I am very excited to now provide expert breastfeeding help at the office of Carolina Pediatrics of the Triad!
If you are looking for a pediatrician for your new baby, Carolina Pediatrics is now the only pediatric office in Greensboro offering Lactation Consultation services.
Carolina Pediatrics understands the importance of on-site breastfeeding help, and they have opened up office space for Greensboro Lactation Consultants to see families at the first weight check, or whenever concerns arise. Appointments are available on Monday, Tuesday, and Thursday mornings, and drop-ins are welcome.
Call, text, or email if you'd like breastfeeding help at Carolina Pediatrics.
Got (Enough) Milk?
As a Lactation Consultant, I have been asked everything under the sun that has anything to do with breastfeeding, from “can I drink some coffee?” to “can I nurse with a pierced nipple?” to “how does a pump work?” But by far, the most common question I get is, “am I making enough milk for my baby?” Weighing the baby over time is the best way to know if the baby is getting enough milk, but it’s impossible to weigh the baby every feeding or every day. There are some other great ways, besides weighing the baby, to know that breastfeeding is going well.
Here are 5 tips to help you know if your baby is getting enough breast milk:
1. You are feeding your baby very frequently, every time your baby acts hungry. If you are feeding your baby every time your baby acts hungry, 8 to 12 times (or more) every day, even if your baby just finished a meal, you are getting off to a great start. By offering very frequent, on-demand, unlimited feedings at an early age, you are making sure that your baby gets all the milk he or she needs, as well as triggering your body to make lots of milk in the coming weeks and months. Every time your baby latches, your baby is telling your breasts to make more milk. More feeds in the early days results in more milk in the coming months.
But how will you know that your baby has a good latch and is actually getting milk?...
2. You can hear your baby swallowing. All that chugging? That is the sound of your baby getting lots of milk. If you can hear your baby swallow frequently from day 5 on, you can be sure that your baby is drinking. Babies who are getting plenty of milk from breastfeeding will suck once or twice, then swallow, and they will repeat this suck, swallow pattern until…
3. Your baby is content and relaxed after a feeding. Babies are usually tense when they are showing hunger cues. Before the feeding, many babies have their fists clenched up and their arms pulled in tight to their bodies. As the feeding progresses, and you hear frequent swallowing, watch your baby’s arm and hand. The arm and hand will began to loosen and relax, and the fingers will splay open. A hungry baby will pull their arm in if you (gently) pull the hand away from the body. A full, satisfied baby will have a relaxed arm and hand, and when you lift the hand away from the baby’s body, the arm will drop like a wet noodle. The baby’s arm is a good gauge as to how satisfied the baby is after eating.
Your baby needs to have a wide mouth and a deep latch to make sure that he or she is getting enough milk. If your baby has a shallow latch, you could experience sore, painful nipples and engorgement. Another good sign that your baby is getting enough milk is that…
4. Your breasts and nipples are not in pain. Some women feel their breasts fill up every feeding, and some women don’t feel the filling as much. If you generally feel your breasts fill up with milk, and your breasts get softer during a feeding, this is a good sign that your baby is getting lots of milk.
In the early days and weeks of breastfeeding, a little discomfort and tugging on the nipples is common, but toe-curling pain is not normal. If your nipples hurt so much that it takes your breath away, get someone to help you adjust your baby’s latch. Healthy, comfortable nipples are a sign that your baby is latched well.
Besides frequent feeds, lots of swallowing, a content baby, and comfortable nipples, there is one other thing to look for…
5. Pees and poops What comes out of your baby says a lot about what went in your baby. If your baby is having lots of wet diapers and at least a few yellow poops every day, AND you are experiencing ALL of the above, you can be confident that your baby is getting plenty of milk and that your body is making enough.
Bonus Tips! Things that do NOT mean that your baby is starving:
1. Frequent feeding. If it seems like your baby wants to eat all the time, see tip #1 above. This is not a sign that your baby is starving, it is normal for your baby to want to feed very frequently, which ensures that your baby gets fed enough and your body makes enough. More sucking = more milk!
2. Your friend’s baby takes more formula than you pump for your baby. You be you. Moms are valuable teachers for each other, but comparing your baby to another baby isn’t always a good idea. Babies who drink formula require more than babies who take breast milk. Use the tips above to be sure, and when in doubt, it’s always ok to call for a weight check.
If you aren’t seeing all 5 signs that your baby is getting enough milk, or if you have any concerns about it, call your baby’s pediatrician or an IBCLC and get some help.
Nurse on, mama!
Help! My Baby is Feeding All the Time! Is This Normal?
In the early days of your baby’s life, between the hormones, the visitors, the other children and pets, and the exhaustion, it’s easy for moms to feel overwhelmed! Add to this a baby who seems to want to breastfeed all the time, and moms can despair and lack confidence.
On your baby’s first day of life, he will take an average of 1 to 2 teaspoons of colostrum per feeding. Those tiny meals allow your baby to lose some of the extra fluids that are in his body at birth, empty his bowels, and practice lots of feedings without taking in too much.
Your baby might not have many meals in the first 24 hours, but by the second day of life, he will be eating 8 to 12 times or more per day! Most babies cluster feed in the evening and nighttime hours during the first few days of life. Cluster feeding simply means your baby wants to have several meals back to back. It’s important to understand that when your baby cluster feeds, this is perfectly normal and expected, and it does not mean that something is wrong or that your baby is starving.
If everything is fine, why is my baby sucking so much?
Each time your baby latches, even though he isn’t getting a large meal, he is doing a very important job: telling your body to make lots of milk for him. As he sucks at the breast, your breast is changed and milk production is triggered. The more he latches in the first few days, the more milk you will be making in the first weeks and months.
More sucking now = more milk later!
Your colostrum is all your baby needs, and it’s really important to not despair and give your baby formula during those few nights of cluster feeding! Continuing to offer him your breast when he is acting hungry, even if he just had a meal, will:
1. Give baby everything he needs and wants
2. Trigger your breasts to make lots of milk
3. Help prevent engorgement
4. Help calm you and increase your confidence.
Anytime you are not sure if things are going well, make sure to consult your pediatrician or an IBCLC. I can visit you in the comfort of your home to assess a feeding and make a customized feeding plan for you. I will weigh your baby with my hospital-grade baby scale before and after he eats, so we will see how much he's getting. I am available to come to your house to help you usually within 24 hours of your request! Contact me here.
Having a baby in the NICU can be extremely stressful and traumatic for families. Moms who want to breastfeed experience additional stress because they are separated from their babies most of the day.
Pumping milk for your NICU baby is worth the effort!
If you have any questions about pumping milk for your NICU baby, I can help you. I have experience in the NICU both as an RN and as an IBCLC.
In-home consultations are usually available within 24 hours of your request. If you have any concerns, don’t hesitate to call and get help!
The answer depends on whom you ask, so let’s ask the experts.
The American Academy of Pediatrics (AAP) and the World Health Organization (WHO) recommend breast milk only for baby’s first 6 months of life, and continued breastfeeding with the addition of solid foods from 6 months to at least one year.
Many studies worldwide have shown that the health benefits of breastfeeding to mom and baby are dose-dependant, meaning, more is better. For example, the longer a woman breastfeeds, the lower her lifetime risk of breast cancer, ovarian cancer, type 2 diabetes, and other illnesses. This longevity affect is cumulative, so breastfeeding multiple babies increases the protective power of breast milk on mom’s health.
Furthermore, the health benefits to the baby are increased the longer the baby breastfeeds. The longer the baby breastfeeds, the less likely he will experience health risks such as childhood cancer, diabetes, obesity, and certain infections. Older babies and toddlers still need immunity protection from breast milk because their immune systems are not mature yet. There is great nutritional value for a toddler in his mom’s breast milk.
Studies have also demonstrated that children who were held often and for long duration as babies, and who received comfort from breastfeeding as toddlers, grow to develop confidence and independence. When toddlers learn that they are safe and nurtured, they grow into confident children.
The American culture has decided that breastfeeding older babies or toddlers is weird, and that cultural norm hurts our babies and families. Worldwide, and throughout history, babies have been breastfed well into childhood, and this practice has been perfectly normal and healthy for children and communities.
It is important for you to decide how long to breastfeed your baby based on the scientific facts of the health and emotional benefits to you and your baby from extended breastfeeding as well as the impact that breastfeeding has on your family. If you decide to continue breastfeeding beyond your baby’s first birthday, you are perfectly normal! You and your baby will benefit, and there is nothing harmful about this practice. Feed on, mama!
Click here for the AAP policy statement on breastfeeding.
Your new baby has a very tiny little stomach. Very small amounts of colostrum in the early days is plenty for him to grow healthy and strong. Your colostrum is perfect for him, and it’s unlikely that he will need anything else!
Let’s take a look at the amount of colostrum that your baby needs in the first 4 days.
On baby’s first day of life, he needs about 2 to 10 ml per feeding, which is about the size of a cherry! In his first day of life, he will take about one ounce total.
On your baby’s second day of life, he needs about 5-15 ml per feeding – that’s about a teaspoon to about half an ounce per feeding, or about the size of a walnut. He will eat 8 to 12 times (or more) on day 2.
From month one to month 6, your baby needs 3 to 5 ounces per feeding, or a total of 25-35 ounces per day. Breastfed babies do not need as much milk as formula fed babies do, and they do not require more and more as they get older.
If you have any concerns about how much milk you are producing, or if you are unsure that your baby is getting enough, please talk about your concerns with a certified lactation consultant.
I am available for in-home consultations usually within 24 hours of your request. Call or email me if you have any concerns.
Beth Sanders, BSN, RN, IBCLC