Friday, 29 November 2019

Baby's first milk



Liquid Gold

Colostrum or baby’s first milk is quite literally, liquid gold. This precious first-food for baby is proving to be more valuable than we ever imagined now that we understand its composition and function. Can you believe that at one time, mothers were told to express and discard this milk because it was said to be the ‘waste product of pregnancy’?

Ultra-sweet, this thick, yellow creamy milk is all that a baby needs for the first few days of life.

Supplementary water and formula ‘until your milk comes in’ is old-fashioned, incorrect advice. I remember arguing with an older doctor about this once when he asked his patient, who had recently given birth, if the midwives had given her baby water yet. When she said no, he accused me of neglecting my duties as a midwife.

I calmly told him that newborn’s only need colostrum to which he argued: “You drink water don’t you?”

“Yes,” I answered. “I wasn’t born yesterday.”

He thought I was being cheeky, so I elaborated. “Newborn’s don’t need water,” I insisted. “All they need is MOM – Mothers Own Milk.”

This left the mother in a dilemma. Who should she believe? Her (old-fashioned) doctor or the midwife? When the doctor left, she asked me to bring a bottle of water for her baby. Sigh.

Colostrum is coloured yellow because it’s rich in beta-carotene – a type of Vitamin A.

Vitamin A facts:

  • Babies and young children need vitamin A for optimal health, growth, and development.
  • Almost all children are born with low stores of vitamin A. During the first six months of life, mothers need to breastfeed exclusively to increase their babies’ vitamin A stores.
  • After six months, vitamin A comes from breastmilk and vitamin A-rich foods.

Newborn only need to drink one teaspoonful of colostrum to fill their tiny stomachs. 

Five millilitres of colostrum is equal in nutritional value to 30 millilitres of mature breast milk. 

Like puppies or kittens, babies need to be close to their mothers so that they can be given frequent feeds. As often as they need – on average, two hourly. When babies are filled-up with formula, they will sleep for four hours or longer. 

This means that Mom misses out on frequent suckling that not only helps to release hormones to make milk, these hormones also help to keep her womb contracted, and this helps to minimise the risk of haemorrhaging after the birth.