關於 tongue tie and breastfeeding ，我們在網路上蒐集到這些相關的討論、資訊與評價

【英國育兒筆記】產後Day 3 -關於人奶、剪脷筋、黃疸 Breastfeeding 、tongue tie 、jaundice
[Part 1] 人奶篇

生之前，已經決定會嘗試餵人奶，
但不會給自己太大壓力，
餵到就餵，
餵唔到就餵奶粉。

當日Health visitor電聯的時候，
有問她關於breastfeeding 的事，
問她是否需要準備奶粉或俗稱「水奶」的ready milk。
當時她的答覆是如果打算餵人奶是不需要準備這些的，
如果真的進行不到breastfeeding 再準備也不遲。
一副完全不擔心BB會「餓親」的樣子。

最終，我們沒有準備「水奶」，
因為聞說醫院有提供，
而且馬上去超市買也很方便。

但為了令家人安心，
Y先生還是買了一盒奶粉以備不時之需。
家中也準備好自購的UV消毒機、Hegen+vital baby+MAM奶樽、朋友送的蒸奶樽機等。

懷孕以來，
我們都蠻「佛系」的。
Y先生負責睇育兒書，
我則多以網上資訊或其他媽媽的經驗為主。

Y先生經常提著人類作為哺乳動物，
餵奶是天性。
他照顧過不少初生的貓、狗、馬、牛、羊，
人仔也是動物的一種而已，
覺得不用太緊張和擔心。 😅

既「跟書養」又「當豬養」就可以了。
做足兩手準備。

也是最近才知道原來37周後已可以嘗試擠初乳出來。
醫院的facebook也貼出了一些講解和指引。
所以當穿水回家等待時，
Y先生就嘗試了一下，
只是簡單幾下，
乳頭已經分泌出幾點透明的水珠!
算是為人奶路的開端打了枝強心針，
胸部已經準備好了!

[他說比擠牛奶容易太多了 😆]

到BB一出世，
Midwife 已經馬上抱BB來skin to skin,
之後就嘗試餵人奶。

Midwife 教導說看到BB 給肚餓的信號，
(feed on demand)
例如嘴仔開開合合、想吃手指、哭等都可以餵一下，讓他吃到自動離口為止。
也示範了good latch 是怎樣。
BB的嘴應該如何放、開多大等。

第2,3次時相隔4小時左右，BB會吃上近半小時。
之後每次喊我都餵他10分鐘左右。

而由於曾聽說最好每2,3小時便要餵一次，
所以我有留意著時間即使BB還未給肚餓的信號，
如果時間已經過了3個鐘左右，
還是會抱BB過來試餵一下。
但BB會表現得不太肯食。

到黃昏左右差不多到原定快可出院的時間Midwife 來巡房時，
她循例問有需要幫助的地方嗎?
我便跟她說我可能在breastfeeding上需要幫助，
因為BB好像不太願意吃的樣子。

她問：
上一次餵是多久之前?
餵多長時間?
由BB出生後餵了多少次?

當聽到我說約在2,3小時前吧、已餵了4,5次，
每次10分鐘到30分鐘不等。

她便哈哈大笑說：
"that's totally fine and more than enough, no need to worry。"

最重要的是BB並沒有哭鬧，
也沒有顯出肚餓的樣子。

"you will know when baby needs a feed 🙈"
一定喊到拆天的~

回家的Day 1,
Y BB 是超級乖寶寶，
很少哭，吃完奶便乖乖在床仔自己瞓，
每2,3小時才需要餵一次。
就算哭也是很嬌滴滴的，
不是喊破喉嚨那種。

但到了Day 2,
一切都很不同了。。。

由半夜開始，每1小時左右便要吃一次奶，
而且吃20分鐘至40不鐘不等，
乳頭都開始被吃得有點痛了，
要每次餵完後馬上塗nipple cream。

終於明白為何說餵人奶之路是可以痛過生仔。。。

陣痛都有得休息下，
每次痛1分來鐘便完結，

但餵奶的痛是BB每吸一下都痛。。。
還要一天下來足足餵了15次，近8小時 😓

開始擔心nipple 會損。。。
始終「士多啤梨奶」是很多人奶媽媽經歷過的事。。。

才Day 3 而已。。。 點捱?!

是否不夠奶、是否需要補奶粉，
BB尿量是否太少，BB會因喝不夠奶而有黃疸？
漸感壓力。。。

到Day 3，
情況就更差了，
餵得更密、時間更長。

由於到下午便會到Children Centre 見Midwife做Day 3 Check Up,
所以還是捱一下好了。。。
見到Midwide 再算。。。

Y先生也開始擔心奶量是否不足，
想嘗試hand express 一下，
還說了句忘了exactly 是甚麼而令我爆喊了一下。。。
類似話既然怕痛，不如都係餵奶粉la...

每個鐘都喊餓，大家都無覺好瞓，
超崩潰的。。。

當下的感覺是，
講到餵人奶就預左要痛？！
我自問都算幾捱得痛下，
但每吸一下都由入面痛出來，
已分不清到底係邊到痛。。。

他根本唔明有幾痛，
還好像覺得我無努力嘗試咁。

而且BB才剛吸了40分鐘，
仲邊有奶比你hand express ar...
幫我按摩通下乳線好過la...

之後收到Children Centre team的電話，
原來是breastfeeing support team，
她們借出了地方給midwife而自己則work from home。
告知了nipple痛的問題，
她說現在有網上的支援，
每天有1小時的Zoom meeting可以drop in~

好不容易終於到2:20pm 見midwife 了。

Midwife 一問到我感覺如何，
餵奶順利嗎?情緒如何?

我便告知nipple 開始痛了，
而且這2天開始超密時間超長，

早上還因為太痛而哭了。。。
也開始被家人問到是否需要補奶粉，
是不夠奶嗎?

Midwife 檢查後說乳頭開始有點破損，
聽到我說每個鐘都要餵這麼密，難怪會這樣。

2位Midwives 安慰我說：

"oh dear, you have done nothing wrong, you don't need to hand express milk at this stage, and you don't need to feed any formula"

Breastfeeding 是不應該會痛的，
會痛是因為nipple feeding 了。

之前媽媽谷朋友們已說很大可能是因為tongue tie,
Midwife 檢查後也確認了應該是tongue tie 而令feeding 出現問題。

也覺得BB 好像有點黃，
用儀器在耳骨度了一下後，
發現讀數剛踩了要treatment 的level 一格。

雖然讀數很大機會是高估了有誤差，
但穩陣起見還是到醫院再抽血檢查，
順道處理一下tongue tie 的問題。

叫我們馬上到醫院。

下回再續。。。

My sister, Michelle-Ann Iking's 3% chance of conceiving naturally was a success! Here's her story:

(My apologies as I've been overwhelmed with personal matters. I've only managed to get to my desk. So finally got around posting this).

This is the story behind my sister's pregnancy struggle and how she shared her journey over her Facebook page.

Because some may have not caught her LIVE session chat with me (https://www.facebook.com/daphneiking/videos/687743128744960/) , or read her lengthy post (as it's a private page);
she's allowed me to copy and paste it over my wall, in case you need to know more about her thought process on how AND why she focused on the 3% success probability. Read on.

-------------------------------------------

Posted 10th May 2020.
FB Credit: Michelle-Ann Iking

A week ago today I celebrated becoming a mother to our second, long awaited child.

Please forgive this mother's LONG (self-indulgent) post, journalling what this significant milestone has meant for her personally, for her own fallible memory's sake as well as maybe to share one day with her son.

If all you were wondering was whether I had delivered and if mum and bub are OK, please be assured the whole KkLM family are thriving tremendously, and continue scrolling right along your Newsfeed 😁.

OUR 3% MIRACLE

All babies are miracles... and none more so than our precious Kiaen Aaryan (pronounced KEY-n AR-yen), whose name derives from Sanskrit origins meaning:

Grace of God
Spiritual
Kind
Benevolent

...words espousing the gratitude Kishore and I feel for Kiaen's arrival as our "3% miracle".

He was conceived, naturally, after 3 years of Kishore and I hoping, praying and 'endeavoring'... and only couples for whom the objective switches from pure recreation to (elusive) procreation will understand how this is less fun than it sounds ...

3 years during which time we had consensus from 3 different doctors that we, particularly I (with my advancing age etc etc) had only a 3% chance of natural conception and that our best hope for a sibling for our firstborn, Lara Anoushka, was via IVF.

Lara herself was an 'intervention baby', being one of the 20% of babies successfully conceived through the less intrusive IUI process, after a year and a half of trying naturally and already being told then my age was a debilitating factor.

We had tried another round of IUI for her sibling in 2017 when Lara was a year old. And that time we fell into the ranks of the 80% of would-be parents for whom it would be an exercise in futility... who would go home, comfort each other as best they could, while individually masking their own personal disappointment... hoping for the best, 'the next time around'...

So the improbability ratio of 97% against natural conception of our second baby, as concurred by the combined opinion of 3 medical professionals, was a very real, very daunting figure for us to have to mentally deal with.

Deep, DEEP, down in my heart however, though I had many a day of doubt... I kept a core kernel of faith that somehow, I would again experience the privilege of pregnancy, and again, have a chance at childbirth.

And so, the optimist in me would tell myself, "Well, there have to be people who fall in the 3% bucket... why shouldn't WE be part of the 3%?"

Those who know me well, understand my belief in the Law of Attraction, the philosophy of focusing your mind only on what you want to attract, not on what you don't want, and so even as Kishore and I prepared to go into significant personal debt to attempt IVF in the 2nd half of 2019, I marshalled a last ditch effort to hone in on that 3% chance of natural conception... through research coming across fertility supplements that I ordered from the US and sent to a friend in Singapore to redirect to me because the supplier would not deliver to Malaysia.

I made us as a couple take the supplements in the 3 month 'priming period' in the lead up to the IVF procedure - preconditioning our bodies for optimum results, if you will.

At the same time, I had invested in a sophisticated fertility monitor, with probes and digital sensors for daily tracking of saliva and other unmentionable fluid samples, designed to pinpoint with chemical accuracy my state of fertility on any given day.

(UPDATE: For those interested - I obtained the supplements and Ovacue Fertility Monitor from https://www.fairhavenhealth.com/. Though I had my supplies delivered to a friend in Singapore, and redirected to me here since the US site does not deliver to Malaysia, there are local distributors for these products, you will just have to research the trustworthiness of the vendors yourself...)

I had set an intention - in the 3 months of pre-IVF priming, I would consume what seemed like a pharmacy's worth of supplements, and track fertility religiously... in hopes that somehow, within the 3 month priming period, we would conceive naturally and potentially save ourselves a down payment on a new property... and this was just a projection on financial costs of IVF, not even considering the physical, emotional and mental toll it involves, with no guarantee of a baby at the end of it all...

It was a continuation of an intention embedded even with my first pregnancy, where all the big ticket baby items were consciously purchased for use by a future sibling, in gender neutral colours, in hopes that sibling would be a brother "for a balanced pair", though of course any healthy child would be a welcome blessing.

It was a very conscious determination to always skew my thoughts in service of what the end objective was. For example, when 3+year old Lara would innocently express impatience at not yet having a sibling, at one point suggesting that since we were "taking too long to give her a baby brother/sister", perhaps we should just "go buy a baby from a shop", instead of getting defensive or berating the baby that she herself was, we enlisted Lara's help to pray for her sibling... so in any place of worship, or sacred ground of any kind that we passed thereon, Lara would stop, close her eyes, bow her small head and place her tiny hands together in prayer, reciting earnestly, "Please God, please give me a baby brother or baby sister."

After months and months of watching Lara do this, in the constancy of her childlike chant, Kishore started feeling the pressure of possibly disappointing Lara if her prayer was not answered. Whereas for me, Lara's recitation of her simple wish became like a strengthening mantra, our collective intention imbued with greater power with each repetition, and the goal of a sibling kept very much in the forefront of our minds (hence our calling Lara our 'project manager' in this endeavour).

And somehow in the 2nd month of that 3 month period, a positive + sign appeared on one of the home pregnancy tests I had grown accustomed to taking - my version of the lottery tickets others keep buying in hopes of hitting the jackpot, with all the cyclical anticipation and more often than not, disappointment, that entails...

This time however I was not disappointed.

With God's Grace, (hence 'Kiaen', a variation of 'Kiaan' which means 'Grace of God'), my focus on our joining the ranks of the 3% had materialised.

It seems poetic then, that Kiaen chose to make his appearance on the 3rd May, ironically the same date that his paternal great-grandfather departed this world for the next... such that in the combined words of Kishore and his father Kai Vello Suppiah,

"The 1st generation Suppiah left on 3rd May and the 4th generation Suppiah arrived on 3rd May after 41yrs...
One leaves, another comes, the legacy lives on..."

***

KIAEN AARYAN SUPPIAH'S BIRTH STORY

On Sunday 3rd May, I was 40 weeks and 5 days pregnant.

The baby was, in my mind, very UN-fashionably late past his due date of 29th April, so as much as I had willed and 'manifested' the privilege of pregnancy, to say I was keen to be done with it all was an understatement.

In the weeks leading to up to my full term, I had experienced increasingly intense Braxton-Hicks 'practice contractions' - annoying for me for the discomfort involved, stressful for Kishore who was on tenterhooks with the false alarms, on constant alert for when we would actually need to leave home for the hospital.

Having become a Hypnobirthing student and advocate from my first pregnancy with Lara, and thus being equipped with
(1) a lack of fear about childbirth in general and
(2) a basic understanding of how all the sensations I would experience fit into the big picture of my body bringing our baby closer to us,
I was less stressed - content to wait for the baby to be "fully cooked" and come out whenever he was ready... though I wouldn't have minded at all if the cooking time ended sooner, rather than later.

With Lara, I had been somewhat 'forced' into an induced labour, even though she was not yet due, and that had resulted in a 5 DAY LABOUR, a Birth Story for another post, so I was not inclined to chemically induce labour, even though I was assured that for second time mothers, it would be 'much faster and easier'...

That morning, I had a hunch *maybe* that day was the day, because in contrast to previous weeks' sensations of tightening, pressure and even spasms that were concentrated in the front of my abdomen and occasionally shot through my sides and legs, I felt period - like cramping in my lower back which I had not felt before throughout the pregnancy.

It was about 8am in the morning then, and my 'surges' were still relatively mild ('surges' being Hypnobirthing - speak for 'contractions', designed to frame them with the more positive connotations needed to counteract common language in which childbirth is presented as something that is unequivocally painful and traumatic, instead of the miraculous, powerful and natural phenomenon it actually is).

I recall (masochistically?) entertaining the thought of opting NOT to have an epidural JUST TO SEE WHAT IT WOULD BE LIKE...

I figured this would be the last time I would be pregnant and so it would be my 'last chance' to experience 'drug free labour' which, apart from the health benefits for baby and mother, might be *interesting* in a way that people who are curious about what getting a tattoo and skydiving and bungee jumping are like, might find these *interesting*...even knowing there will be pain and risk involved...

Since I have tried tattoos and skydiving (unfortunately not being able to squeeze in bungee-jumping while my life was purely my own to risk at no dependents' possible detriment) a similar curiousity about a no-epidural labour was on my mind...

In the absence of other signs of the onset of labour (like 'bloody show' or my waters breaking), I wanted to wait until the surges were coming every few minutes before we actually left the house for the hospital, not wanting to be one of those couples who rushed in too early and had interminable waits for the next stage in unfamiliar, clinical surroundings and/or were made to go home in an anti-climatic manner.

I was even calm enough through my surges to have the presence of mind to wash and blowdry my hair, knowing if I did deliver soon I would not be allowed this luxury for a while.

Around 9am I asked Kishore to prep for Lara and himself to be dressed and breakfasted so we could head to hospital soon, while I sent messages to family members on both sides informing them 'today might be the day.'

My mother, who had briefly served as a midwife before going back into general nursing and then becoming a nursing tutor, prophetically stated that if what I was experiencing was true labour, "the baby would be out by noon".

The pace in which my surges grew closer together was surprisingly quicker than I expected; and while I asked Lara to "Hurry up with breakfast" with only a tad more urgency than we normally tell her to do, little Missy being prone to dilly-dallying at meals, I probably freaked Kishore out when about 930am onwards, I had to instinctively get on my hands and knees a couple of times, eyes closed, trying to practice the Hypnobirthing breathing techniques I had revised to help along the process of my body birthing our child into the world.

I recall him saying a bit frantically as I knelt at our front door, doubled over as he waited for Lara to complete something or other, "Lara hurry up! Can't you see Mama is in so much pain and you are taking your own sweet time??!!"

SIDETRACK: Just the night before, Lara and I had watched a TV show in which a woman gave birth with the usual histrionics accompanying pop culture depictions of labour.

Lara watched the scene, transfixed.

I told her, simply and matter-of-factly, "That's what Mama has to do to get baby brother out Lara, and that's what I had to do for you also."

In most of interactions with my daughter, I have sought to equip her to face life's situations with calmness, truthful common sense, and ideally a minimum of drama.

Those who know the dramatic diva that Lara can be will know that this is a work-in-progress, but her response to me that night showed me some of my 'teachings' were sinking in:

She looked at me unfazed, "But Mama," she said. "You won't cry and scream like that lady, right? You will be BRAVE and stay calm, right?"
#nopressure.

So as we prepped to leave for the hospital I did indeed attempt to be that role model of calm for her, asking her only for her help in keeping very quiet,
"Because Mama needs to focus on bringing baby brother out and she needs quiet to concentrate...".

As we left the house at 10.11am, I texted Kishore's sister Geetha to please prep to pick up Lara from the hospital, and was grateful Kishore had the foresight to ask our gynae to prepare a letter for Geetha to show any police roadblocks between my in-laws' home in Subang Jaya and the hospital in Bangsar, this all happening under the Movement Control Order (MCO).

To Lara's credit, in the journey over to the hospital, she - probably sensing the gravity of the situation, sat very quietly in her seat at the back, and the silence was punctuated only by my occasional deep intakes of breath and some variation of my Ohmmm-like moans when the sensations were at their height.

By the time we got to Pantai Hospital at around 10.30am, my surges were strong enough I requested a wheelchair to assist me in getting to the labour ward, as I did not trust my own legs to support me... and Kishore would have to wait until Geetha had arrived to take Lara back to my in-laws' house before he himself could go up.

I slumped in the wheelchair and was wheeled up to the labour room with my eyes closed the whole time, trying to handle my surges.

I didn't even look up to see the attendant who pushed me... but did make the effort to thank him sincerely when he handed me over, with what seemed like a palpable sense of relief on his part, to the labour ward nurses.

The nurse attending me at Pantai was calm, steady and efficient. I answered some questions and changed into my labour gown while waiting for Kishore to come up, all the while managing the increasingly intense surges with my rusty Hypnobirthing breathing techniques.

By the time Kishore joined me at around 11am (I know these timings based on the timestamps of the 'WhatsApp live feed' of messages Kishore sent to his family), I was asking the nurse on duty, "How soon can I get an epidural??" thinking what crazy woman thought she could do this without drugs???!!!

The nurse checked my cervix dilation, I saw her bloodied glove indicating my mucous plug had dislodged, and she told me, "Well you are already at 7cm (which, for the uninitiated, is 70% of the way to the 10cm dilation needed for birthing), you are really doing well, if you made it this far without any drugs, if can you try and manage without it... I suspect within 2 hours or less you will deliver your baby and since it will take about that time for the anaesthesiologist to be called, epidural to be administered and kick in... it might all be for nothing... but of course the decision is completely up to you... "

So there I was, super torn, should I risk the sensations becoming worse... or risk the epidural becoming a waste?? And of course I was trying to decide this as my labour surges were coming at me stronger and stronger...

I was in such a dilemma...because as a 'recovering approval junkie' there was also a silly element of approval-seeking involved, ("The nurse thinks I can do this without drugs... maybe I CAN do this without drugs... Yay me!") mixed with that element of curiosity I mentioned earlier ("What if I actually CAN do this without drugs... plenty of other women have done it all over the world since time immemorial.. no big deal, how bad can it be...??") so then I thought I would use the financial aspect to be the 'tiebreaker' in my decision making...

I asked the nurse how much an epidural would cost and when she replied "Around MYR1.5k", I still remember Kishore's incredulous face as I asked the question, i.e."Seriously babe, you are gonna think about money right now? If you need the epidural TAKE IT, don't worry about the money!!!"... and while we are not rich by any stretch of the imagination, thankfully RM1.5k is not a quantum that made me swing towards a decision to "better save the money"...

So in the end, I guess my curiosity won out, and I turned down the epidural "just to see what it would be like and if I had it in me" (in addition of course to avoiding the side effects of any drugs introduced into my and the baby's body).

My labour occuring in the time of coronavirus, it was protocol for me to have a COVID19 test done, so the medical staff could apply the necessary precautions. I had heard from a friend Sharon Ruba that the test procedure was uncomfortable, so when the nurse came with the test kit as I was starting another surge, I asked, "Please can I just finish this surge before I do the test?" as I really didn't think I could multitask tackling multiple uncomfortable sensations in one go.

The COVID19 test involved what felt like a looong, skinny cotton bud being inserted into one nostril... I definitely felt more than a tickle as it went in and up, being told to take deep breaths by the nurse. Then she asked me to "Try to swallow" and I felt it go into my nasal cavities where I didn't think anything could go any further, but was proven wrong when she asked me to swallow again and the swab was probed even deeper. Then she warned me there would be some slight discomfort as she prepared to collect a sample... but at that point all I could think about was:

(i) I really don't have much of a choice
(ii) please let this be over before my next surge kicks in
(iii) if all the people breaking the MCO rules knew what it feels like to do this test maybe they won't put themselves at risk of the need to perform one...

In full disclosure as I was transferred into the actual delivery room at some point after 11am, another nurse offered me 'laughing gas' to ostensibly take some of the edge off... I took the self-operated breathing nozzle passed to me but don't recall it making any difference to my sensations..so didn't use it much as it seemed pretty pointless.

I recall some measure of relief when I heard my gynae Dr. Paul entering the room, greeting Kishore and me, and telling us it was going well and it wouldn't be long now and he would see us again shortly.

From my previous labour with Lara I knew the midwives pretty much take you 90% of the way through the labour and when the Dr is called in you are really at the home stretch, so was very relieved to hear his voice though knowing he would leave and come back later meant it wasn't quite over yet.

I do remember realising when I had crossed the Thinning and Opening Phase of labour to the Birthing Phase, by the change in sensations... it is still amazing to me that as the Hypnobirthing book mentioned, having this knowledge I was instinctively able to switch breathing techniques for the next stage of labour .

Was my opting against epidural the right choice for me?

Overall? Yes.

Don't get me wrong.

I *almost* regretted the decision several times during active labour... especially when I felt my body being taken over by an overwhelming compulsion to push that did not seem conscious and was accompanied by involuntary gutteral moans where I literally just thought to myself, "I surrender, God do with me what you will..." (super dramatic I know but VERY real at the time...).

I think I experienced 3-4 such natural explusive reflexes (?), rhythmically pushing the baby down the birth path, one of which was accompanied by what felt like a swoosh of water coming out of a hose with a diameter the size of a golf ball... this was when I realised my water had finally broken...

The nurses kept instructing me to do different things, to keep breathing, to move to my side, then to move to the middle, to raise my feet... and when I didn't comply, Kishore (who was with me throughout both my labours) tried to help them by repeating the instructions prefaced with "Sayang..." but I basically ignored all the intructions because I felt I had no capacity to direct any part of my body to do anything and someone else would have to physically manoeuvre that body part themselves.

When I heard Dr. Paul's voice again and the flurry of commotion surrounding his presence, I knew the time was close... and when I heard the nurse say to Kishore, "Sir, these are your gloves, for when you cut the baby's cord", it was music to my ears...

I'm very, VERY grateful Kiaen slid out after maybe the 4th of those involuntary pushes... the wave of RELIEF when he came out so quickly... it still boggles my mind that my mother was essentially right and as his birth time was 12.02pm, it was *only* about 1.5 hours between our arrival at the hospital and his arrival into the world.

Kiaen was placed on my chest for skin to skin bonding and remained there for a considerable time.

For our short stay in the hospital he would be with us in my maternity ward number C327... another trivially serendipitous sign for me because he was born on the 3rd (May) and our wedding anniversary is 27th (July).

I was discharged the following day 4th May at about 5.30pm, after I got an all clear on COVID19 and a paediatric surgeon did a small procedure on Kiaen to address a tongue-tie that would affect his breastfeeding latch... making the entire duration of our stay about 31 hours.

I have taken the time and effort to record all this down so that whenever life's challenges threaten to get me down I can remind myself, "Ignore the 97% failure probability, focus on the 3% success probability".

Also that the human condition is miraculous and it is such a privilege to experience it.

To our son Kiaen Aaryan, thank you for coming into our lives and choosing us as your parents.

Even though Papa and I are both zombies trying to settle into a night time feeding routine with you, I look forward to spending not only all future Mother's Days, but every day, with you and your Akka...

And last but not least, to my husband Kishore...without whom none of this would be possible - we did it sayang, I love you ❤️

Photo credit: Stayhome session with Samantha Yong Photography (http://samanthayong.com/)

哺乳姿勢正確，寶寶含乳也很好，哺乳卻持續疼痛，有可能是舌繫帶的問題喔！可以把寶寶一起帶來阿萍醫師的門診評估看看！

Tongue tie, a real thing, or not? Everything you wanted to know about tongue tie and breastfeeding. If someone asks you for references, there are several listed at the bottom of the article at:

http://ibconline.ca/tongue-tie/

哺乳媽媽常見的8種造成乳頭疼痛的原因：含乳錯誤(舌臍帶tongue tie、唇臍帶太緊lip tie)、長時間含乳、擠奶器使用不當、黴菌感染(Thrush鵝口瘡)、細菌感染、濕疹、乾癬、雷諾式症狀Raynuad's Syndrome，前3種是操作錯誤導致的，後5種是因為操作錯誤嚴重可能引發。本集討論乳頭疼痛的原因、預防方式，和8種居家護理的方法，包含：物理療法、一般市售無藥物成分的軟膏、Dr. Thomas Hale配方的自製綜合藥膏、Dr. Jack Newman配方的處方簽綜合藥膏。📢 快來訂閱我的頻道：http://bit.ly/2kttyum

本影片僅供教育使用，不能取代醫生診斷。請向醫生或其他合格醫療人員諮詢您的病情。

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「如何產後第一天就成功母乳餵養 (上) 觀念篇」影片連結：https://youtu.be/o9CcS4NFO20
「如何產後第一天就成功母乳餵養 (下) 實作篇」影片連結：https://youtu.be/0X5NvLUoO6M
「8招教妳如何增加擠奶器擠出來的奶量」影片連結：https://youtu.be/nqQfc7VIHE0

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#乳頭疼痛 #羊脂膏 #雷諾式症狀 #鵝口瘡 #tonguetie #liptie #Sunny母乳餵養