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Infant Reflux and Breastfeeding: How to Feed a Baby With Reflux Comfortably

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Infant Reflux

Bringing your new baby home sparks joy, yet it can be tough, too. Lack of sleep and new meal modes make it hard. A big worry for many is when the baby spits up or shows signs of reflux. A little spit-up is normal, but if there’s a lot of pain, moms may wonder how to ease their baby’s feeding. Learning about baby reflux and how it ties to breastfeeding helps parents soothe their baby and ease feed times. Plus, just as helpful tools like a feeding bottle washer make things clean and simple, having good plans can ease feeding with reflux.

What Is Infant Reflux and How Common Is It?

Baby reflux means food from the belly moves back up to the throat, and it might come out as spit-up after eating. This happens because a baby’s inside parts are still growing, such as the muscle that keeps food down. Many babies deal with this, and in fact, studies show that nearly half of all babies under three months spit up at least once daily. The good news is, most babies get better from it by 12 to 18 months as their bodies grow.

Signs Your Breastfed Baby Might Have Reflux

Now and then, babies may spit up, which is normal. But those with reflux might also show signs like:

  • Lots of spit-up or throwing up post-meals.
  • Being cranky or upset, mostly when eating.
  • Bending their back during or after feeding.
  • Gagging, coughing, or hiccupping.
  • Not putting on weight or growing slowly if it’s bad.

We need to know that light reflux, not messing with a baby’s weight or ease, is often called “happy spitting.” Yet, if your baby looks in pain or isn’t doing well, they might need changes or doctor help.

Why Reflux Happens in Young Babies

The main cause of acid reflux in babies is that their food pipes are not yet fully grown. The muscle that stops food from going back up is not strong enough to hold milk down all the time.

Other things may play a part too:

  1. Giving too much food or feeding too fast.
  2. Taking in air while feeding.
  3. Not taking well to some foods the mom eats (but this is rare).
  4. How the baby sits or lies during or after feeds.

The big problem is growth, and time can be the best help. But for now, there are some ways to ease the signs and help both the baby and mom feel good.

Breastfeeding Positions reflux

Breastfeeding Positions That Can Help With Reflux

The way you feed your baby can cut down on reflux. Keeping the baby up a bit when feeding helps since gravity keeps milk down. Here are a few ways you can try:

  • Laid-back breastfeeding: Mom reclines slightly with baby lying tummy-down across her chest, which slows milk flow and uses gravity to help digestion.
  • Upright cradle hold: Holding the baby more vertically in the cradle position allows milk to go down smoothly.
  • Football hold: Tucking the baby under the arm, while keeping them elevated, can also help babies with reflux.

Trying out different ways can show what is best for your baby.

Feeding Tips to Reduce Spit-Up and Discomfort

Making a few tiny shifts in how you feed can also cut down on spit-up:

  1. Give less food, but more often, instead of long feed times.
  2. Let the baby stop and gulp down each bit to keep air out.
  3. Keep the baby cool and still before and during feeds — crying makes them suck in more air.
  4. Don’t shake, jump, or lay the baby down flat just after feeding.

These little acts can help keep feeding easy for both baby and mom.

How Milk Supply and Letdown Might Affect Reflux

For some moms who feed from the breast, too much milk or a fast milk flow can cause reflux. When milk comes too fast, babies might gulp, take in air, and feel too much, which can make them spit up or get fussy. If you think this is true, try:

  • Let out some milk before feeding to make the first flow slower.
  • Feed while leaning back so gravity can slow the milk down.
  • Give milk from just one side each time to cut down on too much milk.

Handling the amount of milk doesn’t cut back on the nutrition—it just makes feeding better for babies.

Burping and Post-Feeding Routines That Support Digestion

After feeding, it’s key to burp babies who have reflux. Air in the belly adds to the pressure, so letting it out helps ease pain. Good ways to burp are:

  • Hold the baby up close to your chest and softly pat the back
  • Sit the baby on your lap, keep the head and chest up, and rub the back
  • Try to burp when halfway done with the feed, not just after

After feeding, hold the baby up for 20 to 30 minutes to cut down on spit-up. Many parents hold their little ones in carriers to keep them up and use their hands for other things.

When to Talk to a Pediatrician About Persistent Symptoms

Most of the time, acid reflux is not bad and gets better as kids grow. But it can mean a bigger issue called GERD (stomach acid reflux disease) in some cases. You should talk to a child doctor if your little one:

  • Does not put on weight or loses weight.
  • Cries a lot after or while they feed.
  • Does not want to eat or seems hurt when eating.
  • Throw up spit that is green, yellow, or has blood.
  • Finds it hard to breathe, chokes, or coughs a lot.

Doctors might say to change how you feed them, give medicine, or, not often, do more tests.

Practical Tools That Can Help Parents

Handling reflux is not just about how a baby sits or when they burp. It’s also about keeping the feeding tools clean and safe. Many moms and dads choose to use a bottle washer to clean each day, more so if they use both direct feeding and pumped milk. To make sure bottles, nipples, and pump parts are well washed and free of germs can reduce germs and help a baby’s soft tummy.

Using the right feeding methods with clean tools leads to better health habits overall.

Conclusion

Baby spit-up is a thing many moms who feed with milk know well. It can be tough to deal with the mess or the baby crying often, but understanding what it is and making small tweaks can help a lot. From holding the baby right while feeding and taking it slow, to burping them more and keeping them upright, moms can make their little one feel better while still having good feed times. If the problems stay or get worse, a chat with a baby doctor ensures the baby gets the care they need. Over time, trying new things and using tools like a strong bottle washer, handling baby spit-up gets simpler. As the baby grows, and their belly gets used to food, most spit-up issues end — this leads to happier feed times and peaceful times for both mom and baby.

Dipo Olowookere is a journalist based in Nigeria that has passion for reporting business news stories. At his leisure time, he watches football and supports 3SC of Ibadan. Mr Olowookere can be reached via [email protected]

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Health

Lagos Steps up Mandatory Health Insurance Drive

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Mandatory Health Insurance Drive

By Modupe Gbadeyanka

Efforts to entrench mandatory health insurance through the Ilera Eko Social Health Insurance Scheme in Lagos State have been stepped by the state government.

This was done with the formal investiture of the Commissioner for Health, Professor Akin Abayomi, and the Special Adviser to the Governor on Health, Mrs Kemi Ogunyemi, as Enforcement Leads of the Lagos State Health Scheme Executive Order and ILERA EKO Champions.

The Commissioner described the recognition as both symbolic and strategic, noting that Lagos is deliberately shifting residents away from out-of-pocket healthcare spending to insurance-based financing.

“We have been battling with how to increase enrolment in ILERA EKO and change the culture of cash payment for healthcare. Insurance is a social safety net, and this mindset shift is non-negotiable,” he said.

He recalled that Lagos became the first state to domesticate the 2022 National Health Insurance Authority (NHIA) Act through an Executive Order issued in July 2024, making health insurance mandatory. He stressed that the decision reflected the Governor’s strong commitment to healthcare financing reform, adding, “When Mr. Governor personally edits and re-edits a document, it shows how critical that issue is to the future of Lagosians.”

Mr Abayomi also warned against stigmatisation of insured patients, describing negative attitudes towards Ilera Eko enrolees as a major barrier to uptake. “If someone presents an Ilera Eko card and is treated as inferior, uptake will suffer. That must stop,” he said, pledging to prioritise insurance compliance during facility inspections. “The key question I will keep asking is: ‘Where is the Ilera Eko?’”

In her remarks, Mrs Ogunyemi, said the enforcement role goes beyond a title, stressing that the health insurance scheme is now law.

“This is about Universal Health Coverage and equitable access to quality healthcare for everyone in Lagos State,” she said, noting that ILERA EKO aligns with the state’s THEMES Plus Agenda.

She commended the Lagos State Health Management Agency (LASHMA) for aggressive sensitisation efforts across the state, saying constant visibility was necessary to address persistent gaps in public knowledge. “People are still asking, ‘What is Ilera Eko?’ ‘Where do I enrol?’ Those questions tell us the work must continue,” she said.

She urged all directors and health officials to mainstream Ilera Eko promotion in every programme and engagement, emphasising that responsibility for health insurance advocacy does not rest with LASHMA alone. “When people come with medical bills, the first question should be: are you insured?” she said, adding that early enrolment remains critical as premiums rise over time.

Earlier, the Permanent Secretary of LASHMA, Ms Emmanuella Zamba, said the investiture marked a critical step in positioning leadership to drive enforcement of the Executive Order across the public service.

“What we are undertaking is pioneering in Nigeria. All eyes are on Lagos as we demonstrate how mandatory health insurance can work,” she said.

Ms Zamba disclosed that enforcement nominees across Ministries, Departments and Agencies have been trained, with a structure in place to ensure compliance beyond the health sector.

According to her, “This initiative cuts across the entire public service, particularly public-facing MDAs, in line with the provisions of the Executive Order.”

She explained that the formal designation of the Commissioner and the Special Adviser as Enforcement Leaders was meant to strengthen compliance, alongside the Head of Service, while also recognising their consistent advocacy for universal health coverage. “This decoration is to amplify their roles and appreciate the leadership they have shown,” she said.

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Tinubu Transmits 24 Bills to Reduce Bloated Health Sector Boards to Senate

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Tinubu's Portrait

By Adedapo Adesanya

President Bola Tinubu has transmitted 24 bills for consideration of the Senate which seeks to reduce the country’s over-bloated board memberships in the health sector.

The bills were conveyed alongside a letter addressed to President of Senate, Godswill Akpabio, and read at plenary on Tuesday, in line with Section 58(2) of the 1999 Constitution of Federal Republic of Nigeria.

President  Tinubu said the proposed legislations followed a comprehensive review of existing health sector laws by the Attorney-General of the Federation and Minister of Justice.

He said the review, approved by the Federal Executive Council (FEC), was in collaboration with the Minister of Health and Social Welfare, Professor Muhammad Ali Pate.

According to the President, the bills aims at streamlining governance structures across health institutions by reducing over-bloated board memberships.

This, he said, would improve efficiency, effectiveness, and service delivery within the sector.

According to him, the proposed legislations cover a wide range of health institutions and regulatory bodies, including tertiary and teaching hospitals, specialty hospitals, professional councils, and regulatory agencies.

He said the bills transmitted to the Senate includes the National Hospital for Women and Children, Abuja, Federal Medical Centres, National Specialty Hospitals Management Board; Orthopaedic Hospitals Management Board

Others are the National Eye Centre, National Ear Care Centre, Nursing and Midwifery Council of Nigeria; Medical Laboratory Science Council of Nigeria, the National Agency for Food and Drug Administration and Control (NAFDAC) and the National Blood Service Agency, among others.

The President also listed additional legislative proposals such as the Records Officers Registration and Digital Health Bill 2025 and the Federal College of Complementary and Alternative Medicine Bill 2025.

President Tinubu expressed confidence that the Senate would give the bills careful and judicious consideration in the interest of strengthening Nigeria’s health sector.

After the letter accompanying the bills was read, Senate President referred all the 24 bills to the Senate Committee on Rules and Business for further legislative action.

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Africa Wellness Voices Initiative Promotes Mental Wellbeing

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Africa Wellness Voices Initiative AMVI

By Adedapo Adesanya

A new pan-African mental wellness campaign, the Africa Wellness Voices Initiative (AWVI), is set to launch this February, bringing together voices from across Africa to promote mental wellbeing, reduce stigma, and encourage supportive conversations around mental health.

Led by SereniMind, a mental health and wellness organization, AWVI will spotlight different African countries daily throughout February by sharing short wellness statements from individuals, organizations, youth leaders, and institutions.

Each daily feature will highlight local perspectives on mental wellbeing while reinforcing a shared continental message: mental health matters, it said in a statement shared with Business Post.

Mental health remains a critical but under-addressed issue across Africa. According to the World Health Organisation (WHO), depression affects more than 66 million people in the African Region, while mental health services remain limited in many countries. Young people are particularly affected, facing stigma, lack of awareness, and barriers to accessing support.

AWVI said it aims to address these gaps through a unified, prevention-focused awareness campaign that leverages digital platforms to reach communities across borders. In addition to featured voices, members of the public are encouraged to participate by sharing short wellness videos on social media, fostering grassroots engagement and peer-to-peer support.

Speaking on the initiative, Mr Oyenuga Ridwan, Founder of SereniMind, said: “Across Africa, too many people suffer in silence when it comes to mental health. Africa Wellness Voices Initiative is about unity, bringing together Africans from different countries, ages, and backgrounds to normalize conversations around wellbeing and remind people that seeking support is a strength, not a weakness.”

The February campaign is expected to reach 15–25 African countries, feature 60–120 individuals and organizations, and generate over 500,000 digital impressions across platforms including Instagram, LinkedIn, X (formerly Twitter), and TikTok. The organizers hope to scale the initiative in future editions to include all 54 African countries.

AWVI says it aligns with broader continental and global priorities on health, youth empowerment, and wellbeing, contributing to conversations around preventive mental health, community resilience, and inclusive development.

Through technology, partnerships, and community engagement, SereniMind works to promote wellbeing and reduce stigma around mental health.

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