Friday, March 13, 2009

Jom Ke Rumah Nenek!

Gelagat anak-anakku ke rumah nenek mereka

Storyku membreastfeeding anakku

Sebenarnya dah lama dalam ati nak bercerita sedikit kat sini, setakat utk kenangan dan juga ingatan untuk diriku sendiri. Ini sebenarnya adalah kali pertama aku menyusukan anakku secara ekslusif, anak pertama dahulu tak berjaya.....akibat jahil ilmu menyusukan anak ni....itulah aku. Anakku yg kedua ni kuharap berjaya lah 'projekku' menyusukan anak ni. Dan syukur Lillah setakat umur anakku ke hari ini aku masih dapat meneruskannya lagi.Aku bersalin anak kedua ni secara ceaserean, sebabnya bukaan rahim ku still 2cm walaupun sakit ku mau bersalin tu dari jam 5 pg hingga 10 malam.......akhirnya terpaksa lah Dr Ajaz kat SMC (Sabah Medical Centre) membuat decision utk membedah ku. Tepat jam 11.20 mlm lahirlah anakku Kaisah Sofiyyah. Punyalah takut masa hendak ke bilik bedah...bukan apa...aku sangka aku akan mudah bersalin macam anak pertama dahulu...3 jam aja aku kat bilik bersalin. Sebelum bersalin masuk ke bilik bedah aku dah pesan awal-awal pada nurse supaya tdk memberikan susu tin / susu formula kat anakku....(tau ajalah kan klau d spital swasta).Selepas bersalin bermulalah journey/adventure ku ( ku sebut adventure sbb menyusukan anak ni memang suatu cabaran besar dan memang banyak rintangan yg akan kita lalui) dengan sakitnya dari bekas luka jahitan yg baru selesai...memang boleh tahan cabarannya klau menyusu anak bg ibu yg bersalin ceasar ni.....(bersambung, mau balik dah esok lg kita cerita ya..)

Thursday, March 12, 2009

Tip-tip Memerah Susu Ibu

Starting to Pump

Once you have selected or rented a pump, you can start collecting milk any time. In the first two weeks after your baby is born, you may want to pump occasionally to relieve engorgement - you can save this milk, but don't get carried away. Pumping a lot in these early weeks tells your body that you had triplets, and brings in an enormous milk supply. While this may sound like a good thing, it puts you at very high risk for breast problems like plugged ducts and engorgement.
When your baby is a little older, you can start adding pumping to your daily routine. While it's not necessary, it's comforting to have a little bit of a stash of milk built up before you return to work. Warning - be sure to read this page on smart use of your freezer stash! To do this, start adding a pumping session at about the same time each day as soon as you want to - but it's best if it's at least two weeks before you return to work.
When you first start pumping, you will get very little milk. This is normal. After all, you've just spent the first weeks of your baby's life getting your milk supply into an exact balance with your baby's needs. There's not supposed to be any extra. What you're doing by pumping in these early days is building a little bit of a stash, and getting used to pumping. You're also increasing your milk supply by just a little bit.
Placing the OrderBy pumping at about the same time each day, you're telling your body that it needs to make a little more - you're tricking your body into thinking that your baby has really taken to that 10am feeding! Even if you pump and no milk comes out at all, you're placing the order for milk to be made later.
Learning to PumpIt may take you a while to get the hang of pumping. You may be tense and worried about whether you'll be able to pump enough (don't worry, you will). You may be uncomfortable with a machine hooked to your breasts (imagine!). Don't worry, that's why you practice. This time pumping at home teaches you how to set up your pump, how to set it so that you get the most milk in the least time, and most importantly, how to relax when you're pumping.
How often to pump?When you're pumping at home to build up your supply and a stash of milk, once a day is plenty. Don't make yourself crazy with it! Once you go back to work, the common guideline is once for each missed feeding. In general this works out to about three times in a standard eight hour work day. But you'll have to adjust it according to your baby's needs and your schedule.
If your baby nurses every two hours, you may need to spread out your pumping sessions a little more, but make them a bit longer than your baby typically nurses
If you don't have time for enough pumping sessions during the day, pump when you get up, before work, after your baby goes to bed, or during the night - it can be done!
If your baby nurses very infrequently, you may need to pump more often, since the baby is usually more efficient at getting the milk out. See the typical daily schedule for how most moms fit it all in.
How long should you pump?In short, you should pump until milk isn't coming out any more. Or, if you're trying to boost your supply, pump a little while longer after the milk stops flowing. I'm just not a clock-watcher, I think you should do things until they're done. But, in general, pumping for 15 minutes should do it for most people. If you're having trouble letting down for the pump, read the section on Better Pumping just a bit further down this page. There is no harm in pumping for a few minutes after the milk stops flowing, and it's a great way to send your body the message that more milk is needed (if it is).
Pump SettingsContrary to popular belief, your pump does not get the milk out of your breasts by brute force alone. Stronger suction does not necessarily mean that you will get out more milk. Stronger suction may mean that you're in excruciating pain, or that you're damaging your breasts, so back off a little, OK? What your pump needs to do to get the most milk out is imitate your baby. Pay attention to how frequently your baby sucks and the strength of that suction. Then try to adjust your pump to match your baby. From there, you can experiment to see if slightly more, less, faster or slower suction feels better and produces more milk. What's the best setting? The one that works for you, so don't pay attention to how other people's pumps are set. It's a personal thing.
Better PumpingA few tricks can increase your pumping output without increasing the amount of time it takes. The most effective ways to increase your output are good relaxation skills and breast compressions - both described here.
Relaxing while PumpingTo some people, relaxing while pumping is akin to asking them to relax during a root canal, but it can be done. Relaxing is important, because it's really hard to have a let-down if you are tense. Some tips for relaxation:
Positioning: Sit back in your chair, don't tense your shoulders, and support the bottles so that you don't have to lean forward.
Environment: Play relaxing music, have a comfortable chair for pumping, have a cup of tea before you start - in general - be comfortable!
Baby Cues: If you are away from your baby when you are pumping, bring some cues to help you think about your baby. Some mothers respond very strongly to the smell of your baby, so bring whatever your baby slept in last night (as long as there's not too much spit-up on it!) Other moms respond better to pictures or sounds - you can put photos of your baby right in many of the pump carriers, or bring a tape of your baby's "hungry noises" (all out crying doesn't usually work - it's too stressful)
Bottle Watching: For me, the best way to stop a let-down in its tracks was to watch the bottles. I always had trouble pumping enough, and the stress of watching the ounces was enough to severely limit my ability to pump. Look at something else - anything! Say to yourself "any breastmilk at all is a precious gift to my baby" and visualize waterfalls, spilled milk trucks, your baby's contented face after a feeding - whatever relaxes you.
Activity: Some people like to work while they are pumping - for me, pumping time was when I rewarded myself for the hard work of the rest of the day (or for a particularly good run at FreeCell). Find something you enjoy doing while you pump - maybe the latest Janet Evanovitch novel, maybe reading the paper or People magazine, maybe surfing the web if you're lucky enough to pump at a computer. Make it relaxing time. Or, if you're stressed about the work you're missing, pump hands-free and keep on working - whatever relaxes you best. This website has a nice exercise to help with relaxation while pumping.
Breast Compressions
Doing breast compressions while you are pumping can help stimulate additional let-downs, and helps to thoroughly drain all of the milk ducts. While you are pumping, use one hand to massage your breast from the armpits towards the nipple (or as close as you can get without dislodging the pump flange). Gradually increase the pressure, and finish with a few firm squeezes of your breast, like you do when you are hand expressing milk.
For maximum effect, couple this with the "massage-stroke-shake" routine described by Chele Marmet on the LLL website (the technique is described in the first response, point #3). Remove the pump once the milk stops flowing. Then massage each breast from the armpit to the nipple, then again from the center of your chest towards each nipple. Stroke each breast gently towards the nipple a few times. Bend over and cup your breasts in your hands. Give each a good shake (a relaxing shake, not a painful shake). Then put the pump back on - you should see more milk begin to flow.
A Good Fit
If you have trouble pumping enough and have tried the above, make sure that your pump is a good fit. Having the right size flanges can really improve your pumping output. Be sure to read the page on Fitting Your Pump to make sure you have the right size flange or insert.

Info Berguna Tentang Breastfeeding

Breastfeeding—Starting Out Right
Handout #1. Breastfeeding—Starting Out Right. Revised January 2005Written by Jack Newman, MD, FRCPC. © 2005

Breastfeeding is the natural, physiologic way of feeding infants and young children, and human milk is the milk made specifically for human infants. Formulas made from cow’s milk or soybeans (most formulas, even “designer formulas”) are only superficially similar, and advertising which states otherwise is misleading. Breastfeeding should be easy and trouble free for most mothers. A good start helps to assure breastfeeding is a happy experience for both mother and baby.
The vast majority of mothers are perfectly capable of breastfeeding their babies exclusively for about six months. In fact, most mothers produce more than enough milk. Unfortunately, outdated hospital routines based on bottle feeding still predominate in too many health care institutions and make breastfeeding difficult, even impossible, for too many mothers and babies. For breastfeeding to be well and properly established, a good start in the early few days can be crucial. Admittedly, even with a terrible start, many mothers and babies manage.
The trick to breastfeeding is getting the baby to latch on well. A baby who latches on well, gets milk well. A baby who latches on poorly has more difficulty getting milk, especially if the supply is low. A poor latch is similar to giving a baby a bottle with a nipple hole that is too small—the bottle is full of milk, but the baby will not get much. When a baby is latching on poorly, he may also cause the mother nipple pain. And if he does not get milk well, he will usually stay on the breast for long periods, thus aggravating the pain. Unfortunately anyone can say that the baby is latched on well, even if he isn’t. Too many people who should know better just don’t know what a good latch is. Here are a few ways breastfeeding can be made easy:
A proper latch is crucial to success. This is the key to successful breastfeeding. Unfortunately, too many mothers are being "helped" by people who don’t know what a proper latch is. If you are being told your two day old’s latch is good despite your having very sore nipples, be sceptical, and ask for help from someone else who knows. Before you leave the hospital, you should be shown that your baby is latched on properly, and that he is actually getting milk from the breast and that you know how to know he is getting milk from the breast (open mouth wide—pause—close mouth type of suck). See also the websites for videos on how to latch a baby on (as well as other videos). If you and the baby are leaving hospital not knowing this, get experienced help quickly (see handout
When Latching). Some staff in hospital will tell mothers that if the breastfeeding is painful, the latch is not good (usually true), so that the mother should take the baby off and latch him on again. This is not a good idea. The pain usually settles, and the latch should be fixed on the other side or at the next feeding. Taking the baby off the breast and latching him on again and again only multiplies the pain and the damage.
The baby should be at the breast immediately after birth. The vast majority of newborns can be at the breast within minutes of birth. Indeed, research has shown that, given the chance, many babies only minutes old will crawl up to the breast from the mother’s abdomen, latch on and start breastfeeding all by themselves. This process may take up to an hour or longer, but the mother and baby should be given this time together to start learning about each other. Babies who "self-attach" run into far fewer breastfeeding problems. This process does not take any effort on the mother’s part, and the excuse that it cannot be done because the mother is tired after labour is nonsense, pure and simple. Incidentally, studies have also shown that skin-to-skin contact between mothers and babies keeps the baby as warm as an incubator (see section on skin to skin contact).
The mother and baby should room in together. There is absolutely no medical reason for healthy mothers and babies to be separated from each other, even for short periods.
Health facilities that have routine separations of mothers and babies after birth are years behind the times, and the reasons for the separation often have to do with letting parents know who is in control (the hospital) and who is not (the parents). Often, bogus reasons are given for separations. One example is that the baby passed meconium before birth. A baby who passes meconium and is fine a few minutes after birth will be fine and does not need to be in an incubator for several hours’ "observation".
There is no evidence that mothers who are separated from their babies are better rested. On the contrary, they are more rested and less stressed when they are with their babies. Mothers and babies learn how to sleep in the same rhythm. Thus, when the baby starts waking for a feed, the mother is also starting to wake up naturally. This is not as tiring for the mother as being awakened from deep sleep, as she often is if the baby is elsewhere when he wakes up. If the mother is shown how to feed the baby while both are lying down side by side are better rested.
The baby shows long before he starts crying that he is ready to feed. His breathing may change, for example. Or he may start to stretch. The mother, being in light sleep, will awaken, her milk will start to flow and the calm baby will be content to nurse. A baby who has been crying for some time before being tried on the breast may refuse to take the breast even if he is ravenous. Mothers and babies should be encouraged to sleep side by side in hospital. This is a great way for mothers to rest while the baby nurses. Breastfeeding should be relaxing, not tiring.
Artificial nipples should not be given to the baby. There seems to be some controversy about whether "nipple confusion" exists. Babies will take whatever gives them a rapid flow of fluid and may refuse others that do not. Thus, in the first few days, when the mother is normally producing only a little milk (as nature intended), and the baby gets a bottle (as nature intended?) from which he gets rapid flow, the baby will tend to prefer the rapid flow method. You don’t have to be a rocket scientist to figure that one out, though many health professionals, who are supposed to be helping you, don’t seem to be able to manage it. Note, it is not the baby who is confused. Nipple confusion includes a range of problems, including the baby not taking the breast as well as he could and thus not getting milk well and/or the mother getting sore nipples. Just because a baby will "take both" does not mean that the bottle is not having a negative effect. Since there are now alternatives available if the baby needs to be supplemented (see handout #5
Using a Lactation Aid, and handout #8 Finger Feeding) why use an artificial nipple?
No restriction on length or frequency of breastfeedings. A baby who drinks well will not be on the breast for hours at a time. Thus, if he is, it is usually because he is not latching on well and not getting the milk that is available. Get help to fix the baby’s latch, and use compression to get the baby more milk (handout #15
Breast Compression). Compression works very well in the first few days to get the colostrum flowing well. This, not a pacifier, not a bottle, not taking the baby to the nursery, will help.
Supplements of water, sugar water, or formula are rarely needed. Most supplements could be avoided by getting the baby to take the breast properly and thus get the milk that is available. If you are being told you need to supplement without someone having observed you breastfeeding, ask for someone to help who knows what they are doing. There are rare indications for supplementation, but often supplements are suggested for the convenience of the hospital staff. If supplements are required, they should be given by lactation aid at the breast (see
handout #5), not cup, finger feeding, syringe or bottle. The best supplement is your own colostrum. It can be mixed with 5% sugar water if you are not able to express much at first. Formula is hardly ever necessary in the first few days.
Free formula samples and formula company literature are not gifts. There is only one purpose for these "gifts" and that is to get you to use formula. It is very effective, and it is unethical marketing. If you get any from any health professional, you should be wondering about his/her knowledge of breastfeeding and his/her commitment to breastfeeding. "But I need formula because the baby is not getting enough!". Maybe, but, more likely, you weren’t given good help and the baby is simply not getting the milk that is available. Even if you need formula, nobody should be suggesting a particular brand and giving you free samples. Get good help. Formula samples are not help.
Under some circumstances, it may be impossible to start breastfeeding early. However, most “medical reasons” (maternal medication, for example) are not true reasons for stopping or delaying breastfeeding, and you are getting misinformation. Get good help. Premature babies can start breastfeeding much, much earlier than they do in many health facilities. In fact, studies are now quite definite that it is less stressful for a premature baby to breastfeed than to bottle feed. Unfortunately, too many health professionals dealing with premature babies do not seem to be aware of this.

Wednesday, March 11, 2009

Secebis Rasa

Hari ni keputusan SPM dah keluar senang ati sikit subjek yang diajar seratus peratus lulus. Cikgunya yang lebih sengihnya daripada student,...rasa gembira juga utk anak-anak muridku. Tahun lepas walaupun aku time tu' mengusung perut' ( mengandung ) mengajar pulak kelas SPM . Walaubagaimanapun syukur lillah ku panjatkan ke hadrat Allah...mudah-mudahan mereka berjaya dalam hidup..dan menjadi orang yang berguna suatu hari nanti. Sebenarnya tak ketinggalan juga aku melihat-lihat result student ku yang agak mencabar emosi mahupun segala teori yg ku pelajari sebelum ni ( yg ni subjek lain) ...kebanyakannya 9G, aku tak juga lupa mendoakan mereka mudah-mudahan akan mendapat iktibar atas segala apa yang mereka lakukan sebelum ini.
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