Colic what a word! This little five letter words strikes fear in the hearts of
most new parents and brings to mind visions of sleepless nights
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the new bundle of joy. Any parent who has ever had a colicky baby would not wish
the same fate on anyone. Some people think that colic only happens to formula
fed babies but this is not so. Breastfeeding is not a guarantee that your baby
will be free of infant colic.
What is infant colic?
Colic is
simply a word that means stomach pain. In the absence of any real scientific
evidence the widely held belief is that infant colic results from intestinal
cramping. Estimates are that colic occurs in about 20 30 of all babies at some
time or another, most commonly in the first three months of life.
How
will I know if my baby has colic?
Infant colic is easily identified by
the baby s behaviour especially after feeding. The baby acts like she is in
pain. Crying is often accompanied by vigorous leg movements and the child may
spasmodically extend her legs during a bout of crying. Sometimes she will expel
gas and have green stools. The baby s crying escalates as the discomfort
increases and parents and babies alike become fretful. Nothing is more
distressing that a baby who cannot be consoled.
Can a breastfed baby
develop infant colic?
There can be no argument that the best source of
infant nutrition is your own breastmilk, but even if you are
breasfeeding
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reason why breastfeeding should be discontinued if your baby is showing signs of
infant colic. There are, however, things that you can do to change your
breastfeeding technique and reduce the possibility and severity of the
colic.
Breastfed colicky babies are very often good eaters
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Parents often say that the baby seems hungry all the time but the more she is
fed the crankier she gets. Some parents misinterpret this to mean the baby is
not getting enough breastmilk and in desperation may switch to formula thinking
that mom does not have enough milk. This is absolutely not the case.
In
fact the breastfed baby who is experiencing infant colic is probably getting too
much breastmilk, and too much of the wrong kind of breastmilk.
Here s
why:
When you put your baby to the breast the baby starts to suck and a
hormone is released that makes the milk ducts contract and breastmilk is
literally squirted into the baby s mouth. This is called the let down reflex and
you might notice it as a slight aching that occurs within the first few minutes
of the baby on the breast.
During breastfeeding the fat in the breastmilk
clings to the sides of the milk ducts and is not released until the end of the
feeding. Babies who have short feedings are often getting lots of the skim
breastmilk (called foremilk ) and not the fat rich milk at the end of the
feeding (called hindmilk ). Because of the lack of fat hunger returns
quickly.
Your colicky baby is actually getting lots of milk but the
breastmilk does not have enough fat so she is not satisfied for very
long.
The foremilk your baby is receiving has a high concentration of
lactose and can cause intestinal cramping. Lactose is such a powerful stimulator
of intestinal contractions that it is used in high concentrations for the
treatment of adult constipation! Is it any wonder that the breastfed baby who
gets lots of lactose in her feedings has intestinal cramping and diarrhea
stools?
As a breastfeeding mom what can I do to help my colicky
baby?
Your main objective will be to make sure that your baby gets more
of the fat rich hindmilk. This reduces the concentration of the lactose and
gives the baby the fat needed to create satiety. In other words the baby will be
satisfied for longer if she gets more fat at each meal.
* express milk
before the feeding. This starts the flow of milk and reduces the amount of
foremilk that the baby receives.
* nurse only from one breast at each
feeding. This makes sure that the baby completely empties the one breast and
gets all of the fat rich hindmilk that lingers in the milk ducts until the end
of the feeding.
* sit your baby up. This may require changing your usual
position and using the football hold . In the football hold the baby is held by
your side facing the breast that the baby will feed from. If you are nursing on
the right side, place the baby beside you
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right arm should go around the baby , along her back and hold her at the back of
the head. You will need a soft pillow to create a little seat for the baby so
that she is more upright than lying down.
If these measures do not
alleviate infant colic then you could try eliminating cow s milk from your own
diet. There is lots of good anecdotal evidence to suggest that some infants show
signs of improvement when mother eliminates dairy products. However, try the
other measures first as they are more likely to bring about the best benefits
for you and your baby.
You can and should continue breastfeeding your
colicky baby. There is no reason to withhold the best possible source of infant
nutrition from your baby if she has infant colic. Now that you know what causes
infant colic
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norge , a few simple changes in your breastfeeding technique can
make all the difference.
Author's Resource Box
Beverly Hansen OMalley is a health promotion specialist and likes to write
about health related topics that help people in their daily lives. She is the
the owner of http:www.registered-nurse-canada where she explores the uniqueness
of the nursing profession in Canada.