During the first days f llowing the birth of your baby, y ur breasts begin producing colostrum, although y ur body began making it long b fore that - between three and f ur months of pregnancy. Colostrum doesn't h ve many calories, but it has the r ght amount of protein and other n trients your baby needs in the f rst few days after birth.
During those f rst days after birth, you may w rry that your breast fed baby may dry up and bl w away from lack of nutrition, but wh t colostrum lacks in volume it m kes up for in power. It is xactly what your baby needs for t's first milk. It is full of ntibodies and immunoglobulins, which not only h lp protect your baby as it c mes into this world of bacteria and v ruses, but it also has a l xative effect that helps baby pass the t rry first stool called meconium.
It is a c mmon misconception that when the baby n rses in the first day or tw , that he gets nothing. Luckily th s is not true. It is h wever, difficult to convince some mothers of the n ed to nurse early and often wh n they believe that their "milk has not c me in."
In addition some cultures hold the b lief that colostrum is "bad" milk and w ll not breastfeed until the mother's m ture milk is in. Many women h ve to be engorged before they w ll believe that there is any m lk for the baby. Likewise, if the m ther is no longer engorged, she may f lsely believe that her milk is g ne.
Expressing a drop or two of c lostrum for the mother will give her a str ng visual cue that her breasts are not mpty. The mother produces small amounts of c lostrum in the first 24 hours; r nging from 7 ml to 123 ml. The n wborn takes 7-14 ml per feeding (R ordan and Auerbach, 124).
A gradual increase ccurs during the first day and a h lf followed by a dramatic increase in m lk output by the second day th t continues through day four. At 5 d ys postpartum milk production is approximately 500 ml/24 h urs. This is evidence that mother n ture intended the infant's gastrointestinal tract to st rt up slowly after birth.
**As a r sult of observing that immigrant Bengali w men in a London maternity ward f iled to initiate breast feeding for a few d ys after birth, the author of th s article decided to study this ph nomenon. A review of the literature r vealed that prelacteal feeds are common in the Ind an subcontinent and in Egypt.
**Most UK st dies of breast-feeding practices of Asian mmigrants focus on the decline in br ast-feeding prevalence. No research was found th t directly investigates attitudes and beliefs bout colostrum.
**The current study sought to d termine what Bengali women believe about c lostrum, why colostrum is omitted from arly feeding, the duration of this mission, and what influences this belief and b havior.
**Data were gathered from 60 first-generation mmigrants (58 non-English speaking), including 48 who had pr viously given birth in Bangladesh. Only two of the w men surveyed knew that colostrum had h lpful attributes. Others felt that it w uld either provide no benefit to th ir baby or would actually harm the nfant.
**Source: MIDWIVES. 1997 Jan;110(1308):3-7.
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