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    • Welcome
    • Support in NL
    • Virtual / US Consults
    • About Karissa
    • About SNL
    • For Providers
    • Kind Words
    • Blog
    • Resources
    • Contact
    • Credentials and Forms
  • Welcome
  • Support in NL
  • Virtual / US Consults
  • About Karissa
  • About SNL
  • For Providers
  • Kind Words
  • Blog
  • Resources
  • Contact
  • Credentials and Forms

Resources

Perinatal Resources

About This Page

The initial content of this page is focused on the most frequently shared information in pdf and video formats. Below that, you will find content arranged by topic. Please note that this is page does not replace the advice of your Health Care Provider, and you should seek their guidance prior to implementing any of these strategies. 

Frequent Downloads

These are common suggestions and protocols used within our care plans. 

Mammary Constriction Syndrome (pdf)Download
Resolving a Milk Bleb (pdf)Download
Resolving Engorgement (pdf)Download
Resolving Plugged Ducts (pdf)Download
Reverse Pressure Softening (pdf)Download
Vasospasm Protocol (pdf)Download
Improving Sucking Skills (pdf)Download
Sensitive Gag Reflex (pdf)Download
Tongue Mobility Exercises (pdf)Download

Breast Health Videos

Breast Massage and Expression

For Comfort, Engorgement & For Faster Let Down and Expression

Breast Gymnastics

For Better Mobility and Softening of The Breast

Breast Feeding Videos

Positioning

Achieving A Comfortable Latch

Latching On Baby

Flipple

Using a Nipple Shield

Using an Supplemental Nursing System

Bottle Feeding Videos

Paced Bottle Feeding

Intuitive Bottle Feeding

Movement Videos

 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. 

Lactation Resources

  • Books
  • The Womanly Art of Breastfeeding, LLL
  • Breastfeeding Mother's Guide to Making More Milk, West & Marasco
  • Mother Multiples, Gromada
  • Adventures in Tandem Nursing, Flower
  • Mothering Your Nursing Toddler, Bumgarner
  • Breastfeeding Your Premature Baby,Gotsch
  • Breastfeeding and Diseases, Buescher, Hatcher
  • Breastfeeding an Adopted Baby and Relactation, by Elizabeth Horman

    Handouts and Resources, General
  • Lactation Education Resources
  • Jack Newman
  • Massachusetts Breastfeeding Coalition
  • Kelly Mom
  • Nancy Mohrbacher
  • International Breastfeeding Journal


    Allergies/ Intolerance

  • ABM Clinical Protocol

      Anesthesia 

  • ABM Clinical Protocol

Breast Reduction and Augmentation

  • Breastfeeding after Breast and Nipple Surgeries


Candida, See Thrush

Cleft Palate

  • http://www.youtube.com/watch?v=BpqqYQlKDeA
  • http://www.bfmed.org/Media/Files/Protocols/Protocol_17.pdf
  • www.llli.org/nb/nbmarapr09p12.html
  • http://www.stlouischildrens.org/our-services/cleft-palate-and-craniofacial-institute/tips-feeding-infant-cleft-lip

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


Contraception and Breastfeeding

Engorgement

Growth and Weight Gain

  • WHO Growth Chart for Breastfed Babies


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

Video: The Basics of Breast Massage and Expression

Hypoglycemia 


Hypoplasia

  • http://kellymom.com/bf/got-milk/supply-worries/insufficient-glandular-tissue/
  • http://www.lowmilksupply.org/abs.shtml (2 types of at-breast supplementers pros & cons)
  • http://www.breastfeedinginc.ca/content.php?pagename=vid-lactaid (video of insertion)
  • http://www.bestforbabes.org/yes-you-can-breastfeed-successfully-no-matter-how-much-milk-you-make
  • http://www.007b.com/breast_size_breastfeeding.php
  • http://www.sonic.net/~mollyf/igt/ has pictures
  • http://mommynewsblog.com/every-drop-matters-why-breastfeeding-is-not-all-or-nothing/
  • http://viewer.zmags.com/publication/2d427022#/2d427022/8 (Diane W & Diana W write about at long-term breast supplementer)
  • http://kellymom.com/bf/normal/picture-of-success/


Jaundice


Laws of Public Breastfeeding in United States

  • Breastfeeding Law and Advocacy


Let Down and DMER

  • What is a Let Down Reflex?
  • Video: Dysphoric Milk Ejection Reflex 


Maintaining and Building a Milk Supply

  • Video:  Establishing & Maintaining an Adequate Milk Supply For the Mother with a Preterm or High Risk Infant Who is Unable to Breastfeed at Birth
  • Video: Maximizing Milk Production: Hands on Pumping


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

Medication 

  • Nice Breastfeeding, Non Prescription
  • Lact Med, Tox Net
  • Hale, Infant Risk
  • Meds Milk


Milk Supply, Increasing

  • Dr Sears, Tips on Increasing Supply
  • Herbs Used to Help Increase Supply (please note that information is not intended to treat, diagnose or prescribe herbs for low milk supply. Please consult your healthcare practitioner)
  • Academy of Breastfeeding Medicine, Galactogogues

 
Nursing Strikes/ Breast Refusal

  • LLL Nursing Strikes


Nutrition

  • Kelly Mom: Nutrition Section


Overactive Letdown

  • http://overactiveletdown.com/
  • http://www.thebadassbreastfeeder.com/ask-an-expert-how-to-deal-with-fast-milk-flow/


Oversupply

  • Video: Reverse Pressure Softening
  • Video: Hand Expression
  • Engorgement
  • Breast Compression
  • Video: Breast Compression


Plugged Ducts, Blebs, Also see Mastitis

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


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.html


Preterm Infants and Breastfeeding

  • Video:The Biology and Chemistry of How Mother’s Milk Optimizes Preterm Infant Health
  • Video:  Establishing & Maintaining an Adequate Milk Supply For the Mother with a Preterm or High Risk Infant Who is Unable to Breastfeed at Birth
  • The Late Preterm Infant, ABM


Radiation, MRI, CATSCAN, Contrasts

  • http://www.infantrisk.com/content/recommendations-radiocontrast-agents
  • http://www.clinicallactation.org/article.php?id=16&journal_id=6 
  • http://www.breastfeedingmaterials.com/publicdownloads/Contrast-Dye-Poster-back.pdf
  • http://www.drugs.com/breastfeeding/technetium-tc-99m-medronate.html
  • http://pediatrics.about.com/cs/breastfeeding/a/bfing_drugs_3.htm


Reflux 

  • http://www.kiddsteeth.com/articles/aerophagia_2011.pdf
  • http://www.medical-hypotheses.com/article/S0306-9877%2805%2900008-3/abstract
  • http://kellymom.com/health/baby-health/reflux/
  • http://kellymom.com/bf/concerns/child/fussy-while-nursing
  • http://www.choosingwisely.org/doctor-patient-lists/american-academy-of-pediatrics/ 


Relactation and Breastfeeding an Adopted Baby

  • Books and Publications:
    • Breastfeeding an Adopted Baby and Relactation, by Elizabeth Horman
    • Australian Breastfeeding Association. Relactation and Adoptive Breastfeeding. East Malvern, Victoria: Australian Breastfeeding Association; 2004 April.
  • Protocols for Induced Lactation


Returning to Work 

  • Work and Pump
  • Video: Maximizing Milk Production: Hands on Pumping
  • Dr. Sears, 20 Tips for Working and Breastfeeding
  • Breastfeeding Works
  • http://www.nancymohrbacher.com/blog/tag/for-employed-nursing-mothers
  • http://www.kellymom.com/bf/pumping/milkcalc.html
  • http://www.usbreastfeeding.org/Employment/WorkplaceSupport/WorkplaceSupportinFederalLaw/tabid/175/Default.aspx
  • http://womenshealth.gov/breastfeeding/going-back-to-work/index.html
  • http://www.usbreastfeeding.org 


Reverse Pressure Softening

  • Kelly Mom


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


Suck Training

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


Supporting The Breastfeeding Relationship

  • Video: Breastfeeding – Why Parents and Healthcare Providers Should Care


Thrush/ Yeast

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


Thyroid Issues

  • http://kellymom.com/health/mom-health/thyroid-faq  
  • http://www.allthyroid.org/disorders/pregnancy/problems.html
  • http://www.theboobgroup.com/thyroid-can-affect-milk-supply/#


Tongue Tie

  • Video of a Release
  • Photos of Ties
  • Video of Hazelbaker Assessment Tool
  • Rex ENT, Dr. Garside


Torticollis

  • http://www.lunalactation.com/011Nov_InsideTrack_toticollis.pdf
  • http://articles.chicagotribune.com/2012-03-15/health/ct-met-bumbo-posture-20120315_1_physical-therapists-developmental-benefits-babies


Traveling with Breastmilk

  • TSA Regulations


Triage Tools

  • Nipple Pain


Twins and Multiples

  • http://www.bestforbabes.org/booby-traps-series-booby-traps-for-moms-of-twins-or-more-part-1
  • http://www.bestforbabes.org/booby-traps-series-booby-traps-for-moms-of-twins-or-more-part-2
  • http://www.karengromada.com/faq/
  • http://www.isisonline.org.uk/twins/cobedding/
  • https://www.dur.ac.uk/sleep.lab/projects/twins/ sleep cobedding
  • Triplets: http://themilkmeg.com/breastfeeding-triplets-tips-video-montage-and-pictures/
  • http://www.theboobgeek.com/blog/5-tips-for-early-success-when-breastfeeding-twins-or-more.html


Under Supply, See Milk Supply

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


Vitamin D

  • http://blog.vitamindcouncil.org/2012/06/25/the-breastfeeding-mother-breast-milk-as-a-biomarker/
  • http://www.npr.org/blogs/health/2013/11/20/246393329/how-a-vitamin-d-test-misdiagnosed-african-americans
  • http://www.ncbi.nlm.nih.gov/pubmed/24256378
  • http://www.ncbi.nlm.nih.gov/pubmed/24290111
  • http://blogs.creighton.edu/heaney/2014/06/05/vitamin-d-and-the-nursing-mother/


Weaning, Including Introducing Solids

  • Baby Led Weaning
  • Whole Foods for Babe, not Rice Cereal


Weight Loss, Infant Includes IV and Weight Loss Due to Edema

  • http://www.internationalbreastfeedingjournal.com/content/6/1/9
  • http://www.internationalbreastfeedingjournal.com/content/6/1/10
  • http://www.nbci.ca/index.php?option=com_content&view=article&id=47%3Aslow-weight-gain-following-early-good-weight-gain&catid=5%3Ainformation&Itemid=17
  • http://www.nancymohrbacher.com/blog/2011/10/31/newborn-weight-loss-and-iv-fluids-in-labor.html
  • http://www.internationalbreastfeedingjournal.com/content/pdf/1746-4358-6-9.pdf
  • http://pediatrics.aappublications.org/content/127/1/e171.abstract
  • http://www.bfmed.org/Media/Files/Protocols/Protocol%203%20English%20Supplementation.pdf
  • http://www.drjen4kids.com/soap%20box/newbornweight.htm


Weight Gain, Infant 

  • http://www.cdc.gov/growthcharts/data/who/grchrt_boys_24lw_9210.pdf
  • http://www.cdc.gov/growthcharts/data/who/grchrt_girls_24lw_9210.pdf
  • http://www.kellymom.com/babyconcerns/growth/weight-gain.html


Additional Info
Medical Dictionary
Pronunciation of Medical Terms
Medical Terms, LER
Medical Abbreviations
Pictures of Infant Interventions and Anatomy 

Perinatal: Pregnancy, Childbirth and Postpartum

. Websites

  • DONA
  • Childbirth Connection
  • Rights of the Childbearing Woman
  • Lamaze Healthy Birth Practices
  • Spinning Babies

Books
  • The Official Lamaze Guide: Giving Birth With Confidence, Lothian, Judith, and DeVries Charlotte * Included in Childbirth Class
  • Pregnancy, Childbirth, and the Newbornc Simkin, Penny, Whalley, Janet, and Keppler, Ann
  • The Birth Partner: Everything You Need to Know to Help a Woman through Childbirth.Simkin, Penny * Included in Childbirth Class
  • A Child Is Born,  Nilsson, Lennert
  • Ina Mae’s Guide to Childbirth. Gaskin, Ina Mae
  • The Doula Book.  Klaus, Marshall, Kennell, John, and Klaus, Phyllis 
  • Thinking Woman’s Guide to a Better Birth.  Goer, Henci

Birth Plans
Remember that this a preference sheet. Include things that are most important and refrain from including things that you can control (temperature, music, etc). Topics can include anything from sharing your fears, to who you'd like to catch your baby, should it not be your HCP. Remember to bring this sheet with you to prenatal appointments so that your Doctor or Midwife and get to know your desires. This is also a wonderful way to open dialogue and be sure that your expectations are in line with the practice you have chosen.

  • http://americanpregnancy.org/labor-and-birth/birth-plan/
  • Childbirth Connection


Relaxation Techniques- Both Guided and Scripts

  • Calming Color Relaxation
  • Chopra Guided Meditations
  • Floating on a Cloud Relaxation
  • Stretch and Relax
  • Sleep Scripts
  • Autogenic Relaxation
  • Relaxation During Pregnancy Script


Videos

  • Healthy Birth Practices:
    •  Let Labor Begin On It's Own
    • Walk, Move Around and Change Positions in Labor
    • Bring a Friend or Doula for Continuous Support
    • Avoid Interventions that are Not Medically Necessary
    • Avoid Giving Birth On Your Back and Follow Your Urge to Push
    • Keep Mother and Baby Together
  • Birthing Positioning and Comfort Measures
    • Pros and Cons of Positions
    • Rebozo Techniques
    • Labor with an Epidrual
    • Pushing with an Epidural
    • Chatham-Kent Health- Excellent Recap of Comfort Measures
  • Labor and Birth
    • Transition
    • Animation of Labor and Birth
    • Into the Womb
    • Everyday Miracles
    • Woman Centered Cesarean
  • Other
    • Birth by Numbers


Food Scheduling (for friends to schedule bringing meals to family)

  • Meal Train
  • Food Tidings

Books

  • Your Amazing Newborn.  Klaus and Klaus.  
  • The Baby Book: Everything you Need to Know About Your Baby From Birth to Age 2. Sears and Sears.
  • Touchpoints, Brazelton
  • Your Baby and Child, Penelope Leach

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