Foreword | p. xiii |
Acknowledgements | p. xv |
Introduction | p. xvii |
Giving Effective Breastfeeding Help | p. 1 |
Using Active Listening | p. 2 |
Asking Questions | p. 3 |
Giving Information and Suggestions | p. 5 |
Respecting Differences among Mothers | p. 7 |
Helping the Mother Work with Her Doctor | p. 11 |
When Breastfeeding Doesn't Work Out | p. 13 |
The Breast and How it Works | p. 15 |
Breast Anatomy | p. 16 |
Hormonal Influences | p. 18 |
Other Physical Factors That Affect Milk Production | p. 19 |
Breastfeeding Basics | p. 25 |
Normal Breastfeeding Patterns | p. 26 |
After a Cesarean Birth | p. 31 |
During the Early Months | p. 36 |
The Let-Down, or Milk-Ejection, Reflex | p. 41 |
Common Questions | p. 43 |
Breastfeeding in Emergency Situations | p. 54 |
Positioning, Latch-On, and the Baby's Suck | p. 63 |
Positioning | p. 64 |
Latch-On--How the Baby Goes on to the Breast | p. 72 |
The Baby's Suck | p. 79 |
If Breastfeeding Hurts--Review the Basics | p. 98 |
Fussy at the Breast and Breast Refusal | p. 103 |
Determining the Cause | p. 104 |
The Mother's Feelings | p. 105 |
Asking Questions and Gathering Information | p. 106 |
Fussy at the Breast | p. 107 |
Breast Refusal | p. 135 |
Persuading the Baby to Take the Breast | p. 138 |
Refusal of One Breast | p. 140 |
Weight Gain | p. 147 |
Normal Growth Patterns | p. 148 |
Slow Weight Gain in the Early Months | p. 150 |
Slow Weight Gain in the Baby Older Than Three Months | p. 166 |
Working with the Doctor and Supplementation | p. 171 |
Rapid Weight Gain during the First Year | p. 174 |
Starting Solid Foods | p. 179 |
Determining a Baby's Readiness for Solids | p. 180 |
How to Introduce Solids | p. 183 |
What Foods to Offer | p. 185 |
Foods to Avoid | p. 187 |
Introducing the Cup | p. 188 |
Weaning | p. 191 |
The Mother's Feelings | p. 192 |
Approaches to Weaning | p. 196 |
If the Baby Refuses to Breastfeed | p. 205 |
Physical Changes That Occur with Weaning | p. 205 |
Expression and Storage of Human Milk | p. 209 |
Choosing a Method of Expression | p. 210 |
Basics of Milk Expression | p. 212 |
Hand-Expression | p. 215 |
Milk-Expression Strategies for Different Situations | p. 219 |
Storage and Handling of Human Milk | p. 228 |
Employment and Breastfeeding | p. 237 |
The Mother's Feelings | p. 238 |
Milk Expression | p. 243 |
Home Strategies | p. 250 |
Feeding Tips for the Baby's Caregiver | p. 252 |
Newborn Jaundice | p. 257 |
The Mother's Feelings | p. 258 |
Causes of Newborn Jaundice and Elevated Bilirubin | p. 260 |
Why and When Newborn Jaundice May Need Treatment | p. 265 |
Treatment Options for a Jaundiced Baby | p. 267 |
Helping the Mother Work with Her Baby's Doctor | p. 273 |
Prematurity | p. 279 |
The Mother's Feelings | p. 280 |
The Advantages of Breastfeeding a Premature Baby | p. 282 |
Building a Relationship between Mother and Baby | p. 283 |
The Premie Weighing More Than 1500 Grams (3.3 lbs) | p. 287 |
The Premie Weighing Less Than 1500 Grams (3.3 lbs) | p. 288 |
The First Nursings | p. 302 |
Working with Hospital Personnel | p. 312 |
The First Weeks at Home | p. 315 |
Health Problems--Baby | p. 327 |
When the Baby Is III | p. 328 |
Hospitalization of the Breastfed Baby | p. 338 |
The Baby with a Chronic Illness or Physical Limitation | p. 343 |
Multiples--Breastfeeding Twins, Triplets, or More | p. 371 |
Reacting to the Idea of Having More Than One Baby | p. 372 |
Advantages of Breastfeeding Multiples | p. 373 |
Preparations during Pregnancy | p. 373 |
Adjusting to Life with Multiples | p. 374 |
Breastfeeding Basics for Multiple Babies | p. 375 |
Mother Care for the Mother of Multiples | p. 380 |
Breastfeeding Triplets, Quadruplets, and More | p. 382 |
Relactation and Induced Lactation | p. 385 |
Talk about Feelings, Goals, and Realistic Expectations | p. 386 |
Relactation--Stimulating a Milk Supply | p. 390 |
Induced Lactation--Stimulating a Milk Supply | p. 394 |
Encouraging the Baby to Take the Breast | p. 399 |
Making the Transition--How to Be Sure That Baby Is Getting Enough | p. 401 |
Pregnancy and Tandem Nursing | p. 405 |
Breastfeeding during Pregnancy | p. 406 |
Tandem Nursing | p. 410 |
Sexuality, Fertility, and Contraception | p. 417 |
Breastfeeding and Sexuality | p. 418 |
Breastfeeding, Fertility, and Contraception | p. 420 |
Nutrition, Weight Loss, Exercise, and Personal Grooming | p. 435 |
Nutrition for the Nursing Mother | p. 436 |
Is Baby Reacting to a Food in the Mother's Diet? | p. 439 |
Bone Density | p. 443 |
The Vegetarian Mother | p. 444 |
Fluids--Drink to Thirst | p. 445 |
Weight Loss, Eating Disorders, and Obesity | p. 446 |
Exercise | p. 448 |
Personal Grooming | p. 449 |
Nipple Problems | p. 455 |
Sore Nipples | p. 456 |
Treatment of Sore, Cracked, or Bleeding Nipples | p. 465 |
Flat and Inverted Nipples | p. 470 |
Teething and Biting | p. 478 |
Thrush | p. 480 |
Nipple Blisters and Sores | p. 484 |
Breast Problems | p. 491 |
Engorgement | p. 492 |
Mastitis--Plugged Ducts and Breast Infections | p. 496 |
Breast Abscess | p. 506 |
Breast Lumps | p. 507 |
Blood in the Milk | p. 509 |
Deep Breast Pain | p. 510 |
Breastfeeding after Breast Surgery or Injury | p. 515 |
Health Problems--Mother | p. 529 |
When Mother Is III | p. 530 |
Specific Illnesses | p. 531 |
When the Mother Is Hospitalized | p. 553 |
Chronic Illness or Physical Limitation | p. 557 |
Postpartum Depression | p. 570 |
Drugs, Vitamins, Vaccines, and Diagnostic Tests | p. 587 |
Prescription and Over-the-Counter Drugs | p. 588 |
Substances of Concern | p. 597 |
Substances of Abuse | p. 602 |
Vitamin and Mineral Supplements for Babies | p. 604 |
Vaccines | p. 607 |
Diagnostic Materials and Tests | p. 608 |
Supplements | |
Transfer of Drugs and Other Chemicals into Human Milk | p. 619 |
The Use of Breast Pumps and Other Products | p. 633 |
Alternative Feeding Methods | p. 634 |
Breast Pumps | p. 640 |
Breast Shells | p. 650 |
Creams, Ointments, and Hydrogel Products | p. 651 |
Milk Storage Bags | p. 655 |
Nipple Shields | p. 655 |
Nursing Pads | p. 658 |
Nursing Pillows and Footstools | p. 658 |
Electronic Scales | p. 659 |
Product Information | p. 659 |
Appendix | |
About La Leche League | p. 665 |
Photo Credits | p. 669 |
Index | p. 671 |
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