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MCH Emergency Preparedness
Pregnancy and Feeding Emergency Guide
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In case you are pregnant or have an infant less than a year old, the following additional supplies are recommended.

Pregnancy and Feeding Emergency Guide

If you are pregnant...

  • Clean Towels
  • Waterproof pads for bed or car
  • Medium sized bowl (for placenta)
  • Disposable gloves
  • Phone numbers and locations of other obstetricians, midvives, and birth locations
  • Copy of your prenatal record and medications

For Newborn Baby

  • Newborn hat or adult sock to place on the newborn's head to prevent heat loss
  • Case of diapers
  • Suction bulb
  • Large blanket for both
  • Receiving blankets
  • Long cloth or towel to keep mom and baby together
  • Bowl for collecting expressed milk
  • Syringes or small cup for feeding expressed milk or formula

After Birth...
 For mother... 
  • Cold Packs
  • Ibuprofen or Acetaminophen
  • Sanitary Pads
  • Disposable Gloves
  • Antibacterial Wipes
Cutting the umbilical cord...
  • Boiled shoelaces or string to use as a cord clamp
  • Sharp, clean scissors or single-sided razor blade (found at hardware store)
Note: No need to use alcohol wipes on umbilical area

After Baby is Born
Mother and infant should ALWAYS remain together, baby skin to skin (baby wearing only a diaper and a hat), to stabilize and regulate infant, reduce calorie needs, calm mother and baby, and allow baby to lead the breastfeeding.

Use a long piece of fabric as a baby sling carrier to assure keeping baby warm and safe, and parents calm. Other options to wrap the mom and baby together include: sweat pants, t-shirt, or towel.

 


Fundal Massage
Mothers should massage at, above, and below their belly button directly after delivery. This requires a deep penetrating circular motion to help stimulate the fundus (top of the uterus) to contract (fundal massage). This should be done every 15 minutes for the first hour after birth, then every half an hour during the following hour, and hourly for the next few days. The mother should also keep track of how many pads they are using a day. The purpose of the fundal massage is to prevent hemorrhaging (bleeding out) after delivery.

If you are breastfeeding...
Supplies
  • Antibacterial wipes
  • Case of diapers
  • Baby wipes
  • Sealable plastic bag (for soiled items)
  • Comfort items (i.e. blanket, pacifier, stuffed animal, pajamas, toys etc.)
  • If the child is over 6 months old, non-perishable baby food or table food, spoon
  • Drink 8-10 glasses of water each day and eat several times a day. Try to choose foods high in protein and low in fat.
Direction
  • Keep baby skin to skin
  • Feed on demand (at least 8-12 times in a 24 hour period)
  • Baby may get fussy related to delayed let down, use breast massage and deep breathing to help milk flow
  • Help baby latch on by reclining mom and triggering baby's feeding reflexes
  • If needed hand express and cup feed infant
  • Mothers should be given food and drink when available, but even without adequate food she CAN provide enough milk for her baby.
  • Mother should try to conserve energy and stay well rested


Increasing mother's milk production or relactation
  • Keep baby skin to skin and offer breast as a comfort measure
  • Avoid pacifiers, cup feed to supplement
  • Have short periods between feeding attempts (1-2 hours)

If mother's own milk is not available
  • Feed baby using safe infant formula
  • Use cup for feeding, rather than bottle (let the infant sip, rather than pouring down baby's throat)

If the mom needs to breastfeed multiple children, ALWAYS feed the youngest infant first!

Protect your baby by breastfeeding!
Human milk protects baby from diseases and prevents exposure to unclean food and water. Breast milk is a MRE (Meal Ready to Eat). Women can and do breastfeed under stress, although baby may get impatient and fussy. Use laid back breastfeeding and give reassurance and support to each other. Women can relactate (make milk again) especially if the baby is under four months old. During an emergency, even a baby over 6 months old can survive on only breast milk or small amounts of solid food. 

 


Pregnancy and Feeding Emergency Guide


Carbon County, WY
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