Posted on Leave a comment

Bottles for Breastfed Babies

Bottles for Breastfed Babies

No Flow Bottle Nipples

“No flow” also known as “breast flow bottles” allow babies to completely control the flow of milk, unlike a “flow” nipple that drips when the bottle is held upside-down. The concept behind the “no flow” nipple is very innovative and conducive for mimicking breastfeeding while preventing nipple preferencing.

Second to breastfeeding, “no flow” nipples increase development of baby’s speech, oral muscles, and facial muscles and prevent babies from being instantly satisfied from milk dripping down their throats, which is what happens even with “preemie”, “slow flow”, or any other flow-type of bottle nipple.

No flow nipples also prevent suckling through bottle feedings as well as sleeping through bottle feedings, so babies are more likely to get in a whole feeding session in an appropriate amount of time. This also increases their chance of having a deeper sleep during their next sleep period. Why?

1) Babies are less likely to wake due to spit up, hiccups, or tummy trouble due to the improved digestion factor with the no flow nipple.

2) Babies are less likely to be waking due to hunger from not getting that whole feed in with a regular flow nipple because they didn’t have to work at it.

Since babies need to “work at” sucking and swallowing with no flow nipples, they do not have a high probability of becoming nipple preferenced by a bottle (nipple confusion doesn’t exist, it’s nipple preferencing from the satiety of a nipple that has a flow caused by not having to “work at” the bottle).

With a no flow nipple, babies have a lower probability of refusing the breast than they would with any other type of flow, even “preemie” or “slow flow” nipples.

The “no flow” is important, because even with “preemie” or “slow flow” bottle nipples, babies get more milk faster than with the breast because it’s still dripping/flowing.

No Flow Breast Flow Bottle Options

#1 FIRST YEARS BREASTFLOW BOTTLE

First Years Breastflow Bottle has a “double nipple” which require babies to make more effort in sucking and compressing the teat in order to extract milk. The benefit for breastfed babies and breastfeeding parents is that it helps minimizes nipple preferencing.

#2 MEDELA CALMA BOTTLE

The Medela brand is pretty genius, like the Dyson of the breastfeeding world. So much research went into their “calma teat” which helps babies create a vacuum between their mouth and the teat in order to allow the milk to flow. Similar to breastfeeding, this vacuum experience with the calma tea lets baby feed, and then pause and breathe. Since babies are “working” at extracting the milk due to the similar no flow, there is low possibility of nipple preferencing or getting frustrated when returning to breastfeed. Medela’s breast milk bottles are compatible with all Medela breast pumps and Calma, making it easy to pump, store and feed using the same container. Only one size of Calma teat available though; if your baby needs a bottle with a shorter teat due to a higher gag reflex, go with the above recommendations.

#3 MIMIJUMI VERY HUNGRY BOTTLE

Created by doctors and lactation consultants, mimijumi’s bottle allows your baby’s suckle to completely control the flow.

mimijumi Not So Hungry Breasfeeding Baby Bottle

Paced Bottle Feeding

If you choose to breastfeed or support a breastfeeding parent, or have a partner supporting your decision to breastfeeding, have a conversation about the method of bottle-feeding which is actually conducive to helping establish and maintain your breastfeeding relationship for whatever duration you’ve deemed your goal to be; feeding a bottle without the paced-bottle-feeding method can disrupt and harm breastfeeding quickly. Paced bottle-feeding helps avoid overeating and spit up from large feedings or feeds that are simply fed too fast. Remember to hold your baby upright 10-15 minutes after each feed as well. Share this video with friends and family:

Paced Bottle-Feeding video by The Milk Mob

Slow Flow Nipples – Bottle Options

If no flow is a no-go, the next best options other than slow-flow bottles to reduce flow preferencing are slow-flow nipples BUT if you can get a no-flow bottle like the three bottles already mentioned, that is best!

The following slow-flow bottles are NOT no-flow bottles:

Recommended by speech pathologists and doctors, the Munchkin Latch bottle is not a no-flow bottle but it is a slow flow bottle which means it’s a faster flow than any of the no-flow bottles above but it’s the next best thing because it has a slow flow. This is preferred 2:1 over Dr. Brown’s because it helps encourage a wide latch which protects the breastfeeding relationship to prevent sore nipples since wide latches help the nipple hit the soft palette and not the hard palette of the baby’s mouth. It’s silicone nipple is BPA-free and it has an anti-colic valve which is uniquely located at the bottom of the bottle to reduce gassiness and fussiness. They even have a pump adapter which works with many popular pumps (purchased separately) so you can pump directly into the Munchkin Latch bottle.

The nanobebe Breastmilk Baby Bottle has a “preemie” nipple and also a “slow flow” and you can pump breastmilk right into these bottles.

Philips AVENT Natural Glass Bottle with the “newborn flow” nipple. This bottle has a leak-free vent which allows babies to control the flow very similar to a “no flow” nipple. Plus they make them in glass bottles, if you’re into being green and reducing plastic and like to wash bottles in the dishwasher without any extra parts. You can still pour pumped breastmilk inside and then place the bottle in a bowl of hot water to heat it until lukewarm, or pop it in your bottle warmer as usual.

The Comotomo Natural Feel Bottle with the “slow flow” nipple.

Lastly, because the bottles aren’t mimicking the shape of the breast, a “preemie” nipple on Dr. Brown’s Bottles – with the wide neck. If you get the regular Dr. Brown’s Bottles, babies often start refusing the breast because they can help encourage a super shallow latch, so get the wide neck bottles if you’re going with these.

It’s common for partners, grandparents, and other friends and family members to ask or even expect to bottle-feed your baby from the first week.

Yes, it is a way they can bond with your baby however most lactating parents do not want this after learning that the first 6-8 weeks are detrimental to building their supply and realizing it can interrupt the nursing relationship they are working on. The first 6-8 weeks for a new mother is imperative for building her maximum potential yield for her milk supply. It also can add the stress of figuring out how to time in a pumping session which can cause fear that they will not have enough to breastfeed if Baby wakes after pumping and it can lead to clogged ducts and mastitis.

Wonderful ways to connect beyond feeding can make for very special moments such as:

  • changing diapers
  • taking walks
  • babywearing
  • bathtime
  • cuddling skin-to-skin
  • reading books
  • singing

Check out these formula supplementing tips, and learn some secrets about breastmilk here.

Posted on Leave a comment

Probiotics for Baby’s Best Health

Probiotics For Baby

Evidenced-Based Info and Essential Advice for New Parents or Soon-To-Be Parents

Spit ups, reflux, “colic”, and new mothers feeling that “something is wrong with me” – these are issues which are occurring much too frequently.  Avoiding too much coffee and brussels sprouts and cauliflower can only help so much.  It’s important to be informed and understand the evolution of the human body and what is needed for baby, so you can know:

  1. Why your baby is experiencing these symptoms and how probiotics can help decrease and diminish them
  2. You can get rid of guilt from thinking that something is wrong with your breastmilk
  3. Learn a solution which can restore baby’s gut microbiome, and decrease digestion issues and fussiness

Introducing Evivo probiotics for newborns and babies: Implemented in Hospital NICU’s with MCT Oil and given to preterm infants, Evivo Probiotics are now available to provide to your Little One at home.

“If we give a probiotic, their [a premature baby’s] chance of getting Necrotizing enterocolitis goes down,” says Mark Underwood, who is chief of Pediatric Neonatology at UC Davis and a professor of pediatrics.  In fact, at UC Davis Children’s Hospital, all preemies born under a certain birth weight are now given probiotics. It’s become a common practice in other countries including Australia, Japan, Sweden and Finland, Underwood says.  This is because probiotics can help prevent a very serious intestinal inflammation called Necrotizing enterocolitis in preemies.

Research on Evivo Probiotics

  • In Evivo’s Clinical Trial, Evivo restored infants’ gut microbiome 100% of the time
  • Babies given Evivo probiotics showed 80% reduction in potentially harmful bacteria such as E. coli, clostridia, Staph and Strep; babies who did not receive Evivo had more than 4 times the level harmful bacteria versus the babies given Evivo

Gone are the days that the word “bacteria” just means something bad.  This is because there is also good bacteria which is essential in balancing your gut flora.  Good gut environment equals better immunity and resistance to disease.  Research studies have shown that colic, eczema, allergies, diabetes, and obesity are all related to how much good vs. bad bacteria was collected within the first few months of life.  We need more good bacteria to be present in the gut to decrease bad bacteria.  Unfortunately, an increasing number of babies experience disruption in their bellies that actually cause bad bacteria to thrive.

Consequences of a Disrupted Gut

  • 9.6 million children under the age of 18 have eczema; of this total, 3.2 million children (33%) have moderate to severe cases (National Eczema Org)
  • There are at least two children with food allergies in almost every kindergarten classroom (FARE)
  • Over one million children in the U.S. have type 1 diabetes (American Diabetes Association)
  • The rate of obesity doubles as children grow from toddlers to teens (CDC)

Why is Evivo Important for Babies?

The first 6 months of baby’s life contain many critical developmental milestones.  The presence of B. infantis is vital during these crucial early months of life when baby’s metabolism and immune system are developing.  Unfortunately, due to modern medical practices and lifestyles, the vast majority (9 out of 10) of American babies no longer receive B. infantis at birth.

How does Evivo Work?

Evivo works to create a protective internal environment in your baby’s gut, and it’s clinically proven to do just that by significantly reducing the abundance of bad bacterias. Evivo probiotics reduce the presence of bad bacteria by restoring B. infantis, a good bacteria that thrives most in the intestines of infants as it helps break down the lactic acid in breast milk.  Are you a mom with a baby who exclusively breastfeeds?  Then it will be important for you to know that lactose is the only sugar which is naturally found in breastmilk, AND the only sugar babies should be consuming.  Evivo only contains lactose and activated B. infantis EVC001. It is gluten-free, and there are absolutely NO artificial additives, colors, dyes, flavors, or preservatives.

Evivo’s scientists are world-renowned experts in the infant gut microbiome and its critical interaction with human breast milk.  Over a decade of research and clinical trials at The University of California led to the important discovery that the nutrients in breast milk that have evolved over millions of years to become the perfect prebiotic, or food, for B. infantis, the key good gut bacteria in Evivo.  This research concluded that only one bacteria—the B. infantis in Evivo—takes advantage of this unique relationship.  The amazing breastmilk nutrients, Human Milk Oligosaccharides (HMOs), feed B. infantis in Evivo, and the B. infantis returns the favor by transforming the HMOs so they can serve as valuable nutrition for your baby.  Without B. infantis as much as 15% of the nutrients in your breast milk will be wasted in your baby’s diaper!

Conclusion

Evivo probiotics help you build a strong foundation in your baby’s gut by improving the good flora in your baby’s gut environment, improve digestion, further increases immunity, and decreases the probability of allergies and disease later in life.

[amazon_link asins=’B075JR5BZ5,B0752R8GQG,B075RDZ3WF,B075RFJLSG,B07CP6HCF3,B005LHN9S2,B00TGHNNES,B001PYXMV4′ template=’MyGrid’ store=’heartisticb05-20′ marketplace=’US’ link_id=’447fd183-9d97-11e8-b042-0984654d5218′]

Posted on Leave a comment

The Calming Reflex And Colic

The Calming Reflex And Colic

A hypothesis for colic is presented by Pediatrician Dr. Harvey Karp with a term defined as “The Missing Fourth Trimester”. This refers to the timeframe of a newborn baby’s first three months, and Dr. Karp’s discovery of the neonatal response, also known as the calming reflex or “off switch” for crying in infants younger than 3 months, which is activated by his solution called “The 5 S’s” technique.

According to most doctors, there are four main theories of the cause of colic:

  1. gastrointestinal disorders
  2. difficult temperament
  3. brain immaturity
  4. maternal anxiety

However, Dr. Karp lists several rebuttals to these four theories in detail:

  • Colic starts at 2 weeks of age; gas starts shortly after birth
  • Colic ends at 3 months of age; gas lasts a lifetime. Dr. Karp argues symptoms like gas that are suggestive of intestinal pain are probably an overreaction of an immature neurological system to normal intestinal sensations (e.g., the gastrocolic reflex).
  • Colic peaks in the evening; gas occurs all day. Dr. Karp claims evening predominance of crying may be caused by a gradual accumulation of stress throughout the day in the absence of calming rhythmic stimulation which newborns are used to experiencing in the womb.
  • Colic is absent from some cultures around the world; gas is not. Dr. Karp explains that the parents in these cultures imitate the womb for the baby all day long with constant holding and rocking and frequent nursing.
  • Overfeeding is ruled out, as one of these cultures known as the !Kung San, nurse their children 50 to 100 times a day, but their babies never experience colic.
  • The swallowed air theory also doesn’t seem to apply, due to radiographs of fussy babies demonstrating they have more air in the GI tract when they finished crying than when they began to cry.
  • The theory of brain immaturity does not match either. Newborns do have immature brains that are incompletely myelinated. They display slow transmission of impulses from the retina to the occipital cortex during the first three months of life, have frequent tremors, irregular breathing, crossing of their eyes, and poor state control. However preemies have very immature state control, and they do not experience colic until after their due date.
  • The theory of difficult infant temperament was rebuked by researchers as well through numerous studies which have found the association with temperament to be small.
  • In addition, the theory that maternal anxiety is a cause of colic was rebutted by studies with mothers of colicky babies proving they are no more inherently anxious than other mothers, and colic is as common in a couple’s fifth baby as in their first baby. Dr. Karp explains this argues against anxiety playing a role in colic because parents tend to be more anxious with their first baby than subsequent ones.
  • Lastly, the cessation of colic after approximately 3 months fits perfectly with Dr. Karp’s theory of the missing fourth trimester.

Dr. Karp notes that while these four theories are aspects of colic, they don’t detail its root cause; which is what he calls the missing fourth trimester. He even states babies are born three months too soon. Whether this is the case or not, we need to consider that upon birth, babies are suddenly extracted from a rhythmic, snug and entrancing environment (the womb) to an environment of sporadic noises, new reflexes and sensations. Therefore it is understandable this may overwhelm infants who have poor state control and thus provoke persistent crying.

The exciting part is the solution Dr. Karp has found to be a calming reflex which takes place involuntarily during the last months of pregnancy. The response puts fetuses in a trance, keeping them head down and motionless. Dr. Karp’s clinical experience has found that the calming reflex can be activated after a baby is born as well, by what he calls “The 5 S’s” – maneuvers that mimic uterine sensations. These techniques include:

  1. Swaddling, which keeps the baby snug and mimicking the womb’s motionless hold during the last few months during pregnancy
  2. Side or stomach positioning which halts the Moro reflex as babies aren’t in the supine position
  3. Shushing to audibly reenact the sound of blood flow fetus’ have heard for their entire life before birth
  4. Swinging copies the movements the baby experienced inside of the mother
  5. Sucking, which relocated babies sucking their fingers in utero

I believe every pediatrician, caregiver, and parent should be informed of Dr. Karp’s theory of the missing fourth trimester. In my experience, performing the 5 S’s solution has soothed many babies I’ve cared for and proves to be an important gift every baby deserves in their first few months of their beautiful new life.

Posted on Leave a comment

Tummy Time Instructions

Nourish Birth Tummy Time Instructions

Tummy time enables your newborn baby to receive several essential developmental benefits as your newborn engages their entire body to lay the foundation of all of their sensorimotor skills for their entire life.

How exactly do you do tummy time? Follow the timeline below and read the tummy time tips. It’s never too late to start tummy time exercises, and to give your baby all the tools they need to reap the tummy time benefits.

Tummy Time Timeline

  1. From birth to 3 weeks: Tummy time should start the day baby comes home from the hospital, according to the American Academy of Pediatrics (AAP). A good time to play with your newborn in this position is after a diaper change or nap. Begin by placing your baby on your chest (practice Kangaroo Care), as often as possible and preferably skin to skin while you are laying down. In the first few weeks, try tummy time for 1-2 minutes, 2-3 times a day, at different times of the day. Your newborn can build up to 10-15 minutes a day.
  2. Around age 3 weeks to 1 month: One to two times daily, hold your baby upright with their belly against your upper chest and their head resting against your shoulder. Gently support your newborn’s neck and head with your hand. As they lift their head they are strengthening their neck and back. This simple exercise allows babies to develop the ability to move their face out of a blanket or mattress in case they accidentally roll to the stomach. When you do place him on his tummy, gently lift his head a tiny bit. Show him how to slowly swing his face to the side. Place safe objects and toys close to your newborn. Move them from side to side in front of her face. This encourages her to move, lift and turn her head.
  3. At age 2-3 months: It is easier for your newborn if you place your hand under their chest during the tummy exercise. This helps to lift your baby a tiny bit. Always put both of their arms in front to help them start learning how to use their arms to push up.

Tummy Time Tips

  • Supervise your newborn during tummy time. Never leave your baby alone. As they get stronger and start moving more, clear away dangerous objects like tables with sharp corners.
  • If your baby doesn’t like tummy time on the floor, do tummy time on a rolled-up towel or your lap. You can later transition to the floor.
  • Newborn babies have limited strength and poor head control. They tend to cry. Thus some parents fear and avoid it. Begin with brief sessions, a few minutes at a time. The key is to stay consistent. Then gradually increase the time as they grow through tummy time. Prepare to be amazed how quickly your newborn will gain strength and develop their vestibular system. They will improve coordination, sensory, oral and motor skills, all while they build self-confidence.
  • Get down on your baby’s level, interact by talking eye-to-eye. Sing songs, stroke their back, and tickle their hands. Engage in facial expressions, smile, and encourage touch. This enables your child to feel safe and secure in tummy time, ultimately enjoying the experience and benefits of learning to move and play.
Posted on Leave a comment

Newborn Development From Tummy Time

Nourish Birth Newborn Development From Tummy Time

In your tummy, your baby was curled up in a little ball shape. Tummy time exercises allow your baby to open up and gently elongate the front of their body for optimal newborn development. Tummy time itself does not hurt. However, it is a brand new, stimulating experience for babies to process as they engage their entire body to lay the foundation of all of their sensorimotor skills for their entire life.

Benefits of Tummy Time:

  1. Tummy time teaches your baby safety techniques. For example, routinely sleeping on their stomach raises a baby’s risk of SIDS about 4 times. However, SIDS risk increases 8-37 times when babies under 4 months sleep on their back and then accidentally roll onto their stomach. Naturally, your baby will flip over during sleep as they age, but the way you can protect them is to provide them with skills learned through doing tummy time exercises. These safety techniques will help them to free their face by arching their back and lifting their head when they do eventually roll over.
  2. Tummy time promotes visual development through building visual motor skills, binocular vision, two eye coordination, looking upward, and moving eyes side to side independent of head movements. This can influence later activities in life such as copying a teacher’s notes from a whiteboard and following a moving object such as a baseball.
  3. Tummy time eases tummy function to help reduce gas and reflux, decrease constipation, and encourage bowel movements.
  4. Tummy time builds motor skills of the arm, hand, neck, and shoulder for rolling over, crawling, and eventually walking. Tummy time also prevents torticollis, abnormal or asymmetrical neck positioning, due to tightness in the neck muscle. Babies may be having trouble with active head and neck movements when they do not turn their head or stare in one area without moving their eyes. Studies show a direct correlation linking thirty waking minutes of consistent tummy time with higher newborn developmental task scores and improved gross motor control of the neck and head when compared to babies who did not practice tummy time exercises.
  5. Tummy time produces the optimal head shape. Most babies sleep on their backs, as recommended by the American Academy of Pediatrics, and long periods of time can create pressure on one area of the head. Then when awake, babies are often playing on their backs which reinforces that pressure. A baby’s soft skull molds easily, and this can create a flat spot on that area of the head. Daily tummy time exercises give the baby a break from their back, ensuring a round head and prevents neck troubles and imbalances flat spots can bring due to one side of their head weighing more than the other side.
  6. Tummy time engages oral function while strengthening throat, tongue, and oral skills for optimal latch and feeding. Without enough exposure to tummy time, baby’s tongue will not function optimally.
  7. Tummy time facilitates sensory skills and input for hands to mouth and lips, as well as vestibular skills which help the brain register and respond to whether an object they are looking at is moving or if their head is moving, how quickly, and in what direction. It also helps them have balance and equilibrium, equipping them to coordinate both sides of their body together for future activities like catching a ball, riding a bike, cutting with scissors, and zipping a jacket. Tummy time helps the vestibular system to also develop muscle tone for sitting still and upright in a classroom and holding their body parts in-position like when practicing ballet technique.
  8. Tummy time inspires self-confidence and establishes a connection when your baby is complemented after working so hard. Spending time praising your baby after even thirty seconds of exercises does wonders for your baby’s neurodevelopment. Research has shown that the single most important building block of self-esteem is the responsiveness of the caregivers to the cues of the infant. This means your reactions give meaning and importance to your baby’s impulses.

Tummy Time Methods

A Newborn Care Specialist can help you and your baby through tummy time to reach your baby’s newborn developmental milestones. Learn tips on how to do tummy time here.