Colostrum: Your baby’s first vital food

We all know the importance of breastfeeding. Mothers all over the globe try their best to breastfeed their babies soon after the birth – difficult labour, painful C-section, episiotomy – notwithstanding. But did you know that despite all the wisdom about breastfeeding that you gained, its colostrum what actually your body prepares as your baby’s first feed. Also known as pre-milk, colostrum is a yellowish, creamy substance that acts as your baby’s first complete food before mature milk is produced by the body.

Though it doesn’t exhibit the colour and character of mature milk and is less dense than breast milk, it has a host of health benefits and can do wonders to your baby’s developing systems. To reap the benefits of colostrum it is important that the mother is allowed to breastfeed the baby right after the delivery. Know more about how to kick start breastfeeding successfully. 

What is colostrum?    

Colostrum is the pre-milk your body starts to produce about three or four months into pregnancy. If you have leaky breasts during pregnancy, its colostrum that makes its presence felt that early and not breast milk. In some women the colostrum is a clear-fluid like liquid and in some it appears to be a deep-golden and thick creamy substance. The production of colostrum is very subjective and depends on your physiology and the needs of your baby.

During the initial days after birth your body produces enough colostrum for your baby’s requirements. On an average it is believed that a woman produces 50 ml of colostrum in the first 48 to 72 hours after birth. This small quantity is ideal for your newborn for relatively smaller feeds, which is what your baby would need during the initial days.

Busting the myth

There is this myth surrounding the production of colostrum that since it’s not milk it’s not what the baby needs and so it should be expelled, especially in many sects of the society in India. Doctors and experts say it is a myth and actually consider colostrum as ‘liquid gold’, a powerhouse of essential nutrients and antibodies necessary for the baby’s immature systems.

As the baby’s appetite increases colostrum is replaced with an abundant supply of breast milk. Do not restrict your baby from these pre-milk feeds, as production of the breast milk depends a lot on the suckling your baby does at the breasts during those initial days. Also read how comfort suckling helps in the mother and baby bonding.

Apart from being heavily loaded with antibodies and essential nutrients colostrum is:

• Low in fat content

• High in proteins

• High in carbohydrates

• High in vitamin K

• Easy to digest

How does colostrum benefit the baby?

It acts as a natural vaccination: Colostrum has a lot of antibodies in it, higher in comparison to that of mature milk. These antibodies help your little one’s body build immunity and fight against a host of infections. Colostrum is also high in leucocytes or white blood cells that help to protect the baby from bacterial and viral infections. It also protects your baby from respiratory infections such as pneumonia, bronchitis, as well as stomach infections and ear infections, till your baby’s own white blood cells are produced.

It acts as a storehouse of energy: The sugar present in the colostrum provides energy for the baby’s developing needs.

It acts as a complete food: Being your baby’s first feed colostrum is easy to digest and the perfect food for your newborn. Many experts believe that the protein content in the colostrum provides a full feeling to the baby enabling a longer sleep time.

It helps in better growth and development: Colostrum is rich in nutrients like zinc, calcium and vitamin A, B6, B12 and K, all these are essential for your baby’s overall growth and development. Also the high cholesterol in colostrum helps in the growth and development of the nervous system of the baby.

It helps prepare the immature intestine: Being the baby’s first feed colostrum prepares the baby’s digestive system for the mature milk consumption that’s about to begin, sensitizes the baby to foods taken by the mother, it seals the permeable holes of the gastrointestinal tract to prevent foreign bodies from entering the intestines.

It acts as a laxative: Colostrum feeds builds a newborn’s immunity and helps to pass the first tarry stool called the meconium, also expelling bilirubin in the process and limiting the chances of your baby suffering from infantile jaundice.

How to make sure your baby gets the colostrum-feed

Though many mothers want to start breastfeeding right after the birth, but there can be a number of reasons that can put a halt to this natural process. If you are keen to give your baby the pre-milk feed of colostrum, make sure of these:

You talk to your doctor beforehand. Write it in your birth plan and demand for a breast crawl after the birth to give your baby the much needed benefits of this ‘liquid gold.’ Know the benefits of a breast crawl. 

To work around your situations. In case of a premature delivery where your baby might be kept away from you in the care unit for good reasons, ask your doctor if you can express colostrum and feed your baby. This healthy pre-milk will boast your premature baby’s health for sure.

You figure out what works best for you and the baby. If you are recovering from a painful C-section or episiotomy look for a position with help from the staff or a family member that is comfortable for you and your baby to feed.  In case of a C-section you can try to feed your baby after six hours when the effects of anesthesia start to wade off. But to make sure your baby’s first feed is your colostrum, express your milk before you are wheeled into the OT. Talk to your doctor about it beforehand.

References: 

Importance of colostrum and your baby’s developing GI tract. (http://www.publish.csiro.au/)

Immune globulin levels in colostrum and breast milk. (http://ebm.sagepub.com/content/122/4/1098.short)

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For more articles on baby care, visit our pregnancy section. Follow us on Facebook and Twitter for all the latest updates! For daily free health tips, sign up for our newsletter. And to join discussions on health topics of your choice, visit our forum.

 

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10 things you should think about before buying for your baby

So your new born has arrived and you have made a comprehensive shopping list to get all the baby essentials at one go. But before you start to splurge, wait and think. Does your baby need all that is there on offer at the baby store? If you don’t have a definite answer read on to know about things you should never buy for your newborn or at least limit its usage. These products though make life a lot easier but come with some perils.

Here goes your ‘not-to-buy’ list.

Walkers: Did you know that prolong use of walkers can hamper the bone development in the legs and hips of your growing baby? ‘Your baby doesn’t need a walker but instead vitamin D from the sun and calcium from foods to develop strong bones and limbs to start walking soon. Babies start to walk without any support by 13 months of age. From around nine months onwards they can stand holding on to the sofa or the bed and take their first baby steps with some help. Parents often rush to buy a walker at this stage to make the process easy and fast. But putting your child into a walker is going to cause harm than any good as mentioned before,’ cautions Dr Rohit Agarwal, past president of the Indian Association of Pediatrics attached to Chandrajoyti Children’s Hospital, Mumbai. In fact due to the hazards these walkers pose to baby’s natural development many countries in the west like UK, Canada has banned the use of walkers for babies.

Pacifier: ‘They can lead to nipple confusion; hinder development of the oral cavity and teeth alignment in future, lead to colic and a host of other infections,’ says Dr Agarwal. Before you pick up this product just ask yourself why you need it. If you are picking up a pacifier because you want to free yourself from the demands of comfort suckling or soothe baby during teething it isn’t a very bright idea. A pacifier can help your baby soothe the aching gums and suckle for comfort but it has some hidden dangers attached to it with those instant solutions. Know how to deal with your baby’s colic.

Feeding bottles: Mommies don’t freak out at this. But believe us feeding bottles do a lot of harm to your baby than any good. Though there are recent studies that suggest that they aren’t as harmful as thought by the experts, but they still aren’t the best substitute of your breast. ‘One reason that you should not give the bottle is that your baby would suckle in large amounts of air along with the feed, which can then lead to colic. Also there is always a chance of infection with bottle feeding in case the bottles aren’t sterilized properly or the feeding nipple is contaminated,’ says Dr Agarwal. If at all you need to use feeding bottles make sure they are BPA-free and limit the usage to one or two feeds while you are out with your baby. Know the top 10 reasons why breastfeeding is better than bottle feeding.

Electronic gadgets: They can cause damage to the cells in the brain. Sure you are not going to buy your newborn a mobile but limit its exposure to your baby. For the same reasons don’t use a tablet or iPad to read poems or short stories, invest in baby books. Limiting your own usage of gadgets at home especially around your baby will help them learn more from the environment sans the interference of harmful rays.

Gripe water: Many parents swear by this but not all doctors recommend using gripe water, even for a baby with colic. ‘Parents should refrain from using gripe water for babies, the ingredients used in the gripe water or also janam gutti, a traditionally used mixture for treating colic can in fact irritate the baby’s innards,’ says Dr Agarwal. If you are still optimistic on using gripe water for your baby talk to your pediatrician before buying one over the counter. Try not to give newborn babies gripe water unless advised by your pediatrician.

Kajal or kohl: Whether applying thick kajal or kohl under your baby’s eyes will ward off evil spirits is not known scientifically but it can cause those delicate orbs great damage. ‘Chemicals in these cosmetic products can cause allergic reactions in the eyes and interfere with your baby’s eye health,’ says Dr Agarwal. Read 10 ways to keep your baby’s eye safe. 

Diapers: Wondering how another of the baby essential item made it to this list? Well what experts suggest is that it would be ideal to keep baby off diapers and toilet train naturally. The mess would be bothersome for mothers, but being off diapers will help baby breathe easy and help keep painful diaper rashes at bay. ‘Practically this isn’t possible. So at least keep your baby off diapers while at home,’ says Dr Agarwal. Know what causes diaper rashes. 

Stuffed toys: We aren’t telling you to ban them totally. But keep it off your newborn at least. The fur shed by these toys can give rise to breathing problems in babies and can also lead to SIDS (Sudden infant death syndrome). Keep stuffed toys away from your toddler while sleeping to avoid any incidence of suffocation by accident. Know more about what causes SIDS.

Expensive fancy clothes: Cotton jhablas are the best bet for your babies. Do not get tees or dresses that need to be worn over the neck of your new born. Even with all your care and attention there can be unavoidable accidents.

Baby toiletries: Babies smell good by birth naturally. Don’t lather baby lotion or be tempted to use too much baby powder. The powder, if inhaled by your baby can reach the lungs and result in breathing troubles or irritation. Similarly lotions even with herbal ingredients can trigger skin rashes or allergies. As a thumb rule stay away from baby products that are high on fragrance, they are bound to be heavy on chemicals and allergens.

You may also like to read:

• Decode your baby’s motions


• Which of these 9 reasons are making your baby cry?


• Is your baby teething? Here’s what you should expect  


• Try these tips to put your baby to sleep


• 5 reasons why crying is good for your baby


• How to manage your baby’s colic


• 8 important weaning foods for your baby


• 12 super foods that boast immunity in kids


• 5 tips to prevent diaper rashes  

For more articles on baby care, visit our pregnancy section. Follow us on Facebook and Twitter for all the latest updates! For daily free health tips, sign up for our newsletter. And to join discussions on health topics of your choice, visit our forum.

 

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7 vital tips to take care of your newborn

Once your newborn is home it might be little overwhelming for you. From bathing your baby, to dressing up, feeding and attending to all its needs you might seem like a big task. Often new mums are perplexed with the little human being in their lap and even basic chores like cleaning your baby might seem like a horrendous task. Here we show you ways to get going with the basics.

CLEANING YOUR BABY’S EYES: At times your newborn might have a sticky white or yellowish coloured liquid present at the corner of the eyes. It may appear in both the eyes together or in one eye at a time. Don’t rub, smudge or try to pull it off with your fingers. Instead use cotton swabs dipped in warm water to clean the orbs. Press the swab with your palms to drain excess water and with the wet swab clean your baby’s eyes moving from inside out. Do this in a gentle manner, first moving the swab on the upper eyelid and then on the lower eyelid. Don’t press; just use your finger tips to do the job. This will make the grime come out easily. In case you notice any redness or constant flow of tears from your baby’s eyes this could indicate a need to check the status of your baby’s eye health with a paediatric ophthalmologist. Read to know how to keep your baby’s eyes healthy.

CLEANING YOUR BABY’S NOSE: A newborn’s nostrils are usually clean, but common cold can give rise to a blocked nose, which is quite a common occurrence among newborns. It not only makes them irritable, but can hamper sleep cycles and come in the way of general wellbeing. Don’t try to insert a finger into those little nostrils to clean. Neither will you be able to clean them nor will your baby feel comfortable. Instead use paediatric nasal drops. If you have visited your doctor you would be prescribed one. Put one drop on each nostril. Wait for some time, when the solution loosens up the hard mucous, use cotton buds to pull the filth out.

CLEANING YOUR BABY’S EARS: Never use cotton buds or ear buds to clean your baby’s ears. Newborns might have thick brown wax inside their ear. Don’t be tempted to clean them. That wax is in fact good for your baby; it protects the ear from external infections. The best way to keep your baby’s ears clean is to wipe the outer ear with a wet cloth after a bath. It’s a common Indian practice to rub the newborn’s ears with oil, that actually is a dangerous practice. If the oil reaches the insides of the ears it can lead to infection and interfere with hearing. It’s better to refrain from such practices.

CHOPPING YOUR BABY’S NAILS: Believe it or not, those little fingers have nails that are sharp and strong. You need to cut them so that the baby doesn’t hurt itself or you! The best time to do it is while your baby is sleeping after a bath. Though many experts say that while your baby is asleep, comfort suckling at your breast.  That’s when you should chop off those nails, as it gives you a better angle to check on the nails. When feeding on the right cut the nails on the left hand and vice versa. Push the cuticles inside and use a baby nail clipper to cut the nails straight.

CLEANING YOUR BABY’S LITTLE MOUTH: Many mothers use a cloth dipped in honey or glycerin to clean the insides of the little mouth. But rubbing the tongue can in fact make the mucous dry up and also cause infection. Foreign ingredients like honey and glycerin are also not advisable to be given to infants. Instead just wipe the insides with a soft wet cloth. Ideally a newborn’s mouth doesn’t need much attention. Its only when the teeth erupt should mothers be more vigilant. Did you know nighttime feeding can give rise to dental carries? Read here to know more.

CLEANING YOUR BABY’S FACE: You would get a number of face tissues retailed in the market, choose one and buy a pack. Instead of using a soap which in fact isn’t permissible, just gently wipe your little one’s face with a wet cotton wipe. Alternatively you can also clean your baby’s face with a wet clean cotton cloth.

 CLEANING THE PRIVATE AREA: Don’t be harsh there and clean the area gently. Infections in the genital area are quite common, particularly among baby girls. Always clean the privates of your girl from the front to back, as this reduces the chance of infection. Don’t push the foreskin of your baby boy’s penis higher up while cleaning because the foreskin’s meant to protect your baby’s penis. Even after cleaning with wipes, if you are using them, make sure you clean the area with lukewarm water too.

You may also like to read:

• Decode your baby’s motions


• Which of these 9 reasons are making your baby cry?


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• Try these tips to put your baby to sleep


• 5 reasons why crying is good for your baby


• How to manage your baby’s colic


• 8 important weaning foods for your baby


• 12 super foods that boast immunity in kids


• 5 tips to prevent diaper rashes  

For more articles on baby care, visit our pregnancy section. Follow us on Facebook and Twitter for all the latest updates! For daily free health tips, sign up for our newsletter. And to join discussions on health topics of your choice, visit our forum.

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Formula feeding for babies — 6 things to consider before opting for it

Experienced mothers, doctors, childcare practitioners, and lactation experts everyone advised you against formula feeds. Being a doting mother you dutifully adhered to your baby’s breast feeding demands. But if you are contemplating formula for your baby, keep these points in mind.

When to start: Do not be tempted to switch to formula feeds anytime before your baby is six months of age. Breastfeeding has a lot of benefits and one of them is to save your baby from stomach infections or allergies due to foods other than breast milk. Even if demand feeding is stressful don’t just give up.

How to prepare: Before you opt to give formula have all the essentials ready. Buy feeding bottles that promise to stick to the guidelines of FDA. To be sure read labels if they say they are BPA free. BPA also known as Bisphenol A is a carcinogen used to harden plastics and can be harmful to your baby’s health.  So be sure that you pick bottles that are baby friendly. Also check for the nipples which fit and are comfortable for your baby’s little mouth. Though this can only be done through trial and error method. Also know 10 reasons why breastfeeding is better for your baby than bottle feeding. 

Selecting the formula feed: Speak to your doctor before selecting the formula for your baby. Though you can find a number of them in the market get the one most preferred by peadiatricians. If you are doing it on your own and know what to look still keep in mind not to pick up a formula that might have ingredients that contains traces of cow’s milk. The protein in these ingredients can be hard on your baby’s little kidneys.

Be ready to put in effort: Remember unlike breastfeeding formula feeds would need you to put in more work. You will have to be ready with boiled water cooled down to room temperature before you start making formula. Read the instructions carefully before you start. Know how many scoops you need to add to the water to make a feed. Don’t try to dilute or make a concentrated mix unless the labels say so. Remember they are already tailor-made for your baby’s needs.

Check the flow: If you are buying the bottle and nipple of the same brand, you can presume that it fits to the bottle perfectly and can ensure smooth flow of the feed. If not be sure that your baby is able to have enough feed while suckling. Do not pierce the nipple to maximize flow. Instead check it you have put the cap tightly and you are holding the baby right to ensure a good flow of feed. Take care that your baby is having enough of the silicone nipple inside the mouth which would restrict intake of air along with the feed. More air intake with feed can give rise to unpleasant stomach aches or colic. Know how to manage you baby’s colic.

Never keep the leftovers: Even though formula feed can be convenient and easy, but it doesn’t permit consuming leftover feed. You need to make a feed and finish it at one go and discard the leftover. Also remember to put a lid and cover the bottle in case your baby decides to take small breaks between the feeds.

Sterilize the bottles well: Didn’t we say giving formula was more work? Follow the sterilizing routine religiously. Your baby can pick up a host of infections from just that bottle than the formula. Remember to change the nipple once you see the signs of wear and tear. If the need be change the bottle too frequently.

Monitor your baby closely: If your baby shows any signs of distress like vomiting, loose motions, unnecessary bouts of crying probably you should stop the formula feed and try breastfeeding. If your baby refuses to formula it can mean either the food is irritating the immature systems or your baby has a dislike towards the taste. Try switching to a different brand and check.

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• Decode your baby’s motions


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• 5 reasons why crying is good for your baby

For more articles on baby care, visit our pregnancy section. Follow us on Facebook and Twitter for all the latest updates! For daily free health tips, sign up for our newsletter. And to join discussions on health topics of your choice, visit our forum.

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5 hidden benefits of comfort suckling or nursing

Breastfeeding is important for your baby. It nourishes nurtures and helps your baby bond with you. But at times some babies tend to suckle more than the usual, even if their hunger is satisfied. Many term this prolonged suckling as comfort suckling or comfort nursing.

Comfort nursing is often noticed during the initial days after the birth. Many doctors’ advice mothers against such a practice and to limit the duration of the feeds. But there are also practitioners and experts who believe that comfort suckling is as important for the baby as it is to breastfeed.

Just like breastfeeding helps your baby to get all the vital nutrients and food, comfort suckling helps your baby to receive all the emotional support needed to feel secure out of the womb. Here are reasons why comfort suckling is as important as quenching your baby’s hunger.

It helps the baby to trust and interact: You might sometimes notice your baby suckling on his little fingers. This indicates his need to suckle. If you have already fed your baby and still notice this suckling offer a feed again. Because suckling a mother’s skin rather than his own little fingers would provide your baby with the trust that the mother is always there to check on his needs. Responding to such a need also helps your baby to interact well with you from a very early age.

It helps to initiates bonding: Idle sucking is not all that bad. It helps in more skin to skin contact with the mother and the baby and hence helps to bond better. This in turn also helps in better breastfeeding and boasts immunity. But if idle suckling really bothers you try putting your baby in a sling. Being close to you will lower your baby’s anxiety levels and help lessen the need for comfort suckling. That’s also why a breast crawl helps an infant to connect with the mother. Read to know how a breast crawl helps. 

It helps the baby to relax: Studies have shown that comfort suckling decreases the baby’s heart rate and helps him to relax and calm down. An important aspect in the baby’s well-being.

It helps in facial development: Though this can be achieved by breastfeeding alone, but more suckling at the breast helps in better mouth and jaw development.

It helps the baby to sleep well: It is very common that mothers find it easier to put the baby to sleep feeding a little longer than required. It is also a comfort factor for babies to feel asleep at the breast. Though nighttime feeding isn’t a good idea, but comfort suckling can help babies lull into sleep during those initial days when sleep cycle is not established in a baby. Know the perils of prolonged night time feed.

Even though comfort suckling might be tiring and time consuming for the mother but it definitely has hidden benefits. Don’t be tempted to use a pacifier to do the job for you. In this way you would be missing on the bonding time with your baby and this could probably make your baby take less feed from the breast. So allow your little one to suckle with all the joy and know this would pass as you start on the process of weaning.

Also read: 

• How to counter diaper rashes 


• 10 ways to keep your baby’s eyes safe


• A new mums guide to bond with the new born 

You may also like to read:

• Decode your baby’s motions


• Which of these 9 reasons are making your baby cry?


• Is your baby teething? Here’s what you should expect  


• Try these tips to put your baby to sleep


• 5 reasons why crying is good for your baby


• How to manage your baby’s colic


• 8 important weaning foods for your baby


• 12 super foods that boast immunity in kids


• 5 tips to prevent diaper rashes  


• 10 things you should not buy for your baby

For more articles on baby care, visit our pregnancy section. Follow us on Facebook and Twitter for all the latest updates! For daily free health tips, sign up for our newsletter. And to join discussions on health topics of your choice, visit our forum.

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Sharing bed with your baby can be fatal for the newborn

While it is a good idea to keep a watch over your baby when she sleeps it might not be a good idea to share the same bed with her. However, this simple act of parenting has its set of proponents and opponents. Many believe that sharing a bed with a newborn increases bonding between the parents and the baby, ensures better sleep and gives the baby a sense of security and comfort.

Emotional and psychological reasoning apart one should know that bed-sharing with infants has its perils, a study noted. The study also concluded that bed-sharing with parents can lead to infections and other health risks. Bed sharing constitutes to be the biggest risk sudden infant death syndrome or SIDS, the third leading cause of infant mortality in the US.

However, the study says that co-sleeping would still be a better practice than bed-sharing. Though both these terms are interchangeable, but they do not mean the same.

What is co-sleeping?

 Co-sleeping means sleeping in the same room as your infant in proximity explains researcher Trina Salm Ward from the University of Georgia in the US. That means while sleeping, having your baby put in a bassinet, cradle or crib close to your bed in the night.

What is bed-sharing?

Bed-sharing is when you sleep on the same surface as the baby. In her research, Salm Ward discovered the main reasons mothers chose to bed share included breastfeeding, emotional comfort and reassurance, monitoring, better sleep for the infant, family traditions and bonding. However, this isn’t recommended by the experts.

Here are some sleep safety methods a mother should follow to ensure proper sleep for her baby:

• If you are going to place your infant in a crib or a cradle make sure it is placed right next to your bed, so that you can attend to your baby’s needs faster even in the dead of the night.

• ‘Ditch the ultra soft baby mattresses and get one which is firm and doesn’t have any foam or strings coming out of it. A firm mattress is what your baby’s delicate back would need to rest on, says Sonali Shivlani, an Internationally Certified Pregnancy, Lactation and Child Nutrition Counsellor.

• If you co-sleep, take care to avoid the occurrence of any unnatural accidents and make sure you provide your baby with enough space. Be sleep alert so that your hand, leg or pillow doesn’t harm your baby in any way.

• Do not keep a pillow for your baby to sleep on; it can lead to suffocation if your baby’s delicate head sinks in.

• Make sure that the crib you use has firm railings on the sides and the spacing is less than 2 inches so that your baby’s hand or leg doesn’t get trapped in between the gaps.

• To avoid flat head syndrome, make sure you take enough care so that your baby isn’t sleeping facing in one direction for too long. ‘Mothers need to be more attentive here and keep changing the side of the baby’s head. Even keeping your baby straight for too long can make the back of the head flattened,’ says Sonali. 

• Remember to remove all the stuffed toys from the crib or cot before you put your baby to sleep to avoid incidences of suffocation.

•Always try to put your baby to sleep on the back to avoid SIDS or sudden infant death syndrome. Know more about SIDS.

• ‘Never keep anything under your baby’s head or on the bed that can elevate the neck during sleep. For the same reason give the pillow and also the horse shoe pillow a miss,’ says Sonali.

• Always keep the baby’s bedding, bedsheet clean. Dust, mite and milk can trap germs and give rise to infections.

The study appeared in the Maternal and Child Health Journal.

With inputs from ANI

Image courtesy: Getty Images 

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For more articles on parenting, visit our parenting section. Follow us on Facebook and Twitter for all the latest updates! For daily free health tips, sign up for our newsletter. And for health-related queries, visit our Questions and Answers section

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