Protocol templates for special silent situations

Protocol templates for special silent situations

Protocol templates for special breastfeeding situations

On the following page, protocol templates are listed that can be used in special situations during breastfeeding.

However, mothers who breastfeed without difficulty do not need to keep records: they can enjoy breastfeeding in a relaxed manner and can simply put their babies on their hands spontaneously and around the clock as needed.

Protocol templates to ensure the adequate nutrition of the baby

To ensure that the baby is breast-fed enough, the excretions (more in the article urine and bowel movements of a newborn, breast-fed baby) and the weight of the baby are logged regularly (more on this in the articles Too little milk and a second Start of breastfeeding (relocation)).

Close observation of excretions and weight gain always makes sense when there is a risk of inadequate nutrition, i. in (suspected) too little milk, with problems of prosperity, with partial breastfeeding, with a Relaktation and different risk situations (breastfeeding after breast surgery, Stillhütchengebrauch, breastfeeding with special nipple forms, pain with breastfeeding, sore nipples, breastfeeding with different illnesses of the mother and the Child, etc.). The weight data should be transferred from the table to the WHO growth curves and graphically displayed in order to better assess weight gain. Ideally, this should be percentile-parallel. Many breastfeeding consultants use software for a simple and meaningful presentation of weight development. For this they need the date of birth and the sex of the child as well as all weight data with date.

Protocol templates when the baby is fed with mother’s milk

If a mother needs to get her milk manually or by pump on a regular basis for her baby, then it makes sense to record the pumping frequency and quantities. This helps to determine if the breast is stimulated sufficiently often during the day (more on pumping and storing breast milk) and how much milk is produced. A simplified chest emptying protocol provides an overview of a whole week, but has only two columns per emptying. A protocol with icons (possibly also for other mothers or for quick recognition) is designed for mothers who have to pump for many weeks to months. Choose the template that you find most helpful.

If the amount of milk produced is plotted graphically over time, then the temporal trend of whether milk production is increasing or decreasing can also be seen well beyond the daily fluctuations.

Protocol templates for partial breastfeeding, increase in milk production and relocation

If a mother partially halts or in particular wants to increase or even relieve her milk supply, then it may be advisable to have a lactation and feeding protocol in addition to the above protocols. The timing of the quantities fed in can also be graphically recorded to detect trends. In this way milk production can be concluded: if the amount of baby food added decreases over the course of a few weeks, milk production can be successfully increased. However, as the amount of baby food supplemented increases, creeping weaning may occur which may be counteracted by a change in nursing management.

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Christina Cherry
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