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Breastfeeding Beginnings

Dana C.
DANA C.
Lactation Consultant
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Breastfeeding... Never a dull moment, right? If you've recently begun your breastfeeding journey, then today's Q&A is for you. All topics are on the table, 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!
Breastfeeding
SHIVANGI, PARENT OF 2 YEAR OLD

My daughter is 13days old.. I feed her from both my breasts which used to go on for 40mins plus.. she used to nao between breast switches and still be hungry.. my pediatrician suggested giving each breast feed for 15mins and supplementing with formula post breatfeed.. she currently takes about 1-2 ounces post feeds of supplement per meal.. This whole process now takes about 40mins per feed and she frequently gets cranky between breasts and bottle feeds.. if I have to break her latch at end of nearly 15mins of breastfeeds, its a strong one and I hear the break of suction.. Kindly suggest if what am following is fine

Dana
DANA

Hi Shivangi - congratulations on your new baby! Newborn babies generally breastfeed 8-12 times a day. Since milk production is based on supply and demand, the more baby nurses the more milk you will make. If pediatrician has suggested supplementation with formula you may want to add in a few additional pumping sessions to send message to body you need more milk. There are many different strategies you could use moving forward but it really depends on your breastfeeding goals. Are you hoping to exclusively breastfeed?

SHIVANGI

Yes, my goal is to exclusively breastfeed her as soon as possible as supplement feeds are causing flatulence. Also she sleeps best when she has only breastfeeds without supplement. Pediatrician suggested supplement feeds as she was staying hungry post breastfeeds and was demanding more milk.

SHIVANGI

I have pumped on 2-3 occasions and have generated between 1.25-1.5ounces from both breasts cumulative in between feeds.
Looking forward to your suggestions

Dana
DANA

Great! Let’s try and get you there as soon as possible :) i would recommend putting baby to breast at least 8 times a day and also adding in 2-4 pumping sessions a day. Over the next week hopefully you will see the need for supplementation decrease. And...if you need to supplement you’ll have expressed breast milk instead of formula. Make sense? As the need for supplementation decreases you’ll back off the pumping too!

DANA ADDED A NEW COMMENT!
Breastfeeding
HEATHER, PARENT OF 3 YEAR OLD

My baby is 13 weeks d and has been breastfed, he has no problem going back and forth between bottles of breastmilk and the breast. I am going back to work end of Feb and i am thinking i want to start introducing formula. I do not want to pump at work but i would like to still have a morning and an evening session of breastfeeding. Is this possible to do? I have a good supply of breastmilk and have a good amount stored already. I do not want to stop completely because i do enjoy the bonding time with m baby but i work in an operating room in a hospital and fear it will be too much for me to have to pump.

Dana
DANA

Hi, Heather. Great job breastfeeding so far!

Yes! It's definitely possible to wean baby except for an AM and PM feed. However, a couple important things to keep in mind:

1. Start the weaning process early so you and baby have time to adjust. You'll want to drop one nursing session at a time and then wait 3-7 days until you drop the next. Follow your body's cues -- if you go to fast, you could become uncomfortably engorged. I don't want you to be in pain first week back at work!

2. It's hard to predict how your body will react to the decreased feedings. Some moms can wean down to the 2 nursing sessions and do great and go on like that for months and months. Other mom's bodies react to the decreased demand and their supply really dips and baby is frustrated at breast and therefore naturally weans.

Hope that helps!

HEATHER

Thanks!! Are there certain feedings that are better to drop than others or does it not really matter? And also i have the storage of breastmilk so while trying to wean those day feedings is it better to use formula? When would i use my stored milk?

Dana
DANA

I would recommend dropping a middle of day feed and replacing with a bottle - if you have expressed breast milk you can certainly use that. Or, if you prefer to have some amount of breastmilk in baby’s diet for as long as possible then yes go ahead and try formula. You may feel pretty full for a couple days after you drop that feed. If you need some relief you can hand express or pump a tiny bit for comfort if you need to. Then keep dropping one by one.

HEATHER

Thank you very much!

DANA ADDED A NEW COMMENT!
Milk supply
REBECCA, PARENT OF 7 YEAR OLD, 5 YEAR OLD, 2 YEAR OLD

I’m only 4 weeks into breastfeeding and my supply has dropped. What can I do to fix it?

Dana
DANA

Hi, Rebecca - congratulations on your new baby! Have you been nursing on demand since beginning (approx 8-12 times a day?)? Has supply been ok until now? What makes you think it's suddenly dropped?

EMILY

Following this one as I am experiencing the same concerns. I want to pump as well to build supply but I’m not getting much pumping anymore - 1/2 oz a side or so. Was engorged for the first 3-4 days and then my breast’s became soft and my supply seemed to have dropped.

DANA ADDED A NEW COMMENT!
My baby is always on my breast!
JOHANA RAMOS, PARENT OF 3 YEAR OLD

Hi there I have a two month old baby girl. Im not sure but I think she is cluster feeding. Sometimes every 1 or hour and a half she wants milk again! Im I not making enough milk? Really don't want to give formula.

Dana
DANA

Often babies do cluster feed in the evening! This can be very normal. Or, is this happening all day, every day?

JOHANA RAMOS

Usually during the day. I found out today that in one month she gained three pounds jajajjaja she was 7.3 last month today she weighted 10.4 pounds at night if she sleeps before 8 pm she will eat every hour and a half or two hours after midnight she will want breast after 3-4 hrs

JOHANA RAMOS

Should i mention that I took away the soothie! Maybe she is using my nipple as one? Also i think since she sleeps alot she might use milk and nipple to sleep idk!!! Hahaha trying to understand her

Dana
DANA

Sounds like she's gaining quite well! I wonder if she's "snacking" throughout day eating small meals frequently versus having full feeds and then stretching 2.5-3 hours? Do you offer both breasts each nursing session? It could be that she drinks just enough to satiate her immediate hunger, falls asleep and then quickly realizes she's still hungry. Can you try and keep her actively drinking for longer by doing breast compressions (this is when you squeeze your breast to push milk into her mouth when she's latched but not really drinking anymore. The increased milk flow will prompt her to start drinking again even if her eyes are shut).

JOHANA RAMOS

Yes some times she snacks but i thought that was ok so I would let her stop if ahe wanted to two hours latter i will feed her with both breast and untill she is very full!