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Breastfeeding | Sleep

Baby sleeping

Sleep: An Overview of Baby's First 18 Months

 Being a new parent is overwhelming; trust us, we know. Your questions are all over the place—which is why we’re here, along with our trusted experts, to help. One of your biggest questions as a new parent is your baby’s sleep patterns. What’s normal? What’s not? When should I be concerned? So we spoke with Arielle Driscoll of Sleep Consulting, LLC, to get some info on the factors are affecting your baby’s sleep for the first 18 months of her life, and what you can do about it.Arielle says, “It’s important to remember that sleep does not exist in isolation from everything else happening developmentally with your child.” Physical and cognitive growth can disrupt sleep, as can illness, mastery of physical milestones, and nap transition periods, among other things.So let’s start off on the things affecting your child’s sleep, and what you can do about them.1. Feeding ScheduleEarly on, your baby’s sleep schedule will be affected by their feeding schedule. It’s not that your infant is necessarily hungrier at night; it’s that infants’ small stomachs can’t handle much food at each feeding, so they need to feed often, which is why they tend to wake frequently to get the calories they need.Once your baby passes the 4-month mark, you can start to tweak their feeding schedule. Stick with the same number of feeds, including night feeds, but try to offer more calories during the day to prevent the need to eat more in the night.2. Growth Spurts You can expect growth spurts at approximately the following stages during your baby’s first year: 7-10 days2-3 weeks4-6 weeks3 months4 months 6 months 9 months 12 months Each baby is different, so these are approximate timeframes. But when it comes to sleep disruption, physical growth spurts tend to affect sleep only during your baby’s first 4 months. (In general, growth spurts don’t tend to disrupt sleep in older infants or toddlers; in fact, toddlers typically sleep more during growth spurts.)So your baby waking during his or her first 4 months at these stages is normal. And the general rule of thumb for a baby over the age of 4 months is to stay consistent with her schedule through the growth spurts—you shouldn’t see any disruption due to growth spurts alone. 3. Cognitive Development (“Leaps”)There are 10 “leaps” in your baby’s cognitive development during his or her first 2 years. (The Wonder Weeks is a useful tool to help follow these.)Some babies are extremely sensitive to leaps, while others are not. Typical signs of leaps include disrupted sleep, eating more or less, crying and fussing more, and acting clingy. Some will show signs with each leap; others may only show signs during a few. For babies who do experience these symptoms, the good news is that these signs typically only affect him during the first part of the leap. Here is when you can expect these cognitive leaps (and remember, these are all approximate and will vary from baby to baby):4.5-5.5 weeks Leap 1: Changing Sensations 7.5-9.5 weeks Leap 2: Patterns 11.5-12.5 weeks Leap 3: Smooth Transitions 14.5-19.5 weeks Leap 4: Events 22.5-26.5 weeks Leap 5: Relationships 33.5-37.5 weeks Leap 6: Categories 41.5-46.5 weeks Leap 7: Sequences 50.5-54.5 weeks Leap 8: Programs 59.5-64.5 weeks Leap 9: Principles 70.5-76.5 weeks Leap 10: Systems In our experience, Leaps 5,8,9, and 10 are the hardest on sleep. Your best plan of action is to stay consistent with your child’s sleep schedule and power through.4. Physical MilestonesFirst thing’s first: you need to remember that each baby reaches her physical milestones when she’s ready Don’t compare your baby to others (we know, it’s hard!) and don’t worry unless your doctor is concerned. In general, the biggest physical milestone that affects sleep is crawling. (You can read more about the science behind this here.) Walking can also affect your baby’s sleep. Your child may have refuse naps or take only short naps, have early wakeups, or even some middle-of-the-night wakings. This is all normal. Again, it is best to stay the course with your child’s sleep schedule. If by this age you’ve used a formal method of sleep training, use whatever method you used originally to power through this time period.5. Night WeaningIt’s always best to consult your pediatrician about night feeding. As is true for everything else baby-related, each child’s individual situation has its own considerations. Many babies can sleep through the night without a night feeding by 6 months, while some babies may require a night feed through 9 months or longer. If your baby is over 4 months, here are some signs that he might be ready to night wean:You can address night weaning by using a formal sleep training method, or by dropping the number of ounces in her bottle by one ounce every other night until there’s no longer a bottle. Alternatively, if you’re nursing, you would decrease the amount of time you’re nursing by one minute each night until you’re no longer night nursing.6. Nap TransitionsYou may experience some sleep disruptions around nap transition times. This is normal. Your baby’s sleep needs change as she gets older, and adjusting to one fewer nap per day can be tricky. Here is when you can expect nap transitions in your child’s first 2 years. Again, these are approximate:4-5 months 4 naps to 3 naps5-8 months 3 naps to 2 naps24 months* 2 naps to 1 nap*The average age for the 2-to-1 nap transition is 15 months. Some parents may mistake leaps or physical milestone sleep disruption for the need to transition to one nap. We do not recommend rushing the 2-to-1 nap transition.Signs that it may be time to drop a nap include:Skipped naps or shortened naps for a week or moreThe best advice we can give during these nap transition times is to compensate with an earlier bedtime as your child transitions. Early bedtimes help prevent your baby from becoming overtired.

Baby sleeping

6 Things You Can Do to Improve Your Baby's Sleep Environment

 Once your newborn has their days and nights on track, it’s time to start implementing a proper sleep environment. Here are some tips on how to make this happen! Pro tip: if you’re feeling overwhelmed, there’s no need to do this all at once! One step at a time is just fine. Overall, we suggest these things be in place by the time your baby is 3 months old.1. Use the Same Bed for Nighttime and NaptimeIt’s best to have your baby sleep in the same place both at night and for naptime. This can be a bassinet, crib, or pack ’n play. This helps give your child her cues that it’s time to sleep; remember, babies need routine. 2. Use a Flat, Stationary Bed Your baby will have better, more restorative sleep on a flat, stationary surface. This is in line with recommendations set by the American Academy of Pediatrics (AAP). Swing, stroller, and car seat sleeping result in poorer quality sleep, as movement and vibrations can force the brain into a lighter sleep state. Additionally, the AAP recommends that sleeping on a flat, stationary bed is safest for infants. 3. Keep Your Baby’s Bed Free of Any Toys or BlanketsThe AAP recommends that a baby under the age of 12 months have a sleep area free of any toys, bumpers, or loose blankets—both to prevent distraction, and to keep your little one safe.4. At Nighttime, Make Your Baby’s Room As Dark as PossibleBabies tend to hone in on any type light, which can keep them awake longer or awaken them between sleep cycles. Additionally, circadian rhythms can be disrupted by any small amount of light during sleep time. There should be no glowing lights in your baby’s room, or even outside light peeking through windows or doors, if possible. This includes baby products with LED or any sort of light that indicates the product is “on” (diaper warmers, baby monitors, cool mist humidifiers). Black out these little lights in your baby’s room with black electrical tape or masking tape. 5. Make Your Baby’s Room QuietWe know that total silence is near impossible for most people, so we recommend using a noise machine for your baby’s room. White noise will help eliminate outside noises, and can also serve as a cue to your baby that it’s time to sleep. And be sure to use the white noise setting—not the other options like waves, crickets, rain, etc. These other noises can keep part of the brain awake and therefore result in poorer quality sleep. Note: Soft lullaby music is okay to use during a bedtime routine but for restful, restorative sleep, white noise is best.Pro tip: I highly recommend Marpac Dohm (as does the National Sleep Foundation). 6. Make Your Baby’s Room CoolChildren, like adults, sleep better in cooler temperatures. Your baby’s room temperature should be anywhere from 68 to 72 degrees while sleeping. But won’t my baby be cold? you may ask. After all, following AAP safe sleep guidelines, you’ll have no loose blankets in the crib. That’s what sleep sacks are for. They’re a great way to keep your child warm once the swaddle is gone.

Baby sleeping

5 Newborn Sleep Myths, Dispelled

 You don’t need us to tell you that there’s a lot of information out there when it comes to motherhood—especially when it comes to brand new moms. That’s why we created Tinyhood, and why we continue to bring you advice from our board of experts on all things motherhood, babies, and toddlers. Here are some pesky pieces of misinformation—and why they're wrong—about your little one's sleep schedule!1. It’s ok to let your baby sleep on her side or belly.A resounding no! In order to ensure your baby’s sleep environment is safe, it’s important you always put your baby on her back to sleep. 2. Adding rice cereal to your baby’s bottle before bedtime will help him sleep for longer stretches at night.Another no! A newborn’s gut is not developed enough to process solids of any sort. Adding rice cereal to a baby’s bottle is only recommended when needed for severe reflux—and this should always be done under the care of a physician. Furthermore, studies have shown that adding rice cereal does not lead to longer stretches of sleep.3. Giving a breastfed baby formula at bedtime will help her sleep for longer stretches at night.Also a no! Sure, there are some babies for whom this may work; however, there is no scientific evidence that formula will help your breastfed baby sleep any longer than normal.4. You can control your newborn’s sleep schedule.Nope! A newborn does not have developed circadian rhythms. Circadian rhythms are what allow our sleep to be organized and predictable. Some babies may fall into what appears to be a fairly set schedule early on, but for the most part, sleep organization does not occur until closer to 12 weeks.5. Putting your baby to bed later at night will help him sleep later in the morning.Another nope! In fact, babies are biologically predisposed to go to bed for the night sometime between 6 and 8 PM. When a baby is kept awake longer than he should be, his body is filled with cortisol, adrenaline, and noradrenaline. These stress hormones make it difficult for babies to fall asleep and stay asleep, and often lead to early morning wake-ups—the opposite of what you were hoping for.

Baby sleeping

3 Reasons Your Baby May be Experiencing Sleep Disruptions

 Has your baby or toddler suddenly begun waking frequently in the night—as frequently as every 30-45 minutes?This phenomenon can be baffling to parents who are used to their children sleeping more soundly at night, and we certainly understand the concern. Here are some reasons why it may be happening.1.  Ear infections - You may be surprised to learn that ear infections are one of the top reasons for sudden, frequent night wakings. “But she’s not pulling her ears,” you might say, or “he doesn’t have a fever.” It also may be that your baby is sleeping fine during naptime, and it’s only at night that she has trouble.  All of this doesn’t mean an ear infection isn’t the culprit: nighttime sleep disruption is often the only symptom a child with an ear infection may experience. So if this is happening to your child, go get his ears checked.2.  Acid Reflux, or GERD - If your baby is waking frequently throughout the night, he could have GERD, or gastroesophageal reflux disease. GERD causes an upward movement of stomach content, including acid, into the esophagus and sometimes mouth that can sometimes, but not always, result in vomiting. If you suspect your baby may be suffering from GERD, it’s best to speak with her pediatrician to discuss ways to manage your baby’s symptoms. 3. Other illnesses - When a baby or toddler who normally sleeps soundly is waking frequent at night, it’s typically a sign that something’s not right internally. Even if he has no other symptoms, it would be beneficial to both of you to get him checked out by a pediatrician. Then when you know the cause, and follow your doctor’s recommendations to help your baby get the healing rest he needs while ill. And don’t worry about your child’s sleep schedule while they’re sick. You can get back on track with sleep once he’s feeling well again! 

Baby sleeping

How to Correct Your Newborn's Day/Night Confusion

 What is Day/Night Confusion?It just means that your little one is likely to have his or her days and nights mixed up. During your pregnancy, your daily activities and constant movement “rocked” your baby to sleep on many occasions through the day. And at night, as you lay sleeping, your stillness could cause your baby to wake up. Hello 3 AM belly party! Day/Night Confusion can last for anywhere between 1 to 8 weeks. Here are some tips to rectify this confusion sooner rather than later, so you can both get that much-needed rest.During the Day:Interact with your baby when she’s awake with lots of talking.Allow your baby to nap with the lights on.Keep day noises (such as TV, talking on the phone, siblings playing, etc.) at a normal volume—if your baby can tolerate it. If she startles easily with sound, it’s ok to turn the volume down on the TV or talk softly.Get your baby used to natural light. Open the blinds and curtains, and go for walks outside if the weather permits.Your baby will have wakeful periods of 30, 60, or 90 minutes. Your newborn should never be awake longer than 90 minutes and likely in the first few weeks, 30-60 minutes will be the most he can tolerate. Start trying to recognize your little one’s sleepy cues and ensure she’s in a good place to get that much-needed sleep when she needs it.At Night:Develop a pre-bedtime routine. For example: give him a bath, put on some lotion, get his PJs on, do your nighttime feeding, sing a song, and then put him down for bed. Babies thrive on routine! And while a 2-week-old may not pick up on these cues just yet, it won’t be long before he realizes these repetitive actions mean it’s time to go to sleep for the night. And the routine doesn’t have to be long if that’s not what you prefer. It just has to be repetitive: night after night.Limit your use of lights at night. During your nighttime routine and pre-bedtime feedings, use very dim lighting, such as a bathroom or closet light.Be “boring” during nighttime feedings. As tempting as it may be to exchange smiles and talk to your little one at this time, it’s best to be more business-like with little social interaction during this last feeding of the day.Ensure no noises disrupt your baby’s sleep. Many parents use white noise machines to help eliminate outside noise.Swaddle your baby.After two weeks, if your baby has regained his birth weight and is on track for gaining half a pound per week, there’s no need to wake baby for nighttime feedings. Allow your baby to wake on his own. Also, here’s a pro tip: babies are noisy sleepers, so be sure yours is truly awake and not just moving or making sounds in his sleep. Wait for a mad, hungry cry (otherwise known as a hangry cry) before you go to him. 

Treating a clogged milk duct

9 Steps to Treating a Clogged Milk Duct

Recently, a Tinyhood Mom wrote into one of our breastfeeding experts, Dana Czuczka, IBCLC, with this message: All of a sudden, I realized I have a hard lump in my breast.  It actually hurts when I touch it!  Help! What is this and what should I do?Fortunately, Dana was pretty sure she knew exactly what this was: a clogged duct in the breast. Here she shares her steps for dealing with this common breastfeeding issue.Don’t panic! Clogged ducts are a pretty common problem for breastfeeding moms—and there are ways to resolve the problem fairly quickly.  Review all the signs of a plugged duct—just to be sure that’s what it is. Signs of a clogged duct include:A hard lump in the breast that is still there even after nursingSometimes (but not always) a “milk blister” on the end of the nippleSometimes, your breast may feel warm to the touchYou may notice a pink or red spot by the lump that may be tender You may have a temporary dip in milk production from that breastIMPORTANT: If you have a fever or start feeling like you have the flu, call your OB or midwife. This could mean the clogged duct has already developed into mastitis (a breast infection) and that’s something you cannot treat on your own.Begin treatment as soon as possible. If what you have is indeed a clogged duct, address it right away. As noted above, if left untreated, clogged ducts can lead to mastitis. You don’t want to ignore it and hope it goes away on its own.  Take a warm shower. Get in the shower as soon as you can and run warm water over the tender breast. If a shower is not possible, use a warm compress. (Lactation Consultant trick: a diaper filled with hot water works well!)Massage the breast. While still in the shower, or while you still have the warm compress handy, massage the tender breast firmly (but not so firmly that you hurt yourself). Think about clearing the path ahead of the spot. Start at the nipple and slowly move backwards towards the tender spot, and then work on the lump itself with a kneading motion.Nurse or pump. Right after your shower or compress, nurse your baby. Nursing is more effective than pumping, but if nursing is too painful or if you are separated from your baby, pumping is a good backup option. Continue with the breast massage while you are nursing or pumping.Treat your pain. Some moms find relief from ice packs after nursing or pumping. You can also take ibuprofen to help ease the discomfort.Don’t neglect the other breast. Make sure you’re still using both breasts to feed! You don’t want to end up with a clog on the other side, too.Do your best to prevent another clogged duct. Moving forward, try and catch plugs early by:Frequently checking for lumps and tender spots while nursing, pumping, or showering.Avoid wearing bras that are too tight or bras with underwire.  Keep your breasts comfortable. Don’t skip a nursing or pumping session if you can help it. Remember, you can always hand express if you need relief and you can’t nurse or pump for whatever reason. 

Bottles and the breastfeed baby

8 Tips for Transitioning a Breastfed Baby to a Bottle

Having trouble getting baby to take a bottle?Relax—this is a common problem new moms face. Most babies take time getting used to the newness and feel of a bottle. It’s important to stay calm and tell yourself this too shall pass—because it may take some time, but you’ll get through it! Here are our top tips for getting an exclusively breastfed baby to take a bottle:Try offering the bottle when baby is not too hungry. Think about it; it’s hard to learn anything new when we’re starving! When your baby is already stressed out and hungry, he’s not going to be interested in a feeding lesson. Wait until he’s already slightly satiated or at least not crying because he’s so hungry. We’ve actually found we have a good amount of success with sleepy babies.Offer freshly pumped milk. You want to be giving your baby the best they can get—but in small quantities, in case she refuses. We know you don’t want to waste too much of that precious breastmilk!Use a slow flow nipple and try "paced bottle feeding.” Make sure the bottle is more parallel to the floor versus straight up and down, and ensure there is milk in the nipple before your baby begins drinking. Let your baby root for the nipple versus sticking it in her mouth; you can even drip a little milk on her lips to start. And follow your baby’s lead; if she wants to take breaks, take them.Change up the environment/ and/or positioning. If you always nurse in a glider, don't sit there for the bottle. Or if you use a nursing pillow, skip it. Holding your baby in a completely different way signals this isn’t the exact same experience as breastfeeding, so he may be more open to the bottle. You can even try bottle feeding when your baby is in a bouncer or swing—movement is a good distraction.Don't force it. If either of you are getting frustrated, take a break and try again later.Leave. Leave the room (or house!) and let someone else try. Your not being there is another signal to baby that this is a different experience from breastfeeding.Bait and switch. Start with breastfeeding, and when your baby is relaxed and not so hungry, try offering the bottle.Stay calm. Take deep breaths and remember: this too shall pass!

Milk Storage

Breast Milk Storage Guidelines

Pumping and storing breastmilk is a great way for breastfeeding mamas to gain a little flexibility and freedom, have partners help out with feeding baby, and ensure mom can go back to work and still provide baby with breastmilk. We know the internet has a lot of conflicting information on all the rules around this topic so we've compiled this list of tips based on the recommendations from the latest research and leading experts. This way, there's no uncertainty or guessing if your milk is still safe for baby!1. The fresher, the better. Human milk is a fresh, living substance and so some of its nutrients and health properties change with storage. This just means you should try and use the oldest milk in the refrigerator or freezer first, so you don’t have milk sitting there for too long. See the table at the bottom of this article for the optimal amount of times you should be storing milk. (Just keep in mind that frozen breast milk is still a good option! Stored human milk maintains its unique qualities, so much so that it remains the gold standard for feeding.)2. When freezing milk, don’t forget to leave a little space at top of the container to allow for the expansion that will occur in the freezer.3. Freeze in small increments. Infants generally drink 2-4 ounces at a time, so store milk in varying small increments in order to minimize waste. (You can’t save breast milk once your baby has drunk from it; more on that below.) Don’t forget to label the milk container with the date (and baby’s name if used at daycare).4. To defrost breast milk, use one of these three options:5. Discard the remaining milk once your baby has fed. Once a baby begins drinking expressed human milk, some bacterial contamination occurs from the baby’s mouth. Therefore, it’s recommended to discard remaining milk within 1-2 hours after your baby has finished feeding.HELPFUL HINT: To minimize waste, make your bottles with the least amount you think your baby will take, and then add more if she’s still hungry. Trust us, most moms would take the inconvenience of making an additional bottle over wasting a drop of that precious pumped milk! 6. Don’t mix milks of different temperatures. Try to avoid adding warm, freshly-pumped milk to already cooled or frozen milk. It’s better to cool down the newly expressed milk before combining it.7. Use defrosted milk within a few hours. Once breast milk is thawed, it should not be left at room temperature for more than a few hours.8. A note on refreezing milk: The research is not clear on whether or not you can refreeze milk once it’s been thawed. There is no official recommendation on this.9. For healthy, full term babies, breast milk can:BONUS: For optimal milk storage guidelines, check out this table from the ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants.

11 Steps for the Breastfeeding Mom Going Back To Work

Going back to work after maternity leave can bring on a lot of mixed feelings. On the one hand, you may be eager to get out of the house and get back to your job; on the other, you’re going to miss your little nugget like crazy. Add to that your worries about balancing your life as a working mom, your baby’s childcare schedule, and countless other things, and it’s no wonder many mamas find going back to work to be incredibly stressful.If you breastfeed, that’s definitely up there on your list of concerns. How much to pump, where to do it, how to store it, and more, are questions we hear frequently.So below, we’ve compiled our advice for the breastfeeding mom headed back to work.In the early weeks, going back to work should be the last thing on your mind. Focus on adjusting to your new life as a mama and enjoying the time with your baby.Establishing good milk production early on will help your long term nursing success. Week 2 or 3 is when we recommend you begin pumping. This will allow you to get comfortable with the pump, as well as allow your baby to get used to taking a bottle. Plus, enabling someone else to feed the baby will give you a little bit of freedom and rest early on.As you get closer to the end of your maternity leave, add an additional pumping session each day to start building a stash. Many moms have success pumping right after their first feed each morning.A caveat: you don’t need a freezer filled to the brim with breastmilk! Don’t make yourself nuts trying to store up all the milk you’ll ever need. Focus on storing a few days at a time.Your manager may not have experience with breastfeeding moms, or she may be a breastfeeding mom herself. Either way, it’s important to speak with her before your first day back. You’ll want to bring up your needs, which will include:Know your rights: most employers are required by law under the Patient Protection and Affordable Care Act to provide both these things. Here are some more resources on having this conversation.This probably means that to start, you’ll be pumping every 3 hours. Depending on your production, you may eventually be able to get away with pumping only twice per day; mamas who struggle with supply may need to pump up to 4 times. Your pumping schedule may need to be adjusted depending on your specific work situation and your baby’s needs. Remember how milk production works – supply and demand – and do the best you can.Let your caregiver know your baby will be taking bottles of expressed breastmilk. If they’re used to formula-fed babies, they may need some extra education. Discuss what’s needed in regards to bottle preparation, frequency of feedings, extra milk storage, minimizing breastmilk waste, etc. For healthy, full term babies, breastmilk can:More information on breastmilk storage.And check it twice. Bottles, pump parts, ice packs, freezer bag—you’ll be toting way more stuff to work than you used to! Have a checklist and run through it before you walk out the door.If you forget a piece of the pump or you end up somewhere without electricity, knowing how to hand express will enable you to still get the job done.Leave the nightmare scenario of leaking milk through your clothes to the movies; it doesn’t happen that often. However, keep an extra shirt at work—just in case.Some mamas find it hard to shift gears from working woman back to breastfeeding mom when pumping at work. So when that time comes, get to your designated space, try and relax (easier said than done, we know!) and imagine the feelings you have being with your baby. Some moms find it helpful to bring something that smells like their babies; others look through pictures.Also, don’t watch the bottles! In the same way a watched pot never boils, we’ve found the more you stare at the bottle and stress about your output, the less milk you pump.

5 Ways To Increase Your Breast Milk Supply

Are you worried you’re not producing enough breast milk for your baby?If so, you’re in good company. Not being able to produce enough milk is a common concern among breastfeeding moms. But experts say only about five percent of women actually have a low breast milk supply. So in all likelihood, your body can produce enough milk. You just need to help it along a bit.How?Milk production is commonly described as a "supply and demand" process. But really, it's "demand and supply." What I mean by this is that the first step to getting more milk out of your body is to make your body aware that it needs to produce more milk.Nursing or pumping frequently is important because it sends a message to your body that you need more. For most breastfeeding moms, this means either nursing or pumping every two to three hours. But it’s not just about frequency; you also need empty your breasts more effectively.Here's the bottom line: when our breasts are full we have slower milk production; when our breasts are empty we have faster milk production.So how do we effectively empty our breasts?Address latch issuesSometimes, your baby can be latched and "nursing" but not actually drinking. This can be due to issues such as a shallow latch, a sleepy baby, or even an anatomical issue like a tongue tie. If your baby isn’t drinking, address the underlying cause. A certified lactation consultant can help you and your baby achieve a deeper latch, which in turn will help your baby drain your breasts better.Use your handsYou can also help your baby drain your breasts by using a gentle breast massage or a breast compression to squeeze the colostrum or milk into your baby's mouth. This goes for the pump, too—it doesn’t always get every last drop. Try hand expressing for a few minutes after your pump stops extracting milk. Research shows when we use our hands while pumping, our milk production increases.Don't obsess over timing your feeds. Just because your app says you may be done feeding, it doesn't mean your baby is. Follow your baby's cues and allow him to nurse as long as he wants. When we cut our babies off because our apps say it’s time, we could be sabotaging our milk production.After your baby drains one breast, offer the second one—even if you think she’s done. Often with increased milk flow from the full side, the baby will become active again on the second side. If the baby drains the second side, go back to the first. If your baby can take it, feed her twice on each breast in a single session.You don't need to go overboard here, but properly hydrating yourself is important. Drink enough to quench your thirst. Hydrate throughout the day, and make sure you have a glass of water nearby when you start to nurse or pump. Keep an eye on your urine—if it's very concentrated (dark yellow in color and/or has a strong odor), that’s a sign you need to hydrate.Many moms believe that making lactation cookies with oats, brewer's yeast, and flax seed meal can help boost your supply. The research isn't solid on this, but it can’t hurt Bonus: they’re delicious!Additionally, some doctors and lactation consultants will recommend herbal supplements to help boost your supply. Anecdotally, many moms report success with taking herbal remedies like Fenugreek and Blessed Thistle. Again, the studies on this have had mixed results. And please remember that when considering a new herbal supplement or medication, you should check with your healthcare provider about any side effects, contraindications, or drug interactions.