276 4-2. 2. Give the baby both breasts evecy feeding tin1e to prevent nipple from gro,,ing sore. During the first days, feeding time should be limited to five minutes. This then is slowly increased up to 15-20 minutes per feecling. 4. 2. 3. TI1e milk feedings can be given every three to four hours or it can be given per demand. · 4. 2. 4. Both the baby and the mother should assume a comfortable position. a. If feeding is done ·. vith the mother is lying dov. 'Il, she should be on her side with her bead supported by her arm; the baby is placed on his side facing his mother and supported by a pillow. b. If U1efeeding is done whilethe motherissitting up, a comfortable chair must be used: if possible, her feet should be placed on a stool; 10 make both mother and baby more comfortable, a pillow may be used to support the arm carrying the baby or it may be placed under him. c. Make sw·e that the breasts doesn't press on the baby's nose. 4. 3. How to bottle-feed the baby: 4. 3. 1. Keep all supplies clean and sterilized. a. With a bottle brush. scrub the bottles, artificial nipples and caps with soapy water; squeeze some water through the holes in the nipples; rinse well. b. Place bottles ( upside down), utensils, nipples and caps in a large saucepan with enough water to cover the things being boiled; allow water to boil. c. Remove artificial nipples and caps (with a lndle or a pair of tongs) after the water has boiled for around three minutes; keep sterilized artificial nipples and caps in a clean covered container. d. Allow the other articles to boil for two minutes then remove; keep in clean covered container together with the caps and rubber nipples. 4. 3. 2. Observe clennlines s when preparing the milk formula. a. Wash hands before mokjng the milk formula. b. Whe·n using canned milk, wash the top part vnth soap and water before opening; wash also the can opener. 4. 3. 3. Use tl1e right proportion of milk to water. a. Powdere d milk-depends on the brand being used; most i_nfant formulas produced by Mead Johnson (like Alacta) and by Wyeth (like Ronna, S-26 and SMA) need one scoop of powdered milk for every tvvo ounces ofhoiled wot er while Nestle products Oike Lactogen, Nestogen. Nan and Pe Jargon) need one scoop of milk for every one ounce of boiled water. b. Evaporated or reconstituted milk-depends on the brand being used, but usually one ounce of milk is needed for every ounce of hoiled water. To make sure, c Jiec:k the direction given in each can. 4. 3. 4. Always use boiled water. 4. 3. 5. DO NOT USE CONDENSED MILK. 4. 4. Advise patient to burp tlie baby after each feeding. 5. 0 Based on 2. 0, instruct the patient on how to bathe the newborn during the first visit: 