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Category: Breastfeeding Tips

  1. My Top 10 Breastfeeding Myths

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    One well-meaning person tells us one thing, then we hear something completely different.  Conflicting advice is a common experience of new mothers. We must be careful as to where we are getting our breastfeeding information from. Is it evidence based or is it just what someone heard through the grapevine?  Below are some common myths around breastfeeding that I am hoping will help to alleviate some of the confusion we can often feel when feeding our babies. 

    Myth No. 1 – You won’t make enough breastmilk in the first few days. 

    Colostrum is the milk which nourishes your baby in the early days. Your baby’s tummy is teeny tiny at birth, approximately the size of a small marble and a baby will initially take approximately 5-7 ml at each feed.  Following your baby’s feeding cues (see my previous blog on ‘How often should your baby feed?to view feeding cues) and regular feeding is essential in order to establish a really good milk supply.  A baby should feed around 8-12 times in a 24 hour period in order that your breasts are getting the right signals to make more milk.  However, in the early days your body has made sure that your colostrum (first milk) is available. It is made available around mid pregnancy. It can be a struggle to trust our body is making enough for our babies but your midwife will ask you questions about how many wees and poos your baby is having which is a good indicator of milk transfer as well as weighing your baby and making sure that they have not lost more than between 5-7% of their birth weight on the Day 5 weigh-in. 

    Myth No. 2 – Breastfeeding is painful 

    Research tells us that in the first 10-14 days of life breastfeeding may feel painful for around the first minute or so after your baby has attached at the breast but then the pains should subside and the rest of the feed should be comfortable. Should the feed feel uncomfortable throughout you should seek support from your midwife, a qualified breastfeeding counsellor or a Lactation Consultant who can work out why it is uncomfortable. Most commonly the pain would be as a result of poor positioning and attachment.  Other considerations include a tongue tie or even thrush. 

    Myth No. 3 Breastfeeding is too hard work and time consuming 

    Breastfeeding does take time but so does giving your baby a bottle in the early days. Typically, a baby will become much more efficient at feeding as they get older and their increasing stomach capacity will eventually lead to longer gaps between feeds. A real bonus with breastfeeding is that ultimately it will be time saving as you don’t need to make up bottles or sterilise equipment.  Your breastmilk is available in the right amount and the right temperature whenever your baby needs. 

    Myth No. 4 – Mums who breastfeed don’t get enough milk 

    Research shows that mothers who breastfeed actually get more sleep! This is partly because a hormone is released when you feed that helps you go back to sleep quickly.  Breastmilk contains a hormone called Prolactin which helps to induced sleep.  Breastfeeding mothers release this hormone into their own bloodstream which helps them fall asleep faster and more easily after a feed (both at night and during the day). 

    Myth No. 5 – Baby’s crying is because they are not getting enough milk 

    Crying is a baby’s only way of communication.  People often assume that a baby is being starved if they are constantly crying, however, babies cry for many reasons and we know in the early days they cry – a lot!!  In addition to hunger they may be crying because they are hot, cold, feeling over stimulated, are tired but don’t yet have the ability to fall asleep well by themselves.  Look for signs of a well-fed baby such as periods of contentment after a feed, plenty of wet and dirty nappies and of course growth!  

    Myth No. 6 – The size of your breasts matter 

    Breasts of all sizes can, and do make plenty of milk.  Mothers often worry that their small breasts mean that there won’t be enough milk.  Some babies may need to feed more often than others due to storage capacity within the breast.  Perhaps surprisingly, this does not link to how large or small your breasts are.  Mothers who store less milk in their breasts at each feed will potentially need to feed more often in a 24 hour period than a mother with a larger milk capacity.  However, both babies would be getting a similar amount of milk during a 24 hour period. 

    Myth No. 7 – You should stop feeding when your baby gets teeth 

    It may surprise you to hear that it is not necessary to stop breastfeeding your baby once they start getting teeth. Babies can even be born with teeth, however, as babies latch, their tongues cover the bottom teeth and gums, preventing painful bites. 

    Myth No. 8 – Breastfeeding beyond a year is breastfeeding just for comfort 

    Breastmilk is a live milk. When a baby suckles at a mothers breast a vacuum is created. It is thought that the baby’s saliva is sucked back into the nipple, where receptors in the mother’s mammory gland reads its signals.  So in other words there is an interaction between your baby’s saliva and your breastmilk that makes antibodies against any illness that your baby may have come into contact with.  Amazing! 

    Myth No. 9 – Breastfeeding makes your breasts saggy

    Research has shown that breastfeeding does not affect your breast shape or volume although the ligaments that support your breasts might stretch during pregnancy but it is not related to the fact that you are breastfeeding your baby.  

    Myth No. 10 – You shouldn’t feed your baby to sleep 

    We constantly hear comments such as ‘you are making a rod for your own back’ and you’re spoiling your baby when we allow them to suckle themselves to sleep.  It is very normal for a baby to want to have the comfort of your breast to help them sleep.  They haven’t yet acquired this skill and are often struggling to adapt to their new environment.  Their brains are not yet developed enough to be forming bad habits. Your baby needs you and it is perfectly fine to nurse your newborn to sleep.   

     

  2. BREASTFEEDING TIPS

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    My Top 10 tips for getting breastfeeding off to a good start. 

    A common concern amongst new mothers is that there is not enough milk to feed their babies in the early days.  Colostrum is available from approximately mid-pregnancy and will support your baby in the first few days up until the milk transitions to a more mature milk. This is often called ‘the milk coming in’, which can be misleading in itself, as actually your milk is already there from mid-pregnancy but in the form of colostrum and is full of wonderful nutrients, antibodies and calories to support your little ones in the early days. 

     

    However, although at the time of birth there is enough milk to feed your baby, it is often the case that new mothersstruggle with a good attachment at the breast and therefore the milk that is available for your baby is not transferred effectively. 

     

    The other problem we have is that peopleoften don’t understand the physiology of breastfeeding arend how it all works.  A new baby is programmed to feed really frequently – small amounts are transferred atregular intervals.  These frequent feedings signal to the breasts to make more milk.  Howeverfar too often, mothers are told that their babies are ‘starving’ and that if they had taken enough milk they wouldn’t be demanding such frequent feeding.  The next they know they are being informed to top baby up with formula milk.  Consequentlythe baby does not nurse so frequently at the breast and therefore the signals to the breasts to make more milk are not being received. 

     

    The problems mothers have with breastfeeding often stem from the first few days. Here are my Top 10 tips to help you get breastfeeding off to the best possible start….. 

     

    1. Offer skin to skin: ensure your baby is skin to skin with you as soon as you possibly can. Newborn babies can ‘crawl’ and attach to the breast by themselves (known as the breast crawl). This is demonstrated beautifully in this video here by the Global Health Media: https://globalhealthmedia.org/videos/breastfeeding-in-the-first-hours-after-birth/?msclkid=aefa18e0d06811eca6bfbf9009ef5de3  Research shows us that it takes an average of 60-90 minutes for a baby to attach at the breast. So don’t rush this process! Allow your baby the time it takes for them to attach to the breast – they will have learned so much in the process.  Ask your midwife about skin to skin in a caesarean birth too as this is usually possible. In most instances you do not need to wait until you are in recovery to place baby skin to skin. Skin to skin has so many benefits (I will discuss this more in another post). 

     

    1. Don’t force the feed: at first a baby may just lick the nipple and that is fine. This is part of the natural process.  Forcing babies on to the breast may result in refusal to take the breast. 

     

    1. Understand normal newborn behaviour: often referred to as ‘the 4th trimester’.  This can be a very unsettled time for babies as they adapt to their new world and the 4th trimester is often described as lasting around 12 weeks. Think about the womb environment – it is warm, there is a built-in‘white noise system’ going on with the soothing sounds of your heartbeat and your digestive sounds. In additionyour womb provides the perfect temperature so your baby has never felt hot or cold before,hungry, or thirsty and then all of a sudden they are born and must adjust to a very different environment. Their digestive systems have to work for the first time and they may be experiencing some discomfort.  Theyneed so much reassurance from you as their new world is scarily unfamiliar and they are having to learn to feed, sleep   and adapt to their new environment.  The result of this is crying – and often a lot of it, which causes everyone to assume that your baby is hungry and can’t be getting enough milk. Whereas the reality is that they are much more likely to be finding it difficult to adapt to their new environment. They want to be close to you at all times and this is completely normal.  P.U.R.P.L.E crying is an acronym that is used to describe typical newborn behaviour in the first few weeks.  Read all about it here: The Period of PURPLE Crying | PURPLECrying.info   

     

    1. Room-in together: this is sometimes known as ‘babymooning’, a little like a honeymoon except with you, your partner if you have one, and your baby.  Keep visitors to a minimum so that you can have your baby with you as much as possible so that you can learn to breastfeed together without constant interruptions. 

     

    1. Follow your baby’s feeding cues: don’t restrict length or frequency of feeds. You may find well meaning people suggest you give strictly timed feeds.  In order to establish a good milk supply, following a baby’s feeding cues is essential. Feeding cues include when your baby starts stirring, turning their heads seeking/rooting for the breast, sucking on their fistsand increasing physical movement.  Avoid late feeding cues such as crying as it is far more challenging to attach a frustrated and potentially cross baby to the breast. 

     

    1. Focus on positioning and a good latch: This really is the key to successful breastfeeding! A well attached baby will be getting good milk transfer and the breasts will be getting those all important signals to produce more milk.  Ask as many health care professionals as possible if your baby appears to be well attached and learn the key signs that your baby is well attached.  This video from the Global Health Media is really helpful in understanding good attachment: Attaching Your Baby at the Breast - Video - Global Health Media Project 

     

    1. Establish a good milk supply before introducing any bottles: this is to avoid what is sometimes called ‘nipple confusion’ where once a baby has a bottle teat in their mouth they may start to refuse the breast.  There are other ways to give milk to your baby if necessary such as syringe or spoon feeding, cup feeding and via a supplementing nursing system (SNS). 

     

    1. Accept this is a skill that you both have to learn: your initial journey may not be as straightforward as you may have initially imagined but you will get there and with the right support, breastfeeding becomes much easier in time. For most mothers the first two months are the most challenging whilst your baby is busy establishing your milk supply. Reminding yourself that it takes around 6 weeks for a good milk supply to establish, and once it has, feeding will very likely become easier and often quicker. This knowledge may help you to keep going even when you are feeling exhausted. Breastfeeding becomes easier in time. 

     

    1. Ask for help from family/friends: put a list of chores up on your fridge and get visitors to tick one off before they are allowed a cuddle with your baby! People actually like to help and when you are tired and exhausted in the early days there is never a better time to ask for support.   

     

    1. Reach out for the right support: Ensuring you are accessing the right support is essential.  Ask your midwife what support is available to you locally or contact a qualified Breastfeeding Counsellor or an IBCLC Lactation Consultant for private support.  The International Board of Certified Lactation Consultants website offers an opportunity for you to pop in your postcode and find an IBCLC in your area: Find an IBCLC -International Board Certified Lactation Consultant - LCGB.  Be mindful of who is providing you the support. Make sure it is evidence-based and comes from someone who knows exactly what they are talking about. There is a lot of well-meantbutnon evidenced-based information floating around which has the potential to have a negative impact on your personal feeding goals.