Susu Ibu Cukup Untuk Anak Kembar

Soalan:SAYA bakal melahirkan anak kembar tidak lama lagi. Saya berazam memberikan penyusuan ibu secara eksklusif kepada bayi-bayi saya. Bolehkah doktor berikan panduan terbaik untuk menyusukan anak kembar nanti. Memandangkan saya seorang ibu yang bekerja, sekurang-kurangnya saya mahu melakukannya secara eksklusif selama enam bulan.

- Su, Johor.

Puan Su, nampaknya anda akan mendapat rezeki berganda. Jaga kesihatan diri dan juga bayi kembar dalam kandungan. Dapatkan pemeriksaan antenatal (kehamilan) berkala mengikut yang dijadualkan. Harap Puan dapat mula mencari dan membaca ilmu tentang penyusuan terutamanya penyusuan anak kembar, dengan membaca pengalaman ibu-ibu yang menyusukan anak mereka pada blog-blog, bertanyakan jururawat ketika pemeriksaan antenatal dan sebagainya. Ini adalah untuk persedian minda dan mental, manakala untuk persediaan fizikal anda perlu mengambil pil-pil vitamin yang disarankan oleh doktor dan mengambil makanan berkhasiat terutamanya produk yang tinggi kandungan protein. Justeru itu, Puan hendaklah juga sentiasa menjaga kesihatan puting payu dara, sentiasa membersihkannya ketika mandi supaya tidak tersumbat dan lembut dan menarik puting semoga ia terkeluar (everted) bagi memudahkan bayi menghisap.

Menyusu bayi kembar adalah cabaran bagi ibu bapa yang istimewa dan hebat. Sebaik mengetahui kandungan adalah bayi kembar, ibu-ibu (dan juga bapa-bapa) perlu bersedia dari segi fizikal dan mental menerima kehadiran dua bayi serentak, bersedia kemungkinan bayi lahir pramatang, bersedia kemungkinan kelahiran secara pembedahan caesarean dan membuat perancangan corak penyusuan kepada bayi.

Persediaan mental juga adalah sangat penting bagi ibu yang bercadang memberikan penyusuan eksklusif untuk bayi kembar kerana akan timbul persoalan tentang “susu tidak cukup”. Ramai menganggap susu ibu akan tidak cukup lebih-lebih lagi pada hari-hari awal kelahiran, maka salah seorang atau kedua- duanya secara bergilir mungkin akan diberi susu formula! Ini adalah suatu persepsi yang salah.

Para ibu harus sedar dan yakin bahawa berapa ramai pun kembar yang dilahir serentak, susu ibu pasti cukup untuk mereka. Beberapa panduan yang boleh diamalkan adalah dengan menyusu bayi seawal satu jam pertama dilahirkan. Ramai ibu sudah sedia maklum tentang keperluan menyusu seawal satu jam pertama ini untuk merangsang penghasilan susu ibu. Sekiranya ibu melahirkan bayi pramatang dan kurang berat badan, penyusuan ibu adalah ‘ubat’ paling mujarab untuk menambah berat badan bayi. Ini kerana susu ibu memang dicipta untuk bayi baru lahir walau berapa pun usianya ketika dia lahir. Sekiranya ibu melahirkan bayi secara pembedahan caesarean, mintalah bantuan jururawat untuk memperbaiki posisi ibu ketika menyusu pada jam pertama. Sebaiknya berbincang terlebih awal dengan doktor atau jururawat yang bertugas agar hasrat ibu untuk menyusu pada 1 jam pertama dapat diimplementasikan.

Panduan seterusnya adalah dengan menyusu bayi sekerap mungkin. Secara puratanya bayi baru lahir menyusu antara lapan hingga 12 kali dalam tempoh 24 jam. Bagi bayi kembar, ibu-ibu boleh menyusu kedua-duanya serentak pada masa yang sama atau secara bergilir mengikut keselesaan ibu. Pada minggu-minggu pertama mungkin ibu-ibu akan merasakan bayi menyusu agak kerap dan keadaan ini akan meletihkan ibu. Ia adalah perkara normal sebelum bayi menunjukkan pola penyusuannya selepas usianya sebulan. Malah perkara ini harus diterima secara positif oleh ibu kerana ia menandakan keperluan bayi untuk menyusu tinggi maka ia akan menghantar isyarat ke otak bahawa penghasilan susu ibu harus ditingkatkan. Susukan bayi sebelum dia menangis. Pada hari-hari awal kelahiran, biasakan rutin menyusu setiap setengah jam. Jika ibu menyusu bayi seorang demi seorang aturkan masa menyusu supaya si kembar tidak menangis ketika yang seorang lagi sedang menyusu.

Ibu juga perlu perbanyakkan rehat. Ibu-ibu perlu berehat dengan secukupnya untuk mengurangkan stres yang akan mengganggu penghasilan susu ibu. Ibu boleh tidur dan berehat apabila bayi tidur. Sesetengah ibu selalu menjadikan masa tidur bayi sebagai masa ibu untuk membuat kerja. Ini adalah kurang tepat kerana ibu juga perlu berehat dan menenangkan fikiran. Suami harus memainkan peranan membantu menguruskan perkara-perkara lain sementara ibu menumpukan lebih perhatian kepada menguruskan bayi.

Minum banyak air dan makan makanan berkhasiat. Air adalah komponen penting dalam penghasilan susu ibu. Amalkan minum air sambil menyusu atau selepas menyusu sekurang-kurangnya segelas air, jus atau susu. Ibu menyusu perlu makan makanan berkhasiat secukupnya untuk menampung kehilangan kalori semasa penyusuan. Ibu-ibu juga digalakkan makan vitamin, kalsium dan zat besi seperti yang diambil semasa hamil.

Anda perlu mengehadkan pelawat. Perkara ini mungkin agak sukar untuk dilakukan kerana ramai pelawat yang terdiri daripada rakan-rakan, jiran dan saudara mara ingin berkongsi kegembiraan dengan kehadiran bayi kembar. Namun begitu ibu masih perlu memperuntukkan masa bersama bayi terutama privasi ketika menyusukan bayi. Minta pelawat tinggalkan bilik ketika masa menyusu telah tiba, ambil masa privasi anda kerana ia penting untuk memastikan kelangsungan produksi susu ibu.

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