00:00Hi, I'm Nancy Moerbacher, co-author of Breastfeeding Made Simple, 7 Natural Laws for Nursing Mothers.
00:07Breastfeeding early and often is the best way to make ample milk for your baby.
00:14But if your baby can't yet breastfeed due to illness, prematurity or any other reason,
00:20an effective hospital-grade breast pump can help you provide milk for your baby.
00:25Reaching full milk production with the breast pump will also make your baby's transition
00:29to breastfeeding easier when the time is right.
00:39The basics of milk production are simple.
00:42The more often and more fully you drain the milk from your breasts, the faster your breasts
00:46produce milk.
00:48The opposite is also true.
00:49The fewer times each day you pump or breastfeed and the more milk that's left in your breasts,
00:54the slower you produce milk.
00:56In other words, drained breasts make milk faster and full breasts make milk slower.
01:08There are three stages of milk production after birth.
01:12Understanding each stage will make it easier for you to reach your milk production goals.
01:16Let's listen and learn more about these three stages.
01:23Stage 1 begins at birth and lasts for several days.
01:28During this stage, before your milk increases, you may only express drops of milk at each pumping
01:34session.
01:36These drops are important to your baby.
01:38And the more you pump in stage 1, the faster your milk production will increase.
01:44The closer to birth you start pumping, the better.
01:49Set your pump suction at the highest setting that is comfortable for you.
01:53At this setting, you should have no discomfort during or after pumping.
01:59Because you won't see too much milk yet, find a speed setting that is comfortable and
02:06gives you the best results.
02:08Stay at that speed throughout the pumping.
02:11At first, many mothers find the faster settings more comfortable than the slower settings.
02:18But use whatever setting feels best to you and expresses the most milk.
02:24Plan to dual pump at least 10 to 15 minutes at each session.
02:30When you finish, tilt your pump flange back and hand express more milk into it.
02:36Hand expression after pumping has been found to significantly increase your milk production
02:41later.
02:44Plan to express your milk at least 8 to 10 times every 24 hours.
02:50This is how often your baby would be breastfeeding.
02:53Some mothers find it easier to fit in 8 to 10 pumping sessions if they pump on a set schedule,
02:59such as every 2 to 3 hours, especially while they're still in the hospital.
03:06But once they're home, many mothers find it easier to fit this into their day by focusing
03:13on their daily total and planning their pumping sessions around their other commitments.
03:19This might mean pumping every hour for the part of the day that's easiest for them and going
03:24for longer 4 to 5 hour stretches at other times.
03:29Until you reach full milk production at the end of stage 2, try not to go longer than about
03:355 hours between pumping sessions, even at night.
03:40Most newborns don't breastfeed at set intervals, so you don't have to pump that way.
03:45But use whichever approach makes it easiest for you to fit in at least 8 to 10 pumpings
03:51each day.
03:53It is your total daily number of pumping sessions that is most important to reaching full milk
03:58production.
03:59And the good news is, you don't have to keep up this pace for very long.
04:05Stage 2 starts when you begin pumping noticeably more milk.
04:10For most mothers, this happens around the third or fourth day.
04:15Now it's time to take full advantage of the drained breasts make milk faster dynamic to
04:21get you quickly to full milk production.
04:27This means pumping longer at each session.
04:31Instead of dual pumping for 10 to 15 minutes, pump until the last drop of milk or 20 to 30
04:38minutes, whichever comes first.
04:41Continue to hand express into the flange afterward as often as you can to express a little more.
04:48Because you're making more milk now, stage 2 is a good time to start using your pump controls
04:54to follow your flow for multi-phase pumping.
04:58This involves varying your pump speed settings several times during each pumping session, using
05:03faster speed settings to trigger milk release, and slower speed settings to drain the breast
05:09faster.
05:11For details, see the section using the Ameda Platinum Breast Pump and Hygiena Kit milk collection
05:19system.
05:22Continue pumping 8 to 10 times each day, either at set times or when it's convenient.
05:28Keep your focus on meeting this total daily number of pumping sessions.
05:32The goal is to reach full milk production by 10 days or so.
05:38You'll know you're there when you're expressing between 25 and 35 ounces, or between 750 and
05:46about 1,000 milliliters of milk per baby per day.
05:51This is as much milk per day as your baby is ever likely to need.
05:55When you reach this level, you can keep your milk production steady with less pumping.
06:02If you do not reach this level of milk production by 10 days or so, try the suggestions for boosting
06:09milk production in the next section.
06:11And talk to your breastfeeding specialist for other ideas.
06:17Stage 3 begins when you reach full milk production.
06:20Now your goal changes from increasing milk production to keeping it steady.
06:26Most mothers can do this with fewer daily pumping sessions.
06:31You can start by getting a full night's sleep.
06:34Pump right before bed and as soon as you get up for the day.
06:38Unless your breasts feel too full by morning, you don't need to wake to pump at night.
06:45You can also cut back your pumping length to 10 to 15 minutes.
06:50Many mothers can maintain their milk production with between 5 and 7 daily pumpings.
06:56But by keeping an eye on your milk production, you'll soon learn what works for you.
07:03If it's going to be a while before your baby can breastfeed, plan to monitor your milk production
07:08weekly.
07:10On whatever day of the week is best for you, write down how much milk you pump in 24 hours.
07:17You're doing fine if your daily total stays between 25 and 35 ounces or 750 and 1000 milliliters
07:26of milk per baby.
07:29If you notice your milk production dropping, you can make some adjustments to boost it.
07:35Start by checking your flange fit.
07:39Flange fit can change over time and you may need another size.
07:43Gentle breast massage before or during pumping can also increase milk yield.
07:51It may help to adjust your pumping routine by increasing the number or length of pumping
07:56sessions.
07:57Talk to a breastfeeding specialist about other ways to boost milk production.
08:02Take care.
08:02Take care.
08:02Take care.
08:04Take care.
08:04Take care.
Bình luận