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    • Welcome
    • Consultations
    • For Providers
    • About Karissa
    • For Clients
    • Kind Words
    • Contact and Info
    • Blog
  • Welcome
  • Consultations
  • For Providers
  • About Karissa
  • For Clients
  • Kind Words
  • Contact and Info
  • Blog

Client Resource Page

This page is a supplement to your care plan.

Below you will find links and videos to support your care plan. 

  • Breast Health Tools
  • Suck and Feeding Tools
  • Pumping Tools
  • Nursing Tools
  • For Baby



Breast Health

Engorgement (pdf)Download
Plugged Ducts (pdf)Download
Reverse Pressure Softening (pdf)Download
vasospasm protocol (pdf)Download

Engorgement

Maya Bolman, English and Russian


Mastitis
What is Mastitis?, Dr. Sears
Newman, Mastitis
Academy of Breastfeeding Medicine Protocol

Plugged Ducts, Blebs

  • Nipple Bleb
  • Dealing with a Plugged Duct
  • ILCA's Dealing with Mastitis
  • http://kellymom.com/bf/concerns/mother/mastitis/
  • Lecithin
  • Blisters on Nipples


Reverse Pressure Softening

  • Kelly Mom


Thrush/ Yeast

  • Best for Babes
  • Jack Newman Ointment
  • Dr. Sears, Diagnosing and Treating Thrush
  • NCBI, Gentian Violet


Vasospasm/ Raynauds

  • Video of a Vasospasm
  • http://www.kellymom.com/bf/concerns/mom/nipple-blanching.html
  • https://www.facebook.com/notes/breastfeeding-center-of-pittsburgh/a-note-from-dr-brent-on-raynauds-syndrome-vasospasm/348940435160704
  • http://pediatrics.aappublications.org/content/113/4/e360.full.pdf+html
  • http://www.breastfeedinginc.ca/content.php?pagename=doc-V-RP


Breast Massage and Expression

For Comfort, Engorgement & For Faster Let Down and Expression

Breast Gymnastics

For Better Mobility and Softening of The Breast

Suck and Feeding Tools

Improving Sucking Skills (pdf)Download
Sensitive Gag Reflex (pdf)Download


Complementary/ Supplemental Feedings

  • Bottle First Method
  • Cup Feeding
  • Video: Finger Feeding
  • Video: Supplemental Nursing System
  • Video: How to Use a Haberman Feeder
  • Paced Bottle Feeding


Suck Training

  • http://feedthebabyllc.com/suckling-exercises/
  • http://www.justbreastfeeding.com/sore-nipple-management/suck-training-tool-breastfed-baby/
  • http://www.bfar.org/bottlefeeding.pdf 


Paced Bottle Feeding

Intuitive Bottle Feeding

Pumping Tools

Pumping Plan (pdf)Download

Hand Expression
Video: Håndmelking
Video: Marmet Hand Expression Technique
Video: Hand Expression, Stanford University

Video: The Basics of Breast Massage and Expression


Storage of Milk

  • http://www.prolacta.com/research.php
  • http://kellymom.com/bf/pumpingmoms/milkstorage/frozen-milk-power-outage/
  • http://kellymom.com/bf/pumpingmoms/milkstorage/milkstorage/
  • http://www.kellymom.com/store/freehandouts/milkstorage01.pdf
  • http://kellymom.com/bf/pumpingmoms/milkstorage/milkstorage-preemie/
  • http://www.bfmed.org/Media/Files/Protocols/2014_Updated_Mastitis6.30.14.pdf



Nursing Tools

Files coming soon.

Lactation Resources

Positioning, Nursing

  • Video: The Breast Crawl
  • Video: Baby Led Nursing
  • Breastfeeding Positions
  • http://www.llli.org/nb/nbearlyweeks.html
  • http://www.llli.org/faq/enough.html
  • http://www.llli.org/faq/positioning.htmlhttp://www.bfmed.org/Media/Files/Protocols/2014_Updated_Mastitis6.30.14.pdf



Positioning

Achieving A Comfortable Latch

Latching On Baby

Flipple

Using a Nipple Shield

Using an Supplemental Nursing System

For Baby

 Gentle Rhythmic Movements can be a great way of warming up for a feeding as these rocking motions tend to be very relaxing for baby. Use this opportunity to sing to your baby.  See below for description of each.  

Rolio

 This is a great exercise if your baby has had a frenotomy, or if they have a head tilt preference, or any flat or pronounced bony areas on their head. 

Infant Massage for Gassiness

Great for colic or generalized discomfort.

TummyTime!™ (for your baby under 2 weeks)

If your baby is full term, your baby should be spending a minimum of 1 hour each day on your chest, which can be in chunks of time. Being on your chest helps calm your baby, helps them adjust neurologically to the outside world and it helps you to recognize their earliest feeding cues. (If your baby is pre-term, then you should have your baby glued to your chest for as much of the time as possible! Your baby came into this world early and needs that contact more than ever.) But, you can also start doing TummyTime!™ on a separate surface as soon as you get home from the hospital too.


  • Try to do one full tummy time cycle at each diaper change.  This will get your baby used to the idea of rolling into and out of tummy time. 
  • Have baby suck on your pinky, with nail side down on tongue, while in tummy time, to help baby find ease in this position.

TummyTime!™ (for your baby 2 weeks+})

This is such important work for your baby and can have incredible effects on your baby's nursing ability and fussiness.  

If your baby can't tolerate it for long, let them suck on your clean finger (nail side down on tongue) to help them stay there a little longer, sing to them, call their name to help them turn their head in each direction, and gently rub or jiggle their back.  

If they get upset, roll baby onto back, pick baby up, calm baby down, and try again! 

The TummyTime!™ Method (by Michelle Emanuel, OTR)


  • Select a TummyTime!™ spot in your home. It may be helpful to choose a spot on a carpet, area rug, yoga mat, padded foam floor or even a padded table top (only for young babies and NEVER leave unattended!). Stock a basket with blankets, burp rags, and fun toys like the Noggin stick, the 4-inch Oball rattle, and a baby mirror.
  • Place a clean blanket on the surface, sit your baby on his/her tush, then slowly lay down on his or her back to begin.
  • Engage your baby in back and forth interaction. Use eye contact, cooing, and make different facial expressions. You are playing first to warm your baby up for a fun tummy time experiences.
  • Be available for eye gaze as much as possible.
  • Slowly roll your baby from their back to their tummy.  It can be helpful to roll baby to his or her side first, and wait until it flows to roll into tummy time position. Tuck an arm and then facilitate the roll using your hand under baby's hip. Let them feel the twist to engage all those important muscles.
  • You can sing or talk, make gentle playful noises, offer a toy for looking at, etc, to keep baby engaged during TummyTime! ™. 
  • It may be very helpful to lie down on your tummy with your baby.  This benefits both of you, the baby has his mom/dad close by and you get to spend some quality time with him or her.  Additionally, you will also reap the physiological benefits of TummyTime!™ (see Benefits of TummyTime! ™)
  • When your baby starts to communicate they are ready to transition out of tummy time, by vocalizations or movements/facial expression, gently tuck one arm underneath the chest and roll your baby to his or her side and then onto their back.
  • It is supportive and loving to pick your baby up, hug him or her, and give lots of encouragement by holding baby close to your heart.  Reassure your baby, “You did it!”  “Wow, you are amazing on your tummy!” etc.
  • Then repeat several more times, depending upon your baby’s abilities.

This is such important work for your baby and can help tremendously when there are feeding challenges.

  • Also you will want to pull down on the baby's jaw sometimes, while they are in tummy time.  This provides a great stretch for the tongue and jaw. 
  • Make sure baby's head is gently extended back when sucking on your pinky for a great suck-training exercise. 

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