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Breastfeeding: Your First 6 Months

Dana C.
DANA C.
Lactation Consultant
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If you've recently embarked on your breastfeeding journey, get the support you need now. All topics are on the table, so go ahead, ask away. Led by Tinyhood Breastfeeding Expert and Board Certified Lactation Consultant, Dana Czuczka.

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DANA ADDED A NEW COMMENT!
A week old
JANETTE

Hiccuppsan puking

Dana
DANA

Hi Janette - some amount of hiccuping and spit up is completely normal. Is baby otherwise content and full after a feeding?

DANA ADDED A NEW COMMENT!
Milk Supply
CAROLINA, PARENT OF 2 YEAR OLD

My daughter is 7 weeks old and lately she has been pulling at my nipple when she feeds. I am not sure if it is that I am not producing enough for her and she is getting fussy about it. In the morning my breast feel full but then during the day they seem to not be as full as the mornings and I think that may be the problem. How do I know how much she is getting and when is the best time to pump?

I have been pumping after her morning feed which is around 11am, which is when she takes her long stretch nap (2hrs) and that is when I get the 5-6oz, but then as the afternoon goes, my breast feel empty throughout the afternoon. I also pump at night because I have been giving her formula so she can go to sleep full, and so that I know she is getting those ounces she needs. I also pump at this time and get the 5-6oz as well.

Any tips on how to build up my supply or advise on how to know she is getting what she needs. Also best times I should be pumping.

Dana
DANA

Wow -- sounds like you are pumping a good amount actually! Great job!

Milk production fluctuates throughout the day. Moms usually are fullest in AM so it's not surprising you notice that. That being said, the fact you don't feel AS full later doesn't necessarily mean that you aren't producing enough.

The best way to know if she's getting enough is by her demeanor (in addition to appropriate weight gain + wet/dirty diapers). After a full feeding (offering both breasts) is baby relaxed, content and satiated?

Re: her fussy behavior at breast...can you identify a pattern of when baby gets fussy. Is it at end of nursing session or right after let down? Does it happen more frequently in late afternoon/eve and never in AM?

Sometimes fussiness at breast is baby's way of letting us know she needs a break to burp! Other times it can mean there's a milk flow issue (too slow or too fast)...that's why I was asking about a pattern...

CAROLINA

Yes most of the time she is content and satiated after she eats from both breasts.

As for her pulling of my nipples, it’s usually after let down and happens more in the afternoon and early evenings. Mainly in the afternoon.

CAROLINA

I also noticed that her fussiness at the breast is usually as soon as she attaches to the breast and then again after let down. This happened during her feeding at 4am. She was also up every hour or so last night and only feeding for about 5 mins then falls asleep and doesn’t wake up. I tried taking off her clothes and running a cold cloth on her to wake her up but she wakes up and doesn’t want to eat again. Are the 5 mins enough to get her full? This doesn’t seem possible as she kept waking up every 1-2 hours.

DANA ADDED A NEW COMMENT!
Weaning from breastfeeding.
LACY, PARENT OF 4 YEAR OLD

Tips to start weaning?!

Dana
DANA

Hi, there...21 months -- amazing job mama!

Weaning (like breastfeeding) is a very personal journey. The most important tip is to go slow -- this will help both you and baby adjust (physically and emotionally).

How many times a day are you nursing now? Does baby drink milk from a cup?

DANA ADDED A NEW COMMENT!
Problems with milk supply
AUBREY, PARENT OF 2 YEAR OLD

My baby is 5 weeks and I have been breastfeeding, but I think my baby isn’t latching probably and that there is something wrong with my body’s ability to produce milk. My baby feeds for hours at a time and when he unlatches he is still hungry. And when I pump I’ll pump for 30 mins on each side and can only get about an ounce total. I do everything I can. I hand express, drink Mothers milk, Take fenugreek and prenatal. Please help!!!

Dana
DANA

Hi, Aubrey --

Latch issues + low milk supply are usually related! It's hard to know which comes first as they both impact the other.

And...if we work to fix one, it usually helps the other! Can you tell me a bit more about your daily nursing/pumping schedule: what does a typical day look like?

Are you in pain when baby is nursing?

AUBREY

Was in the hospital after having my son the lactation expert there give me a nipple guard because my nipples are flat. So I have been using that. I nurse my son literally all day to the point where I had to start using formula to give myself time to pump. Because he is on the breast some much, im lucky if I can pump at least once a day maybe twice a day.

When I do get to pump. I pump on each breast for about 20-30 minutes and only end up with an ounce of milk, an ounce in half if I’m lucky.

And no I’m not in pain when he nurses.

I’m also trying to get him off the nipple guard, and that has been a struggle as well

DANA ADDED A NEW COMMENT!
Relactation
HOLLY

If I have a very low milk supply and my baby prefers the bottle over me, how can I get the baby to latch so that I can start boosting my milk supply and become more of a breastfeeding mom?

Dana
DANA

Hi Holly - a few things to try...

- do you have a pump? If so, try pumping a few times a day (approx 15 mins) - remember, the more frequently we empty the more milk we make.

- if you don’t have a pump, try hand expressing! It’s very effective and easy once you get the hang of it. Take a look at this video tutorial from Dr. Jane Morton at Stanford:
https://med.stanford.edu/newborns/professional-education/breastfeeding/hand-expressing-milk.html

- try starting baby with 3/4 amount of what he/she normally takes. Then try and latch baby - now that baby isn’t as hungry and is more relaxed, baby will have more patience to drink at breast. As your milk supply increases, you slowly start decreasing the amount in the bottle upfront. Make sense?

Good luck! Let me know how it goes or if you have further questions.