Breastfeeding Tips for the New Mom

By: Alice Langholt

If you are new to breastfeeding, don't worry, you're not alone and there are plenty of breastfeeding tips out there. It may look like the most natural thing in the world, but so do walking and throwing a ball, and those were things you had to learn.

The first step is to relax and feel confident about your choice. According to the American Academy of Pediatrics, breastfeeding is the best way to feed your infant. In fact, breastfeeding is encouraged until at least the age of twelve months, with no additional supplements until at least the age of six months. Breast milk provides antibodies that help to build your baby's immune system. It also changes in composition as your baby grows, providing precise nutrition for your baby's growing body.

Getting Started
Most mothers need some form of breastfeeding help. This should be provided by your doctor or a lactation consultant right after your baby is born. Newborns tend to be hungry and may have a strong sucking reflex shortly after birth. This is the time to get started.

Cradle your baby gently so that his or her head can easily reach your breast. Rub your nipple against your baby's mouth until it opens, then push your nipple into the mouth. Your baby should latch on by pressing the gums around the top and bottom of your nipple, with the lips pulled back and encircling the aerola, forming a seal.

Don't be surprised if it takes a few tries to get it right. If you feel pain, it means you're your baby hasn't latched on properly. Break the suction by gently pushing down on your baby's lower lip and try again. Give your baby plenty of chances to practice, and you'll both be comfortable quickly.

Signs of Success
When your baby is feeding properly, you will often feel a tingle in your breasts followed by the release of milk from both breasts. This is known as "letting down" and it makes it easier for your baby to feed.

Sometimes, rapid letting down can cause your baby to cough. If this happens, squeeze your breast just before feeding to release some of the milk. You can also use a breast pump to collect the milk and store it for later feedings. Be sure to alternate breasts, which helps prevent engorgement and ensures proper development for your baby.

It can take a few days for your breast milk to fully flow. Keep at it during this time, as the stimulation from your baby is essential in triggering milk production. Once regular feeding begins, you'll know your baby is getting enough milk if you see five to seven wet diapers a day and three or four bowel movements. Check your baby's weight gain as well, and speak to your physician if you suspect your baby isn't getting enough to eat.

Breastfeeding Problems
In some cases, breastfeeding may not be possible, or may not be the best choice.

  • You received drugs during delivery. Some pain medications used during delivery can make your baby lethargic for the first few days. This can cause a delay in breastfeeding, but it typically doesn't rule it out as an option.
  • You delivered via c-section. You may be physically unable to support your baby for breastfeeding until after your incision heals. Medications may also interfere with your body's ability to produce milk. Talk to a lactation consultant to weigh your options.
  • Your baby cannot latch on properly. In some cases, a baby is physically unable to latch on to the mother correctly. If this happens, bottle feeding is the only option.
  • You have had breast augmentation surgery. Women who have had breast implants may or may not be able to breastfeed, depending on the nature of the surgery and the incision. If milk ducts were severed or nerves to the areolas were cut, breastfeeding may be impossible. Talk to a lactation consultant before you give birth to understand your options.
  • You have a disease or take certain medications. Certain illnesses and medications can be transferred to your baby through breast milk. Your doctor will advise you if breastfeeding is safe. In some cases, you may be able to substitute medications that won't affect your baby.

While you're breastfeeding, you'll want to get about 500 calories a day above your usual intake to keep breast milk flowing. That means putting off any dieting to lose weight gained during pregnancy until after your baby has been weaned. On the plus side, some mothers find that breastfeeding helps them get back to their pre-pregnancy weight faster. You should also avoid alcohol and keep caffeine intake low, as both are transferred to your baby through breast milk.

Breastfeeding in Public
One of the biggest issues mothers face when breastfeeding is feeding baby in public. This very joyous task can become unnerving for mothers when an audience is in attendance. And since babies pick up on mom's nervousness, baby will also be nervous, which can make the entire feeding process both painful and embarrassing.

Discretion is the key. When baby needs to be fed, simply hold baby on your lap, toss a lightweight receiving blanket over your shoulder and feed your baby. Baby is content and you needn't worry about feeling awkward or the center of attention. Some nursing blouses also cater to this issue by enfolding your baby into the blouse completely.

Breastfeeding Tips for Working Mothers
If you live close enough to work, you can feed your baby in the morning, head home to feed baby again at lunch-possibly again in the afternoon-and then on your own schedule once you get home. Remember that your baby is not always on a schedule and when your milk lets down you can become very uncomfortable.

One good way to work and still breastfeed is to express your milk with a breast pump. If possible, take a breast pump to work with you and use it during break time or lunch and save milk for later. Store milk in small amounts in a refrigerator or cooler filled with ice packs. Breast milk should be discarded if not used within 24 hours. If you can wait until you get home to feed baby, it's best not to pump.
 
If you work a long distance from home, you might consider hiring a caregiver who lives near work. You can also check with your employer to find out if you can nurse your baby during lunch or break time, or to work part time or telecommute until your baby is weaned. Most employers will work with you during this time.

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