Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Newborns are night owls. Their tummies are small and breast milk is easily digested. Thus, babies need to eat every 1 ½ to 3 hours in order to grow. In fact, your baby will probably feed more often at night than during the daytime for the first few weeks. Mothers can cope with this by napping whenever the baby sleeps, and by getting help with household chores and meals. Most babies do not sleep through the night until they are at least 6 months or older.
Your baby should be allowed to nurse the first side until he or she lets go and looks satisfied. Then you can offer the second side. If your baby only nurses one side and falls asleep looking satisfied, the other side should be offered first at the next feeding. If your baby still looks hungry after nursing both sides, nurse again. Don't worry about making the minutes equal on each breast at a single feeding. One-sided feedings are fine if the baby is satisfied. Just rotate the sides at each feeding.
Breastfeeding works on a supply and demand basis. The more your baby nurses, the more milk you will make. It is important to breastfeed frequently enough to maintain the milk-making hormone, prolactin, at high levels. This is especially important for the first 2 to 3 months, as prolactin levels start to fall after about 3 hours unless the breast is stimulated. This means that in order to establish and maintain a good milk supply, the baby should feed at the breast every feeding. It is best not to skip feedings or to use bottles of formula unless we recommend that you do this.
Feeding your baby breast milk in a bottle is an option, as expressing milk frequently also can keep your prolactin levels high.
In general, you can offer an occasional bottle to your baby once your milk supply has been well established and your baby has been nursing well for about 2 to 3 weeks. Some parents give a bottle as early as 2 weeks, some prefer to wait longer. Some mothers even wait until about a week before they return to work. You can decide when the best time will be based on your baby’s needs as well as your own. Try not to skip a breastfeeding session until you have to. When your baby is learning to take a bottle, put an ounce (or less) of breast milk in it, and let someone other than yourself give it to baby. Make a new game out of the experience. Give it when your baby is not too hungry to play. Don’t expect him or her to start sucking right away. Let your baby explore the nipple first with its mouth and tongue. Be gentle; do not force. If your baby is resistant, try again later.
You can breastfeed for as long as you and the baby want to. That is your personal decision. Your breasts will continue to make milk if you nurse your baby as often and as long as the baby wants. The American Academy of Pediatrics and the Surgeon General recommend exclusive breastfeeding for the first 6 months, and continuing to breastfeed along with giving baby foods until at least 1 year. You can nurse for as long as both you and the baby are benefiting from nursing.
Babies need only breast milk for the first 6 months. Baby foods can be started after that. In most cases, anything given sooner than 6 months is not nutritionally necessary. Babies do not have the enzymes to digest cereal until they are at least 4 months old, so cereals should not be given before then. This recommendation does not change even if baby is "big" or “small” for his/her age.
You will produce enough milk by breastfeeding as often as your baby wants and for as long as your baby wants. One breast can make enough milk for one baby, so most mothers can make enough milk for twins. If your baby is not nursing well, a hospital quality electric breast pump can help establish a good milk supply. Correct positioning and latching usually enables your baby to nurse efficiently. You don't have to provide water for your baby. Breast milk is sufficient. An herbal supplement called fenugreek can increase milk supply.
If you had a low milk supply with your baby, let your postpartum nurse and lactation consultant know. They will help you nurse your baby as soon after birth as possible and advise you to maximize the frequency or length of the feedings. Make sure that your baby is positioned correctly and latched well. Keep your newborn with you (skin-to-skin as much as possible) to increase your milk-making hormone (prolactin) levels.
Breastfed babies should be seen by a medical professional between 2 to 4 days of age to check for signs of successful breastfeeding.
Breastfed babies normally nurse more frequently in the first couple of months. Because of this, many new mothers worry about whether their babies are getting enough milk. Make sure to feed your baby whenever you see signs of hunger. By the third day of life you know your baby is getting enough to eat if he or she:
Illnesses and fevers do not come through the breast milk. Your breast milk will have antibodies that protect your baby from getting sick. You should continue to breastfeed your baby if you are able to do so.
Certain types of surgery may make it impossible to breastfeed, but this can vary based on the type or method of your surgery. After some kinds of breast surgery, breastfeeding is still possible. Most women can breastfeed after a breast biopsy or breast augmentation procedure. However, most women cannot breastfeed after breast reduction surgery.
After any kind of breast surgery, you may have low milk supply or have a higher risk of other problems such as plugged ducts. Make sure your postpartum nurse and the lactation consultant know about your breast surgery history. They can help you get off to a good start.
In general, there aren't any foods you should not eat while nursing. It's important not to diet while nursing because you're eating for both you and your baby. The best rule is to eat and drink enough to satisfy your hunger and thirst. While you're nursing, avoid drinking alcohol and using tobacco and drugs because they pass into your milk and they can harm your baby. Since too much caffeine can cause poor sleeping and fussiness, try to limit your caffeine intake to 1 to 2 cups a day while breastfeeding.
Most medications are safe to take while breastfeeding, but there are a few that can be harmful to your baby. Acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) are safe to take while nursing, but anti-inflammatory medications like Aspirin should be avoided. Let us know that you are breastfeeding and tell us about all medications, including nonprescription drugs and herbal products that you take. Also, take medication just after you nurse rather than just before nursing.
According to research, breastfeeding while pregnant does not increase the risk of miscarriage or abnormalities of the growing fetus. You will need extra rest and extra nourishment, so take good care of yourself. Many mothers continue to breastfeed a toddler as well as the new baby. This is called "tandem nursing." We can advise you if you want to do this.
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.