No doubt that knowledge is power.
And when it comes to breastfeeding, I am sure you are loaded with tons of questions.
Today, our breastfeeding questions and answers are only evidence based.
What does it mean?
- It means we answer your questions depending on the proven studies and the solid medical basis.
- Rather than grandma or friends advice.
So, every answer would be provided with its trusted source.
1- Regarding breastfeeding problems, Who should I consult? Pediatrician or Lactation consultant?
Thanks to The American Academy of Pediatrics which answered that question by applying a survey on +1000 pediatricians.
Let’s take a look at the results:
- Just 37% supported breastfeeding for one year.And here is the shocking one:
- “Both of formula feeding and breastfeeding are accepted as feeding methods for newborns” The majority of pediatricians agreed with or had a neutral opinion about that statement.
- “The majority” of pediatricians had not attended a presentation on breastfeeding management in the previous three years.
Pediatricians are not well prepared for supporting the breastfeeding moms. They lack the sufficient knowledge as well as the updates.
Definitely, the breastfeeding consultants “IBCLCs” are the best fit for the job.
You can read the 80 reasons why to hire a breastfeeding consultant
2-How much breast milk that would be enough to my baby in the first month and after that?
or in other words, how much breast milk should I have to satisfy my breastfed baby?
First, you have to know how much milk your breastfed baby stomach can hold.
- For the first day 5 ml per feeding.
- The first week 50 ml.
- Within the first 30 days 100 ml.
- And from 1-6 months remains 100 ml.
So, by simple calculation you can estimate the amount of breast milk needed per day:
(The breastfeeding sessions per day vary from 8-12 session= 10 sessions in average)
- 5 ml * 10 = 50 ml / day
- 50ml * 10 = 500 ml/ day
- 100ml* 10 = 1000 ml/day (10-20% above and under these numbers is expected as a variation)
Don’t under estimate your breast milk amounts especially at the early days. Bear in mind that your baby stomach is still small and any amount would be more than enough for him.
3-My breasts became engorged, and I feel pain while breastfeeding, is it normal?
Mild pain is due to the mild engorgement which is normal.
It is because of the sudden increase of milk.
And If you noticed -in the previous answer- that the amount of breast milk you produce is more than doubled within the first month (from 5 ml to 50 to 100 ml)
Hence, the breasts became congested and filled with milk.
The solution is to evacuate the excess amount of breast milk that causes that pressure. Either by:
- Frequent feeding
- Cold compression ” Gel pads, cold towel, etc.)
- or by hand expression (breast massage)
Don’t panic if you get breast engorgement. It is normal due to the pressure created on the breast tissues by the sudden increase in breast milk amounts.
4-How can I avoid sore nipple during my long journey of breastfeeding?
This one of the most frequent breastfeeding problems that happened at the early weeks.
Unfortunately, a sore nipple is one of the top causes to stop breastfeeding earlier than recommended.
And it is really painful.
Even if you are advised to use different creams, preparations and emollient. They are not working where there is no time to heal.
Always remember that your baby may breastfeed every 2 hours, so what can these preparations do in that short period?
Although these facts about the sore nipple, it is pretty simple to avoid rather than to treat.
By applying the right (deep) baby latch and avoiding the painful (shallow) one.
I know you are asking now, what is the deep and shallow baby latch?
In general, the baby latch is the position and the technique that your child apply to extract the milk from breasts.
But I am feeling sad when I say that the majority of nursing mom failed to achieve that practice.
Actually, it is easy to learn. Just you need to focus on the next infographic.
Apparently, the sore nipple pain happened when your nipple is not deeply inserted inside your baby’s mouth.
But how far did I mean by the word deep?
Let’s find out that practically:
- Touch your upper part of your mouth using your tongue.
- See, this is the hard palate part.
- But if you moved your tongue backward, you would hit the soft one (no bone).
And that is it the place where your nipple should be facing.
Naturally, when your nipple is inserted deeply enough in your baby’s mouth you would achieve three milestones:
- Pain-free baby latching.
- Your baby gets the sufficient breast milk amount.
- You guarantee to get the proper milk supply smoothly and without complication.
If you practice that baby latching trick correctly, you would be able to enjoy your breastfeeding journey.
Mild nipple pain is something usual in breastfeeding. But if the pain increased, just check your baby latch and try to insert your nipple deeply as we previously explained.
5-How could I achieve the deep baby latching if I have big breasts?
Good question and we are ready with the answer.
That could be done by implementing one of the next breastfeeding techniques:
- The Scissors Hold
The objective of these breastfeeding techniques is clear:
- To reduce the breast area that confronts your baby’s little mouth.
- By doing that squeeze, your baby would find it is easy to get his meal.
6-Is pacifier good or bad for my breastfed baby?
Certainly, I like this one.
Sure you may read some article about pacifier pros and cons, but you can’t get a final clear conclusion yet.
Especially when we are talking about the breastfed baby.
Now, check that infographic with a solid conclusion regarding if the pacifier use is bad or good for your breastfed baby.
Simply, if you follow some tips when using a pacifier for your breastfed baby, you would gain the benefits and avoid the risks. Here are 10 rules of the baby pacifier:
1- Introduce the pacifier after the breastfeeding had been well established “ after 4-6 weeks”
2- Never to tie the pacifier around your baby’s neck
3- Never to use the pacifier to delay or substitute a breastfeeding session.
4-Avoid to dip the pacifier into sugar or honey before baby use
5- Use it wisely, just when you are busy or far from home.
6-Wean your baby from the pacifier after the first year ” later, there are no benefits of pacifier use.”
7- Let your baby use the pacifier before sleeping “Nap and day time.”
8- Test the pacifier before each use by applying the Pacifier Pull Test
You decide if the pacifier is right or wrong for your baby. Giving your baby a pacifier is like a game which has rules to follow. By following the rules, you would gain the valuable benefits of the pacifier.
7-What should I eat/avoid during breastfeeding?
As we always say in Breastfeedo, we depend only on the medically proven breastfeeding advice.
But unfortunately, the food during breastfeeding is a subject of confusion and overwhelming.
Not only that but also full of rumors and misunderstanding.
And the experts’ recommendations made it crystal clear for all nursing mom. Such as the following:
A ‘perfect’ diet is not required for breastfeeding. Your diet is important for your health and energy levels, rather than affecting your breast milk and your baby.
Joy Anderson B.Sc. , Dip.Diet APD , IBCLC
“Even in countries where food is scarce, mothers are able to breastfeed and their babies thrive”Australian Breastfeeding Association
Simply, your unhealthy diet wouldn’t punish your baby regarding the quantity or the quality of your breast milk.
You who would be punished regarding the energy level and nutritional deficit risk.
What foods to avoid during breastfeeding?
The FDA answers that question where the main threat is the Mercury Poisoning when eating seven types of fish.
8-In the case of breast pumping, How could I store breast milk?
It is the Liquid Gold.
Also, breast milk is a living material, where it contains numerous living cells.
Plus, it holds hormones, growth and immunity factors.
Such a treasure should be handled carefully and with special cautions.
Fortunately, we did the hard work for you.
We gathered the breast milk storage guidelines in the next infographic, and you can print and pin it where ever you want.
9- Now, How can I thaw breast milk properly?
Follow the next four tips for thawing breast milk:
1- The most popular way is to let it thaw in the refrigerator during 12 hours.
2-After thawing, you have 24 hours to consume the thawed milk and discard after that period.
3- You may follow a faster way of thawing like:
- Using a bottle warmer
- Water bath
4- Breast milk is not homogenous and may forming two layers after thawing. Swirl carefully to remix.
Avoid the following:
1- Never to apply direct heat or to use the microwave to thaw the milk.
2- Neither refreeze the thawed milk nor add it to the frozen one.
3- Finally, don’t shake to reconstitute as it may break down some valuable contents.