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Will massage help if my baby has gas?

Here’s a question from Tammy S. in Halifax, N.S.:

Q: My baby is 8 weeks old, and seems troubled with painful gas attacks. He draws his knees up and gets red in the face and cries as if he’s in pain. It’s worst in the evenings. I’ve tried eliminating dairy from my diet (he’s breastfeeding) but that doesn’t seem to help. I’ve heard that massage can be helpful but I don’t know how to do it.

A: It’s very common for babies at your son’s stage of development to have colic, Tammy. It’s always a good idea to have them examined by a doctor, but usually it’s not an illness – just a symptom that occurs as their digestive system matures. Massage can indeed be helpful in helping them to pass the uncomfortable gas. You can try this method: First, rub his abdomen from ribcage to diaper, one hand after the other, for a count of 15. Then, take his legs and bend them to his belly and hold for a count of 15. Next, rub his belly in a clockwise motion for 15 seconds (it’s important to rub clockwise, as this follows the direction of the bowel and helps the gas to be moved out). Last, bend his legs to his belly again for 15 seconds. It’s recommended that you repeat this massage session three times a day. Many find that this technique helps them to soil their diaper as you do it, so do it with them lying on a diaper or you may get a surprise! :)

Originally posted 2015-02-24 14:44:50.

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Using the Cozy Cuddles Nursing Pillow for Premature Babies

Here’s a question from Kirsten in Barrie, ON:

Q:  I have a preemie born at 26 weeks, he’s now 33 weeks and I hope to start NNS (Non-Nutritive Sucking) in the next 2 weeks.  Do you recommend a position best for preemies?

A:  Thank you for your question, Kirsten!  For those reading this blog who are not familiar with the term ”Non-Nutritive Sucking” for premature infant the practice of allowing a premature infant who has not yet developed the ability to nurse at the breast to become familiar with the idea of nursing.  In the womb, around 32 weeks gestation, the fetus begins to display bursts of sucking, so when a preemie reaches this age they may be ready to begin spending time at the breast.  There will be no intake of milk, but often what happens is that babies “lick and sniff”, and may latch on briefly and then fall off.  All this is very beneficial for Mom and preemie, as NNS helps digestion of the feeding (still given by tube), promotes better sleep and calmness, as well as giving the baby a very pleasant feeling of being at the breast which makes the transition to full breastfeeding later much easier.  It also increases milk production for Mom.

The positions most use at this time are cross-cradle and football hold.  With cross-cradle on the left breast, you hold your left breast with your left hand (with thumb above the areola and fingers beneath) and you lay the baby across your lap tummy-to-tummy with you and support the baby’s head with your right hand.  This allows you to support his head more, and gives you more control to guide him to your nipple.  You just reverse this hold when you use the right breast.

With the football hold on the left, tuck the baby under your left arm and support his head with your left hand, while holding your breast with your right hand, reversing this when you feed on the right.

For both positions, the Cozy Cuddles Nursing Pillow will really help to support the baby’s body and prevent back and neck strain for you.  All the best to you and your little boy!  I’m sure that in the next few weeks he will graduate to being able to fully breastfeed and you’ll be a happy breastfeeding couple!

Originally posted 2016-09-10 08:30:10.

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Engorgement – ouch!

Here’s a question from Angie in Cobourg, Ontario:

Q: My baby was born on Friday, and this morning (Monday) I woke up with the feeling that Dolly Parton had taken over my body! My breasts are huge and so sore – is this normal? What can I do? I’m so full that my baby has a hard time latching on.

A: What you’re experiencing, Angie, is very normal. On the third or fourth day after birth, your milk production begins in earnest and the breasts become swollen with milk, and also from increased blood flow and lymph fluids. The best way to spell relief is B-A-B-Y! Be sure to nurse the baby at least every two hours, and gently massage your breast as the baby is feeding. The frequent feeding will help your body to establish the proper supply and demand ratio. Before each feeding, apply a warm moist compress for a couple of minutes to start the milk flowing. If the breast is so full that it is difficult for baby to latch, hand express some milk until the areola (the dark area around the nipple) will soften enough to allow the baby to latch on. If you use a pump to do this, be sure to pump only until the areola is softened – too much pumping will give your body the wrong message and will tell it to increase your milk supply! In between feedings, you can wet and wring out a cloth (a tea towel is a good size), fold it into thirds, and freeze in your freezer. Laying this frozen cloth across your swollen breasts provides wonderful relief! You can also try the midwife’s trick of using a cabbage leaf inside your bra on each breast. The tanic acid in the cabbage (not lettuce!) helps to relieve swelling without decreasing your milk supply. Using these techniques, most engorgement will subside in about 48 hours. Wearing a good supportive nursing bra day and night (no underwires!) will be helpful during engorgement, too.

To see past questions, go to “Ask Nurse Nancy” under “Breastfeeding Q&A / Info”.

Originally posted 2013-02-18 21:01:22.