Supporting Successful and Confident Breastfeedinglibrary.nhsggc.org.uk/media/226154/BR50 NHS168590...

1NHS Greater Glasgow and Clyde Version 1 May 2014 0141 232 4006

Supporting Successful and Confident BreastfeedingWhere to get additional information and support

Supporting Successful and Confident Breastfeeding

Find out more about feeding your baby before the birth

Tips for Successful Breastfeeding

Breastfeeding seems natural, but can take time and practice. Many mothers and babies enjoy the experience, but that doesn’t mean it’s always easy for everyone. If you have good information, support and the confidence you need, you are likely to be able to overcome any difficulties.

More information is available on the Scottish Feedgoodfactor website: www.feedgoodfactor.org.uk

Your Midwife will talk to you about feeding your baby and provide information. She can also give you a copy of the “Bump to Breastfeeding” DVD. Antenatal breastfeeding workshops are run in all maternity units and community locations by NHS Greater Glasgow and Clyde. Your Midwife will be able to give you dates and venues and book you into one of these.

We also work in partnership with the National Childbirth Trust (NCT) and they are developing a system of Baby Café’s where antenatal workshops and peer support for breastfeeding are available (free of charge). Ask you Midwife if there is one in your area.

If you have specific concerns or would like to discuss medications and breastfeeding or a previous difficult feeding experience then you can speak to your Midwife or you can call the National Breastfeeding helpline on 0300 100 021. If you would prefer to express your breast milk and would like to organise an electric breast pump information is available on page 15.

If you want to know more about feeding your baby then have a look at the UNICEF UK Baby Friendly website:

http://www.unicef.org.uk/BabyFriendly/Parents/

2 NHS Greater Glasgow and Clyde Version 1 May 2014 0141 232 4006


Responsive parenting relies on a baby being close to his or her parents: only then can they notice what their baby is telling them. We would encourage you to keep your baby close, to lookout for feeding cues and to respond to your baby’s needs. It is not good for babies to be left to cry and responding to their baby’s needs will not ‘spoil’ them, but will help them feel safe and secure.

We would encourage skin to skin contact at the birth but also at anytime after the baby is born. You can also use positions for breastfeeding such as “Biological Nurturing.” www.biologicalnurturing.com You can also keep your baby close in a carry sling or wrap.


A warm welcome continues

Closeness is the key

Looking for Feeding Cues;

One of the early ways to start responding to your baby is to look for feeding cues which are signs that your baby is ready to feed.

Crying is a sign of upset and usually occurs after feeding cues have been missed.

Newborns usually feed better if they are picked up for a feed earlier than the crying phase.


Confident feeding

Common First Worries

Have I got enough milk?

Most parents feel instinctively that they want to keep their baby close and respond to their baby’s needs for closeness and comfort, but they can sometimes worry whether this is the right thing to do.

The role of your Health Professional is to give you lots of support and encouragement, ask how it’s going, notice the things that are going well and point them out. We can also put you in touch with peer volunteer breastfeeding supporters and, in some areas, breastfeeding support workers.

It is such a strange but wonderful experience being a new parent. New mothers may be feeling a mixture of emotions such as elated and proud but also tired and sore from the birth and anxious about caring for their newborn. These feelings are all completely normal but they often have an impact on your early breastfeeding experience.

Your breasts produce colostrum during pregnancy and continuing through the early days of breastfeeding.

Colostrum is extremely easy to digest, and is therefore the perfect first food for your baby. It is low in volume but high in concentrated nutrition for the newborn.

It has a laxative effect on the baby, helping him pass his early stools, which helps prevent jaundice.

Your colostrum wil protect your baby against many harmful bacteria. It contains large quantities of antibodies which protect the baby from germs in the throat, lungs, and intestines.

Colostrum protects the baby’s gut A newborn’s intestines are very leaky. Colostrum seals the leaks by acting as a barrier to prevents foreign substances from leaking into the baby’s system and causing allergies.

Early colostrum comes in small volumes because: A 1 day old baby’s stomach capacity is about 5-7 ml, or about the size of a marble and does not stretch to hold more. Your colostrum is just the right amount for your baby’s first feeds! Small, frequent feedings assure that


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your baby takes in all the milk he needs. By around day 7, the newborn’s can now manage about 45-60mls (1.5-2 oz). This is about the size of a ping-pong ball.

When your baby is breastfed early and often, your breasts will begin producing mature milk around the third or fourth day after birth. During this transition, the milk volume increases. The disease-fighting properties of human milk do not disappear and still protect against many different viruses and bacteria.

In those first few days it is extremely important to breastfeed your newborn responsively and the more often you feed the better it will stimulate production of a good milk supply and this also helps prevents breast engorgement.

Your new-born may be sleepy and feed quite infrequently in the first 24-36 hours. As long as he feeds well when he does feed and starts to feed much more frequently by 36 hours then this is normal. It is really important to check the nappy every couple of hours and to look for any feeding cues.

- Giving your baby lots of cuddles and skin contact will also encourage the baby to be interested in feeding.

- Lots of closeness also encourages the hormones which stimulate your milk supply. You can also hand express some colostrum to tempt your baby to feed.

Usually into the second day the baby will be more alert and may wish to feed much more frequently. It is important not to panic about how much milk you have but let the baby have lots of practice at the breast. Practice the positioning and attachment skills and let him or her stimulate the milk production.

If your baby has any other food or drink other than your milk it may change the gut’s natural environment. Since young babies have an immature, leaky gut which takes many weeks to mature they are more susceptible to developing infections and allergies. Nature has made sure that properties in the

The Sleepy newborn:

Feeding all the time:

I’m tired or anxious - will just one bottle of formula hurt?



colostrum and breast milk:

•Keepthegutatthebestacidalkalibalancetoreduceinfections.

•Coattheguttostopallergycausingproteinsleakingthough.

•Provideantibodiestoprovideimmunity

•Containantiinfectivepropertiestocleanawaythebad bacteria.

Formula milk is generally made from altered cow’s milk. When it was fresh it maintained the newborn calf’s gut but it cannot do the same for a human gut.

Small amounts of formula (1 supplement in 24hours) will result in shifts from a breastfed to a formula fed gut environment. If breast milk were exclusively reintroduced, it would take 2-4 weeks for the healthy intestinal environment to return.

Making sure your baby is correctly positioned and attached at the breast:

•meansyouwon’tgetsore

•helpsyourbabytoremovemilkmoreeffectivelyandtherefore he is likely to lose less weight.

What position should you use? There are lots of different positions for breastfeeding. You just need to check the following basics are in place for any position:

•Is your baby’s head and body in a straight line? If not, your baby’s body and neck will be twisted and he might not be able to swallow easily. Support his neck, shoulders and back. But make sure nothing is stopping him being able to tilt his head back easily.

•Are you holding your baby close to you? He should be close enough not to have to reach out to feed.

•Is your baby’s nose opposite your nipple? Your baby needs to get a big mouthful of breast from


Signs that your baby is feeding well


underneath the nipple. Placing your baby with his nose level with your nipple will allow him to reach up and attach to the breast well.

How should you attach your baby to your breast?

Hold your baby close to you with his nose level with the nipple.

•Let his head tip back a little so that his top lip can brush against your nipple. This should make him open his mouth.

•When his mouth is wide open, bring him to the breast, with his head still tilted back and his chin leading. His nose should be clear of the breast. He should take in a large mouthful of breast – not just the nipple. Your nipple should go towards the roof of his mouth.

How will I know that the baby is correctly attached?

•Yourbabyhasalargemouthfulofbreastandyourbaby’s chin is touching your breast.

•Itdoesn’thurtyoutofeed(althoughthefirstfewsucks may feel strong).

•Ifyoucanseethedarkskinaroundyournipple,youshould see more dark skin above your baby’s top lip than below his bottom lip.

•Yourbaby’scheeksstayroundedduringsucking.

Always offer both breasts at each feed although sometimes one is enough and other times he/ she will take both and want to go back for more. Don’t worry; your breasts will keep making more milk!



Your baby will start with fast rapid sucks then quickly settle into rhythmic longer sucks and lots of swallows as the feed progresses. It is normal for him to pause sometimes. As the milk volume decreases there will be less swallows then finishing with smaller flutter sucks before the baby releases the breast.

Feeding then usually settles into around 6-8 times in 24 hours by around 60-84 hours as your breasts begin to fill with more breast milk. Feeds will often be in clusters with some rest periods. The baby’s tummy is tiny and the milk production hormones levels are high at night so night feed are important. The frequency of feeds will change with time according to your baby’s needs. Some days your baby will feed much more often, particularly during a growth spurt and this is normal.


The pattern of a Feed:

When will my baby get into a routine?

The Reality Clock

If you chart a very young baby’s feeds on the 24 hour “reality clock” you will notice some of the feeds are clustered with shorter sleep. You will also notice one or two longer sleeps and this is completely normal. The size of the baby’s tummy and his mothers milk producing hormones regulate feed patterns and these change with time.


If you are worried then talk to your Midwife or Health Visitor about this: Your Midwife and Health Visitor will ask:

•Howyoufeelfeedingisgoingandaboutanyconcerns that you have.

•Theywillbeabletosupportyouifyouarefeelinganxious or need help you to express your milk.

•Theywilltalktoyouabouttheimportnaceofkeeping your baby close and responding to feeding cues.

•Theywillcheckthatyouareconfidentabouthowtohold your baby for feeding and recognise the signs that your baby is getting enough milk.

•Theywillreassureyouthatfrequentfeedingisagood thing and that feeding ‘for comfort’ is normal.

•Theywilltalktoyouaboutexclusivebreastfeedingand how it provides maximum health benefits for your baby and mixed feeding may reduce some of these benefits and have a negative impact on milk supply.

•Theywilldiscusswhyhandexpressingcanbeusefuland ensure that you know how to do.

•Ifyouaremixedfeeding,theywillencourageyoutocontinue to breastfeed and support you to maximise the amount of breast milk your baby receives.

You can be confident that all is going well if:

•Yourbabywillmanagetoattachtothebreastwithout a fuss at most feeds

•Heorshewillappearcontentandsatisfiedaftermostfeeds.

•Yourbreastsandnipplesshouldnotbesore.



How do you know that your baby is getting enough milk?

What about teats and dummies?

•Afterthefirstfewdays,yourbabyshouldhaveatleast six heavy wet nappies a day.

•Babies(afterthefirsttwotothreedays,)pass a soft yellow stool at least twice but usually many more times every day. Later, (after at least the first month) it’s normal for bowel movement frequency to change; some babies may only have a dirty nappy once a week, and as long as everything else is fine, there’s no need for concern.

•Yourbabyshouldbehealthyandgainingweightafter the first two weeks.

Your baby needs to suck at the breast responsively, as often as he wants, in order to establish the milk supply. Using a dummy may reduce the frequency of breastfeeds and thus decrease the milk supply. Your baby also needs to learn to suck at the breast feed effectively and using a teat or a dummy may affect this.



It’s important to make sure that you create the right environment for getting as much rest as possible.

- Keep the room fairly dark: switching on the light wakes everyone up and is not usually needed when you are feeding and comforting your baby.

- Keep your baby close: It is safest to keep the baby in your room for the first 6 months and easier for feeding. This means you can hear your baby and respond to her needs before she starts crying or becoming distressed, you can reach her easily without having to get up.

- Feed lying down: Many women choose to feed their baby whilst lying in bed. Ask your midwife or health visitor to help you find a safe and comfortable position and also see the safety information in the UNICEF “Caring for your baby at night” or Scottish Cot Death Trust “Reduce the risk of Cot Death” leaflets. The safest place for your baby to sleep is in a cot by the side of your bed.

- Try not to stimulate your baby too much. As soon as she starts waking, offer her a feed, that way she doesn’t get too upset and difficult to settle. Talk to her only in a soft, quiet voice and avoid changing her nappy or clothing unless really necessary.

- When babies don’t settle: There may be times when your baby remains unsettled after feeds. Placing your baby in skin-to-skin contact with you and gently rocking can provide comfort. Your partner can help with this too. If you are breastfeeding you can offer your breast again even if your baby has just fed. Babies find the suckling comforting and there is no risk of over feeding a breastfed baby.

- Rest during the day: If you have had a particularly disturbed night, try to take time out to rest during the daytime. Most visitors can wait for a few weeks to visit but close family and friends can help by taking over chores or looking after other children while you and your baby catch up on sleep.


Night feeds

http://www.unicef.org.uk/Documents/Baby_Friendly/Leaflets/caringatnight_web.pdf

www.scottishcotdeat htrust.org


If your baby is crying for long periods she may be ill and require a medical check.

Health Professionals: Your Midwife and Health Visitor have been trained to manage straight forward feeding problems. Some areas also have breastfeeding support workers who can visit you at home.

Specialist Infant Feeding Advisors: There are Infant Feeding Advisers in the Maternity Units and in the Community. Your Midwife, Health Visitor or Doctor can refer you to a breast feeding clinic if feeding problems persist.

Support Groups: There are also lots of breastfeeding support groups where you can drop in and talk to other mums or a professional about your concerns.

Peer Supporters: There are also trained peer volunteers and voluntary organisations which have highly trained breastfeeding counsellors.

Voluntary Sector Help lines: There are help lines answered each day by trained, volunteer breastfeeding counsellors who can offer information and support.

National Breastfeeding Helpline 0300 100 021

If you find that you are having difficulties and your baby will not attach at the breast easily or it takes a lot of time and perseverance then an alternative approach may be a position called “Biological Nurturing”. This is a technique being widely recommended across the world. Ask your Midwife or have a look at the position on the website. There are several DVD clips which may be useful. www.biologicalnuturing.com


Getting help with problems

Breastfedding Support

Are you having difficulty attaching your baby?


Breastfeeding etc. (Scotland) Act 2005: This Act of the Scottish Parliament makes it an offence to prevent or stop a child who is permitted to be in a public place or licensed premises from being fed milk in that place or on those premises; and for connected purposes.

In practical terms a little bit of planning before going out can be useful. If you don’t feel confident feeding in public yet then think about wearing clothing that won’t expose too much when feeding. There are also many shopping centres and stores that have feeding and changing places to give you more privacy.

The Breastfeeding Welcome Award: The Breastfeeding Welcome Award is to acknowledge public places that welcome breastfeeding mothers and their children. Wherever the Breastfeeding Welcome logo is displayed the staff respect a mother’s right to breastfeed anywhere within their premises. A breastfeeding mother will be left undisturbed – although staff will respond positively if asked for help e.g. for a chair or a glass of water.

Going back to work and breastfeeding: We recommend that you make a plan which allows you to consider your options including maximising the breast milk you give while being realistic about your situation. This will depend on the age of baby, the opportunities to express / store milk, and how to give your milk when you are not there.

http://www.feedgoodfactor.org.uk/breastfeeding-worries/returning-to-work/


Breastfeeding when out and about or with other people


We fully appreciate that it’s not always a straight forward choice for some mothers. We recommend that you talk to your partner and the Midwife about maximising your baby’s health.

As a parent you also have to consider other social things such as your family circumstances, your personal preferences and comfort as well as your health. Professionals are very willing to hear your story to find out what will work best for you and your family but they still need to be honest with the facts so that you can make fully informed choices.

The research is very clear that the longer you are able to breastfeed and to exclusively breastfeed the greater the health benefit for you and your baby.

For some mothers this feels like quite a lot of pressure and they worry that the baby is getting enough milk or they want to share feeds with their partner.

If you are anxious about your milk supply then you can be reassured if your baby is growing and having at least 5-6 heavy wet nappies and 2 or more dirty nappies which are at least £2 coin size, yellow, soft and runny. Seek advice from a health professional if you are concerned.

There are many ways for your partner to bond with the baby and feeding does not need to be one of them or once breastfeeding is established you could express some milk for him to give occasionally. You can express milk to enable you to have time away from you baby or just to fit in with family life.

The WHO recommends exclusive breastfeeding for 6 months and then continuing for 2 years and beyond. However, be reassured that that every day of breastfeeding counts and improves your health and that of your baby. You can either just take one day at a time and see what works for you or create your own plan.


Options for feeding

When health professionals give information it based on what will most benefit the child’s and your long term health.

Exclusive breastfeeding

Long term breastfeeding


Your baby will still receive all of the benefits of breast milk and those associated with the closeness and comfort if you still hold the baby close to feed and limit those who give the feeds. The baby will not benefit from the unique sucking action of feeding from the breast.

However, for those mothers for whom breastfeeding is difficult, for those with ill or premature infants or for babies who won’t attach to the breast, for mothers retuning to education or work or for those who feel uncomfortable with the thought of breastfeeding or breastfeeding in public then expressing is a good option.

NHS pump loan: NHS Greater Glasgow and Clyde is able to lend electric breast pumps free of charge to:

•MotherswithsickorprematureinfantsintheNeonatal Units or Sick Children’s hospital.

•Shorttermloanformotherswithfeedingproblems.

•Wehaveasmall,limitedsupplyforthosemotherswho opt to express and cannot afford to buy or hire a breast pump but this depends on availability. Contact us on 0141 232 4004

Purchasing and hiring pumps: You can buy a hand pump or a small electric breast pump from most supermarkets and chemists or baby equipment stores. Most of them can also be purchased on line. Alternatively, you can hire a hospital grade pump. The 2mainUKcompaniesareArdoandMedelabutthereare others. You can order one directly or through other pump hire agencies.

Ardo - http://www.ardobreastpumps.co.uk/hire or phone them on : Monday – Friday (9am-5pm) 01823 336362

Medela - http://www.medela- rental.co.uk/shop/symphony-double-breastpump-hire/

Fully or partially expressing breast milk

Breast pumps



Short term breastfeeding

Mixed feeding

Orders placed before 3pm, Monday to Friday, are dispatched the same day for a next working day delivery, excluding weekends and bank holidays, There is a supplement for a Saturday delivery. 0161 776 0400

Express yourself mums - http://www.expressyourselfmums.co.uk/hospital-grade-rental-breastpumps

The NCT - http://www.nct.org.uk/branches/glossop-district/breastfeeding-support/breast-pump-hire

To hire Ameda or Medela pumps, via a local NCT volunteer agent, please call NCT Enquiries on 0300 330 0770.

Every day of breastfeeding is of benefit for you and your child and you should be proud of what you can achieve. If this is your intention then think about maximising the benefit for your child.

•Couldyouconsiderexclusivebreastfeedingforatleast 8 weeks to give your baby a good start?

•Afterashorterperiodofexclusivebreastfeedingyou could still give one or two breastfeeds or an expressed feed each day.

Some mothers do struggle to breastfeed and mixed feeding is an achievable option for them. They should be very proud of the effort they are making for their child. However, mixed feeding has become very popular for convenience.

The benefits of doing this are usually social or for reassurance. Any breastfeeding is better than none but the health benefits for the baby are reduced. If it’s a choice rather than a necessity to mixed feed then maybe you could consider your options:

•Seekprofessionalsupporttomanagefeedingproblems or concerns about your milk supply before considering a supplement.



•Keepingyourbabycloseinskincontactorcarrierwrap to boost your own milk supply

•Expressingyourbreastmilktoboostyourmilksupply or to give expressed breast milk supplements rather than formula milk.

•Exclusivelybreastfeedintheearlyweekstogivethe baby’s gut some time to mature and to avoid disrupting the normal gut flora.

•Maximisingthebreastmilkintakebykeepingthesupplements to as few as possible and giving after a breastfeed.

If you cannot breastfeed for a variety of reasons then you can still maximise your child’s health by being responsive and providing closeness and comfort, talking and singing to your baby and providing lots of love and cuddles. However, if you are not completely sure then have a look at some of the other feeding options and consider how it might work for you.

If you feel that your choice must be formula feeding, you will also need to know why it’s important to ensure that it’s the mother / parents that do most of the feeds to ensure that the baby forms a secure attachment with a main care giver.

You should still be aware of the need to be responsive by looking for feeding cues and invite the baby to take the teat rather than push it into his mouth. We would encourage you to provide closeness and comfort to ensure a close and loving relationship with your baby. Feed your baby close to you in your arms, maintaining eye contact and being particularly aware when the baby is saying that he or she has had enough milk.

Staff will ensure that you understand how to clean and sterlise equipment and how to make up a feed as safely as possible: freshly made, one at a time with water over 70 degrees.

Formula feeding


formula feedingHow to feed your baby safely


Breastfeeding Support Groups in NHS Greater Glasgow and Clyde

North East Glasgow

South Glasgow

North West Glasgow

Breastfeeding Support Groups provide social support and help with breastfeeding and are there to answer questions and reduce your worries. All of the groups aim to be welcoming, friendly and informal. Ask your Midwife or Health Visitor for more information. Some groups are closed during school and bank holidays.

MONDAY 11am-12pm; Dennistoun Library, 2a Craigpark, G31 2NA, Contact: 0141 232 0188 / 0141 276 0768

MONDAY 10-11.30am: New mums Group with time for BF support, Elderpark Library, 228A Langlands Rd, Govan, G51 3TZ Contact: 0141 276 8845 or 0141 531 8419

WEDNESDAY 1-3pm: The New Victoria Hospital, GROUND FLOOR, next to patient services, Langside Rd, Glasgow G42 9TY, Contact: 0141 232 0504/0141

THURSDAY 11.30am-1pm: Pollok Breastfeeding Support Group, The Project Room, Pollok Library, Pollok Civic Realm, Contact: 0141 531 6800

MONDAY 1.30-3pm: Whiteinch Centre, 1 Northinch Street, G14 0UG, Contact: 0141 207 9518

TUESDAY 1-3pm: West Maternity Care Centre at Western Infirmary, Dumbarton Road, Glasgow, G11 6NT, Contact: 0141 211 1408

WEDNESDAY 1.30-3pm: Drumchapel Breastfeeding Group/community Clinic, 3D The Open Gate, 44 Hecla Square, G15 8NH, Contact: 0141 211 6070



WEDNESDAY 12-1.30pm: Breastfeeding/ Parent’s Group, Ruchill Parish Church, 15-17 Shakespeare Street, G20 8TH

THURSDAY 1.30-3pm: St Silas Church, 69 Park Road, Woodlands, G4 9JE, Contact: 0141 531 9201

WEDNESDAY 1-2pm: Alburtsland Hall, Newton Mearns, G77 6WW, Contact: 0141 644 4360

THURSDAY 1.30-3pm: Barrhead Health & Social Care Centre, 213 Main Street, G78 1SW Contact: 0141 800 7139.

MONDAY 10-11.45am:KHCC,10SaramagoSt,Kirkintilloch,G663BF,Contact:01413552299

MONDAY 2-3.45pm: St Machan’s Church Hall Main Street, Lennoxtown, G66, Contact: 01360 313826

TUESDAY 10.30-11.30am: Woodhill Evangelical Church, 30 Westercleddans Rd, Bishopbriggs G64 2NH, Contact: 0141 201 9756

WEDNESDAY 10AM-12pm: Bearsden & Milngavie, Bearsden Burgh Hall, Drymen Road, Bearsden, Contact: 0141 232 4800

FRIDAY 11AM-12pm: Twechar Healthy Living Centre, St John’s Way, Main Street, Twechar, Contact: 0141 355 2299

TUESDAY 1-3pm: Rankin Maternity Unit Inverclyde Royal Hospital, Larkfield, Greenock, PA16 0XN, Contact the Midwives: 01475 504775

THURSDAY 1.30-3PM: Duchal Nursery, 3 Park Cottage,BroomknoweRoad,Kilmacolm,PA134JA,Contact: 01475 701058

TUESDAY 2.30-4pm, 3RD Floor Parentcraft room, Paisley (RAH) Maternity Hospital, Corsebar Road, Paisley, PA2 9PN, Tel No: 0141 314 7371

East Renfrewshire

East Dunbartonshire Breastfeeding Support within Baby Clubs

Inverclyde

Renfrewshire

For more information 01505 821800 / www.chps.org/Renfrewshire



The Breastfeeding Network is a Company Limited by Guarantee Registered in Scotland, No SC330639 Registered office Alexander Sloan, Chartered Accountants, 38 Cadogan Street, Glasgow, G2 7HF

An independent, free source of support and information for breastfeeding women and their families

BfN Volunteersare trained local mums who have breastfed their own babies and are here to help you. We offer information and support to mums before and after they have had their baby.

BfN Supporterline 0300 100 0210 9.30 am – 9.30 pm 7 days a week to speak directly to another mum

*NEW* Webchatservice

www.breastfeedingnetwork.org.uk

as well as:

• Excellent leaflets and publications

• Information about breastfeeding

• Downloadable information, including drugs in breastmilk leaflets

Greater Glasgow & Clyde Support

every weekday MONDAY 9.30 – 11.30am KilbarchanBfN @ East Church Toddlers East Church Hall Steeple Square, Kilbarchan PA10 2JD (Term time only) TUESDAY 12.30 – 2pm JohnstoneBreast Buddies Room G063 West Johnstone Learning Centre Beith Road PA5 0BB WEDNESDAY 9.30-11.30am Inverclyde Happy Tots (BfN) Westburn Church Nelson Street, Greenock PA15 1PT (Term time only)

THURSDAY 10-11.15am Queens Park Playgroup Drop-in Queens Park Baptist Church, Balvicar Drive G42 8QS (Term time only) FRIDAY 12.30 – 2pm Ferguslie Breast Buddies Parents Room, Ferguslie Nursery Tannahill Centre, Paisley PA3 1NT “Like” for latest news and updates

BfNFerguslie Breast Buddies

BfN – Johnstone Breast Buddies

Kilbarchan Breast Buddies

Join our Glasgow Facebook Group to

meet other mums & share info:

NCT Design Job Number145 Client: ProfMarketing: Baby Cafe Advert Glasgow [email protected] 020 8752 9177

Baby Cafés are coming! Baby Cafés are opening soon across

Greater Glasgow and ClydeAll pregnant or breastfeeding mums are welcome to drop in at

any time during opening hours - no appointment neededFor help with every aspect of breastfeeding

Help is available on all aspects of breastfeeding and its impact on daily life – from starting to stopping and all the variations in between.

In a relaxed, informal atmosphere you can:• Chat to other mums and build your confidence.• Get one-to-one help from specially trained staff• Look at books, leaflets and DVDs• And enjoy some tasty refreshments.

Ask your midwife, health visitor or a peer supporter for more information.

www.thebabycafe.orgnctdes145.May14.v1

21NHS Greater Glasgow and Clyde Version 1 May 2014 0141 232 4006NCT Design Job Number145 Client: ProfMarketing: Baby Cafe Advert Glasgow [email protected] 020 8752 9177

Baby Cafés are coming! Baby Cafés are opening soon across

Greater Glasgow and ClydeAll pregnant or breastfeeding mums are welcome to drop in at

any time during opening hours - no appointment neededFor help with every aspect of breastfeeding

Help is available on all aspects of breastfeeding and its impact on daily life – from starting to stopping and all the variations in between.

In a relaxed, informal atmosphere you can:• Chat to other mums and build your confidence.• Get one-to-one help from specially trained staff• Look at books, leaflets and DVDs• And enjoy some tasty refreshments.

Ask your midwife, health visitor or a peer supporter for more information.

www.thebabycafe.orgnctdes145.May14.v1


With Healthy Start, you can get free vouchers every week which you can swap for milk, fresh fruit and vegetables if you are pregnant or breastfeeding. Otherwise they can be exchanged for formula milk. Free vitamins are also available.

Healthy Start is available to pregnant women and families with children under the age of four who are on: Income Support, income-based jobseeker’s allowance, Child Tax Credit or receiving Working Tax Credit run-on with an income of £16,040 a year or less (2008/2009). All pregnant women under the age of 18 also qualify. If you think you are eligible, you should apply. Application forms are available from your Midwife, health visitor, local health centre or by calling Healthy Start on 0845 607 6823.

Infants with vitamin D deficiency may develop a range of problems including muscle spasms and seizures. They may have softer skull and leg bones and they may look curved (bow-legged). This condition is known as rickets.

Their height can be affected and they may be reluctant to start walking. Infants may be late teething as the development of the milk teeth has been affected and are more prone to infections and their breathing can be affected because of weak chest muscles and a soft ribcage. A significant number of children each year in theUKdevelopaweaknessoftheheartmuscleandsome of these children will become extremely sick.

Adults who have low vitamin D stores may be more prone to bone softening, pain and weakness. This may lead to difficulty standing up or climbing stairs, or can lead to the person walking with a waddling pattern.

There is emerging evidence which suggests vitamin D deficiency may also have a role to play in a range of other medical conditions such as multiple sclerosis, diabetes and heart disease.


Healthy Start Benefit

Who qualifies for Healthy Start Benefit?

Why should I take Healthy Start Vitamins (Containing Vitamin D) and give them to my baby?



Donor MilkBank

Greater Glasgow and Clyde

Give for Life

Who should take Healthy Start Vitamins?

Where can I get Healthy Start Vitamins?

The Scotland wide Donor Breast Milk Bank

0141 232 4006. or [email protected]

•Allpregnantandallbreastfeedingwomenshould take a vitamin D supplement throughout pregnancy and whilst breastfeeding.

•Childrenunder5yearsofageshouldbeoffereda vitamin D supplement and start by 6 months of age at the latest.

•YoucanactuallystartsoonergivingyourbabyHelthyStart drops within the first month.

•Somechildren,whohaveahighriskofdevelopingvitamin D deficiency, may need to take the vitamins earlier.

•Childrenwithdarkerskinareathighestriskofdeveloping rickets.

•Childrenwhoarereceivingformulamilkshouldstarttaking the vitamins once they are taking less than 500mls of formula each day.

Healthy Start Vitamins are distributed via almost all Community Pharmacies in Scotland. They are free for those who qualify for Healthy Start Benefit and sold, without profit, to those who do not qualify for the benefit.

Could you be a breast milk donor? Breast milk is especially important for babies who are sick or premature. By expressing off your milk for a few minutes every day, you can help many babies. For more information: contact the Scotland wide milk bank at the Southern General Hospital, Glasgow on 0141 232 4006. or [email protected]

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