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Lactation aidLLactation aidLactation aidEnglishNutritionNewborn (0-28 days);Baby (1-12 months)NANANon-drug treatmentCaregivers Adult (19+)NA2009-11-10T05:00:00ZIola Panetta, BScN, RN, IBCLC, RLC;Debbie Stone, RN, IBCLC, RLC;Joyce Touw, BScN, PNC(C), RN, IBCLC, RLC6.0000000000000076.00000000000001823.00000000000Health (A-Z) - ProcedureHealth A-Z<p>A lactation aid is a way to give your baby more nutrition while breastfeeding. Read about what supplies are required and tips for successful feeding.</p><h2>What is a lactation aid?</h2> <p>A lactation aid is a device that lets you give your baby extra breast milk or formula while your baby is feeding at your breast. This extra liquid food is called a feeding supplement. A feeding supplement may be any of the following: </p> <ul> <li>Milk that you take from the breast with your hand or a breast pump. This milk is called <a href="/Article?contentid=443&language=English">expressed breast milk</a>. </li> <li>Baby formula.</li> <li>A liquid or powder that you add to breast milk or to formula for extra <a href="/Article?contentid=1197&language=English">calories</a>.</li> </ul> <h2>Why use a lactation aid?</h2> <ul> <li>Your milk supply is low. </li> <li>Your baby needs extra calories or liquids to gain weight. </li> <li>Your baby gets tired easily during feedings.</li> </ul><h2>Key points</h2> <ul> <li>A lactation aid is a method of getting your baby more nutrition and calories while breastfeeding.</li> <li>To use a lactation aid, you will need some supplies.</li> <li>Your baby should know how to latch and suck.</li> <li>Feedings with lactation aids should continue until your baby has grown and gained enough weight. Talk to your doctor.</li> <li>Use of a lactation aid needs to be supervised by a breastfeeding specialist or doctor once you are discharged from the hospital.</li> </ul><h2>Using a lactation aid</h2><p>A lactation aid works best for babies who have learned to latch (attach) on to the breast properly and to suck well. Getting started with a lactation aid can sometimes be hard. It takes a bit of practice, but using a lactation aid gets easier each time you do it. Ask your nurse to help you with one of these two methods of using a lactation aid.</p><h3>Method 1: Taping the lactation aid to your breast before your baby latches to the breast</h3><ol class="akh-steps"><li> <a href="/Article?contentid=1981&language=English">Wash your hands</a> thoroughly.</li><li>Prepare the feeding supplement by following the recipe written by the dietitian.</li><li> <figure> <span class="asset-image-title">Lactation aid using a syringe</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_1_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Fasten the syringe to your clothing.</figcaption> </figure> <p>If you are using a syringe, fasten the wide end of the feeding tube to the tip of the syringe. Remove the plunger from the syringe. Pour the feeding supplement into the syringe. Put the elastic band around the top of the syringe. Then put a safety pin through the end of the elastic so that you can fasten the syringe to your clothing. The bottom of the syringe should be at the same level as your baby's head.</p></li><li> <figure> <span class="asset-image-title">Lactation aid using a bottle</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_4_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The bottle should be at the level of the baby's head.</figcaption> </figure> <p>If you are using a bottle, put the small end of the feeding tube through the enlarged nipple hole, leaving the large end of the tube touching the bottom of the bottle. Pour the supplement into the bottle. Put the bottle on a flat surface close to you, at the level of the baby's head.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_2_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Hold the breast with your thumb on top and fingers underneath. Tickle the baby's lip with the nipple.</figcaption> </figure> <p>Tape the small end of the feeding tube to your breast. The feeding tube should come down from the top of your breast or come from the side of your breast. The feeding tube should end just at the end of your nipple.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_3_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Milk will flow along the tube when the tube is in the correct position.</figcaption> </figure> <p>Latch your baby onto your breast so that their mouth covers the end of the tube and the breast. When they open wide, as wide as a yawn, quickly pull them towards your breast. The baby's chin comes to your breast first, then their lower lip, then their upper lip last. Cover more of the areola with the lower lip than the upper lip. The tip of the nose may touch or be close to the breast.</p></li></ol><h3>Method 2: Sliding the lactation aid into the baby's mouth after the baby latches onto your breast</h3><ol class="akh-steps"><li>Wash your hands thoroughly.</li><li>Prepare the feeding supplement by following the recipe written by the dietitian.</li><li>If you are using a syringe, fasten the wide end of the feeding tube to the tip of the syringe. Remove the plunger from the syringe. Pour the feeding supplement into the syringe. Put the elastic band around the top of the syringe. Then put a safety pin through the end of the elastic so that you can fasten the syringe to your clothing. The bottom of the syringe should be at the same level as your baby's head.</li><li>If you are using a bottle, put the small end of the feeding tube through the enlarged nipple hole, leaving the large end of the tube touching the bottom of the bottle. Pour the supplement into the bottle. Put the bottle on a flat surface close to you, at the level of the baby's head.</li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_1_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Latch your baby onto your breast.</figcaption> </figure> <p>Latch your baby onto your breast. Your baby should be latched on well and feeding.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_2_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Slide the feeding tube in beside the nipple in the corner of the baby's mouth.</figcaption> </figure> <p>Once your baby is sucking well at the breast, slowly slide the feeding tube into the side of your baby's mouth. Aim the feeding tube toward the roof of the mouth on top of the tongue. Stop moving the tube when you see the feeding supplement start to move in the feeding tube towards the baby's mouth. You may find it helpful to hold the feeding tube against the breast with your finger, or you can tape the feeding tube to your breast.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_3_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Milk will flow along the tube when the tube is in the correct position.</figcaption> </figure> <p>With either method 1 or method 2, you will know that the feeding tube is in the right place if you can see the feeding supplement start to move along the feeding tube each time your baby sucks.</p></li></ol><h2>Cleaning your lactation aid is easy</h2> <p>Wash your lactation aid with warm soapy water, using a dish washing soap. Make sure to run the water through the tube as well. Attach the syringe to the blue end of the tube. Fill the syringe with soapy water. Insert the plunger and push the water through the tube. Rinse well with clean warm water. Again, run this water through the tube. Make sure there is no dry feeding supplement left in any part of the lactation aid. Fill the syringe with air and push the air through the tube to remove the water. </p> <p>Put the lactation aid in a clean towel or plastic bag. For home use, the feeding tube can be used for seven days or until the feeding tube becomes hard. </p> <p>Note: You should not boil the lactation aid because boiling will make the plastic hard too quickly.</p><h2>Supplies you will need to use a lactation aid to feed your baby</h2> <ul> <li>A number 5 French feeding tube that is 36 inches long.</li> <li>A baby bottle or a syringe without a needle that will hold 30 to 60 mL of liquid. A syringe is a hollow tube that has a plunger and holds liquids.</li> <li>Adhesive or clear medical tape.</li> <li>A feeding supplement such as expressed breast milk, expressed breast milk with added calories or baby formula.</li> <li>If you are using a syringe, an elastic band and safety pin or a flat surface to put the bottle on.</li> <li>A plastic bag you can seal to store the feeding tube.</li> </ul> <p>Ask your nurse or lactation consultant where to buy these supplies. You can buy a ready-made lactation aid called a Supplemental Nursing System or Starter Nursing Kit . These supplies may be available at your local hospital. Some drugstores and medical supply stores may also carry these supplies. If you are unable to get these supplies at your location, they can also be ordered in person, on the phone or online from The Specialty Food Shop at The Hospital for Sick Children in Toronto. For details, go to: <a href="https://www.specialtyfoodshop.ca/products/baby-kids/infant-feeding-supplies/breast-pumps-supplies" target="_blank">http://www.specialtyfoodshop.ca/specialtyfoodshop/</a> or call 1-800-737-7976. The Specialty Food Shop may be able to ship these supplies to your location.</p> <p>The Supplemental Nursing System and Starter Nursing Kit are also available from the manufacturer. For details, go to: <a href="http://www.medela.ca/" target="_blank">www.medela.ca</a>.</p><h2>At SickKids</h2> <p>You can buy supplies for the lactation aid at the Specialty Food Shop on the main floor of the hospital. You may not be able to buy all of them at your local drug store. Speak to your nurse about how to care for this equipment while your baby is at SickKids.</p> <p>The Specialty Food Shop sells ready-made lactation aids called the Supplemental Nursing System or the Starter Nursing Kit, as well as other breastfeeding supplies.</p>
Système de nutrition supplémentaireSSystème de nutrition supplémentaireLactation aidFrenchNutritionNewborn (0-28 days);Baby (1-12 months)NANANon-drug treatmentCaregivers Adult (19+)NA2009-11-10T05:00:00ZIola Panetta, BScN, RN, IBCLC, RLC;Debbie Stone, RN, IBCLC, RLC;Joyce Touw, BScN, PNC(C), RN, IBCLC, RLC6.0000000000000076.00000000000001823.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Une aide à la lactation est un moyen de donner plus de nutriments à votre bébé quand vous allaitez. Vous en apprendrez davantage sur les fournitures requises et obtiendrez des conseils pour l’allaitement.</p><h2>Qu’est-ce qu’un système de nutrition supplémentaire?</h2> <p>Un système de nutrition supplémentaire est un dispositif qui vous aide à donner à votre bébé des quantités additionnelles de lait maternel ou de lait maternisé à votre bébé pendant qu’il tète. Cette nourriture liquide additionnelle s’appelle complément alimentaire. Il peut comprendre l’un ou l’autre des aliments suivants : </p> <ul> <li>du lait tiré du sein manuellement ou à l'aide d’un tire-lait. <a href="/Article?contentid=443&language=French">Ce lait s’appelle « tirer » son lait</a>;</li> <li>lait maternisé en poudre pour bébés;</li> <li>liquide ou poudre que l’on ajoute au lait maternel ou au lait maternisé pour y ajouter des <a href="/Article?contentid=1197&language=French">calories</a>.</li> </ul> <h2>Pourquoi utiliser un système de nutrition supplémentaire?</h2> <ul> <li>Vous ne produisez pas assez de lait.</li> <li>Votre bébé a besoin de plus de calories ou de liquides pour prendre du poids.</li> <li>Votre bébé se fatigue facilement pendant la tétée.</li> </ul><h2>À retenir</h2> <ul> <li>Un système de nutrition supplémentaire est un moyen pour que votre bébé ingère plus de nutriments et de calories pendant que vous l’allaitez.</li> <li>Pour utiliser un système de nutrition supplémentaire, vous aurez besoin de matériel.</li> <li>Votre enfant doit être capable de prendre le mamelon dans sa bouche et téter.</li> <li>Les tétées avec le système de nutrition supplémentaire devraient continuer jusqu’à ce que votre bébé ait grandi et qu’il ait pris assez de poids. Parlez-en à votre médecin.</li> <li>L’utilisation d’un système de nutrition supplémentaire doit être supervisée par un spécialiste en lactation ou un médecin une fois que vous aurez été autorisée à quitter l’hôpital.</li> </ul><h2>Utiliser un système de nutrition supplémentaire</h2><p>Un système de nutrition supplémentaire convient le mieux aux bébés qui ont appris à téter (succion) le sein correctement. Il est parfois difficile de commencer à utiliser un système de nutrition supplémentaire. Il faut s’exercer un peu, mais ça devient à chaque fois de plus en plus facile. Demandez à votre infirmière de vous aider à utiliser l’une des deux méthodes qui suivent pour utiliser un système de nutrition supplémentaire.</p><h3>Méthode 1 : fixation de l’aide à la lactation à votre sein avant que votre bébé ne prenne le sein en bouche</h3><ol class="akh-steps"><li> <a href="/Article?contentid=1981&language=French">Lavez-vous bien les mains</a>.</li><li>Préparez le complément alimentaire en suivant la recette écrite par le diététiste (diététicien).</li><li> <figure> <span class="asset-image-title">Système de nutrition supplémentaire avec une seringue</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_1_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Fixer la seringue à vos vêtements.</figcaption> </figure> <p>Si vous utilisez une seringue, attachez le bout large du tube au bout de la seringue. Retirez le piston de la seringue et versez-y le supplément. Enroulez l’élastique autour de l'éxtrémité supérieures de la seringue et insérez une épingle de sureté dans l’élastique pour que vous puissiez attacher la seringue à vos vêtements. Le bas de la seringue doit être au même niveau que la tête du bébé.</p></li><li> <figure> <span class="asset-image-title">Système de nutrition supplémentaire avec une biberon</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_4_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">La biberon devrait être au niveau de la tête du bébé.</figcaption> </figure> <p>Si vous utilisez un biberon, passez l’extrémité mince du tube à travers la tétine et laissez la partie large du tube toucher le fond du biberon. Versez le compplément alimentaire dans le biberon, et placez-le sur une surface plate près de vous, au même niveau que la tête du bébé.</p></li><li> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_2_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Tenez votre sein en plaçant votre pouce au-dessus et vos doigts en dessous. Chatouillez la lèvre du bébé avec le mamelon.</figcaption> </figure> <p>Fixez l’extrémité mince du tube à votre sein. Le tube devrait arriver par dessus ou par le côté de votre sein. Le bout du tube devrait s'arrêter au même niveau que votre mamelon.</p></li><li> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_3_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Le lait s'écoulera une fois le tube dans la bonne position.</figcaption> </figure> <p>Glissez le mamelon dans la bouche du bébé, de manière à ce que sa bouche couvre le bout du tube et le sein. Quand il ouvrira la bouche assez grande, comme pour bâiller, amenez-le directement vers votre sein. Le menton du bébé devrait arriver en premier, ensuite la lèvre inférieure, puis la lèvre supérieure en dernier. Assurez-vous que la majeure partie de l’aréole est couverte avec la lèvre inférieure et non supérieure. Le bout du nez peut toucher le sein ou être près du sein.</p></li></ol><h3>Méthode 2 : faire glisser le système de nutrition supplémentaire dans la bouche du bébé après que le mamelon est dans sa bouche</h3><ol class="akh-steps"><li>Lavez-vous bien les mains.</li><li>Préparez le supplément alimentaire en suivant la recette écrite par le diététiste (diététicien).</li><li>Si vous utilisez une seringue, attachez le bout large du tube au bout de la seringue. Retirez le piston de la seringue et versez-y le supplément. Enroulez l’élastique autour de l'éxtrémité supérieures de la seringue et insérez une épingle de sureté dans l’élastique pour que vous puissiez attacher la seringue à vos vêtements. Le bas de la seringue doit être au même niveau que la tête du bébé.</li><li>Si vous utilisez un biberon, passez l’extrémité mince du tube à travers la tétine et laissez la partie large du tube toucher le fond du biberon. Versez le compplément alimentaire dans le biberon, et placez-le sur une surface plate près de vous, au même niveau que la tête du bébé. </li><li> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_1_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Bien placer le bébé au sein</figcaption> </figure> <p>Mettez votre mamelon dans la bouche du bébé. Votre bébé doit être bien accroché et avoir commencé à téter.</p></li><li> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_2_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Faire glisser le tube d'alimentation à côté du mamelon dans le coin de la bouche du bébé.</figcaption> </figure> <p>Une fois que le bébé tète sans problème, glissez lentement le tube dans le côté de la bouche du bébé. Visez le palais, par dessus la langue. Arrêtez de faire bouger le tube quand vous voyez le complément alimentaire circuler dans le tube jusqu’à la bouche du bébé. Pour que ce soit plus pratique, vous pouvez tenir le tube contre votre sein avec votre doigt, ou encore le coller à votre sein.</p></li><li> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_3_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Le lait s'écoulera le long du tube lorsque celui-ci sera dans la position correcte.</figcaption> </figure> <p>Que ce soit avec la première ou la deuxième méthode, vous saurez que le tube est bien placé si vous voyez le complément alimentaire se déplacer dans le tube à chaque succion du bébé.</p></li></ol><h2>Le nettoyage de votre système de nutrition supplémentaire est facile</h2> <p>Lavez votre système de nutrition supplémentaire avec de l’eau chaude contenant du liquide vaisselle. Assurez-vous de faire couler de l’eau dans le tube également. Attachez la seringue à l’extrémité bleue du tube. Remplissez la seringue d’eau savonneuse. Insérer le piston et pousser l’eau dans le tube. Bien rincer avec de l’eau propre et chaude. Faites de nouveau couler cette eau dans le tube. Assurez-vous qu’il ne reste pas de complément alimentaire séché dans le système de nutrition supplémentaire. Remplir la seringue d’air et pousser l’air dans le tube pour en chasser l’eau.</p> <p>Placer le système de nutrition supplémentaire dans une serviette propre ou un sac de plastique. Vous pouvez en faire un usage à domicile pendant sept jours, ou jusqu’à ce que le tube durcisse</p> <p>Remarque : il ne faut pas immerger le tube dans de l’eau bouillante, parce que cela fera durcir le plastique trop rapidement.</p><h2>Matériel dont vous aurez besoin pour vous servir d’un système de nutrition supplémentaire pour nourrir votre bébé</h2> <ul> <li>Un tube d’alimentation de 5 ch de diamètre (soit 1,67 mm ou 0,066 pouces) et de 36 pouces de longueur (91 cm).</li> <li>Un biberon ou une seringue sans aiguille qui peut contenir de 30 à 60 mL de liquide. Une seringue est un tube creux muni d’un piston et qui peut contenir des liquides.</li> <li>Pansement adhésif ou sparadrap médical transparent.</li> <li>Un complément alimentaire comme du lait maternel « tiré », du lait maternel auquel on aura rajouté des calories ou du lait maternisé.</li> <li>Si vous utilisez une seringue, un élastique et une épingle de sureté, ou encore une surface plate où placer le biberon.</li> <li>Un sac de plastique réutilisable où mettre le tube.</li> </ul> <p>Demandez à votre infirmière ou à votre consultante en lactation où acheter ces fournitures. Vous pouvez achetez un système de nutrition supplémentaire prêt à l'emploi ou un ensemble pour débutant prêt-à-monter (Starter Nursing Kit). Ces dispositifs sont certainement disponibles dans votre hôpital local. Certaines pharmacies et certains magasins d’appareils médicaux peuvent en vendre également. Si vous n’êtes pas en mesure de trouver ces fournitures où vous vivez, vous pouvez aussi les commander en personne, par téléphone ou en ligne au Specialty Food Shop à l’Hospital for Sick Children à Toronto. Pour en savoir davantage, consultez l’adresse <a href="https://www.specialtyfoodshop.ca/products/baby-kids/infant-feeding-supplies/breast-pumps-supplies" target="_blank">http://www.specialtyfoodshop.ca/specialtyfoodshop/</a> (en anglais seulement), ou appeler au 1-800-737-7976. Le Specialty Food Shop pourrait être en mesure d’expédier le matériel à votre domicile.</p> <p>Le système de nutrition supplémentaire prêt à l'emploi ou l'ensemble pour débutant prêt-à-monter (Starter Nursing Kit) peuvent aussi être obtenus auprès du fabricant. Pour en savoir davantage, visitez le site <a href="http://www.medela.ca/" target="_blank">www.medela.ca</a>.</p><h2>À SickKids</h2> <p>Vous pouvez acheter le nécessaire pour monter système de nutrition supplémentaire au Specialty Food Shop situé au rez-de-chaussée de l’hôpital. Vous pourriez ne pas être en mesure de tout trouver dans votre pharmacie locale. Renseignez-vous auprès de votre infirmier pour savoir comment prendre soin de l’équipement pendant le séjour de votre bébé à SickKids.</p> <p>Le Specialty Food Shop vend des système de nutrition supplémentaire prêts à l'emploi ou l'ensemble pour débutant (Starter Nursing Kit), ainsi que d’autres matériels pour le système de nutrition supplémentaire.</p>

 

 

Lactation aid1988.00000000000Lactation aidLactation aidLEnglishNutritionNewborn (0-28 days);Baby (1-12 months)NANANon-drug treatmentCaregivers Adult (19+)NA2009-11-10T05:00:00ZIola Panetta, BScN, RN, IBCLC, RLC;Debbie Stone, RN, IBCLC, RLC;Joyce Touw, BScN, PNC(C), RN, IBCLC, RLC6.0000000000000076.00000000000001823.00000000000Health (A-Z) - ProcedureHealth A-Z<p>A lactation aid is a way to give your baby more nutrition while breastfeeding. Read about what supplies are required and tips for successful feeding.</p><h2>What is a lactation aid?</h2> <p>A lactation aid is a device that lets you give your baby extra breast milk or formula while your baby is feeding at your breast. This extra liquid food is called a feeding supplement. A feeding supplement may be any of the following: </p> <ul> <li>Milk that you take from the breast with your hand or a breast pump. This milk is called <a href="/Article?contentid=443&language=English">expressed breast milk</a>. </li> <li>Baby formula.</li> <li>A liquid or powder that you add to breast milk or to formula for extra <a href="/Article?contentid=1197&language=English">calories</a>.</li> </ul> <h2>Why use a lactation aid?</h2> <ul> <li>Your milk supply is low. </li> <li>Your baby needs extra calories or liquids to gain weight. </li> <li>Your baby gets tired easily during feedings.</li> </ul><h2>Key points</h2> <ul> <li>A lactation aid is a method of getting your baby more nutrition and calories while breastfeeding.</li> <li>To use a lactation aid, you will need some supplies.</li> <li>Your baby should know how to latch and suck.</li> <li>Feedings with lactation aids should continue until your baby has grown and gained enough weight. Talk to your doctor.</li> <li>Use of a lactation aid needs to be supervised by a breastfeeding specialist or doctor once you are discharged from the hospital.</li> </ul><h2>Talk to a professional about how long you should continue using the lactation aid</h2> <p>Since a lactation aid may be needed for many reasons, it is hard to say how long you may need to use it. Ask your doctor, nurse or dietitian to explain your baby's weight gain and growth chart to you. If your baby is not gaining weight fast enough, the doctor or dietitian will tell you how to add more calories to your baby's feeding supplement. </p> <p>As soon as your baby is at a good weight for their age, the doctor or dietitian will tell you how to slowly decrease the strength or amount of feeding supplement you give your baby. When your doctor, nurse or dietitian thinks your baby is getting enough milk from the breast alone, you will be able to stop the feeding supplement. </p> <h2>Continue to see your baby's doctor for check-ups</h2> <p>See your family doctor two days after leaving the hospital. Talk to your doctor about your <a href="/Article?contentid=482&language=English">baby's weight and growth</a>. Make sure that you take your baby to the doctor for regular check-ups every week or so to see how well you baby is gaining weight and growing. </p><h2>Using a lactation aid</h2><p>A lactation aid works best for babies who have learned to latch (attach) on to the breast properly and to suck well. Getting started with a lactation aid can sometimes be hard. It takes a bit of practice, but using a lactation aid gets easier each time you do it. Ask your nurse to help you with one of these two methods of using a lactation aid.</p><h3>Method 1: Taping the lactation aid to your breast before your baby latches to the breast</h3><ol class="akh-steps"><li> <a href="/Article?contentid=1981&language=English">Wash your hands</a> thoroughly.</li><li>Prepare the feeding supplement by following the recipe written by the dietitian.</li><li> <figure> <span class="asset-image-title">Lactation aid using a syringe</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_1_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Fasten the syringe to your clothing.</figcaption> </figure> <p>If you are using a syringe, fasten the wide end of the feeding tube to the tip of the syringe. Remove the plunger from the syringe. Pour the feeding supplement into the syringe. Put the elastic band around the top of the syringe. Then put a safety pin through the end of the elastic so that you can fasten the syringe to your clothing. The bottom of the syringe should be at the same level as your baby's head.</p></li><li> <figure> <span class="asset-image-title">Lactation aid using a bottle</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_4_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The bottle should be at the level of the baby's head.</figcaption> </figure> <p>If you are using a bottle, put the small end of the feeding tube through the enlarged nipple hole, leaving the large end of the tube touching the bottom of the bottle. Pour the supplement into the bottle. Put the bottle on a flat surface close to you, at the level of the baby's head.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_2_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Hold the breast with your thumb on top and fingers underneath. Tickle the baby's lip with the nipple.</figcaption> </figure> <p>Tape the small end of the feeding tube to your breast. The feeding tube should come down from the top of your breast or come from the side of your breast. The feeding tube should end just at the end of your nipple.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_3_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Milk will flow along the tube when the tube is in the correct position.</figcaption> </figure> <p>Latch your baby onto your breast so that their mouth covers the end of the tube and the breast. When they open wide, as wide as a yawn, quickly pull them towards your breast. The baby's chin comes to your breast first, then their lower lip, then their upper lip last. Cover more of the areola with the lower lip than the upper lip. The tip of the nose may touch or be close to the breast.</p></li></ol><h3>Method 2: Sliding the lactation aid into the baby's mouth after the baby latches onto your breast</h3><ol class="akh-steps"><li>Wash your hands thoroughly.</li><li>Prepare the feeding supplement by following the recipe written by the dietitian.</li><li>If you are using a syringe, fasten the wide end of the feeding tube to the tip of the syringe. Remove the plunger from the syringe. Pour the feeding supplement into the syringe. Put the elastic band around the top of the syringe. Then put a safety pin through the end of the elastic so that you can fasten the syringe to your clothing. The bottom of the syringe should be at the same level as your baby's head.</li><li>If you are using a bottle, put the small end of the feeding tube through the enlarged nipple hole, leaving the large end of the tube touching the bottom of the bottle. Pour the supplement into the bottle. Put the bottle on a flat surface close to you, at the level of the baby's head.</li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_1_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Latch your baby onto your breast.</figcaption> </figure> <p>Latch your baby onto your breast. Your baby should be latched on well and feeding.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_2_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Slide the feeding tube in beside the nipple in the corner of the baby's mouth.</figcaption> </figure> <p>Once your baby is sucking well at the breast, slowly slide the feeding tube into the side of your baby's mouth. Aim the feeding tube toward the roof of the mouth on top of the tongue. Stop moving the tube when you see the feeding supplement start to move in the feeding tube towards the baby's mouth. You may find it helpful to hold the feeding tube against the breast with your finger, or you can tape the feeding tube to your breast.</p></li><li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_slide_3_EQUIP_ILL_EN.jpg" alt="" /><figcaption class="asset-image-caption">Milk will flow along the tube when the tube is in the correct position.</figcaption> </figure> <p>With either method 1 or method 2, you will know that the feeding tube is in the right place if you can see the feeding supplement start to move along the feeding tube each time your baby sucks.</p></li></ol><h2>Tips for using a lactation aid</h2> <p>The feeding supplement should flow when the baby sucks and stop when the baby stops sucking. Your baby is getting enough feeding supplement if you can hear them swallowing with each suck. If your baby is not getting enough feeding supplement, try the following things: </p> <ul> <li>Check for bends or kinks in the feeding tube.</li> <li>Check the position of the feeding tube in your baby's mouth. </li> <li>Raise the bottle or syringe of feeding supplement a few inches above your baby's head. </li> </ul> <p>Correct the height of the bottle or syringe of feeding supplement so that your baby can feed at their own pace. If your baby is getting the feeding supplement too fast, lower the bottle or syringe of feeding supplement a few inches below the baby's head. </p> <p>Talk to your nurse and dietitian about how many feedings your baby should have. Ask how much feeding supplement your baby will need when you use the lactation aid for 24 hours. Many mothers use the lactation aid for feedings during the day and use the lactation aid very little at night. </p> <h2>How long should it take to feed your baby with a lactation aid?</h2> <p>If the feeding tube is in the right position, your baby should take no longer than 15 to 20 minutes to take 1 ounce, which is 30 mL, of feeding supplement from the lactation aid. If it takes longer than 15 to 20 minutes to take 30 mL, check for the following: </p> <ul> <li>The baby is latched onto the breast properly. </li> <li>The feeding tube is in the right position. </li> <li>The bottle or syringe is at the right height. </li> </ul> <h2>How do you make the feeding supplement?</h2> <p>Ask your dietitian at the hospital about how to make the feeding supplement for your baby.</p><h2>Cleaning your lactation aid is easy</h2> <p>Wash your lactation aid with warm soapy water, using a dish washing soap. Make sure to run the water through the tube as well. Attach the syringe to the blue end of the tube. Fill the syringe with soapy water. Insert the plunger and push the water through the tube. Rinse well with clean warm water. Again, run this water through the tube. Make sure there is no dry feeding supplement left in any part of the lactation aid. Fill the syringe with air and push the air through the tube to remove the water. </p> <p>Put the lactation aid in a clean towel or plastic bag. For home use, the feeding tube can be used for seven days or until the feeding tube becomes hard. </p> <p>Note: You should not boil the lactation aid because boiling will make the plastic hard too quickly.</p><h2>Supplies you will need to use a lactation aid to feed your baby</h2> <ul> <li>A number 5 French feeding tube that is 36 inches long.</li> <li>A baby bottle or a syringe without a needle that will hold 30 to 60 mL of liquid. A syringe is a hollow tube that has a plunger and holds liquids.</li> <li>Adhesive or clear medical tape.</li> <li>A feeding supplement such as expressed breast milk, expressed breast milk with added calories or baby formula.</li> <li>If you are using a syringe, an elastic band and safety pin or a flat surface to put the bottle on.</li> <li>A plastic bag you can seal to store the feeding tube.</li> </ul> <p>Ask your nurse or lactation consultant where to buy these supplies. You can buy a ready-made lactation aid called a Supplemental Nursing System or Starter Nursing Kit . These supplies may be available at your local hospital. Some drugstores and medical supply stores may also carry these supplies. If you are unable to get these supplies at your location, they can also be ordered in person, on the phone or online from The Specialty Food Shop at The Hospital for Sick Children in Toronto. For details, go to: <a href="https://www.specialtyfoodshop.ca/products/baby-kids/infant-feeding-supplies/breast-pumps-supplies" target="_blank">http://www.specialtyfoodshop.ca/specialtyfoodshop/</a> or call 1-800-737-7976. The Specialty Food Shop may be able to ship these supplies to your location.</p> <p>The Supplemental Nursing System and Starter Nursing Kit are also available from the manufacturer. For details, go to: <a href="http://www.medela.ca/" target="_blank">www.medela.ca</a>.</p><h2>At SickKids</h2> <p>You can buy supplies for the lactation aid at the Specialty Food Shop on the main floor of the hospital. You may not be able to buy all of them at your local drug store. Speak to your nurse about how to care for this equipment while your baby is at SickKids.</p> <p>The Specialty Food Shop sells ready-made lactation aids called the Supplemental Nursing System or the Starter Nursing Kit, as well as other breastfeeding supplies.</p>https://assets.aboutkidshealth.ca/akhassets/Lactation_aid_tube_taped_2_EQUIP_ILL_EN.jpgLactation aid

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