{"id":3579,"date":"2024-11-19T17:58:39","date_gmt":"2024-11-19T15:58:39","guid":{"rendered":"https:\/\/pagim.net\/?p=3579"},"modified":"2024-11-27T13:42:14","modified_gmt":"2024-11-27T11:42:14","slug":"%d7%a4%d7%92-%d7%91%d7%90-%d7%94%d7%91%d7%99%d7%aa%d7%94-%d7%90%d7%99%d7%9a-%d7%a2%d7%95%d7%91%d7%a8%d7%99%d7%9d-%d7%9c%d7%94%d7%a0%d7%a7%d7%94","status":"publish","type":"post","link":"https:\/\/pagim.net\/en\/%d7%9e%d7%90%d7%9e%d7%a8%d7%99%d7%9d-%d7%9e%d7%a7%d7%a6%d7%95%d7%a2%d7%99%d7%99%d7%9d\/%d7%a4%d7%92-%d7%91%d7%90-%d7%94%d7%91%d7%99%d7%aa%d7%94-%d7%90%d7%99%d7%9a-%d7%a2%d7%95%d7%91%d7%a8%d7%99%d7%9d-%d7%9c%d7%94%d7%a0%d7%a7%d7%94\/","title":{"rendered":"Peg comes home, how do you transition to breastfeeding?"},"content":{"rendered":"

Guest article by: Ravit Bar On<\/strong><\/p>\n

There are premature babies who are hospitalized in the neonatal intensive care unit for an extended period of time, and there are premature babies who will be monitored in the hospital for several days, so the transition to breastfeeding is gradual but also individual: depending on weight and week of birth.
\nGetting started with premature babies naturally begins with expressing and pumping breast milk because the premature baby cannot breastfeed right away.
\nSome premature babies start feeding with a tube and some premature babies start with a bottle and the next stage will be breastfeeding.
\nAfter the premature baby grows and gets stronger and reaches at least 2 kilograms and is medically discharged home, he begins to bond and breastfeed, and sometimes the mother expects to finally stop pumping and switch to breastfeeding, but it is important to know that the transition will be made gradually, which can take an average of 2-6 weeks.
\nThe importance of gradually transitioning to breastfeeding is because we want to make sure that the baby continues to grow and the milk supply does not decrease.
\nFirst, it is recommended to start the attachment to the breast as early as the baby's birth, with the help of the medical team in the initial attachment.
\nGeneral signs that the baby is breastfeeding effectively: slow, deep sucking, occasional swallowing, and the entire process is active and lasts 15-20 minutes on each side.
\nThe recommendation for Pagot is to do the process gradually:
\nFirst, let's understand how to hold the breast: It is best to hold the breast in a U-shape under the breast, placing the nose in front of the nipple, and when the baby opens his mouth, gently bring his head closer to the breast.
\nIf the baby has difficulty and cries during attachment, you can give him a little bottle first.
\nIf there is real difficulty\/the nipple is flat, a silicone nipple can be placed on the nipple to assist with attachment (it is recommended to do this with the assistance of a certified lactation consultant).
\nUntil the baby transitions to full breastfeeding, it is important to continue pumping 8 times a day with an industrial hospital pump (which is the most effective in producing milk).<\/p>\n

 <\/p>\n

Below is a suggestion for transitioning to breastfeeding according to a number of stages:<\/h2>\n

Step 1:<\/h3>\n

We will choose one or two breastfeeding sessions a day where we will practice breastfeeding at a time that is convenient for you in a position that is comfortable for you.
\nWe will give him the bottle as usual after breastfeeding because this week is a week of getting to know the breast.
\nAt the same time, we will continue to pump 8 times a day, preferably still with an industrial hospital pump.<\/p>\n

Step 2:<\/h3>\n

We will start practicing a number of breastfeedings a day, in which we will connect him to the breast when he wakes up to eat, start with breastfeeding and finish with a bottle.
\nIf the baby doesn't finish a bottle but was active at the breast with sucking and swallowing, this is an indicator that he was weaning off the breast, so it makes sense that he ate less from the bottle.
\nOf course, we will weigh him once a week, monitor that he has 5-6 urine, 2-3 stools, and continue pumping 8 times a day.<\/p>\n

Step 3:<\/h3>\n

The baby is given 2-4 breastfeedings a day without interruptions or pumping, and the remaining meals are pumped and completed with a bottle as usual.
\nOf course, we will weigh him once a week, and we will monitor that there are 5-6 urine and 2-3 stools.
\nAt the same time, he pumped with a hospital pump the meals during which he still received bottles.<\/p>\n

Step 4:<\/h3>\n

Breastfeeding during the day without supplementing with bottles according to the baby's demand, possibly every hour.
\nAt night we will continue to pump and give a pumped bottle.
\nWe will weigh the baby, and if he continues to gain weight, then we can switch to full breastfeeding.<\/p>\n

Throughout the process, we will monitor that the baby is urinating at least 5-6 times a day, has at least 2-3 stools a day, and gains a minimum of 20-25 grams of weight per day.
\nIf there are difficulties with the transition\/connection, it is recommended to consult with a certified nurse or a certified lactation consultant for guidance and support.<\/p>","protected":false},"excerpt":{"rendered":"

Guest article by: Ravit Bar On There are premature babies who are hospitalized in the neonatal intensive care unit for an extended period of time, and there are premature babies who will be under observation in the hospital for several days, so the transition to breastfeeding is gradual but also individual: depending on weight and week of birth. The beginning of the journey with premature babies naturally begins with expressing and pumping breast milk because the premature baby cannot breastfeed right away. There are premature babies who start the [\u2026]<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[73],"tags":[],"class_list":["post-3579","post","type-post","status-publish","format-standard","hentry","category-73"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/posts\/3579","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/comments?post=3579"}],"version-history":[{"count":0,"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/posts\/3579\/revisions"}],"wp:attachment":[{"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/media?parent=3579"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/categories?post=3579"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pagim.net\/en\/wp-json\/wp\/v2\/tags?post=3579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}