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.

Here’s a question from Kelly in Richmond Hill, ON:

Q: I have a question about cleaning the Cozy Cuddles Nursing Pillow. Unfortunately my older child spilled juice on the pillow – should I have it dry cleaned?

A: Thanks for your question, Kelly – the good news is that your Cozy Cuddles Nursing Pillow is fully washable! For most little spills and baby spit-ups, the zippered cover can be removed for laundering. For bigger spills that soak through to the pillow, check the seams to make sure they are intact and place in your full-sized washing machine with warm water and a scant amount of liquid detergent. Laundry soap like Ivory Snow is not recommended, as it tends to clump the fibrefill. Then it can be tumbled dry at warm in your full sized dryer. Dry cleaning is not recommended, because of the chemicals used which you do not want next to baby’s face.

You’ll find that most nursing pillows on the market are not washable – the ones that are made of foam are particularly problematic since they cannot be washed and soon become contaminated with milk and anything else that can soil it, including those leaky diapers!!

Nancy Lahn RN

Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2016-02-24 11:48:50.

Here’s a question from Danielle in Lethbridge, Alberta:

Q: My baby is just over two weeks old now, and she’s nursing well. I’m just worried that I’m not producing as much milk as I was at first. A couple of days after she was born, my breasts were very full and firm, and now they’re softer. Does this mean I should pump to get my milk supply back up?

A: If your baby is nursing well and is producing at least six to eight soaking wet diapers daily, your milk supply is fine. The fullness that you experienced the first week is called engorgement, and is normal as the milk is coming in and as more blood flows to your breasts, causing swelling. With frequent nursing and after a couple of days, this engorgement subsides and the breasts soften again. There is no need to pump at this time – breastfeed your baby on demand for the first 4-6 weeks, and after that you can pump to store your milk, or to leave it with a sitter if you are away from your baby for a feeding.

Originally posted 2015-03-21 17:41:17.

Here’s a question from Jayne in Kincardine, ON:

Q: Can my son be nursing too often? He is 5 days old today, and seems to want to nurse constantly. He nurses and seems to settle, but when I put him down he starts fussing again. He’s making lots of diapers but I’m wondering why he does this – I don’t remember my first son (now 2 ½ ) doing this. I feel so worn out from running after my toddler and nursing all the time!

A: Sounds like you’ve got a lot on your plate, Jayne! Looking after a newborn and a toddler is challenging, especially as you’re recovering from childbirth. Your newborn is engaging in what is known as “cluster feeding”, which means he feeds frequently to signal your breasts to bring in your mature milk. This is a gradual process, and it sounds like your milk is coming in, if he is making “lots of diapers” as you say. A rule of thumb for wet diapers is to expect one on day 1, two on day 2, three on day three and so on until day 6 and onwards when you’re looking for 6-8 soaking wet diapers and multiple stools.

It may be that your fatigue in parenting both children is contributing to the baby’s fussiness. For now, be sure to let all non-essentials like cleaning and phone calls go. A great time to order in food or call in favours from friends who have offered to cook or to spend time with your toddler. Lie down to feed the baby as much as possible to increase your rest time. Hang in there – this phase won’t last long!

Nancy Lahn RN

Developer of the Cozy Cuddles Nursing Pillow

Originally posted 2017-01-07 22:19:45.