1. No category

A side: Cut along solid line.
The back of A side lines
up with front of B side.
BABY’S AGE
AVG. FEEDING SIZE
Day 1
Day 3
1 week
2 weeks
1 month
5-7 mls
1oz. (30ml)
1.5oz. (45ml)
2-2.5oz. (60-75ml)
ml)
3-4oz. (90ml)
Day 1
Day 3
2 weeks
B/C
WEIGHT GAIN PATTERN:
First few days lose less than 7 percent of BW
No more wt loss after day 3
Gaining about 1 ounce/day or 28gm/day
Regain BW by 10 days to 2 weeks
4-6 months gaining 4-5 ounces/week or 113-142 gm/week
6-12 months gaining 2-4 ounces/week or 57-113 gm/week
SORE NIPPLES? CORRECT THE LATCH.
Signs of Poor Latch:
Wedge-shaped nipples: Shallow latch, tongue is pressing
nipple against the hard palate - odd shape, like new tube of lipstick
Compression Stripe: Shallow latch, feeding after feeding,
that leads to cracked and bleeding nipples
acke Nipple: If latch not improved, risk of infection
Cracked
ng
di
ee
stf
rea
“B
ro
vi
de
rs
,S
pr
ing
200
8
MAKE LATCH EASIER:
Open: Wide open mouth
Angle: Nose to nipple, head slightly tilted back, chin first,
shoulders and hips closely pulled in to your body
Oomph: gentle push on baby’s shoulder at latch on to
help move nipple into the comfort zone
A
W
he
el”
De
ve
lop
ed
Designed by S. Bay
by
Mi
na B
ing
ay a
nd Iv
tfeed
s
a
e
r
ette Mu
sso: Douglas College B
P
re
a
C
lth
a
e
rH
o
f
rse
Cou
D
B side: Cut along solid line.
B side is to be printed
double sided with C side.
A
B/C
D
Sore Nipples
Aro
us
u
gh
M
i
lk ?
ea
p
En
La
tch
in g
On
•
O
•Com ften oc
curs
mon
m
a
e
n
ting during pproxim
infre
• Ca
ately
•C
n
q
u
a
l
o
e
n
e
com lead to ad to a nt feed n day 3
-5
ings
dec
mo
ma
n
r
•Bre at nigh stitis if ease in or supp
not
mil
leastf
t (e
brea eed 8-1 g. not w treated k supply
s
2
• Mo
a
t
t
k
i
s
•Exp first bef mes/da ing up
to fe t
y
r
e
•
s
E
s mi ore offe
ring mpty o ed)
lk t
ef
f
o
e
ne
th
c
s
t
com ive latc often ar e other
eo
h
p
incr ress righ •Use w la for
e
ar
t
a
com se flow before m
feed
p
•
r
A
e
s
(fro ses bet pply co
w
z
l
e
n
peas een fee d
, cab
ds
• Ibu leaves) bage
prof
en
help may be
ful
En
g
o
r
ge
me
n
t
u
,
outh in
to m
h
fists pproac
ng,
ta
s
ger
e
ooti
n
es: r king •B n of hu ell
c
g cu
w
ig
edin lip sma g last s ported ast
e fe
,
sup h bre
yin
r
serv
ents
k
• Ob movem state •C air, bac derneat tincch
ins
un
ue
lert
tong iet & a fortable ggling ead in “ pen
nu le •H
m
qu
eo h
by s
d co
wid
p
t
•Fin ition ba e to nip ait for east wi
s
nos
o br lower
” •W
•Po
t
n
n
y
o
g
i
•Ali e posit elp bab lips & asth
ed
re
tiv
th &
lang
of b
mou first •F n more latch
es i
chin
ical
yes
k
r
e
a
t
t
e
jaw symm infants ses
a
A
see
ncre
le to
ch i
•Ab rect lat uction
d
w
r
•Co ilk pro swallo
m
use- latch,
t
k-pa
•suc correc h &
n
•If i ak latc
bre
art
rest lp!
t he
•Ge
d
t
e
g
g
ta
r
Du
S
/
c ts
ork
k to W
E ar
ly
Ma
Bac
s
s t it i
by
•Baby d
ifficultly
coping w
th
c
h
i
okes & s
w
s
ith milk
t
putters-g
flow-gulp
mp breas
aining m
gassy &
u
l
s,
o
w
re than 2
l
a
f
te
l
h
ry
t
a
o
e
x
i
p
lbs/mon
lo
e
s
m
iv
w
b
e
re
s
g
s
th,
a
tools •O
st at a fe
a
y
r
ffer only
eding-ge
t o drain suall lu”
o
g
ra
o
ts
d
n
p
u
e
m
f
a
u
lly decre
ore hind
s
milk &
ase milk
er poor east like ding
d
n
r
s
s
th
u
e
y
p
l
e unused
p
- te d b of b fee stfe
breast? D ly •Fullness of
•Relieve
uct ause tion is- “ brea eding •
on’t exp
d
ress
te
c
t
a
nsion-de
e
t
fe
ti
ed
crease ri
mastitis
gg an be lamm mas ntinu reast breas u
s
•F
k
l
e
of
f
eding ag
• P ver c s- in ns of • Co ary b s of upple
feeding
ainst gra
ly
a
e titi
t
v
e
s
in
g
V
it
f
e
g
y,
r
i
a
down, fe
no Mas r • S seve ide • all ar gs or st he
eding w
baby is n
e
i
s
h
•
n
e
o
n
t fully aw
fev en & cted drain feedi y mo ngs •
express
ake, or
d ffe
l
i
th
d
e
o
p
d
n
y
feed wh
p
e
n
su n a ns t
slows do
en flow
o itio kip a s • A ore fe ssure
wn may
g ef
e
s ot s
r
n
help bab
d
o
i
p
e
b
p
d
r
y
e
n
e
s
f
a
cope
Do ent fe resse ircul reast you
c
m omp tle
•B fter ar
e
a
es
n
c
Ge assag ately at •W est
i
e
m ed h h g •R r
t
m
im at wi othin ian fo
e
cl ysic &
r
t
se
loo ee ph iotics s
• S antib gesic
l
ana
Ba
ply
ee
ck
g & ba
stfeedin ons •Find
dem •Sk
ge brea
i
opti
n
a
s mana
to
n
er work regiver
mother
Consid
bon d pro skin
•Many
ndly ca
fully •
m
d
f
success astfeeding-frie of expressed
bec ing •E otes b irst h
to work
ly
ou
re
o
tive bre
ilk
a
ek supp
r
e
suppor
l
3-4 we
eas mes m rly pr astfe r afte
toring m
ing & s
& store
i
ore acti edin r bi
express
•Build
th ng
ork for
r
s
h
w
t
e
p
e
ractice
l
f g, n th
m or
e
ments a ilk •Allow
milk •P
bet ore mone ntifu or ba orma & on
arrange
our m
m
b
l
l
•Make
•
s
y
•
te
•
h
i
u
T
A
l
toring y
C we
o
0-15min
ing & s
los en 8 k sup he m ctiva until ealth
express tes /session: 1 minutes
&
ore
tes mil
pl trum to 1 ply
5
u
k
2
e
n
20 min
ump &
tif : Av X d • Ba baby milk
le
b
ouble p
u
a
a
y
fe
l
i
i
rse cyc
l
e
l
•
using d
im ”Gol usual able t y(or to fee eds,
p •”Rev e breastq3
m
ly
clean-u
de
il
d
rag
” encou
pro uniza n dro in fir l milk -4h)
en
nursing
ften wh
t
t
st 3
p
i
e
mo
o
s
c
more o
n
”
t
by
qua ive p : As & F days re
feeding
e & ba
ir
lo
r
r at hom
n
o
s
a
t
•
e
m
R
togethe
igh ities pertie ded w t
more ti
(
t
s
3
spends
it
f
•
0
g while
sto or bab -100 Smal h
sleepin
m
m
l
eds
l
d & ne
axa ach y’s sm l)
•H
separate essed
t
as all
pr
h ive
e
e
less ex
me lps ex ffect
milk
c
p
o
e
dec nium l
rea
&
j
s
a
u
ndi es
ce
O ver Sup
Sl
y
o
•Breastfeeding should not be painful • Any
tenderness should diminish over the first 2 weeks
of •Yo
ly
ten u
ar h
•Remember correct positioning & latching baby
e
or need
n nc
i
t
nipples
h
sore
fo
prevent
to
crucial
is
breast
on
s
u
t
n
a
r
b h
te
da n 10 r lo o w
the
off
baby
of l to /24 en
taking
before
a
suction
n
•Break
y
g
s
a
& m
, F per er ke a
X r ev
g
•To
first
2
r
breast
sore
3
least
the
c
•Offer
a
t
&
breast
n
im sl
e
-4 l
lo ; no 8-1 ft o ch
jau go ling nt, N e i eep
speed healing use ultra-purified Lanolin
ed all age l, so mu ds
yb
f:
o
a
e
n
o
ch
d
s
o ee
stf sm er ul
an dice siz leep t reg Firs aby
cream •Clean with warm water only
ea ach d av ss f g to ’s n in
b
t
g
e
d
r
a
a
t
f
d
a
le kin by ga th
•If skin broken clean with soap OD c by ing d •Ar dir t th ined ew o fe
y b m ee
ou ty e b B da ed
oo &
ab s sto r •f feel ma o ba wt. row
i
a
b
m
s
p
l
•Avoid plastic liners against
e
r
d
t by •G es
W y
r
m
s
hy y’ th ast ge d
an clot ake er, S e by iape east by s los ore
d/o h,
alt •Bab toge bre lon late ugh pers nur k
nipples •Avoid introduction to
,
:
t
r
e
k
e
L
R ye in U s,
e 10 m
•H ys ngs eks no regu eno dia aby mil 3
artificial nipples/pacifiers as
ba r fee ub con -to- ndre Or b ss t -14 ore
h
da edi we ince ly ing rty y, b ild 2b
s
b
s
t
a
t
int y’s , Ex aby act kin sin by an
may lead to ineffective
di rar bu s at is
fe -12 ty s upp ett
ere lip pr ’s , U , T g o
o
g
r
s
y
o
&
t
6
a
u
b
lat st
• mp lk by et
p s
b
e
r
sucking •Consult LC or
ch ed s• K ss m ack se d lk to
e mi Ba t w tem ime occ If ba ing u
a
,
, B by ee
• un ts- t t ten e • ain yo
m
i
physician for skin
h
C
p lk
a
p
a
r
f
g
o
po hang urpi : Im bab ont nds
•c Spu ten ly o f ag not feel ilk
problems, itchy or
n
p
s
o
y
f
m
e
o
g
r
i
o pp ks or ou se t
b ov
c tio n
burning
su ee ing r y rea sul
Sw om ns, ursin aby e
p
w os ht o inc on ian
B
g ,
itc re
sensations or
l ig o
h n ssi reas
- C ysic !
t
G
e
y
o
t
infections
et urs n,
w eed ppl ph elp
He in
n su or t H
lp! g •
e
C
G
L &
Pl
C side: Cut along circle.
C side is to be printed
double sided with B side.
fe
st
Be
n
rB
ab
y
Br
ea
g
it s
Decreases incidence/severity:
Gastrointestinal illness,
Respiratory illness
Urinary tract infections
Ear infection
Allergies especially Eczema
Asthma
Diabetes
Crohn’s disease
Colitis
Bacterial Infection: Bacteremia, Meningitis
Obesity
Childhood cancer
Hospital visits
“H e a l t
h
Can
m
lo p
d
i
t
e
ed
s
as
fo
ng
h
rt
s
tf e
ow
gr
o te
sb
re
a
n
ha
pro
m
ve
de
ada
Less stress & calming for baby
Benefits both preterm & term infants
Infections or duration &
intensity of illness reduced
Optimum jaw, teeth and speech development
Increase visual acuity
Supports cognitive development;
higher IQ
Colostrum- ”First immunization”
Potentiates vaccinations
e
be
st
m
et
ho
do
"Mar
"M
M ia
Mar
i Lac
Lac
actanis".
th
f fe
ed
in g
infa
n ts
a s it
provide
s”
din
• Stimulates Epithelial maturation
to develop own defense
• Kills pathogenic organisms or modifies
their growth
• Lines the intestinal mucosa with a barrier
Easier weight loss
Helps child spacing: Supports family planning
Mother is forced to get rest while breastfeeding
Relaxing through oxytocin release: Calming effect
Less stressful once established & gets accustomed to
Economical advantages- savings in health care costs
No need for formula & bottle costs
Pride: Knowing providing best for baby
Empowerment
Helps with bonding between mother & baby
infa n t
fee
Breastmilk offers babies
protection by:
Helps stabilize maternal endometriosis
Reduce insulin requirements for diabetic mothers
Helps with Uterine Contractions, tones uterus:
Prevents hemorrhaging
Helps with emotional health:
Decreasing incidence of postpartum depression
of
e nt
ast
D
fo
Offers protection against:
Osteoporosis
Breast cancer
Ovarian cancer
Endometrial cancer
Polycystic Ovary Syndrome
Osteoporosis
Anemia
ed
in
it
Bre
m
B/C
ef
g
Be
f
ne
o
sf
o
rM
A
s o p ti m a l n u tr
itional,
im m
uno
l
o gi
ca
l an
d
em
o
ti
on
a
lb
en
e
fit
D side: Cut along the solid line.
The back of D side lines up
with front of C side.
Line up all center circles and
put together with fastener.
A
B/C
D
COMMUNITY RESOURCES:
Health Units *see Blue pages for Health Authorities for Health units not listed
Tri-cities 604-949-7200 • Port-Coquitlam 604-777-8700 • Vancouver 604-736-2033
Doula Services for Birth and Postpartum 604-515-5588
BC Nurse line (Registered Nurse available 24 hours/day; Pharmacist 5-9pm everyday)
604-215-4700 or 1-866-215-4700; Deaf/hearing impaired 1-866-889-4700
200
8
Safe Start Program at BC Children’s hospital 604-875-3273
ng
di
ee
stf
rea
“B
W
he
el”
BREASTFEEDING RESOURCES:
La Leche League- breastfeeding support/meetings in your area www.lllc.ca
Dial-a-Dietician 604-732-9191 (M-F 9am- 4pm)
ro
vi
de
rs
,S
pr
ing
www.bcchildrens.ca/KidsTeensFam/ChildSafety/SafeStart/default.htm
P
re
a
C
www.kellymom.com
De
lth
ve
a
e
lop
www.breastfeedingmadesimple.com
rH
ed
o
f
by
se
www.askdr.sears.com
Mi
our
na B
C
g
ay a
din
nd Iv
stfee
a
e
r
ette Mu
B
sso: Douglas College
www.drjacknewman.com
All information in this wheel has been adapted from the following references:
Breastfeeding Committee for Canada, (2002). “Breastfeeding Statement of the Breastfeeding Committee for Canada” Breastfeeding Canada
Website. Retrieved on April 18, 2008 from www.breastfeedingcanada.ca/html/webdoc5.html
Bonyata, K. (1998). “Cluster Feeding and Fussy Evenings” www.kellymom.com Revised: May, 2006; April 18, 2008,
www.kellymom.com/babyconcerns/fussy-evenings.html
Bonyata, K. , (2004). “Growth Spurts” Kelly Mom Website. Revised: May 2006; Retrieved on April 18, 2008 from
www.kellymom.com/bf/normal/growth-spurt.html
Bonyata, K. ,(1998). “Increasing Low Milk Supply” Kelly Mom Website (2008). Revised: May, 2007. Retrieved on April 18, 2008 from
www.kellymom.com/bf/supply/low-supply.html
Bonyata, K. ,(2003). “My Breast Feel Empty! Has my milk supply decreased?” Kelly Mom Website (2008). Revised: October, 2005. Retrieved on
April 18, 2008 from www.kellymom.com/bf/suppply/breast-fullness.html
Douglas College Breast Feeding course for Health Care Providers: Student Notes, spring, (2008) class. September, 1994; Revised February 2008
Health Canada, (2004). “Exclusive Breastfeeding Duration -2004 Health Canada Recommendation” Health Canada Website (2008). Revised:
January 2008; May 8, 2008, www.hc-sc.gc.ca/fn-an/nutrition/child-enfant/infant-nourisson/excl_bf_dur-dur_am_excl_e.html
Mohrbacher, N. , & Kendall-Tackett, K. , (2005). Breastfeeding made simple; Seven Natural Laws for Nursing Mothers. Oakland: New Harbinger
Publications Inc.
Mohrbacher, N. , & Stock, J. , (2003). The Breastfeeding Answer Book, (3rd ed. ). Illinois: La Leche League International, 2003.
Newman, J. , (1995). “How Breast milk Protects Newborns,” Scientific American, December, 1995; 273(6), p. 76-79. Retrieved on May 8, 2008 from
www.promom.org/bf_info/sci_am.html
Newman, J. , (2003). “Is my Baby Getting Enough Milk” Breastfeeding Online website (2008). Revised: Jan. 2003. Retrieved on April 18, 2008 from
www.breastfeedingonline.com/newman.shtml
Newman, J. , (2005). “Sore Nipples” Kelly Mom Website (2008). Revised: January, 2005. Retrieved on April 18, 2008 from
www.kellymom.com/newman/03a-sore-nipples.html
World Health Organization, (2005).. World Health Organization Website (2008). Retrieved on April 28, 2008 from
http://www.who.int/features/qa/21/en/index.html