Breastfeeding Guide

In the past, new mothers had older generations of mentors to help teach breastfeeding, so it probably came "naturally" because it was being taught to them! Nowadays, many new moms get a crash course in breastfeeding at the hospital right after their baby's birth. Unfortunately, this one-time instruction may not be enough.

Breastfeeding takes patience and practice. If you are having trouble with, for example, getting your baby to latch on, or you find that the process is causing you pain, then seek out help from other mothers, from your nurse or midwife, from a course taught at the hospital or other support center. Breastfeeding is good for you and your baby. But it should be a pleasant act, not one filled will worry and tears.

 Get an Early Start 

A good time to begin breastfeeding is soon after delivery, if possible, when baby is awake and the sucking instinct is strong. Even though you won't be producing milk yet, your breasts contain colostrum, a thin fluid that contains antibodies.

 Proper Positioning 

Your baby's mouth should be wide open, with your nipple as far back into her mouth as possible. This will minimize future soreness for you. A nurse, midwife or other knowledgeable person can help you find a comfortable nursing position. If you're very sore, chances are your baby may not have the nipple far enough back in her mouth.

 Nurse on Demand 

Newborns need to nurse frequently, about every two hours, and not on any strict schedule. Feeding on demand will stimulate your breasts to produce plenty of milk. Later, your baby can settle into a more predictable routine. But because breast milk is more easily digested than formula, breast-fed babies often eat more frequently than bottle-fed babies.

 Engorgement 

As a new mother you may produce lots of milk, which can make your breasts big, hard and painful for a few days. To relieve this engorgement, you should feed your baby frequently and on demand until your body adjusts and produces only what your baby needs. In the meantime, you can take over-the-counter pain relievers, apply warm compresses to your breasts for a few minutes before feeding to stimulate milk flow and ice your breasts for 10 minutes before or after for additional pain relief.

 No Supplements  

Don't give your baby sugar water or other supplements if you feel that you're not producing enough milk. This may actually interfere with your baby's appetite for nursing, and that can lead to a diminished milk supply. The more your baby nurses, the more milk you will produce. If you are concerned about your baby not getting enough to eat, talk to your doctor.

 Delay Using Artificial Nipples 

Avoid using pacifiers or artificial nipples until breastfeeding is well-established. Artificial nipples require a different sucking action than real ones, and using a bottle makes it harder for her to continue to breastfeed.

 Use Nursing Pads 

Use nursing pads to help eliminate embarrassing leakage between feedings.

 Spitting Up 

It's common for babies to spit up during or after a feeding. Most babies will outgrow this by their first birthday. Although run-of-the-mill spitting up is common, consult a doctor if baby is not gaining weight, vomits consistently (versus just spitting up), refuses feeding or you see other signs of a problem.

 Nipple Cracking 

In the early postpartum period, you may experience cracking. If this happens, check with your healthcare provider, midwife or lactation consultant to get practical advice. If your nipples do crack, rinse with clean water after nursing and gently cleanse daily. Applying a safe, appropriate nipple cream or ointment can also be helpful. Be sure to talk to your healthcare provider if the condition continues or is interfering with breastfeeding your baby.

 Watch for Infection 

Symptoms of breast infection include fever, painful lumps and redness in the breast. These require immediate medical attention.

 Eat Right and Get Rest 

Breastfeeding mothers should eat a balanced, nutritional diet, which generally should include an extra 500 calories a day. Consider giving up caffeine altogether and avoid alcohol. Also be sure to drink plenty of fluids (6-8 glasses) each day. Rest and quality sleep are also essential for helping to maintain your own good health.