Here are Kathy’s four tips for success:

Let friends and family know you’ll need support while establishing breastfeeding

Kathy recommends telling loved ones you’ll need space and quiet time while establishing breastfeeding. To ensure sustained milk production, breastfeeding early, frequently and effectively is key. It takes approximately six weeks until full milk production is established. “Prepare family and friends for this period by telling them they can support you in a number of ways, like doing laundry, running errands, walking the dog, meal preparation and cleaning,” says Kathy. “People want to help when there’s a new baby and this provides some helpful suggestions.”

Tell your care team you’re interested in breastfeeding

Communicating your intent to breastfeed – with your midwife, obstetrician or family physician – is key before having your baby. Kathy is quick to note that your care team should have this on their radar too, and can answer any questions or concerns you may have. Make a note of breast changes during pregnancy, and practice gentle breast massage in preparation to breastfeed, suggests Kathy.

Research the value of skin-to-skin contact immediately after your baby is born

By initiating skin-to-skin contact immediately after birth, and continuing until after the first successful breastfeed, you’re setting yourself up for success. Not only does this contact establish the bond between you and your baby, it also signals to your body to start making milk and colostrum. Colostrum is the nutrient-filled fluid produced before milk is released, which can help boost your baby’s immune system and protect them from illnesses in their first few months.

Ask for help or support if you need it

Breastfeeding, like parenting, is a process. Don’t be afraid to ask for help and support along the way.

Here are some additional, trusted online resources for more information:

• Reliable scientific resources are available at Health Canada, Unicef and the World Health Organization
• Peer support is offered by LaLeche League and Breastfeeding Buddies
• Prenatal information is available on ca as well as Toronto Public Health

The post Four tips from a lactation consultant for establishing breastfeeding appeared first on Your Health Matters.

Advance care planning is a way to help you think through and talk to your chosen loved ones about your values and wishes in relation to your future healthcare, should there come a time when you are not able to speak for yourself. It is important information for your family, your loved ones and your physicians.

“If you have not had an advance care planning discussion, now is a great time to take the steps to have one,” says Dr. Sarah Torabi, a palliative care physician. “If you are ever in a medical situation, where you cannot speak for yourself about important medical decisions, an advance care plan will be very helpful to your loved ones and the health care team to make the decisions made on your behalf align with your wishes and values.” 

“Advance care planning is important for everyone, no matter their health status, or the medical issues they may face. However, in situations where sudden or severe illness is possible, this becomes even more important.” says Dr. Sonal Gandhi, a medical oncologist.

As Canada manages the impact of COVID-19, everyone should have a plan in place in case such a scenario affects them. Documenting your medical care preferences, and the person you would want to make decisions for you in the event you’re unable to speak for yourself is important for all of us. This includes not just people who may be at risk for serious complications or death from the novel coronavirus, due to advanced age or an existing medical condition. For example, people with young children, those who are on the frontlines of treating patients, or people who live alone would benefit from these conversations as well.

“However, if you do have an underlying medical condition, you should further discuss what impact any sudden illness, like COVID-19, may have on your prognosis or ability to recover,” says Dr. Gandhi. “This sort of goals of care discussion will be more useful if you have an advance care plan in place.”

“An advance care planning conversation is an opportunity to reflect on and discuss your values, beliefs, and wishes,” says Dr. Torabi. “It is an ongoing discussion, which means it can happen and evolve at various stages in your life. It is a conversation for everyone.” 

How do I begin to make an advance care plan?

• THINK about what is important to you for others to know if you can’t speak for yourself
• LEARN about and familiarize yourself with your medical conditions.
• DECIDE on your substitute decision maker (SDM). This is the person that you trust and can make future medical decisions if you cannot.
• TALK about your values and wishes with your SDM, family, close friends, doctor and other healthcare providers.
• RECORD your SDM and communicate your wishes. For help, go to SpeakUp Ontario website

Resources:

• Speak Up Ontario – Resources for Individuals and Families
• Sunnybrook – advance care planning resources
• Time to Talk: Encouraging Serious Illness Conversations

The post Making an advance care plan appeared first on Your Health Matters.