Archive | January, 2012

Seasonal greetings to all of our Annerley families

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Seasonal greetings to all of our Annerley families

Posted on 31 January 2012 by Annerley

This time of year reminds us even more than usual how important having a family is.  Recently we have had 2 new additions in our own team, – congratulations Sarah and Eugenie!  And Tamara is waiting to have her little one but expects it any day now.

We at Annerley wish you all a lovely family time and happy holidays.  We look forward to see you after Christmas.

Hulda, Kristrun, Tamara, Sarah, Eugenie, Donna, Mandy, Ines, Fiona and Kathryn.

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Baby stools

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Baby stools

Posted on 24 January 2012 by Annerley

What a delightful topic! But the fact is that of all the questions that I get most often at 9 pm on a Friday night via phone is: Are my baby’s stools normal? So let’s look at what is:

A baby that is exclusively breastfeeding can have everything from stools 10 times a day or up to 10 days between with out anything being abnormal. When the baby starts to have solid foods, especially when dairy products are on the menu, the digestion changes and then the baby usually has more frequent stools, or else feels rather uncomfortable.

Color
Breastfeed babies usually have very loose stools that are orange or mustardy color and sometimes with little seed like bits in it. It can also go quite olive in color and even brown for a few days. Formula fed babies have thicker stools, they smell strong and are usually from dark orange color to green.
And once the baby is having solid food, expect darker and thicker, – and unfortunately more smelly stools.

Constipation
Firm stools that can cause a lot of discomfort for the child is quite common amongst babies that are formula fed. Sometimes giving a little of well dilated prune juice to get things moving again. If the baby is already having some solids, it is important to give high fibre food as well as water regularly. The baby can have cereals twice a day, plus vegetables and fruits but it is important to keep dairy products, such as yogurts at balance. It is not necessary to stop giving all dairy though, but give a lot of other fluids – mainly water.

Diarrhea
During the first year, digestive discomforts are rather common. Usually we are seeing cases of mild cases with a bit of diarrhea for one to two days. In those cases it is important to give plenty of fluids to replace what got lost with the loose stools. Otherwise you can feed the baby normal solid food if the baby is happy to eat. Breastmilk can always be given and can often be the only source of nutrition, even if the baby has gone onto solid foods, – in case of a sick baby.

If a baby gets severe diarrhea, does not want to drink, does not urinate and is otherwise lethargic and very sick, you should always get in contact with your family doctor or a pediatrician.
In some cases, babies have really loose stools and even diarrhea for a long time. If the baby gains weight normally ad thrives as usual, loose stools are in it self nothing to worry about but you must pay attention to if the baby looses weight as well and respond by seeing a doctor if this is the case.

Occasionally babies have a long term diarrhea due to not enough fat in food, for example if they have skimmed milk or too many juices and never get fat as a part of their solid foods. As soon as those children get fat back into their diet, the diarrhea is no longer a problem.

Hulda Thorey

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Home birth

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Home birth

Posted on 15 January 2012 by Annerley

Last week I was lucky enough to be there for the birth of a beautiful little boy at home, born to two of the parents that i have been seeing regularly during pregnancy in the last few months.  The parents, Arden and Michell, had prepared very well for the birth and everything was well in place for a good homebirth.  With the help from a great friend and midwife in Hong Kong, I was able to help Arden and Michell to have a safe and very much so peaceful birth.

A few thoughts always go through my head when I am fortunate enough to be a part of births like this, although i will still say that many hospital births can be absolutely lovely as well.  The first one is, that at home, the peace and quiet that comes with the environment has such a good effect on everyone.  Also the fact that I am invited to the event, rather than the woman, who sometimes feels quite scared and insecure to begin with, having to be taken to a place where she is less in control.   Also, the father gets to play a host and supporter in an environment where he actually is in control and this gives a whole lot of confidence to him.

Then, once the dilation is full and the baby is moving lower in the pelvis, giving the urge to push, it is just so relaxed and calm.  Instead of the somehow shift in the atmosphere where everyone gets “ready to push” and even stirrups are pulled out, lights come on etc.  – at home nothing really changes other than the woman who slowly starts to put pressure into her breathing and gently bear down.

I can never really resist a few tears and goosebumps when the baby finally arrives, it is just so pure and joyful.  Every time.

Thank you Arden and Michell for allowing me and Sarah to be with you and share the first moments in Shaunyos life outside of the womb.

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Mastitis – blocked milk ducts

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Mastitis – blocked milk ducts

Posted on 12 January 2012 by Annerley

… I just wanted to write these words as a reminder to all breastfeeding mothers because I am now sitting here at home trying to rest and recover after a blocked milk duct that I failed to diagnose myself with in time!  I have literally spent the last few weeks warning all the mothers that I am seeing to be careful during the cold months and over Christmas when people tend to get more busy than usual – that this is a typical time for women to get mastitis, as they forget to check and sometimes the feeding schedules are a bit different from usual.

And here I am, after rather busy days since December,  – one homebirth and another very lovely birth at Union Hospital, – and lots of home visits, I somehow have managed to ignore the fact that my own feeding schedules are all over the place.  And I am really supposed to know about these things. In any case, I am just about finished with unblocking it by feeding much more frequently and resting in bed for more or less two days.  It is painful and saps all my energy but worth doing and now I feel much better.

So I guess one should never fail to check, feel and listen to the body.  Any changes in the usual daily patterns, more or less feeding, pumping, activities etc. may all lead to troubles if you are not careful.  I just wanted to share this – and finally say that as long as you do catch it in time, it is well worth fixing it by taking it slowly with the baby for a few days – it has been lovely here at home with my little ones.

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