2669 North Scenic Drive • Alamogordo, NM • 88310 | 575-439-6100

MCU Before Birth FAQ

MCU Before Birth FAQ 2018-01-09T23:19:34+00:00

What medications can I take while being pregnant?

**Most over-the-counter topical products are safe, but ask your physician if you are unsure.

Is it true labor?

How will I know if my water has broken?

If you think your water has broken, please call your doctor or call (575) 443-7640.

What supplies to bring when you are in labor.

  • Clothes for mother and baby
  • Shower supplies – hygiene products
  • Favorite pillow
  • Nursing bra
  • Snacks (for after labor)
  • Receiving blankets
  • Car seat

When to come to the hospital.

  • If your think your water has broken
  • When you are experiencing vaginal bleeding
  • When you detect the baby is not moving as much
  • When you are having contractions

What pain options are available for me during labor?

Natural (no medication)

Even if you chose to have a natural birth, there are many options you can try to help with discomfort.

1.   Position change

Walking Standing Rocking Shower

Squatting Resting Jacuzzi tub

2.   Relaxation

Rhythmic breathing     Paced breathing Massage Music Imagery.

3.   Birthing ball: A device used to help support the woman’s body and enhance maternal comfort by:

  • Supporting pelvic rocking
  • promoting mobility and relaxation
  • supporting mother in upright position

4.   Heat or ice packs

5.   Support person

  • The support a woman receives during labor influences her pain perception, may influence maternal or fetal outcome and satisfaction with the childbirth experience.
  • The support person is a very important part of labor if the woman chooses to do natural birth.

Intravenous pain medication

This works well for those women who need a little something to get them through.

  1. Cannot be given more often than every 1-2 hours
  2. Cannot be given within 2 hours of birth
  3. Does not take away the pain, it just dulls the pain and relaxes mom.

Epidural

This is the most effective for pain relief.

  1. Because women have decreased sensation, interventions such as vaginal exams and position changes are less uncomfortable.
  2. It avoids maternal and neonatal respiratory depression, which can be associated with IV or IM medications.

After delivery FAQ’s

Do I want my infant to receive a Hepititis B vaccine after birth?  Read the Information for Parents published by the CDC

If I have a male infant, do I want him circumcised?

Feeding options for the baby

Bottle feeding

  • WIC approved infant formula provided

Breastfeeding

  • You need to initiate breastfeeding within the first hour after birth if possible!
  • The baby is in a state of quiet alertness the first 2 hours after birth

Guidelines and Technical Pointers

  • Most babies need and naturally request 8-12 feedings in a 24 hour period.
  • Approximately every 2-3 hours
  • They may cluster feed (feed every hour for several hours in a row)
  • Early sleepy days the baby tends to not request feeds often enough
  • Keep infant skin to skin between feeds
  • Feed on demand/Notice hunger cues
  • Wake the baby by 2 ½ hours from the beginning of last feed
  • Keep baby interested and awake during feeding

How do I know my baby is getting enough to eat?

  • Is the baby eating every 1-3 hours?
  • Sleeping no longer than 3 hours between feeds during the day
  • Should have no more than one 4 hour stretch at night the first week of life.

Other positive signs to be aware of

  • Audible swallowing- you will hear milk being swallowed
  • Breast feels less full
  • Baby is content between feedings
  • Expect initial weight loss of baby after delivery; weight gain of 4-7 oz per week once milk is in greater supply.
  • Your baby should be back to birth weight by day 10

Milk production is regulated by DEMAND and supply.  The concept being:

  • The more milk that is removed, the more milk that is made.
  • The less milk that is removed, the less milk that is made.

Breastmilk

Colostrum

  • This is the first milk
  • Very high in protein
  • Easily digested
  • Provides protection by containing antibodies and passive immunities

Transitional Milk

  • This occurs after colostrum in approximately 48-72 hours
  • High levels of fat, lactose and water soluble vitamins
  • More calories and high protein

Mature milk

  • Your milk will change and increase in quantity in approximately 48-72 hours.  It may take longer depending on when breastfeeding was initiated and breastfeeding frequency.

Breastmilk storage

How much can my baby’s stomach hold?

  • A newborn baby’s stomach is the size of a small marble.
  • It can hold 5-7 milliliters (which is equal to 1 teaspoon)
  • The walls of the stomach cannot stretch
  • Perfect for small amounts of colostrum.
  • From 7-10 days it increases to around the size of a ping pong or golf ball
  • It can hold 1.5-2 ounces

Engorgement: What do I do?

  • Three to four days postpartum, your breasts will feel heavy and become swollen
  • This is due to: increase in blood flow, swelling of surrounding tissue, accumulation of milk

Some effective treatment measures for engorgement

  • Nurse frequently
  • Apply warm compresses or stand in shower to initiate let-down with breast massage
  • Manually express or pump out milk to soften areola and nipple (the baby cannot latch-on if it is too hard)
  • Apply cold compresses to breast after nursing to relieve the swelling and soothe discomfort
  • Wear a sleep bra even at night but make sure it is not too tight

Lactation Consults

Stool and Urine in the breast fed infant

  • Baby will be passing meconium for the first stools. (thick black tarry stool)
  • Stool will change to mustard color, runny and seedy in texture once your milk is in greater supply.
  • 3-4 stools pre day in the first month
  • May have a little stool after each feeding as well

Urine

  •  Your infant should have 1 wet diaper in the first 24 hours after delivery
  •  2 on the second day of life
  •  3 on the third day of life
  •  5-6 wet diapers of urine that is yellow in color once milk is in greater supply

Nutrition during pregnancy

  • On average, the increased demands of pregnancy require an additional 300 calories each day.
  • Women who are pregnant with twins or higher-order multiples need an additional 300 calories per fetus each day.
  • Recommended weight gain is 28-40 lbs for underweight women
  • 25-35 lbs for normal weight women
  • 15-25 lbs for overweight women

Nutrition during Breastfeeding

For each 20 calories of breast milk produced, the mother must consume an additional 30 calories.  This results in a dietary increase of 500 to 1000 calories each day for women who are maintaining body weight.