We encourage you to learn the facts about breast/chestfeeding, as well as the use of human milk and infant formula, so your infant feeding decision is informed. Limit time spent with visitors, cell phones and iPads so you can focus on learning how to feed and care for your baby when you are awake.Deciding how to feed your baby is an important decision and there are many things to consider.Let family do the housework, laundry and meals.Pump every 2-3 hours, if baby is not consistently latching and nursing for 10-15 minutes per breast, with breast softening.Remember, just because baby cries, does not mean it's a “hunger” cry. then consider offering another ½ -1 oz only. If your baby does not settle down after 30 min.Try to avoid over feeding baby, give up to 2 oz then swaddle and allow baby to non-nutritive suckle on a clean finger.If a bottle/nipple is used to feed expressed breast milk family should encourage a “wide open mouth” response as well. Assure baby opens wide for latch to your breast.If your baby refuses to latch, take “time out” with baby on your chest "give baby a hug" then pump while a family member feeds your expressed breast milk.We do not want baby to perceive that the breast is not a "happy" place to be. Trying too long may result in a "power struggle" with your baby. Try brief attempts to latch ranging between 1 - 5 minutes.Suck train before latch and if not effective give a "jump start" using expressed breast milk of ½ to 1 oz via a slow flow nipple/bottle such as a Dr.If breast is offered before the crying phase, (late stage of hunger) you will have a better chance at a successful latch.Offer the breast when baby first awakes, avoid diaper and clothing changes.What should I do if my baby refuses to latch? Call your baby's doctor and report this if it continues for 2 or more feedings.(at home give ½ to 1.5 oz range = 15-45ml). If you are at home and baby still will not wake up to feed and has missed 2 feedings, pump your breasts and feed baby your pumped milk or formula with a slow flow nipple.When you are in the hospital, call the nurses for help if baby still will not nurse. If baby still won't eat, allow baby to sleep another hour and try again to wake and feed them.For the first few days you may need to wake them to feed if they are still sleeping by 3 hours from the last day feeding and 4 hours at night. Put baby skin to skin to smell the breast.
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