Ke noi mau nei kāu pēpē i ka waiū? E kamaʻilio kākou e pili ana i ka hānai ʻana i ka hui!

Ke lilo ʻoe i makuahine hou, loaʻa iā ʻoe nā ʻano nīnau like ʻole, ʻeā? ʻOi loa aku e pili ana i ke ʻano o ka hānai waiū ʻana o kāu keiki liʻiliʻi. I kekahi manawa e ʻike paha ʻoe e noi mau ana kāu pēpē i ka waiū no nā hola, e inu ana i kahi liʻiliʻi, a e noi hou ana. ʻO ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he "Cluster Feeding" ke lawe nei kāu pēpē i kekahi mau hānai kokoke. E kamaʻilio anei kākou e pili ana i kēia me nā kikoʻī hou aku? A laila hiki iā ʻoe ke hoʻomaopopo maikaʻi i kēia.

No ke aha e "hānai pūʻulu" ai nā pēpē? ʻO ia hoʻi, ke noi mau nei lākou i ka waiū?

ʻĀ, ʻo ka mea mua e ʻōlelo ai, ʻo ka hapa nui o ka manawa he mea maʻamau loa kēia . ʻAʻohe mea e hopohopo nui ai inā hana kāu pēpē i kēia. Aia kekahi mau kumu e hānai pū ai nā pēpē. He mea maʻamau loa kekahi o lākou a he mea ia e manaʻo ʻia. Akā i kekahi manawa hiki ke lilo i hōʻailona o kahi pilikia ma lalo.

ʻO kēia nā kumu maʻamau i hānai ʻia ai nā pēpē i ka hui.

• He ʻuʻuku loa ka ʻōpū o ke pēpē:

E noʻonoʻo e pili ana i ia mea, he liʻiliʻi loa ka ʻōpū o kahi pēpē hānau hou. ʻAʻole ia i like ka nui me ka gooseberry nui. No laila, ʻaʻole hiki iā ia ke paʻa i ka nui o ka waiū i ka manawa hoʻokahi. ʻO ia ke kumu e pono ai lākou e inu iki i ka waiū, pinepine. I loko o nā hola 24 mua ma hope o ka hānau ʻana, e lawe wale kahi pēpē ma waena o 2 a me 10 milliliters (mL) o ka waiū i ka manawa. ʻOi aku ka liʻiliʻi ma mua o ka nui o ka syrup cough āu e lawe ai. Ma hope o ʻekolu lā, e piʻi kēia nui i 30 milliliters (ma kahi o 1 auneke). I ka hopena o ka pule mua, hiki iā lākou ke lawe i 1 a i ʻole 2 auneke o ka waiū i ka manawa. A laila, i ka piha ʻana o ko lākou ʻōpū, pono paha lākou e hānai pinepine.

• Nā loli i nā pae hormone (Prolactin) o ka makuahine:

ʻO ka `(Prolactin)` he hormone e "haʻi" ana i ke kino o ka makuahine e hana i ka waiū. Ke hānai ʻoe i kāu pēpē, ʻaʻole like ka nui o kēia hormone `(Prolactin)` i ke ao holoʻokoʻa. Kūleʻa iki ia i ke ao holoʻokoʻa, he mea maʻamau loa ia. I ka hapa nui o ka manawa, emi iki ka pae `(Prolactin)` i ke ahiahi. A laila hiki ke emi iki ka wikiwiki a me ka nui o ka waiū. No laila, i mea e loaʻa ai i ka pēpē ka nui o ka waiū āna e pono ai, pono ʻo ia e omo iki aʻe a ʻoi aku ka pinepine. ʻO ia ke kumu e hiki ai i nā pēpē ke `(Cluster Feed)` i ke ahiahi.

• Pono ka pēpē i ka hōʻoluʻolu:

ʻAʻole wale ka hānai waiū e pili ana i ka hoʻopiha ʻana i ka ʻōpū o ka pēpē, ʻeā? He mea ia e lawe mai ai i ka ʻoluʻolu nui, ka palekana, a me ka mehana i ka pēpē. ʻO ka pili kokoke o ka makuahine, kona puʻuwai ... he mea nui loa kēia mau mea a pau i ka pēpē. No laila, inā manaʻo ka pēpē i ka maʻi iki, a inā paha ua huhū ʻo ia no kekahi mea, ʻoiai inā ʻaʻole ʻo ia e pōloli, e inu ʻo ia i ka waiū mai kona makuahine a hoʻāʻo e hōʻoluʻolu iā ia iho, e ʻapo me kona makuahine.

• ʻEkolu mau pae o ka ulu ʻana o kahi pēpē:

I ka ulu ʻana o nā pēpē, loli ko lākou ulu ʻana i kēlā me kēia manawa. I kekahi manawa ulu koke lākou a piʻi ke kaumaha. Kāhea mākou i kēia mau "growth spurts". I kēlā mau manawa, pono lākou i ka ikehu hou a me ka meaʻai hou aku. ʻO ia ke kumu e noi pinepine ai lākou i ka waiū.

Eia kekahi, i ka wā e piha ai nā pēpē i ka 4 a 6 mahina, ʻike nui lākou i ko lākou wahi a puni, hoʻomaka e ʻōwili a neʻe. A laila neʻe koke ko lākou manaʻo i nā mea ʻē aʻe. Malia paha ua omo lākou i hoʻokahi nipple, a ua hoʻohuli koke ʻia lākou e kahi leo a i ʻole kahi ʻike a hoʻōki i ka omo ʻana. A laila, no ka mea ʻaʻole piha ko lākou ʻōpū, noi hou lākou i ka waiū ma kahi o hoʻokahi hola.

Nā kumu ʻē aʻe e pili pono ana i ke pēpē

Pono paha kekahi mau pēpē e hānai ʻia me nā puʻupuʻu no ko lākou mau kumu kūikawā a kū hoʻokahi.

• Eia kekahi laʻana, ʻo kahi pēpē i hānau ʻia me ke kaumaha hānau haʻahaʻa e pono ai ka meaʻai hou aku e hiki koke ai i ka wikiwiki o ka ulu ʻana i kūpono i kona mau makahiki. Pono paha kēia i ka hānai pinepine ʻana i ka waiū.
• A i ʻole, inā paha he maʻi olakino ko ka pēpē e like me ka "maʻi puʻuwai hānau" (he maʻi puʻuwai i loaʻa i ka wā hānau), e pono ana iā ia nā calorie hou aʻe i kēlā me kēia lā ma mua o kahi pēpē maʻamau.

I nā hihia kūikawā e like me kēia, e wehewehe kāu kauka pediatric i kēia iā ʻoe a e aʻo iā ʻoe i ke ʻano o ka hānai ʻana i ka waiū e like me nā pono o kāu pēpē.

He hōʻailona paha ka hānai ʻana i nā puʻu i kekahi manawa no kahi pilikia?

Eia nō naʻe, ʻaʻole i nā manawa a pau ka hānai ʻana i nā ʻāpana ʻai ma muli o nā kumu maʻamau i ʻōlelo ʻia ma luna. I kekahi manawa hiki ke lilo i hōʻailona o kahi pilikia ma lalo . ʻOi loa aku inā e noi mau ana kāu pēpē i ka waiū i ka lā a pau, kokoke i kēlā me kēia lā , pono ʻoe e hopohopo iki e pili ana i ia mea.

• Lactogenesis lohi:

ʻO ka "lactogenesis lohi", i ka ʻōlelo maʻalahi, he lohi ia o ka hiki ʻana mai o ka waiū o ka makuahine. ʻO ka maʻamau, ma kahi o 72 mau hola ma hope o ka hānau ʻana o ke pēpē, ʻo ka waiū mua, a i ʻole "Colostrum", e ukali ʻia e ka waiū makua. Eia nō naʻe, hiki ke lohi kēia no kekahi mau kumu.

ʻo kahi laʻana:

• Inā he mau pilikia olakino ko ka makuahine, e like me ka momona, ka maʻi diabetes, a i ʻole ke koko kiʻekiʻe.
• Inā ua hānau mua ʻoe ma mua o ka lā hānau) ma mua o ka hānau ʻana o ka pēpē, a inā paha ua hānau ʻia ke pēpē ma o ka ʻoki ʻoki ʻia (caesarean section).

Ke hiki mai ka waiū ma hope iki o kēia mau kumu, ʻaʻole paha e lawa ka waiū o ka pēpē i ka manawa hoʻokahi, no laila e pōloli paha ʻo ia a e noi pinepine i ka waiū. Inā hoʻomau ka pēpē i ke noi ʻana i ka waiū ma hope o ʻehā a ʻelima paha lā o ka hānau ʻana, ʻoiai inā ʻaʻole i kēlā me kēia ʻelua a ʻekolu paha hola, ʻo ia hoʻi, ʻaʻole lawa ka waiū o ka pēpē e hoʻopiha ai i kona ʻōpū.

Akā, mai hopohopo, ʻaʻole kēia "Lactogenesis lohi" he pilikia mau loa . He manawa iki wale nō ia no ke kino o ka makuahine e hoʻonui ai i ka hana waiū. I kēia manawa, hiki i ke kauka ke aʻo aku i ka pēpē e hānai i ka waiū formula a i ʻole ka waiū umauma hāʻawi.

• Ka hana waiū haʻahaʻa:

ʻO ke ʻano kēia, ʻaʻole lawa ka nui o ka waiū i hana ʻia e ke kino o ka makuahine no nā pono o ka pēpē. He pilikia maʻamau nō hoʻi kēia e kū nei i nā makuahine he nui. I kekahi manawa, maikaʻi paha ka waiū i ka wā mua a laila emi koke. ʻOiai i kēlā manawa, e hoʻomau ka pēpē i ke noi ʻana i ka waiū i ka lā a pau, no nā lā a pau. No ka mea, ua pōloli ʻo ia a ʻaʻole lawa ka waiū.

Hiki ke loaʻa ke kumu o kēia a mālama ʻia e like me ia. Na kāu kauka a i ʻole kekahi loea lactation ('lactation consultant' a i ʻole 'breastfeeding specialist') e hāʻawi i ke alakaʻi e pono ai ma muli o kou kūlana.

• Latch kūpono ʻole:

ʻO ke ʻano o ka pēpē e hoʻopaʻa ai i ka nipple a me ka ʻāpana paʻakikī a puni (ka areola) i ke ʻano o ka omo ʻana i ka waiū. Inā ʻaʻole e hoʻopaʻa pono ka pēpē, ʻo ia hoʻi, ʻaʻole ʻo ia e hoʻopaʻa pono i ka nipple, ʻaʻole hiki iā ia ke loaʻa ka waiū lawa. Kāhea mākou i kēia he `pilikia hoʻoili`. ʻO ke ʻano kēia, hana ke kino o ka makuahine i ka waiū, akā ʻaʻole ia e hiki pono i ka waha a me ka ʻōpū o ka pēpē. ʻO ka hopena, ʻaʻole lawa ka waiū o ka pēpē i hoʻokahi hānai ʻana, no laila e makemake pinepine ʻo ia i ka waiū ma mua o ka mea i manaʻo ʻia.

He pilikia manawa pōkole nō hoʻi kēia a hiki ke hoʻoponopono maʻalahi ʻia . Hiki i kahi loea lapaʻau hānai ke kōkua iā ʻoe e loaʻa kahi kūlana hānai kūpono a ʻoluʻolu hoʻi no ʻoe a me kāu pēpē. Hiki iā lākou ke aʻo aku iā ʻoe i nā ʻano hana ʻē aʻe e kōkua i kāu pēpē e latch pono, a inā he mau pono olakino kāu pēpē.

ʻEhia ka lōʻihi o ka noho ʻana o nā pēpē (hānai hui)?

No laila, e noʻonoʻo paha ʻoe, " Pehea ka lōʻihi o kēia `(Cluster Feeding)`?" Hoʻomaka kēia mai ka lā i hānau ʻia ai kāu pēpē. He mea maʻamau ia, a he mea ia a mākou e manaʻo nei. Pono lākou i ka hānai pinepine ʻana (hiki i hoʻokahi manawa i ka hola) e loaʻa ai ka lawa ʻana o ka meaʻai. I kēia mau manawa mua o ka `(Cluster Feeding)`, i ka wā e nui iki ai ka ʻōpū o ka pēpē a e komo maikaʻi ana ka waiū o ka makuahine, ma ka hopena o ka pule mua, pono ʻoe e hoʻōki i ka `(Cluster Feeding)` i ka lā holoʻokoʻa .

Akā e hoʻomanaʻo, ʻaʻole kēia "Hānai Hui" he mea i hana ʻia i hoʻokahi manawa. I ka ulu ʻana o kāu pēpē, pono paha ʻo ia i nā hānai pinepine e kōkua iā ia e ulu, e hōʻoluʻolu iā ia, a i ʻole e hoʻokō i nā pono ʻē aʻe. No laila e makaʻala pū i kēlā.

Pehea e ʻike pono ai au inā ua lawa ka waiū o kaʻu pēpē?

ʻO ka nīnau nui loa āu e loaʻa nei i kēia manawa, "Pehea wau e ʻike pono ai inā lawa ka waiū o kaʻu pēpē?" He nīnau kēia a nā makuahine he nui.

• ʻO ke ala maikaʻi loa a hilinaʻi hoʻi e ʻike ai i kēia, ʻo ia ke nānā mau i ka piʻi ʻana o ke kaumaha o kāu pēpē . E nānā kāu kauka pediatric i ke kaumaha o kāu pēpē a hoʻohālikelike iā ia i kāna pakuhi ulu e hoʻoholo ai inā loaʻa iā ia ka waiū lawa.
• ʻO kekahi ʻano hana, ʻo ia ke kiʻi ʻana i kahi loea lactation (a i ʻole loea lāʻau lapaʻau hānai) e nānā iā ʻoe e hānai waiū ana i kāu pēpē a nānā i nā mea e like me ka lohe ʻana i ka pēpē e moni ana, inā e neʻe maikaʻi ana ka nipple i luna a i lalo, a inā paha e omo ana ka pēpē me ka ʻoluʻolu.

Inā he kānalua iki kou, a inā paha ʻoe e manaʻo nei ʻaʻole lawa ka waiū o kāu pēpē, mai kānalua e nīnau i ke kauka a i ʻole kekahi loea e pili ana i ia mea.

ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo

Ma ke ʻano he makuahine hou, ua nīnau paha ʻoe iā ʻoe iho i kēia nīnau he haneli mau manawa mai ka lā i hānau ai ʻoe i kāu pēpē. He mea maʻamau no kahi makuahine hou ke hopohopo a hopohopo no nā mea liʻiliʻi a pau. Akā e ʻae mai iaʻu e haʻi aku iā ʻoe, i ka hapa nui o ka manawa, hānai pū nā pēpē, a ʻaʻohe mea e hopohopo ai.

Eia naʻe, e like me kā mākou i kūkākūkā ai, inā e noi mau ana kāu pēpē i ka waiū i ka lā a pau , e hoʻomanaʻo he nele paha ia i ka waiū, he pilikia latch, a i ʻole kekahi kumu ʻē aʻe.

Inā manaʻo ʻoe i kahi mea ʻē i loko o kou manaʻo , inā ʻike ʻoe i kahi loli nui koke i ke ʻano hānai waiū o kāu pēpē, e ʻike pono i kāu pediatrician. ʻOiai he aha ka pilikia, aia nā kauka a me nā kākā'ōlelo lactation e hiki ke kōkua iā ʻoe e ʻimi i nā hopena a kākoʻo iā ʻoe. Ua mākaukau lākou e kōkua iā ʻoe e hoʻomau i ka hānai waiū i kāu pēpē me ka hauʻoli. No laila, e hoʻomaha i kou manaʻo, a hauʻoli i kēia huakaʻi hou.

ʻO ka hānai waiū, ka hānai pēpē, ka hānai ʻana i nā hui, ka meaʻai pēpē, ka nele o ka waiū, ka pēpē hānau hou, nā pilikia hānai waiū