Oxfordshire Baby & Parenting Guide | Page 21

a skill that can be learned… Breastfeeding The vast majority of women who have a baby in the UK start breastfeeding – 83% at the last count. National surveys show that women, who get good help and support in pregnancy and in the early days and weeks after the birth, are more likely to carry on breastfeeding for as long as they want to. It comes as a surprise to many women that breastfeeding, whilst natural, is not instinctive – it is a skill that has to be learned. Now you are home, the earlier you get breastfeeding going smoothly, the more likely you are to be able to continue for as long as you want. • Use the ‘What’s in a nappy?’ sheet that you were given to check that your baby is getting enough milk • Use the back of the orange booklet ‘Successful Breastfeeding’ that you were given by your midwife, as a troubleshooting guide • Contact your midwife or health visitor if you have any concerns; don’t wait for your next scheduled visit • Use the contacts and source of help you identified before the birth to support you, particularly while you are still in the ‘learning phase’. Bottle feeding If you do not plan to breastfeed or decide to switch over to bottle feeding, you will need to know what sort of milk to give your baby, how to prepare it and how to feed it. First milk is the only food your baby needs for the first six months. After six months you can continue to give first milk as you start to introduce solid food. When your baby is one year old, you can start to give ordinary (full-fat) cow’s milk. If you chose to use other types of milk, read the label carefully to make sure they are suitable for the age of your baby. For further information and for guidance on how to bottle feed read: ‘A guide to infant formula for parents who are bottle feeding’. If you are bottle feeding you should be shown how to sterilise equipment, make up and give a feed before you leave hospital. If you haven’t been shown – ask. Even if you think you know, check with a midwife or health visitor as some advice may have changed. You can also watch the DVD ‘Guide to Bottle Feeding’. When to wean? We now know that a baby’s digestive system is not really ready for foods other that milk until about six months of age. Your baby will let you know when this is. Babies who are ready for solid foods can: • Stay in a sitting position and hold their head steady ts fle lea e y d ar sit an icle iver t g Ds art Un e a din DV e rd sit ee s, n th xfo eb ntf ide o i O t w fa gu d t the rus /in he re n T k l t fer o ls .u Al re able pita nhs . ail os h av H .ou w w w 17 • Co-ordinate their eyes, hands and mouth and look at food. They can pick up finger food and put it in their mouth all by themselves • Swallow food. Babies who are not ready will push their food back out, so they get more round their face than they do in their mouths. It is rare for all these signs to appear together before six months. Waiting till your baby is ready will save you a lot of time too, as they will very quickly be able to feed themselves and with less mess than spoon fed purees. There is now some evidence those babies weaned through the baby-led approach are less likely to be overweight. You can offer your baby finger foods such as: bits of banana, soft cooked broccoli and other veg, cooked pasta, slices of soft fruit etc. For further information you can read the ‘Introducing Solid Foods’ leaflet. You still need to give the first milk that you have been using, alongside other foods, until your baby is one year old. sources of help NCT (National Childbirth Trust) tel: 0870 444 8708 ABM (Association of Breastfeeding Mothers) tel: 0870 401 7711 BfN (Breastfeeding Network) tel: 0300 100 0210 www.breastfeedingnetwork.org.uk LLL (La Leche League) tel: 0845 120 2918. The national number will connect you to your nearest local breastfeeding counsellor. There is also a Department of Health funded national helpline number 0300 100 0212. To find local sources of help, including your local Baby Café: www.ouh.nhs.uk/infantfeeding