Topic Tag: BFE4

Background: Jiya gave birth to Sitara at 38 weeks gestation via vacuum assisted vaginal delivery. Sitara is now 96 hours old and at home with Jiya and her partner Hitesh. Jiya has been exclusively breastfeeding and tells you that Sitara has had 6 feeds in the past 24 hours and has been sleeping long stretches […]

Hyperbilirubinemia (high levels of bilirubin in the blood) affects over half of term infants.43 Bilirubin is a product of the breakdown of red blood cells, which have a shorter lifespan and higher concentration in newborns.43 It is usually processed in the liver and excreted in urine and stool.43 Decreased stools or stools that are slow […]

  Hypoglycemia refers to low blood glucose. All newborns experience a fall in blood glucose in the first 2-3 hours after delivery, regardless of feeding type. Infant blood glucose levels should gradually increase over the next 96 hours.40 Healthy term infants cope with lower glucose levels during this period through a variety of adaptive responses […]

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Background: Lauren and her girlfriend Brandi and baby Luca are seeing you at 6 weeks postpartum. This is their second baby, their first is now a busy toddler. Lauren tells you she has started to dread breastfeeding sessions because of how Luca behaves at the breast. She thinks he no longer wants her milk and […]

Older infants can sometimes present with unexpected and challenging behaviours that affect an otherwise established breastfeeding relationship. Feeding approaches may need to be adjusted to account for the infant’s developmental stage and to ensure that breastfeeding continues to be a positive experience for both the breastfeeding parent and infant. HCPs should be mindful to first […]

Unsettled behaviours in younger infants (without other signs or symptoms of health concerns) can reduce breastfeeding confidence and increase parental stress.28 Additionally, unsettled behaviours may be misinterpreted by parents and other caregivers as the infant not getting enough to eat or as indigestion. This can reduce motivation to place the infant at the breast, cause […]

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Background: You see Salma, her husband Mussa and baby girl Amina. This is their first baby and Salma gave birth by spontaneous vaginal delivery at 39 weeks. Salma and Amina were discharged from hospital yesterday, and Amina is now 66 hours old. Amina has breastfed 7 times in the past 24 hours. Amina has had […]

Some infants gain weight more rapidly than the expected pattern on the growth chart. An upwards shift from a previous established pattern of growth or movement across percentile lines can prompt further assessment.25 Parents should not be advised to limit feeds in attempt to slow weight gain.3 It is important that parents continue to respond […]