DEVO ORDENHAR MEU LEITE PRA DAR AO BEBÊ? - DR. FABIANO TEBAS

Dr. Fabiano Tebas
16 Jun 202406:21

Summary

TLDRThe script discusses the importance of breastfeeding and the practice of pumping milk for babies, especially for mothers returning to work. It highlights the benefits of pumping, such as improved milk supply, increased tranquility for the mother, and better weight gain for the baby. The video also addresses common misconceptions about bottle-feeding pumped milk, emphasizing that it should be done with a spoon or cup to avoid nipple confusion. It provides tips on the best intervals for breastfeeding and pumping, and stresses the importance of self-care for mothers, including adequate rest and physical activity.

Takeaways

  • 🍼 Pumping milk can be beneficial for both working mothers and those at home, helping to maintain milk supply and provide for the baby during times when the mother is not available.
  • 📅 Pumping can be strategic for increasing milk supply and improving the mother's peace of mind, as well as aiding in the baby's weight gain.
  • 🚫 Criticism about not allowing babies to drink milk from anything other than the breast is not practical; in reality, mothers who pump have a better quality of life and it doesn't hinder breastfeeding.
  • 🍼 Pumped milk should be given using a bottle, spoon, or small cup rather than a pacifier to avoid nipple confusion, especially in the early months when breastfeeding is being established.
  • 🕒 Good intervals between breastfeeding sessions are around 3 to 4 hours during the day and 3 to 4 hours at night for a baby around a month old.
  • 👶 The newborn's feeding frequency will naturally increase and then stabilize as the baby grows, adjusting to the baby's needs.
  • 💤 Ensuring the baby gets enough sleep and the mother gets enough rest is crucial for maintaining milk supply; pumping can help facilitate this.
  • 🍼 If a baby is frequently demanding to nurse, pumping can be beneficial to ensure the baby is getting enough milk and to give the mother a break.
  • 📦 Storing pumped milk in the refrigerator can keep it fresh for up to 12 hours, and in the freezer for up to 15 days.
  • 🔄 The body adjusts milk production based on demand; if there's surplus milk, production may increase, and if there's leftover, it may decrease.
  • 👨‍👩‍👦 Involving the father or support network in feeding the pumped milk can be a great strategy for the mother to rest or attend to other activities.
  • 🧊 Proper care in pumping and storing milk is essential to avoid contamination, using sterilized containers and proper storage conditions.

Q & A

  • Why is it beneficial for a mother to express milk for her baby?

    -Expressing milk can help increase milk supply, improve the mother's peace of mind, and support the baby's weight gain. It can also be a strategic move for when the mother returns to work or needs to provide milk at different times.

  • What is the common criticism against bottle-feeding expressed breast milk?

    -Some people criticize bottle-feeding because they believe the baby should always nurse directly from the breast. However, in practice, mothers who bottle-feed expressed milk often have a better quality of life without hindering breastfeeding, as long as the bottle is not preferred over the breast.

  • What is the recommended feeding interval for a newborn baby?

    -A good interval between feedings is around 3 to 4 hours during the day and 3 to 4 hours during the night. However, this can vary, especially in the first week of life when the baby may feed more frequently due to a smaller stomach size.

  • Can expressing milk cause confusion for the baby, especially in the early months?

    -Yes, using a bottle can cause nipple confusion, especially in the first few months when the baby's sucking pattern is not well established. It's important to use a feeding spoon or small cup instead of a bottle to avoid this issue.

  • How does the baby's feeding pattern change as they grow older?

    -As the baby grows, the feeding pattern changes. By around one month, the baby may feed every 3 hours during the day and night. By 2 to 3 months, this can extend to every 3 to 5 hours at night and every 3 hours during the day.

  • What should a mother do if her baby is frequently demanding to nurse and not maintaining a regular interval?

    -If the baby is frequently demanding to nurse, especially during the late afternoon or evening, it might be beneficial for the mother to express milk in the morning. This can help increase milk production and provide relief for the mother.

  • How long can expressed milk be stored in the refrigerator and freezer?

    -Expressed milk can be stored in the refrigerator for up to 12 hours and in the freezer for up to 15 days.

  • How does expressing milk affect milk production?

    -Expressing milk can help increase milk production. If there is a surplus in the breast, the body understands it needs to increase production. Conversely, if there is a surplus after the baby feeds, the body may reduce production accordingly.

  • What is the significance of a mother getting enough sleep in relation to breastfeeding?

    -Getting enough sleep is fundamental for a mother. If she can sleep well at night, it can significantly increase her milk supply. This is why having support, such as a partner or family member, to feed the baby with expressed milk can be beneficial.

  • Can expressing milk be used as a strategy to prevent sleep deprivation for the mother?

    -Yes, expressing milk can be a good strategy to prevent sleep deprivation. By having someone else feed the baby with expressed milk, the mother can get the necessary rest, which can improve her quality of life and overall well-being.

  • What are some additional benefits of expressing milk for a mother?

    -Expressing milk can help a mother take care of herself, engage in physical activity, pursue hobbies, and ensure she gets a good night's sleep. It can also be a way to share feeding responsibilities with a partner or support network.

  • What precautions should be taken when expressing and storing milk?

    -When expressing and storing milk, it's important to ensure the environment is clean and the storage containers are sterilized to prevent contamination.

Outlines

00:00

🤱 Benefits of Breast Milk Expression for Working Mothers

This paragraph discusses the importance and benefits of breast milk expression for mothers, particularly those returning to work. It highlights how expressing milk can help increase milk supply, improve maternal tranquility, and support the baby's weight gain. The speaker addresses common criticisms about not breastfeeding directly from the breast and emphasizes the quality of life improvements for mothers who do express milk. It also touches on the best practices for milk expression intervals, the importance of not favoring a bottle nipple over the natural nipple, especially for newborns, and the benefits of allowing the baby to nurse at regular intervals to ensure proper milk extraction and avoid over-tiring the mother.

05:02

👶 Utilizing Breast Milk Expression for Support and Self-Care

The second paragraph focuses on the strategic use of breast milk expression for times when the baby demands more feeding or when someone from the support network, such as the father, can assist in feeding the baby. This allows the mother to rest, engage in physical activity, or even go out without worrying about breastfeeding. The speaker refutes the misconception that expressing milk decreases milk production, instead asserting that it can actually increase it, especially when the mother gets adequate sleep. The paragraph also underscores the importance of careful milk expression and storage to avoid contamination and ensure the milk's safety for the baby.

Mindmap

Keywords

💡Breastfeeding

Breastfeeding is the process of feeding an infant directly with milk from the mother's breast. In the video, it is the primary method of feeding the baby and is discussed in the context of its benefits and the importance of direct feeding from the mother to the child. The script mentions that breastfeeding should not be replaced by bottle feeding, except when necessary, to maintain the quality of life for the mother.

💡Pumping

Pumping refers to the act of extracting milk from the breast using a manual or electric breast pump. The video discusses pumping as a strategy for mothers who are returning to work or need to store milk for feeding at different times. It is also mentioned as a way to potentially increase milk production and support the mother's well-being.

💡Storage

Storage in this context is related to keeping pumped breast milk in a safe and sterile environment. The script provides guidelines on how long breast milk can be stored in the refrigerator (up to 12 hours) and in the freezer (up to 15 days), emphasizing the importance of proper storage for maintaining milk quality.

💡Baby's Weight Gain

Baby's weight gain is a critical indicator of healthy growth and development. The video mentions that proper breastfeeding and pumping strategies can contribute to a baby's weight gain, which is essential for the baby's overall health.

💡Nipple Confusion

Nipple confusion occurs when a baby has difficulty distinguishing between a mother's nipple and an artificial nipple, such as those on bottles or pacifiers. The script warns against using a bottle nipple for feeding pumped milk to avoid this issue, especially in the early months when breastfeeding is being established.

💡Feeding Intervals

Feeding intervals refer to the time between each feeding session. The video script discusses the recommended intervals for breastfeeding, which can vary from every 3 to 5 hours during the day and every 3 to 4 hours at night, depending on the baby's age and needs.

💡Colic

Colic is a term used to describe a condition in infants characterized by excessive crying and fussiness, often occurring in the late afternoon or evening. The script mentions that a baby may demand more frequent feeding during this time, which could be due to colic.

💡Support Network

A support network consists of family members, friends, or caregivers who can help with childcare tasks, such as feeding the baby. The video suggests that having a support network can be beneficial for a mother's well-being and can allow her to rest or engage in other activities.

💡Self-Care

Self-care refers to activities that individuals engage in to maintain their physical, emotional, and mental well-being. The video emphasizes the importance of self-care for mothers, including getting enough sleep, engaging in physical activity, and having hobbies, as a way to improve the quality of life and support breastfeeding.

💡Contamination

Contamination in the context of the video refers to the potential for breast milk to become contaminated during the pumping and storage process. The script stresses the need for sterilized containers and a clean environment to prevent contamination and ensure the safety of the milk for the baby.

💡Breast Milk Production

Breast milk production is the process by which the body creates milk to feed the baby. The video explains how the body adjusts milk production based on the baby's demand, and how pumping can influence this process, either by increasing or decreasing production according to the baby's needs.

Highlights

Expressing milk can be beneficial for both working mothers and those at home with a newborn, helping with milk supply and feeding at different times.

Discussing the return to work and how expressing milk can be a strategic approach for mothers to manage breastfeeding schedules.

The importance of not relying on a bottle as the primary feeding method to avoid nipple confusion, especially in the early months.

The recommended intervals for breastfeeding, which can range from every 3 to 4 hours during the day and longer at night.

The natural progression of a baby's feeding pattern, starting with frequent feedings and gradually increasing the interval as the baby grows.

The significance of not forcing a baby to strictly follow feeding intervals if they are gaining weight and not causing the mother stress.

The potential for expressing milk to increase milk production if the baby is not able to extract all the needed milk during feedings.

Storing expressed milk in the refrigerator for up to 12 hours or in the freezer for up to 15 days.

The impact of expressing milk on milk production, where the body adjusts supply based on the demand.

The benefits of expressing milk for mothers who are experiencing a high demand for feedings, especially during the late afternoon and evening.

The role of the father or support network in helping with feeding expressed milk to allow the mother to rest or engage in other activities.

The importance of self-care for mothers, including physical activity, hobbies, and getting a good night's sleep to support milk production.

The misconception that expressing milk reduces milk production; in fact, it can help increase supply when done correctly.

The practical advice on how to warm expressed milk to body temperature without overheating it for feeding.

The suggestion that using expressed milk can be a good strategy to prevent sleep deprivation and improve the quality of life for mothers.

The emphasis on the importance of sterilization and avoiding contamination when expressing and storing milk.

Transcripts

play00:00

eu devo ordenhar o leite para dar pro

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meu bebê ordenhar num momento e para dar

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no

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[Música]

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outro olha só tem tem o os o módulo

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sobre retorno ao trabalho que eu falo

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nas aulas lá sobre ordenha armazenar né

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para quando a mãe volta ao trabalho mas

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mesmo a mamãe que está em casa por conta

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do bebê mesmo mamãe aí de um bebezinho

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muito novinho que vai voltar ao trabalho

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pra frente ordenhar o leite e guardar

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para dar em outros momentos pode ajudar

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e pode ser estratégico até pode ajudar a

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aumentar o leite pode ajudar a melhorar

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a tranquilidade da mamãe e pode ajudar

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no ganha de peso do bebê algumas pessoas

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criticam que o bebê deve mamar sempre

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diretamente no peito não pode dar em

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copinho não pode dar em nada mas na

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prática o que a gente vê é que as mães

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que fazem isso costumam ter uma

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qualidade de vida melhor e não atrapalha

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em nada a mamentação desde que não dê na

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mamadeira de preferência esse leite que

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é ordenhado Ele deve ser dado no copinho

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na colher alimentadora ou numa

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canequinha emuma colher alimentadora

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dosadora algo que não seja a mamadeira

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tá na maioria das vezes a mamadeira ela

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pode atrapalhar porque faz confusão de

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bico principalmente o bebezinho nos

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primeiros meses ali principalmente

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enquanto a mentação não tá bem

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estabelecido tá quando é necessário

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fazer essa ordenha neném tá mamando tá

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dando intervalo bom entre as mamadas que

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a gente considera intervalo bom entre as

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mamadas ali por volta de 3 horas no

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período de urno por volta de 3 4 horas

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num período de urno eh no período

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noturno 3 4 horas um bebezinho que já

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tem um mês ali a gente sabe que a

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primeira semana de vida o bebê mama com

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muita frequência né Às vezes até de hora

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em hora porque o volume do estômago é

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pequenininho mas a medida que vai

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passando a segunda terceira quarta

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semana o bebezinho Vai Dando um

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espaçamento chega ali por volta de um

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mês então mamando cada 3 horas período

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noturno chegando a cada por volta de 2 3

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meses mamando a cada 3 5 horas no

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período noturno e a cada 3 horas no

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período de Uno isso fo o esperado e você

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tá assim tá tudo bem seu neném tá

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ganhando peso direitinho e e não está

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sendo cansativo para você amamentar pode

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seguir Não há necessidade de ordenhar

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agora um bebezinho que está mamando

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muito que mama e fica passa um tempinho

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quer mamar de novo que mama passa um

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tempinho queer mamar de novo não tá

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dando esse intervalo pra mamãe Ah mas

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isso acontece só no período da tarde de

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5 da tarde de às 800 da noite pode ser

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que coincidiu naquele momento que a

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cólica tá vindo o neném fica com mais

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necessidade de sucção pode ser num

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período que o bebezinho não está

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conseguindo dormir porque tá muito

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agitado a casa e o mamá deixa ele mais

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tranquilo independente disso se existe

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um momento do dia que o seu bebê está

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demandando mais isso pode ser benéfico

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você ordenha por exemplo de manhã cedo o

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neném mamou não pode ordenhar e faltar

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para neném então primeiro neném mamou e

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você vai lá e ordenha Quantos ml Depende

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muito do peso do neném Mas não preocupa

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com a quantidade ordenhou 10 ml deixa lá

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na geladeira na geladeira pode ser

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guardado até 12 horas e no congelador

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até 15 dias Tá então coloca na geladeira

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coloca a hora que você tirou beleza aí

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passou ali Du 3 horas depois se o neném

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mamou sobrou leite de novo você ordenha

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essa ordenha vai ajudar a aumentar a

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produção de leite porque se tem ali na

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mama 60 ml o seu neném mama 60 ml o

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organismo entende que tem que aumentar a

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produção e aí vai passando alguns dias

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já tá 65 já tá 70 já Tá 90 de acordo com

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a demand agora se tem ali 60 na mama e o

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neném mama 50 sobra 10 o organismo

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entende que pode diminuir a produção e

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aí vai diminuir de acordo com a demanda

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do bebê e às vezes é importante mesmo

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diminuir que tem fases que tem pouco

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leite aquele início depois aumenta muito

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a produção e depois estabiliza para

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aquilo que o bebezinho precisa e é muito

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comum as mães falar nossa na semana

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passada tava vazando leite na minha mão

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e agora não tá mais porque o organismo

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me equilibrou tá agora se você perceber

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que seu nenin tá mamando passa um tempo

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tá mamando de novo é isso que eu tô

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falando é sinal que o seu bebê não tá

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conseguindo extrair todo o leite que

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precisa E aí a ordenha pode ter

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benefício E aí você guarda 10 ml aqui 20

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ml ali coloca em potinhos e na hora de

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dar pode juntar num potinho só e aquecer

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no ban Maria tá E aí depende muito do

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peso da idade do seu neném a quantidade

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que você vai dar E aí chega nesse

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momento por exemplo que eu citei esse

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exemplo 5 horas da tarde meu neném tá

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demandando mamar muito você dá o peito e

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dá aquele leitinho que você ordenhou ah

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eu tô muito cansado eu tô exausta o

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papai que faz o papel de papai tem um

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papai que faz o papel de pai ele vai

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ajudar na madrugada eu vou dormir ali de

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11 da noite pelo menos até às 3 da manhã

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e ele vai dar no copinho nesse momento

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se nenem acordar ótimo papai pega lá

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aquece Ban Maria e dá Lembrando que

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aquecer é para ficar a temperatura do

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corpo não é para ficar quente tá vai dar

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no copinho na colinha alimentadora para

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você conseguir dormir aí você vai ver

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que no dia seguinte seu leite vai

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aumentar muito porque a mãe dormir à

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noite é fundamental Tá bom então não é

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uma obrigação ordenhar mas é sim é uma

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estratégia para que a mamãe consiga dar

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em algum momento que o neném tá

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demandando mais e para dar também para

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alguém na rede de apoio ou o papai dá em

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algum momento para que a mamãe consiga

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descansar ou para que a mamãe consiga

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fazer academia ou vou sair Olha pra

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academia o leitinho tá ali na geladeira

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só você aquecendo mã e Maria caso o

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fulaninho ou a fulaninha precise e é

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fundamental pra mãe cuidar o autocuidado

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então fazer atividade física ter um HOB

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dormir bem à noite isso é fundamental

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sem isso o leite materno ai as pessoas

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que criticam ai não pode dar leite

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ordenhado porque isso diminui a produção

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de leite pelo contrário se você der um

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leite ordenhado para você dormir vai

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aumentar muito o seu seu leite né então

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pode ser usado é obrigatório não é mas é

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uma estratégia boa e pode ajudar a tirar

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mamãe da privação ou prevenir privação

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de sono Uma Noite duas noites na semana

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que você tiver alguém para fazer isso

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por você te dar o leitinho para você

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dormir você vai ver como muda a

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qualidade de vida tá bom e sempre tomar

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com muito cuidado na hora de de ordenhar

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e armazenar tem que ser um ambiente tem

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que ser um potinho esterilizado né sem

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risco de contaminação ali

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