Breast Feeding

What is "lactation"?

Lactation is the process of making milk in a woman's breasts and the process of then giving that to the baby, whether through pumping and providing it in a bottle, or through breastfeeding.

What's in breast milk?

Breast milk is made of hundreds of different elements. It's made of living growth factors aswell as vitamins, minerals and protiens - all what we know as nutrition. Breast milk can grow tissue on its own. Breast milk attacks bacteria. It is a wonderful fluid that just passes from mother to baby to help the baby grow.

Should I breastfeed my baby?

Every woman should do as much as it takes to be able to provide breast milk to her baby throughout the first year. We've discovered with breast milk even teaches the gut how to grow and mature. There's nothing in this world that will replace breast milk. Yes, there are formulas on the market, and there are options, but there is absolutely nothing in this world that will ever be what breast milk is for your baby.

When should I start breastfeeding my baby?

As soon as that baby comes out, as soon as you deliver your baby, you should ask to have it placed on your stomach, and the baby will begin a process of moving towards the breast. You can help guide that so that the baby can have its first breastfeeding within the first five to thirty minutes of life. It's really important for both mother and baby that that breastfeeding gets started. It's an important part of letting that baby know it's safe and secure, but also providing colostrum, which is a protective ingredient in breastmilk that will help your baby to avoid illness in the first year.

Does breastfeeding hurt?

Pain is really subjective, so it's hard to answer that question in a straightforward way. Breastfeeding should never be so painful that you recoil from it - the immediate reaction people have to pain. However, a little tenderness is normal. It's a very sensitive part of your body. If the baby doesn't latch on exactly the right way, it's probably going to be like having someone flick your hand. However, if it hurts more than that, you may have a problem and need to go talk to somebody.

What is a lactation educator?

A lactation educator is someone that just gives information about breastfeeding. They're not the clinicians. I frequently call them the nurses to the doctors of the clinical consultants for breastfeeding. Actual problems would have to be solved by the "doctors" of breastfeeding who would be the consultants. So lactation educators are there to make sure that people understand what breastfeeding is about and how it gets done in general unless there's a problem.

How can a lactation educator help new mothers?

A lactation educator could help a new mother by giving her the information she needs before the baby is born. It's very natural to be stressed and concerned, and thinking that there are a lot of problems that maybe not even exist at that point. So, by having the information beforehand, having talked to a lactation educator, a mother can feel much more confident in initiating and maintaining breastfeeding. If a problem arises after the baby is at the breast or just in the whole process of starting the breastfeeding, then a lactation educator could help a mother find the resources that she needs in the community to solve that problem.

What nursing supplies does a new mother need?

The great part about breastfeeding is that evolution has ensured that all the supplies you need are you, your baby and something to put a foot on, whether that be a rock, a cushion, a stool or whatever makes you comfortable. However, we do live in a society where we like lots of material goods and sometimes we feel more comfortable if we feel like we have supplies. The most important things to have on hand are a couple of really good reference books, one of which would be “Medications and Mothers' Milk” so that you know if what you're taking is safe for your baby and another would be “The Womanly Art of Breastfeeding” which is written by the La Leche League and can answer pretty much any question that you have come up. There's a whole lot of other supplies you'll find out there - everything from pillows to nursing bras to nursing shirts and different creams. I do recommend you have Lansinoh Cream, which is non-toxic. It can help you with any pain you might experience and also help the baby to latch. Other than that, try the products, go and experiment with them, find what works for you and makes you feel most comfortable with the process.

My baby has teeth. Can I still breastfeed?

Most definitely. The teeth don't get involved in breastfeeding at all. Babies don't chew when they breastfeed. The baby's teeth are far behind where your breast is, as it uses it's lips to compress and get the milk out. So, even once a baby has teeth it'll curve it's lips over the actual teeth and not injure the mother at all. If the baby's biting, it's because the baby has a shallow latch and you need to pull the baby off with a good firm no, and then let it reattach and it will curl it's lips under and avoid biting its mother.

How often should I breast feed my baby?

You should breast feed your baby as often as your baby gets hungry. In the beginning, babies have very, very small stomachs. It's going to breast feed very often in the beginning, so you want to make sure that you're providing milk every time that little, tiny stomach gets empty. Most babies have pretty clear signals when they're hungry. They're going to bring their little fists up to their face and start licking them, moving their nose, sniffing, looking around pretty intently for their mother. If your baby's doing that, and you bring it to your chest, and all of a sudden it starts looking for the inside of your shirt, you know your baby's hungry. As your baby grows, its stomach will grow about in line with the size of its fist. After about six weeks, it's about this size, so babies will have longer sessions, and less often, because they have more space to fill, and around six months, your baby's stomach will be up to a bigger size. At that point, you'll have what's considered a normal breast feeding session, which is every three to four hours, and the baby'll stay on for about thirty minutes.

How long should a breast feeding session last?

A breast feeding session can last anywhere from five minutes to an hour depending on the age and the size of your baby, and at what period in the baby's life it currently is. It's development changes very quickly, as you'll notice. In the beginning, babies are developing a mother's milk supply, so they tend to stay attached for a very long time. It's not unusual for a newborn baby to nurse for forty minutes every hour. That's very frustrating for mothers in the beginning, but it's nature's way of making you stop, relax, and watch your baby. As the baby ages, it'll want to play more than it wants to eat, so breast feeding sessions will become shorter, and have a little space in between them, but it's really dependent on the baby. You want to leave the baby at the breast as long as you see its little jaw sliding back and forth and it's telling you that it's enjoying breast feeding. When the baby comes off, you may want to burp it, let it have a little break, and then offer the other side. If it goes to the other side and kind of wrinkles its nose and pulls off, it's not hungry anymore. If it attaches and drinks for longer, then it wanted that side. The baby will let its mother know how much it wants to eat.

At what age should I stop breastfeeding a child?

You should continue to breastfeed your child until you and your baby have made a decision to stop breastfeeding. There's no set age limit. The American Academy of Pediatrics recommends and requests that you breastfeed your baby up to one year. However, at any point during that time it will be between you and your baby if breastfeeding continues to be an important part of the mother-baby dynamic. Breastfeeding is about you and your baby being in synergy and understanding one another. So, when that comes to a point that it's no longer the right choice, you'll know it and your baby will know it. If that's at nine months and you're ready to transition, or if it's at 19 months, that's between mother and baby.

Is it risky to have someone else breastfeed my baby?

In many cultures, it's common to have more than one person breastfeed a single baby. Historically, this has even been a normal job for women - a career in breastfeeding other people's babies. As you decide if you are going to let a neighbor breastfeed your baby or if you would like someone else to do it altogether or to hire out, bare in mind that such thinking is not common in our culture and there may even be some ramifications that your doctor might have ideas about. Be aware of the following risks involved in letting someone else breasfeed your baby. Some diseases do pass from breastmilk. You should know for certain that this person does not have Hepatitis B or HIV before you allow them to breastfeed your child. In the same vein, you can request donor milk. This is very expensive. However, donor milk has been pasteurized, purified, and tested for all diseases that could possibly be passed along from breast milk.

What is "donor milk"?

Donor milk is breast milk that has been pumped by another mother and sent to a facility for pasteurization and purification. Donor milk can be purchased and given to another baby, mainly risk-free, and is done in many hospitals, especially among premature infants, who benefit greatly from the use of breast milk.

When would my baby need donor milk?

Donor milk is available for any baby of any mother who wishes to purchase it. However, it's extremely expensive. The only time you would likely see donor milk used on your baby would be with your permission in a NICU or neonatal facility. The purpose is that donor's milk allows the baby's gut to develop more rapidly and can save them from certain infections. Babies who are given donor milk generally do better in a NICU environment as they handle ventilation better and they tend to go home sooner.