Senin, 11 Agustus 2008

Colostrum and Breastmilk

Breastmilk is produced naturally by women. It provides the basic nutrition for baby during several months of life. Breast milk has three different and distinct stages:colostrums, transitional milk, and mature milk. Colostrum is produced during pregnancy and continue through the early days of breastfeeding. This milk is yellow to orange in color and thick and sticky. It is low in fat, and high in carbohydrate, protein, and immunoglobulins to help keep the baby healthy. Immunoglobulins are antibodies that pass from the mother to the baby and provides passive immunity for the baby. Passive immunity protects the baby from a wide variety of bacterial and viral illnesses. Two to four days after birth, colostrums will be replaced by transitional milk.

Colostrum is extremely easy to digest, and is therefore the perfect first food for the baby. It is low in volume (measurable in teaspoons rather than ounces), but high in concentrated nutrition for the newborn. Colostrum also has a laxative effect on the baby, helping him pass his early stools, which aids in the excretion of excess biirubin and helps prevent jaundice.

It is recommended for mother to give colostrums to her baby. At this moment there is highly recommended technique called the Early Breastfeeding Initiation (EBI). Early Breastfeeding Initiation is a technique that let babies to crawl on mothers’ chests to breastfeed right after being born. By giving breast milk within one hour after birth, babies can get important nutrition and antibodies from the colostrums. EBI can also improve baby thinking reflex and accommodate the giving of exclusive breastfeeding afterwards.

EBI can be achieved by doing these several easy steps:
During parturition, mother is accompanied by husband or other family members
Reduce or avoid the use of chemical substance during birth
Toweled the baby as soon as possible, excluded it hands, without rubbing down the vernix (white fat that layered baby skin)
Naked baby was put on mother’s stomach skin, both then blanketed and baby can use a hat.
Encourage mother to touch her baby and direct it towards nipples
Let the baby find the nipples by itself
Let the baby to stay on mother’s chest for at least one hour although the breastfeeding process has finished.
Postpone weighing and other measurements, vitamin K injection and giving eye drops until EBI is finished
Even if mother giving birth by operation don’t forget to give an opportunity of skin contact between baby and mother.
Don’t give any other food or drink other than breast milk unless there are other indications and put mother and baby together in one room
If EBI doesn’t occur yet in parturition ward, continue EBI in mother’s ward with baby still attached to mother’s chest.

Colostrum provides not only perfect nutrition tailored to the needs of the baby, but also large amounts of living cells which will defend your baby baby against many hermul agents. The concentration of immune factors is much higher in colostrums than in mature milk. Colostrum actually works as a natural and 100% safe vaccine. Colostrum also contains high concentrations of leukocytes, protective white cells which can destroy disease-causing bacteria and viruses.

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