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Breastfeeding Support

Anne-Marie R.
ANNE-MARIE R.
International Board Certified Lactation Consultant
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Join Anne-Marie Rohrberg, IBCLC to talk about weaning, pumping, supply issues and more!

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Message Anne-Marie
ANNE-MARIE ADDED A NEW COMMENT!
Weaning
KATRINA, PARENT OF 6 YEAR OLD, 4 YEAR OLD

Baby girl turns one on Valentine's day :)
I will then begin to wean. I understand the day feeds are first to go. I nurse after her 2 naps. Do I just offer her a cup of milk downstairs after morning nap vs sitting in the glider in her room? What if she does not take it? Just try and distract the best I can? And then a week later try the afternoon nap?
And then morning/bed ?
I have loved this ebf journey and am very emotional
Thanknyou!

Anne-Marie
ANNE-MARIE

Hi Katrina,
My first comment is do you really want to or need to wean? The American
Academy of Pediatrics notes "continuation of breastfeeding for *1 year* or
longer as mutually desired by mother and infant". That being said - if you
do want to begin the process you are right on the money. One feeding at a
time and when that is established (it may be longer than 1 week) drop the
next one. Avoid the rocker if that is the place you always nurse.
Distraction is the best thing, as well as offering a snack and drink. A
favorite snack followed by a favorite activity (library or outside for a
walk) can be really helpful. Happy birthday to you!
Anne-Marie

KATRINA

Thank you! Just trying to gain back some freedom during day. But i will go slowly as yes not emotionally ready. How do i know it has been established? I mean i can see her trying to snuggle up trying to nurse and i just keep refusing?

Anne-Marie
ANNE-MARIE

Hi Katrina,
Do all you can to distract her, but there may be a day here and there when
it is not possible. In that case, go ahead and breastfeed and try again to
distract her the next day. It is not always one step forward without a
step backwards sometimes. Once she stops asking to breastfeed at the
feeding you are dropping - then start working on dropping the next one.
Anne-Marie

KATRINA

Great! Thank you so much!

ANNE-MARIE ADDED A NEW COMMENT!
Teeth are causing difficulty
ROSANNA, PARENT OF 4 YEAR OLD

Since getting 4 top teeth all at one, my boy doesn't seem to latch the same way. It's been two months now and I still feel pain sometimes. There are always indentations left in my areola and sometimes my left nipple in particular feels very raw as the teeth are rubbing or pinching. I try to carefully watch his latch, but he's very active and moves around during feeding, pulling the nipple a lot. Is this the way it's going to be from now on? Is there anything I can do to prevent damage? He's 10.5mo and EBF and I'd like to continue beyond one year.

Anne-Marie
ANNE-MARIE

Hi Rosanna,
The top teeth are the ones that you can feel, as opposed to the bottom ones
that you can't. So yes in a sense you will be feeling them. As they are
coming in, babies sometimes nurse in a way to soothe the teeth that rubs
harder on your breast - so cool packs before they nurse can help make your
baby more comfortable. When they are fully in they are usually not as
bothersome because they no longer are "teething". I would put a little
lanolin cream or coconut oil on your breast after each feeding just for
comfort for you. Hopefully it will be more comfortable soon.
Anne-Marie

ANNE-MARIE ADDED A NEW COMMENT!
Relactating
CHAMANI

Im starting my journey with relactating. I was wondering is there any tips you can give me? Is there anything to take to increase my milk supply?

Anne-Marie
ANNE-MARIE

Hi Chamani,
Relactating is possible, how big your supply will be depends on how long it
has been, and how large your supply was to start. The biggest part of
relactating (or increasing any supply) is frequent milk removal. As
frequent as possible throughout day and night.
Aside from that, there are herbs and foods that are thought to help too.
Oatmeal, barley and brewers yeast are some popular foods. Herbs are
fenugreek (not if you have diabetes or a peanut allergy), moringa,
shatavari, goats rue, etc etc.
I would recommend the website www.lowmilksupply.org for a full list of
galactagogues (foods and herbs to help increase production). But frequent
removal is the most important thing!
Anne-Marie

ANNE-MARIE ADDED A NEW COMMENT!
Back to work
ALYSSA

Hi! I exclusively breastfeed my 2 month old baby boy and will be going back to work in 3 weeks. He will be going to home daycare 4 days a week. I plan to pump at work for him for the next day but how many bottles should I supply them with? While we are home I seem to just nurse on demand but I would say that he probably nurse every 3 hours or so during the day. I just dont want him to be hungry at daycare and have nothing to give him. Thanks!

Anne-Marie
ANNE-MARIE

Hi Alyssa,
I would give them enough to feed him every 3 hours plus two extra so you
don't worry. Freeze your milk in the smallest amount that he takes, so
that no milk is wasted. Those two extra bottles can just be kept frozen if
they aren't used, but are extra if they need them. He may take less while
at daycare than he does when home with you. Some babies make up for it by
nursing more frequently when they get home. That part you won't know until
he gets there, but you'll see how he does once he is settled in.
Anne-Marie

ANNE-MARIE ADDED A NEW COMMENT!
how to not get engorged during the night
NAILETT, PARENT OF 3 YEAR OLD

I guess what im trying to say is, how can i go on with sleep without getting engorged. My almost 6 months old daughter is finally sleeping through the night therefore my supply keeps building up and after a couple of hrs i gotta wake up and pump to get the milk out since she is still sleeping. How can i reduce milk during the night so i can also sleep? Id like to sleep as much as she does but i dont want to leave milk in for too long since ive already gotten my ducts clogged a few times and i dont want my supply to be jeopardized Either. I dont know if there is a solution or a way to train my body to ease on milk production during the night! TIA

Anne-Marie
ANNE-MARIE

Hi Nailett,
The great news is your baby is sleeping at night. I would pump just before
you go to bed, after she has nursed to sleep. If you are so full during the
night that it wakes you up, just pump to comfort (a few minutes) and not
longer. Every time milk is removed from your body, it's a signal to make
more. It is true that your supply will dip a bit, but at this point it is a
natural progression of breastfeeding. Enjoy the sleep.
Anne-Marie

ANNE-MARIE ADDED A NEW COMMENT!
1 year anniversary - Weaning?
MAYA, PARENT OF 4 YEAR OLD

I am a EBF mom and proud to be hitting the one year mark soon. I would like some flexibility in my life back and so am considering towards weaning at 1. But I still have some questions about it:
1. Are there any nutrients from my breastmilk that my baby will be missing and I should look to complement with other foods?
2. Is Whole Milk alone an adequate replacement?
3. What does an ideal gradual transition look like?
Thanks!!!

CARA

Following

RENEE

Following...I have an almost one year old that I'd like to move towards weaning as well.

KEREN

Also following!

Anne-Marie
ANNE-MARIE

Hi Maya,
There are always benefits to breastmilk, the biggest one being the immune
protection (all those antibodies to everything you are both exposed to).
Your baby can get his or her nutrients from food now, and whole milk has
lots of fat that is good for your baby, but water is also important. I
would ask your pediatrician about their suggestions, but lots of plant
based, nutrient dense foods make a great diet. Avocado and seed or nut
butters are good examples.
Good luck,
Anne-Marie

ANNE-MARIE ADDED A NEW COMMENT!
Gassy baby
REBECCA, PARENT OF 3 YEAR OLD

My son is 4 months old and is given only breast milk. He is botylefed often since I work full time. He is still VERY gassy (or at least I'm assuming it's gas) and it seems worse on days that I am home with him to exclusively breastfeed. We do bicycle legs and belly massages but they don't seem to be working. I can hear his belly gurgling most of the day. The gas often wakes him up and he refuses to eat. Any suggestions?

Anne-Marie
ANNE-MARIE

Hi Rebecca,
Babies normally get more air when they drink from a bottle - so it doesn't
seem like that is the issue. The most common food that can cause gas
problems for babies is dairy in our diet. The protein in cow's milk and
it's products can be hard for some of them to digest (this is not an
allergy or lactose problem). Try taking out all dairy (casein, whey,
nonfat dried milk, etc etc,) for a couple of days and see if you notice a
difference. While it is true that it takes much longer to be totally out
of your system, you would see an improvement within a few days. Be really
careful (baked goods are notorious) so you are sure if that seems to be it.
If you have a very large abundant milk supply, that can also cause some gas
problems. If that is true for you, feeding from one breast per feeding can
help alleviate the problem.
Anne-Marie

ANNE-MARIE ADDED A NEW COMMENT!
Supply question and going back to work
CINDY, PARENT OF 3 YEAR OLD

Hi!
I have a 7 wk old boy and have been breastfeeding with a little bit supplement depending on the day. Sometimes my baby would shake and pull my nipple and make grunting sound when he eats as if he couldn't get enough milk. He still wakes up every 2 hours at night(I heard 7wk old baby should be able to sleep 4-5 hours now??) Does that mean I have supply issue? I gave him extra 1 oz (either formula or me pumping during the day)before night sleep but doesn't seem to prolong his sleep like others people say would do. Should I just use supplement from now on?

I am going back to work in 5 wks and I still want to pump for him. However I am worried I may not have enough given the fact I am probably still low or barely balanced with my supply right now. Any advice on how to manage my supply issue when I'm back to work?

Thank you very much!

Cindy

KATHERINE

Following

Anne-Marie
ANNE-MARIE

Hi Cindy,
He sounds like a growing boy! It's normal that he would be breastfeeding
8-12 times in 24 hours, so if he's doing that and gaining well, your supply
is just fine. If he pulls and grunts at the beginning of a feeding he may
be waiting for the milk to get flowing, but if it's at the end of the
feeding he may want some more. You can put some pressure on your breast to
help increase the flow, or switch him to the other breast. Babies grow in
spurts, so in the days (usually 1-2 days) they are really growing, they can
eat a LOT. Since you are going back to work, I would start freezing some
milk you have pumped now. Just start with once a day to have a little
extra. When you are working it is great if you can pump in place of every
feeding if that is possible. If you are not able to do that at your job,
then you will have some frozen milk or formula to make up any amount you
are short. You can breastfeed when you are with him to help keep your
supply up.
Anne-Marie

ANNE-MARIE ADDED A NEW COMMENT!
Pumping/Supply
LEAH

Hi!

I have a 2 week old and will be exclusively breastfeeding while on maternity leave, but will need a significant amount of pumped milk for when I return to work after 12 weeks. I travel for 2 days at a time, weekly. Is there any harm in starting to pump now to start building a stash?

Thanks!

Anne-Marie
ANNE-MARIE

H Leah,
No harm at all! I would say because you are also doing a lot of
breastfeeding right now and you have a lot of time before returning to
work, to pump once a day. You'll tend to get more in the morning, so that
is when lots of moms do that one pumping, but any time that fits into your
routine is good. Remember that breastmilk can be stored in the freezer for
up to 6 months, so keep that in mind if your stock becomes large!
Anne-Marie

ANNE-MARIE ADDED A NEW COMMENT!
How to wean off / independent sleep training
LUCY

How do I wean off my son and get him to sleep the whole night? My son takes cat naps and I feel like a zombie I have let him cry it out for literally 90 mins and he was still up and I have set up a routine and he always cries nothing wrong and he fights his naps and sleep as soon as he sleeping in my arms I pull out gently the boob and lay him down by the time I'm going to go take a nap myself he is up and he uses the boob like it's his safe haven and he is asleep and still wants me to nurse him while he's sleeping I'm exhausted

Anne-Marie
ANNE-MARIE

Hi Lucy,
It is exhausting being up a lot at night. I would say for now to start
with little baby steps. Put aside sleeping through the night for now.
Work on finding ways to breastfeed your baby to sleep and be able to have
him stay asleep without being in your arms. Swaddling, sneaking in a
pacifier (if he's over 3-4 weeks), or breastfeed side-lying with him next
to you so you can rest too. If you feed side-lying on a firm surface with
no fluffy things nearby, you may be able to keep him in his position and
get up yourself without waking him.
I know these are really trying days. Make yourself a cup of tea and try to
eat well, and take a nap yourself if you can. These days will pass, and he
will sleep more one day. All the care you give him now will help him grow
into a happy independent boy one day.
Anne-Marie