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Breastfeeding Basics

Dana
DANA
Lactation Consultant
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If you've recently begun your breastfeeding journey, then today's Q&A is for you. We are here to talk about anything, so ask away and get the expert support you need. Led by Tinyhood Lactation Consultant, Dana Czuczka.

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DANA ADDED A NEW COMMENT!
New schedule
JOHANA RAMOS, PARENT OF 2 YEAR OLD

My 12 week baby now started sleeping 6-8 hrs straight. But in total 12-14 hrs do I still have to pump every 3 hrs?

Dana
DANA

If your supply has been ok until now, I would recommend feeding or pumping during day every 3 hours and sleeping when baby sleeps at night and just feeding on demand during night.

JOHANA RAMOS

Ok. I feed her every 1 1/2 - 2 hrs so she would sleep more at night and it worked. Thanks for the advise

Dana
DANA

Keep doing what you're doing! Seems to be working great for you and baby :) great job!

DANA ADDED A NEW COMMENT!
Exclusively Pumping Now
BRITTNEY, PARENT OF 23 MONTH OLD

I just started exclusively pumping when I went back to work last week because she wasn't gaining weight like she should when I was just breastfeeding. I have been pumping every 3 hours and get about 3 oz each time. However, my daughter sleeps all night therefor i do also. Should i still get up to pump in the middle of the night? Will it hurt my supply if I don't? When will my supply start increasing? My daughter is 6 weeks old now.

Dana
DANA

Wow -- that's awesome your 6 weeker is sleeping through night! How many bottles a day is baby getting? How long do you pump for? And...do you use your hands to massage while you are pumping?

BRITTNEY

She eats a 3oz bottle every 2-3 hours. I pump for 15-20mins each time and i do not use my hands to massage. Should i?

Dana
DANA

How many times a day is baby eating?

Dana
DANA

And, yes! Let's start trying to pump using your hands and hand expressing after the pump stops producing -- take a look at this video from Stanford University about maximizing supply:

https://med.stanford.edu/newborns/professional-education/breastfeeding/maximizing-milk-production.html

BRITTNEY

I would say 10 times max. She usually wakes up around 4-5am and then goes to bed and sleeps all night anywhere from 10-11pm

BRITTNEY

Okay I will do that! Thanks!

DANA ADDED A NEW COMMENT!
Latching an older baby
VANESSA, PARENT OF 23 MONTH OLD

My daughter was born premature (4 weeks early) so I pumped from day one and she was bottle fed in the special care nursery. I try very often to try to latch her because I would like to breastfeed. She's 10 weeks tomorrow, though, and I've yet to have her stay latched. Is it possible to breast feed at this point or should I give up?

Dana
DANA

Hi, Vanessa -- congratulations on your new baby and awesome job pumping and providing breast milk for babe! I don't think it's time to throw in the towel just yet. Let's try transitioning first to a nipple shield -- this can be a successful technique for bottle fed babies working on getting back to breast. Have you seen/tried one?
I would recommend pumping for a minute or two to get your milk flowing then putting on nipple shield and trying to latch baby. You may want to drop some expressed breast milk on outside of nipple shield to entice baby as well.

VANESSA

Thank you, I have heard of these shields but have yet to attempt it. I will give it a try!

Dana
DANA

Fingers crossed! Note, this is just a temporary tool to assist baby in latching and staying at breast. As baby learns how to nurse at breast with the shield, you can work on weaning off shield. But...one step at a time :) Keep us posted!

DANA ADDED A NEW COMMENT!
Best Pump
NOELLE, PARENT OF 7 YEAR OLD, 5 YEAR OLD, 22 MONTH OLD

My third daughter is almost 3 weeks old and I am starting to think about pumping - both at home to start to build a supply and once I go back to work. I have always been fine with supply when nursing exclusively but I've struggled to keep up with demand once I go back to work and start pumping. I used the Medela Pump In Style with my first two and got a new one (same kind) through insurance this time. I didn't do a ton of research, and just attributed the lower supply with pumping in general being less efficient than baby. However, a few friends have mentioned that they have much better output with other pumps compared to the Pump in Style. I've also considered renting a hospital grade pump as I don't really require too much mobility. I've heard great things about the Spectra pumps as well as some of the higher end Medela pumps (though I don't really want to spend $400). Do you have any thoughts on which could be the best to boost and maintain supply? Thanks!

Dana
DANA

Hi, Noelle -- congratulations on baby #3! The medela pump in style is indeed a great pump and should work well for your needs. (Yes, the Spectra is awesome too but you already have a brand new medela). The key to maintaining a good supply when you go back to work is staying on schedule + using your hands to empty efficiently. The pump can only do so much but when you combine with massaging + hand expressing at the end, you'd be surprised how much more milk you can get! Take a look at this video by Dr. Jane Morton of Stanford University about maximizing production with hand on pumping. I would start pumping soon and work on perfecting these techniques before you return to work and before you buy/rent another pump. Good luck!

https://med.stanford.edu/newborns/professional-education/breastfeeding/maximizing-milk-production.html