I Advice - Health and Fitness

Hi, I'm a mother of two young boys and breastfed both of them successfully. I am not a registered nurse, merely an experienced mother and breast-feeder. I would love to help you if you

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

are struggling with nursing and/or have questions or require advice on best positions, etc.

My FREE advice is merely my opinion based on my successful experience (and struggle and yes, it

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

can be a struggle but doesn't have to feel like a "failure").

Please email me : mailto:esdonmez@yahoo.ca . But if you're struggling today listen up:

1) buy a nursing pillow -- my husband

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

calls it a padded C-clamp, but basically it's a plump pillow that looks like a C and fits around your middle. Sit in a chair that has higher armrests, position the baby so that s/he is ri

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

ht on target to your nipple and guide the nipple (with your fingers--it's ALRIGHT to touch your boobs ) into the baby's mouth. Try it a few times but DON't pull your nipple out without gen

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

ly inserting your baby finger into your baby's mouth to "unlatch". Half the time the reason why your nipples get sore & cracked is from pulling away. Babies have an exceptionally strong su

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

ction so just be patient and YOU control pulling away by 'unplugging' with your baby finger.

2) If having trouble, LIE DOWN with the baby to nurse. Put the baby beside you, with you on yo

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

r side. Use a pillow or rolled towel to keep the baby on his/her side and you can either lie down with your arm supporting your head and your breast alongside the baby OR use your elbow to

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

prop up and guide the nipple downwards into the baby's waiting mouth. This will help the milk flow as well and the baby will probably be more gentle as there's less need for him/her to suc

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

le hard.

3) drink LOTS and LOTS. I found this even more important than eating was to drink milk, water, gatorade, juice, a LOT! Get your spouse, siblings, parents, and/or friends involved

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

especially in the 1st month. You've done a lot for them, let them "spoil" you!

4) give yourself a break! if you are determined to breastfeed, but when it gets uncomfortable and sore you d

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

ecide that you just can't do it, realize that it's meant to be a challenge! You are your baby's food source and the getting isn't always meant to be easy! It's not a failure, it's a hurdle

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

that you either decide to overcome (by adjusting and finding the right "fit") or move on to another option (ie. supplementing or formula). YOU ARE NOT A FAILURE! Take a break and like I sa

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

d above, lie down with the baby and try nursing that way.

5) Warm showers and baths are really a "milk" releaser. Or before you nurse, for a few seconds, put a warm cloth on your cleavage

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

area (not nipples) and relish the heat and relax a bit. Believe me, relaxing is the top way to release the flow of milk.

6) Feed your baby whenever you can and whenever s/he wants it! Sto

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

looking at the clock, forget about the advice from your babyboomer mother/grandmother, don't worry about the time, pay attention to your child! Offer the boob at ALL times. It's a great s

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

tress-reliever for the baby and a great opportunity for bonding and security. If s/he's fussy, try the boob first. If s/he won't go to sleep, try the boob. If s/he is puking or has a gassy

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

tummy, try the boob. It's pure comfort for a baby to be held and to suckle. And relish in that feeling. Hold him/her as much as possible. Who cares about anything else at that point -- as

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

for help with laundry, cooking, dishes, etc. or just ignore them for the moment -- and just HOLD your baby. Chances are, if you are holding the baby skin-to-skin, then s/he will want to n

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

rse and the more your nurse, the easier it becomes. GO topless when holding your baby as much as possible--you'll be surprised how much milk will actually flow!

Take care all & good night

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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