August is World Breastfeeding Month. Breastfeeding is one of the earliest interventions for good nutrition and health benefits. Whether you’re a new mom or a seasoned parenting pro, breastfeeding often comes with its fair share of questions. Lupe Cruz, LDS Hospital Certified Nurse Midwife shares some answers to common questions that mothers — new and veteran — may have.
1. Does breastfeeding hurt?
- Normal soreness as breasts and nipples become accustomed to breastfeeding
- Baby’s latch: is it correct, tongue-tie.
- Hind milk comes in: fullness, tightness.
- Pain, redness, bleeding nipples is not normal
2. How do I know if baby’s is latched on correctly?
- Belly to belly
- Wide open mouth
- Nose and mouth touching breast, baby in a “sniffing position”
- No audible clicking noise
- Support baby’s back and neck
3. How do I know baby’s getting enough milk?
- Body typically produces what your baby needs (not always)
- 6-8 wet diapers and 3-4 bowel movements in a 24 hour period
- Baby cues: Satiety, milk in corners of mouth, comfort
o Prior to bottles, this was never a question. Breasts produce by supply and demand.
- Baby’s stomach capacity:
- Day 1: 5-7ml (small marble)
- Day 3: 0.75-1oz. (shooter marble)
- Day 7: 1.5-2oz. (Ping-Pong ball)
4. What if I don’t have large breasts/breasts too large?
- Breast has nothing to do with milk production
- Changes in breast tissue allow the breast to produce milk
- Implants/Reduction: may be an issue.
5. Why do I not have any milk after my baby is born?
- You DO! It is called colostrum and we call it liquid gold. It is thick, yellowish, sticky.
- Baby’s first meal: low fat, high carbohydrates, protein, and antibodies to help keep baby healthy. Easily digestible, has a laxative effect
- Coats baby’s stomach: helping to “seal” the permeable surface of the baby’s stomach.
- Regular milk supply comes in 3-4 days postpartum and is more white/opaque, thinner
- Varies in amount and consistency according to baby’s needs.
6. When should I worry?
- Severe pain, fever, redness, bleeding nipples
- Baby is not having sufficient wet diapers or soiled diapers.
- Medication: make sure any medication you take is safe while breastfeeding
7. Breastfeeding Law in Utah:
- Public: The county legislative body may not prohibit a woman’s breastfeeding in any location where she otherwise may rightfully be, irrespective of whether the breast is uncovered during or incidental to breastfeeding.
- Workplace: A private place and reasonable breaks are required (not the bathroom/break room)
8. Where do I go for help?
- Midwife/Certified lactation educator, Certified Lactation consultant
- Ask for help in the hospital; nurses, lactation educators
- Contact your local La Leche League: http://www.llli.org
Visit www.LDSHospital.org/healthyliving for more LiVe Well segments.
This story includes sponsored content.