEEP
In Their Own Words: Erica ~ Part 2

Most Popular Posts

An Inside Look: Modern Mommy Boutique
Breastfeeding Support Groups: La Leche League
A Look At the honest company
An Inside Look: Placenta Encapsulation
Mommy-Con Phoenix Ticket Giveaway


Artifical Rupture of Membranes
Ask the Doula
Avoiding harmful substances
Baby blues
Baby Concierge
Baby games
Baby-led weaning
Back Labor
Bag of Waters
Bedtime Routine
Belly Cast
Berman's Law
Big Latch On
Birth center
Birth Centers Phoenix AZ area
Birth Circle
Birth Mantra
Birth News
Birth place options
Birth plans
Birth Story
Birth Story Listening
Birthing From Within
Blog Carnival
Bradley Day Family Picnic
Bradley Method®
Bradley Method® birth story
Bradley Method® for next baby
Bradley Method® for second pregnancy
Bradley Method® outcome
Bradley® Coaches
Bradley® Dads
Bradley™ classes and the next baby
Bradley™ classes for next pregnancy
Bradley™ classes for second pregnancy
Breast Pumps
Breast Pumps and Workplace
Breastfeeding 101
Breastfeeding Awareness Month
Breastfeeding Challenges
Breastfeeding in Public
Breastfeeding support
Breech presentation
Breech turning techniques
Cassandra Okamoto
Cephalo-Pelvic Disproportion
Cesarean Birth
Cesarean Support Group
Cesarean Surgery
Child Spacing
Children's Books
Chiropractic Care
Co Sleeping
Coach's Corner
Comfort Measures
Cord Clamping
Cry It Out
Dairy Allergy
Debbie Gillespie, IBCLC, RLC
Dehydration and Pregnancy
Delayed Cord Clamping
Drinking during labor
Due Date
Eating during labor
Essential Oils
External Cephalic Version
Eye Drops
Eye Ointment
Eye Prophylaxis
Failure to Progress
Family Bed
Family Fest
Family Fun
Fear-Tension-Pain Cycle
Fetal Distress
First Birthday
First Foods for baby
First stage labor
First Trimester
Flower Essences
Fluid Retention
Full term
Fussy baby
Gestational Diabetes
Going to your birthplace
Green Nursery
Grief Counseling and Support Services
Healthy, Low-Risk
Hearing Screen
Heat Comfort Measures
Hospital Birth
Hyperemesis Gravidarum
Hyperthermia and Pregnancy
Immediate Cord Clamping
In Their Own Words
Increase Breastmilk
Induction of Labor
Infant Care
Infant Classes
Infections and Pregnancy
Info Sheet
Information Center
Information Sheet
Informed Consent
Inside Look
La Leche League
Labor Augmentation
Labor Induction
Labor Marathon
Labor Sprint
Labor Support
Lactation Consult
Lactation Consultation
Managing or coping with natural labor
Maternity Keepsake
Meet the Doula
Midwifery Care
Midwifery Scope of Practice Committee
Milk Supply
Miscarriage or Stillbirth
Modern Mommy Boutique
Monday Mantra
Morning Sickness
Natural Alignment Plateau
Natural birth
natural labor coping mechanisms
Natural labor coping techniques
Neonatal Eye Drops
Neonatal Eye Ointment
Neonatal Eye Prophylaxis
Newborn Care
Newborn jaundice
Newborn Procedures
Next baby
Next pregnancy
Nursing and Maternity Bras
Nursing In Public
Nursing Strike
Obstetrical Care
Pain management
Pain management natural labor
Past due date
Patient Bill of Rights
Phoenix Mommy-Con Mini
Placenta Encapsulation
Planning for Baby
Playing with baby
Postmature baby
Postpartum Depression
Postpartum Doula
Postpartum Plan
Pregnancy Loss
Premature Baby
Premature Ruptture of Membranes
Pre-term Labor
Prolonged Labor
Q&A with SPB
Rally to Improve Birth
Relaxation practice
Repeat Bradley™ classes
Rights for Homebirth
Rupture of Membranes
Scavenger Hunt
Second Stage Labor
Sensory games
Sibling Preparation for Newborn Arrival
Sleep Sharing
Soft-structured carrier
Starting Solids
Stripping Membranes
Support Groups
Sweeping Membranes
Sweet Pea Births
Swelling in Pregnancy
Tandem Nursing
The Bradley Method®
The Bradley Method® classes
The Bradley Method® pain management
Third Trimester
Thoughtful Thursday
Tongue Tie
Tongue Tie Procedure
Toxins, pesticides, chemicals and pregnancy
Upcoming Events
Use of vacuum extraction
Uterine Rupture
Vaginal Birth After Cesarean
Vaginal Birth After Multiple Cesareans
Variations and Complications
Vitamin K
Warning Labels
Webster Protocol
Weekend Activities
Why we chose the Bradley Method® childbirth classes
Wordless Wednesday
World Breastfeeding Week
powered by

Sweet Peas, Pods & Papas: All About Birth, B@@bs & Babies

The Can-Do Five

Breastfeeding 101 Series

Thank you to Debbie Gillespie, IBCLC, RLC, for today's installment on breastfeeding.  You can find her at Modern Mommy Boutique on Monday Mornings at 10:00 am for a FREE Breastfeeding Support Group, and she will also be featured here on the fourth Friday of every month.  Please see the end of the post for Debbie's contact information if you are interested in reaching her for more information, or to find registration information for her Breastfeeding 101 Class offered on the 2nd Saturday of the month (September 10, 2011).
The Can-Do Five
No, it’s not a spin-off of the Jackson Five.  The Can-Do Five are simply five things you “can do” before you even leave the hospital that can help ensure breastfeeding success.  The Breastfeeding Friendly Hospital Initiative (BFHI), launched in 1991, lists ten model breastfeeding practices that hospitals are encouraged to follow as the gold standard for improving the breastfeeding initiation and duration rates in the United States.  Of these practices, five of these maternity practices resulted in significantly more mothers meeting their breastfeeding goals. 

Those Can-Do Five practices are as follows:
1.  Infant is fed in the first hour after birth.
2.  Infant is fed only breast milk in the hospital.
3.  Infant stays in the same room with the mother in the hospital.
4.  Infant does not use a pacifier in the hospital.
5.  Hospital staff gives mother a telephone number to call for help with breastfeeding after discharge.

None of these are new to any of us, yet it is quite surprising how frequently these five steps are not followed for a variety of reasons.  Stack the odds in your favor by communicating these goals to your support team, including your family members and any friends who will be at the hospital helping you; your obstetrician and your baby’s pediatrician; and any nurses or lactation staff who are caring for you.  Make it part of your birth plan.  Why are these particular practices so important?

1. Infant is fed in the first hour after birth.  This means holding off on routine procedures such as eye ointment, baths, and any tests that can wait until later, assuming you and your baby are doing well.  That first hour after your baby comes into this world, (s)he is completely wired to breastfeed, and all systems are GO!  His or her senses are particularly acute, so (s)he’s smelling the amniotic fluid on his hands and seeking that same scent on his mother’s nipples.  His face is particularly sensitive to pressure on the cheeks and chin, specially designed to find the breast, root for the nipple, and latch on with little help from mom.  Check out The Breast Crawl on Youtube and you’ll be able to see it in action.  If you miss this crucial period of time, your baby will not completely reject breastfeeding, but his instincts aren’t going to be quite as sharp later on.
2. Infant is fed only breast milk in the hospital.  Again, this seems pretty intuitive, but many babies still routinely receive supplemental formula.  New mothers are often told, “Your milk isn’t in yet, you need to give your baby formula until your milk comes in,” without noticing whether the baby is breastfeeding well or how the baby is doing on mom’s colostrum.  During the first 24 hours after birth, one teaspoon of your precious colostrum is a full feeding.  Very few situations require supplementation in the first few days, and usually a blood sugar test can verify if baby is struggling.  What’s best for low blood sugar in baby?  Mom’s colostrum.  We don’t want babies to go hungry; we just want to make sure that supplementation with formula is medically indicated, not routine.

3. Infant stays in the same room with the mother in the hospital. Many hospitals in the Valley don’t even routinely staff their nurseries unless there happens to be a sick baby at the time.  Other hospitals encourage mothers to send their babies to the nursery, so they can take advantage of the help at hand and get their rest before going home with the new baby.  Even if the nursery isn’t used for complimentary babysitting, some hospitals send baby to the nursery for procedures such as routine testing and bathing, rather than doing it in the mother’s room.  If baby isn’t with mom, mom and baby can’t practice breastfeeding.  While in the nursery, babies are sometimes accidentally fed bottles of formula or samples of sugar water to keep them calm while away from mom or during testing, upsetting baby’s developing intestinal flora and throwing off baby’s appetite.  If your baby needs to leave your room, try to send an advocate with them, to ensure his or her speedy return to your side.

4. Infant does not use a pacifier in the hospital.  This one has more to do with getting baby fed than worrying about “nipple confusion.”  Baby doesn’t know right away that the pacifier doesn’t feed him, so he sucks harder and harder, waiting for his reward.  By the time he realizes the Binkie isn’t feeding him, (s)he is one angry little person and very difficult to calm down enough to breastfeed.  Encourage your baby to have his or her sucking needs met at the breast – offer the breast whenever (s)he shows signs of life.  This ensures a strong milk supply, as well as good weight gain for baby.  If you do want to offer a substitute to calm baby, such as during diaper changes, try offering your finger, pad side up.

5. Hospital staff gives mother a telephone number to call for help with breastfeeding after discharge.  What if mom and baby still haven’t gotten the hang of breastfeeding after they leave the hospital?  What if she has questions about breastfeeding once she gets home?  Valley hospitals now offer each of their patients a frequently updated list of resources, including breastfeeding support groups, breast pump rental and purchase sources, contact information for certified consultants she can call to answer her questions, or who will meet with her privately to work through her remaining challenges.  This resource list provides a safety net to catch her if breastfeeding doesn’t take off, so she doesn’t feel that her only option is to quit.

Not every situation will allow a mother to implement these five practices, but simply knowing about each of them will improve your success.  If you have any questions about any of these Can-Do Five, please contact me.  You can do this!

With questions about this post, or to contact Debbie for a consultation:
Debbie Gillespie, IBCLC, RLC
Registered with the International Board of
Lactation Consultant Examiners
(480) 786-0431

Breastfeeding 101 Class
Join Debbie for a 90-minute comprehensive breastfeeding class once a month (2nd Saturday - 11:00 am) at Modern Mommy Boutique for only $10/couple.
Call Modern Mommy Boutique for registration: 480-857-7187
3355 W. Chandler Blvd #3,
Chandler, AZ 85226 

The material included on this site is for informational purposes only.  It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

For more information on our Bradley Method® classes, please visit our FAQ's page.

Our next series in Chandler is still open for enrollment - call 602-684-6567 for more information.
MapQuest Terms and Conditions Maps/Directions are informational only. User assumes all risk of use. MapQuest, Vistaprint, and their suppliers make no representations or warranties about content, road conditions, route usability, or speed.

0 Comments to The Can-Do Five:

Comments RSS

Add a Comment

Your Name:
Email Address: (Required)
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment
Website Builder provided by  Vistaprint