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Why breastfeeding reduces the risk of SIDS via lactationlink.com

What is SIDS and how can breastfeeding reduce my baby’s risk?

By | Breastfeeding, Breastfeeding support, breastfeeding tips | One Comment

Hi mamas, I’m Stephanie Weight Hadfield, an International Board Certified Lactation Consultant (IBCLC) and mom of 4. I’m here today to talk about SIDS and how breastfeeding can reduce your baby’s risk. I hope it brings you more confidence as you face infant feeding and sleeping options!

 

Even small amounts of breastmilk offer some safety from SIDS, and exclusive breastfeeding offers the best risk reduction. Let's take a look at the....

Sudden Infant Death Syndrome

SIDS, or Sudden Infant Death Syndrome, is a worry that strikes fear into the hearts of just about every parent. According to the CDC, SIDS is the sudden death of an infant less than 1 year of age that cannot be explained after a thorough investigation. In 2015, SIDS was given as the cause of death for about 1,600 U.S. babies (1). Although SIDS is different from smothering or suffocation, they are all often lumped together in the research and discussion, which can make it difficult to really understand what is going on.

Why breastfeeding reduces the risk of SIDS via lactationlink.com

While researchers still have a lot to learn about this tragic condition, multiple studies have found something that I’m very interested in as a lactation consultant: Breastfed babies have a decreased risk of SIDS by 50% or more (2). The protection seems to increase the more mother’s milk your baby gets (i.e. how much of baby’s food source comes from breastmilk).  Even small amounts of breastmilk offer some safety from SIDS, and exclusive breastfeeding offers the best risk reduction (3). Let’s take a look at the research to find out more.

Why does breastfeeding make a difference?

We don’t know exactly why breastfeeding protects babies, but there are a few theories. First of all, illnesses like diarrhea and upper respiratory infections happen more often for babies who are not breastfed, and these minor illnesses have frequently been associated with SIDS (4).  Another theory is that breastmilk provides optimal nutrition for brain development and this could help at-risk babies’ brains mature so that they have the normal response of gasping for air when they should.

Why breastfeeding reduces the risk of SIDS via lactationlink.com

The typical sleep patterns of breastfed babies might also offer some clues as to why breastfeeding reduces the risk of SIDS. Researchers have found that breastfed babies generally sleep for shorter stretches and are a lot easier to wake from active sleep than non-breastfed babies (5,6). Shorter sleep stretches and being more easily woken could be another piece of the protection puzzle.

If just hearing the news that breastfed babies have shorter sleep stretches makes you feel more exhausted, listen up! Exclusively breastfeeding mothers (and their partners) get more sleep and spend more time in deep sleep than mothers who are not breastfeeding, even though their babies tend to wake more frequently at night (7,8).  This is because breastfed babies and their moms fall back asleep faster.  It’s pretty fantastic that breastfeeding can help you get more rest AND protect your baby at the same time.

Why breastfeeding reduces the risk of SIDS via lactationlink.com

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What causes SIDS?

Scientists still don’t know exactly why some babies die without explanation, but recent research points to the possibility of brain stem abnormalities that prevent some babies from being able to rouse from sleep and gasp for air when their blood oxygen levels are too low. (9,10,11). These babies seem to be in more danger when other risk factors for SIDS are present and babies are younger than 6 months. The four biggest risk factors are (12):

  • Household smoking
  • Putting a baby on his or her stomach for sleep
  • Leaving a sleeping baby unattended
  • Formula feeding

Why breastfeeding reduces the risk of SIDS via lactationlink.com

There is no way to know ahead of time if your baby has the condition researchers describe, so the best way to protect babies is for all parents to take measures to reduce the most common and avoidable risk factors:

  1. If you smoke, try to quit.  At the very least, don’t allow anyone to smoke inside your house or car or around your baby.
  2. Always put your baby on his or her back to sleep.
    Why breastfeeding reduces the risk of SIDS via lactationlink.com

    {Plum Pretty Sugar Robe}

  1. Keep your baby close at night. There are many different sleeping arrangements that can keep your baby close (and safe) at night, which can also make nighttime feedings easier and help you get more rest (13):
  • A bassinet or cradle next to your bed
  • Baby’s crib attached to your bed in a “side-car” arrangement (no gaps or wedges present)
  • A “co-sleeper” bed that attaches to your bed
  • Baby put to sleep on a mattress on the floor away from the walls in your room, so you can lie down and sleep while breastfeeding the baby and return to your own bed after the baby goes back to sleep.
  • Baby sleeps in your bed, either for part of the night– after he or she awakens the first time– or for the whole night. Read our article on How to Co-sleep Safely for more information.
Why breastfeeding reduces the risk of SIDS via lactationlink.com

{Dock a Tot}

  1. Breastfeed. The #1 rule is always feed the baby, so if formula is necessary, use it. If it’s not necessary, try to avoid it. Remember that the more of your milk your baby gets, the lower the risk of SIDS. Some breastfeeding is definitely better than none. A visit with a lactation consultant (IBCLC) can help you maximize the amount of your milk that your baby will get. Lactation Link’s IBCLCs are available for home and hospital visits for families in our geographic area and secure video e-consults for families everywhere else. We are always happy to support mothers with their breastfeeding questions and goals.

Why breastfeeding reduces the risk of SIDS via lactationlink.com

Information like this is exactly why I’m so passionate about supporting families with feeding their babies. Breastfeeding isn’t just a lifestyle choice or another way to get food into babies, it is the biological norm for nurturing babies and supporting their overall growth and development and helps make healthy families and communities.

Why breastfeeding reduces the risk of SIDS via lactationlink.com

Here at Lactation Link, we want to support you! Our breastfeeding video courses can help you get a great start to your breastfeeding relationship, and our lactation consultants are available to help you with any concerns that pop up along the way. Let us help you reach your breastfeeding goals, whatever they may be.

Thanks for stopping by,

Get in-person or online help with breastfeeding.

Stephanie Weight Hadfield, BS, IBCLC

Have you signed up for our free email breastfeeding course?

I think you’ll find it really helpful. Click the image below for more info.

Join our free confident breastfeeding course

Sources

(1) Centers for Disease Control (2017, February 1). Sudden Unexpected Infant Death and Sudden Infant Death Syndrome: Data and Statistics. Retrieved from https://www.cdc.gov/sids/data.htm

(2) Hauck, F.R., Thompson, J.M., Tanabe, K.O., et al. Breastfeeding and reduced risk of sudden infant death syndrome: a meta-analysis. Pediatrics 128, no.1 (2011): 103-110.

(3) McVea, K. L. S. P., Turner, P. D., & Peppler, D. K. (2000). The role of breastfeeding in sudden infant death syndrome. Journal of Human Lactation, 16 13-20

(4) Dujits, L., Jaddoe, V. W., Hofman, A., & Moll, H. A. (2010). Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy. Pediatrics, 126, e18-e25

(5) Quillin, S. I., & Glenn, L. L. (2004) Interaction between feeding method and co-sleeping on maternal-newborn sleep. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 33(5), 580-588.

(6) Ball, H. L. (2003). Breastfeeding, bed-sharing, and infant sleep. Birth, 3 30(3), 181-188.

(7) Doan, T., Gardiner, A., Gay, C. L., & Lee, K. A. (2007). Breastfeeding increases sleep duration of new parents. Journal of Perinatal and Neonatal Nursing. 21(3), 200-206.

(8) Blyton, D. M., Sullivan, C. E., and Edwards, N. (2002). Lactation is associated with an increase in slow-wave sleep in women. Journal of Sleep Research, 11(4), 297-303.

(9) Kinney, H. C. (2005). Abnormalities of the brainstem serotonergic system in the sudden infant death syndrome: A review. Pediatric and Developmental Pathology, 8, 507-524.

(10) Kinney, H. C., Randall, L. L., Sleeper, L. A., et al. (2003). Serotonergenic brainstem abnormalities in Northern Plains Indians with the sudden infant death syndrome. Journal of Neuropathology and Experimental Neurology, 62, 1178-1191.

(11) Paterson, D. S., Trachtenberg, F. L., Thompson, E. G., et al. (2006). Multiple serotonergenic brainstem abnormalities in sudden infant death syndrome. Journal of the American Medical Association, 296, 2124-2132.

(12) Moon, R.Y., et al. SIDS and other sleep-related infant deaths; expansion of recommendations for a safe infant sleeping environment. Pediatrics 128, no.5 (2011): 1030:1039.

(13) Mohrbacher, N. (2010) Breastfeeding answers made simple: A guide for helping mothers. Amarillo, TX: Hale.

 

What not to eat while breastfeeding via lactationlink.com

What not to eat when breastfeeding

By | Breastfeeding, Breastfeeding support, breastfeeding tips, Can I breastfeed if?, Uncategorized | 3 Comments

Hi mamas! I’m Kristin Gourley, IBCLC. I’m a mom to 5 and lactation consultant with Lactation Link. I’m here today to debunk some myths about what not to eat when breastfeeding and if you need a breastfeeding diet. Thanks for stopping by!

Does that mean that your milk tastes the same no matter what you eat? No! One of the benefits of breastfeeding is that your baby is very gently introduced to.......Picture this (depending on your own personal experience you may be able to “remember this”!): You just had your baby and are dying for a really great meal.  You love Mexican food and want a spicy burrito from your favorite restaurant.  Your partner is more than willing to go get it for you, but then your mother comes to visit and is shocked!  She scolds you, with your baby at your breast, saying that you can’t possibly eat spicy food while breastfeeding!  Let alone all the beans that are in that burrito!  Suddenly you feel really anxious– you didn’t know that you had to change your diet while breastfeeding.  What can you eat now?! Is there a breastfeeding diet??

Breastfeeding diet myths debunked

Well, I have some good news!  Today I’m going to debunk that all-too-common myth that all breastfeeding mothers need to reduce or eliminate their intake of spicy food, gassy food, strong flavors, caffeinated drinks, or anything else you can imagine!

Is there a mother's breastfeeding diet? Read: What not to eat while breastfeeding via lactationlink.comMothers from cultures all over the world have been breastfeeding for, well, forever.  Many cultures have unique foods that would be considered anything but bland.  These babies thrive even when their moms eat these flavorful foods, so we know it’s not something that needs to be universally avoided.

Does baby taste what I taste?

Does that mean that your milk tastes the same no matter what you eat?  No!  One of the benefits of breastfeeding is that your baby is very gently introduced to your family’s tastes even before that first messy experience with solid foods.  That can help baby be more accepting of new foods when she is ready (1).

Is there a mother's breastfeeding diet? Read: What not to eat while breastfeeding via lactationlink.com

{Undercover Mama Nursing Top: Save 20% with code LLINK}

In fact, there was a study where mothers were given garlic pills and an hour later their babies nursed for longer periods than they had before!  The milk also smelled like garlic, so we can assume that the babies liked the subtle flavor change of the milk when mom consumed lots of garlic (2).

You don’t need to take garlic pills to encourage your baby to breastfeed, but you can rest assured that you can generally eat what you like while breastfeeding your baby, and baby might learn to like the same foods!

What about gassy foods?

But what about what your mom said about the beans?  Do beans, broccoli, onions, cabbage, or other traditionally gassy foods cause gas in your baby?  The research says no!  Gas in mom is caused by the breakdown of food in your intestines, but your milk doesn’t come from the contents of your intestines (or stomach).  Your milk is made from your blood, and gas doesn’t transfer from your intestines into your blood.

Is there a mother's breastfeeding diet? Read: What not to eat while breastfeeding via lactationlink.comGas in babies is usually caused by swallowing air, immature gut, or not understanding how to pass gas that occurs. Some doctors believe that gas as a reason for baby’s upset is assumed too often by parents (3). That said, if your baby seems uncomfortable or unwell, you are the expert!  Don’t hesitate to contact your pediatrician.

Caffeine and alcohol

Caffeine and alcohol are two substances moms are often instructed to eliminate while they’re breastfeeding.  While they both pass into breastmilk (since they pass into your blood– this is why they affect your behavior), the amount that makes it into your milk compared to the amount you drink is low. Learn more about how caffeine affects breastfeeding at Can I breastfeed and drink caffeine?.

Is there a mother's breastfeeding diet? Read: What not to eat while breastfeeding via lactationlink.com

The American Academy of Pediatrics Section on Breastfeeding recommends that mothers limit their alcohol intake while breastfeeding, and ingest no more than 2 oz. liquor, 8 oz. wine, or 2 beers, as well as abstain from breastfeeding for about 2 hours after drinking to further minimize any alcohol in breastmilk (4).  Similarly, the AAP Committee on Drugs recommends no more than 2-3 cups of caffeine per day, as there should be little to no effect on the baby at that level (5).

What about food allergies?

We’ve gone over a lot of reasons why you shouldn’t worry too much about what you eat while breastfeeding, but we all know that food allergies are a real possibility.  They are, however, much less common than some of the things you read on the internet can lead you to believe!  A family history of allergies makes them a bigger possibility, but signs of a food allergy can include: rashes, eczema, breathing issues, continual intestinal upset, and traditional allergy symptoms like red, itchy eyes.  If these occur, then an elimination diet for mom may be indicated, but it should be done under the care of a doctor and an IBCLC! (6)

What about milk supply?

Despite what you might have heard, following a specific breastfeeding diet to increase (or decrease) your milk supply is not evidence-based. Mothers experiencing a wide variety of food plenty and food scarcity all over the world (and throughout time) are (and were) able to fully breastfeed. Breastmilk is made from the body’s energy stores and the mother’s diet (7). So, mothers may find themselves needing to increase their caloric intake while breastfeeding and an extra 300-500 calories is the recommendation. This can be added through a larger portion of your meals or simply through a peanut butter sandwich. If you are concerned about milk supply, a breastfeeding diet will probably not make a difference. While some moms have found that eating a breakfast of oatmeal increases their supply, the best way to increase supply is to increase breast stimulation. The best tips for increasing supply are found in our breastfeeding video classes. Past blog posts, How to Increase Supply and 5 Ways to Keep Your Supply are helpful as well.

I hope this post has given your confidence and helped debunk the myth that mothers need to follow a breastfeeding diet. Have you noticed your baby likes or doesn’t like certain foods you eat?  Or has certain reactions when you eat certain foods?  We’d love to hear about it in the comments!  If you think your baby is having problems with what you’re eating, you may benefit from a one-on-one consult with one of our knowledgeable IBCLCs.  And check out our video classes for more awesome breastfeeding facts!

Thanks for stopping by,

lactationlink008

Kristin Gourley, BS, IBCLC

Have you signed up for our free email breastfeeding course?

I think you’ll find it really helpful. Click the image below for more info.

Join our free confident breastfeeding course

Sources

  1. Riordan, J. & Wambach, K. (2010). Anatomy and physiology of lactation. In Breastfeeding and human lactation (4th ed., p. 92). Boston, MA: Jones and Bartlett Publishers.
  2. Mennella, JA & Beauchamp, GK. (1991). Maternal diet alters the sensory qualities of human milk and the nursling’s behavior. Pediatrics 88(4): 737-44.
  3. Sferra TJ, Heitlinger LA. (1996). Gastrointestinal gas formation and infantile colic. Pediatric Clinics of North America, 43(2):489-510.
  4. AAP Section on Breastfeeding. (2012). Breastfeeding and the Use of Human Milk.Pediatrics, 129(3) e827-e841; DOI: 10.1542/peds.2011-3552
  5. AAP Committee on Drugs. (2001). The transfer of drugs and other chemicals into human milk. Pediatrics, 108(3): 776-1029; DOI:  10.1542/peds.108.3.776.
  6. Allergic Proctocolitis in the Exclusively Breastfed Infant. (2011). Academy of Breastfeeding Medicine Protocol #24, from Breastfeeding Medicine 6(6): 435-440.
  7. Lauwers, J. & Swisher, A. (2016). Nutrition during lactation. In Counseling the Nursing Mother (6th ed., p. 166). Burlington, MA: Jones & Bartlett Learning. 
Breastfeeding with a teething baby via lactationlink.com

Breastfeeding with a teething baby

By | Breastfeeding, Breastfeeding support, breastfeeding tips | 2 Comments

Breastfeeding with a Teething Baby

 

Breastfeeding with a teething baby can be hard at times but is manageable with some preparation! In this post, we’ll discuss some of the symptoms of teething, how it might affect breastfeeding and how to.....If you plan to breastfeed past the first couple of months, you may come across well-meaning relatives or friends who feel that breastfeeding a teething baby or baby with teeth is just like putting your nipple in a vampire’s mouth.  Thankfully, that is NOT the case and you can rest easy that you’ll be able to breastfeed your teething baby for years (yes, even years!) without the fear of losing a nipple! Breastfeeding with a teething baby can be hard at times but is manageable with some preparation! In this post, we’ll discuss some of the symptoms of teething, how it might affect breastfeeding and how to meet your breastfeeding goals throughout teething phases. We’ll even talk about how to deal with biting.

Breastfeeding with a teething baby via lactationlink.com

Teething symptoms in baby

If you experienced sore nipples soon after birth that have since resolved, you may be nervous that when your baby begins teething you will have pain again.  It’s true that it can seem like one thing after another with parenting (just as you finally get the hang of the stage your child is in, they change!), but the good news is that teething itself doesn’t mean you’re doomed to nipple pain for the next few months. When you know what to expect, breastfeeding with a teething baby is much easier!

Common teething symptoms in baby are:

  • Drooling: Drooling can start happening months before baby’s first tooth makes its appearance.  Bibs can help babies who become little faucets, drenching their clothes!  A few moms with very sensitive skin may find all the extra drool and saliva causes extra sore nipples.
  • Mouthing and chewing on everything: Baby putting things in his mouth is a developmental stage and doesn’t necessarily mean baby is teething.  As teeth become closer to arrival, though, you may notice baby biting (and not letting go!) on toys, your fingers, and potentially even your nipples.
  • Fussiness, trouble sleeping, refusal to feed: Every baby reacts to teething a little differently, but some babies become very upset!  Teething can be painful, so if your baby is crying more than usual, not sleeping soundly like he used to, or even rejecting the breast or solid foods at certain times, impending teeth could be to blame.
  • Swollen gums or white just below the gums: When teeth are right around the corner, some babies will get swollen gums (some even can look bruised!) and sometimes you can even see that troublesome tooth right under baby’s gum before it breaks through.

Sometimes fevers, diarrhea, runny noses, grabbing at ears, or rashes are blamed on teething.  While they can be signs of teething in some babies, if your baby has symptoms that could also be related to illness, you should contact your baby’s doctor to rule out anything else.

What to do when baby is teething

Now that you know what things baby does to show teeth are coming, let’s talk about what you should do regarding those symptoms.  Here are some common things to keep in mind when breastfeeding with a teething baby:

  • Nurse often! Many babies want to nurse very often when teething as their gums rubbing while sucking can be comforting, or they just find being close to mom and warm milk to make everything better!
  • Try new positions: If you are experiencing some nipple soreness or baby is reluctant to nurse, trying a new position can be very helpful.  While some babies prefer to nurse more, some babies find nursing to exacerbate teething pain.
  • Pain relief: If baby is in pain, you can talk to your doctor about pain relief medicine.  Also, many moms find freezing a washcloth or a special teething toy to help baby as they chew on it.
  • Babywearing: If baby needs some extra comfort, babywearing is always a good choice!  It can be hard to deal with a fussy baby when life is so busy, so keep baby close and comforted as you check off that to-do list.

 

Breastfeeding with a teething baby via lactationlink.com

What to do about biting

The period after baby’s first pearly whites make their appearance can be a terrifying time if you don’t know an important fact: baby can’t bite when latched well!  Most biting happens at the end of feedings.  If you notice baby’s rhythm of sucking and swallowing has slowed down and they are prone to biting, you can unlatch them to prevent any nipple trauma.  You can still offer the other side, as bringing in a faster milk flow with a new letdown can prevent biting.  

If baby does bite, it’s okay to say no (try not to freak out and scare baby!) and to sit baby up and even stop nursing for a few minutes.  If baby doesn’t let go when he clamps down, bring him close towards you.  While that seems counterintuitive, it will cause baby to open his mouth to breathe and thus let go of your nipple.

Breastfeeding with a teething baby via lactationlink.com

Keep calm!

If baby is causing you pain and you’re not finding relief, don’t hesitate to reach out for help!  Many moms of older babies seek out help from an IBCLC because nursing an older baby comes with new and different hurdles than newborns.  Definitely check out our Hurdles & How To’s video class which goes over common breastfeeding issues throughout the whole course of breastfeeding.  You got this mama; teeth aren’t the end!

Have you signed up for our free email breastfeeding course?

I think you’ll find it really helpful. Click the image below for more info.

Join our free confident breastfeeding course

Thanks for stopping by,

lactationlink008

Kristin Gourley, BS, IBCLC

Nursing Bra Q&A with Bravado Designs

By | Breastfeeding, Breastfeeding support, Recommended Products | No Comments

Hi mamas, I’m Lindsey Shipley, RN, IBCLC, mom of 2 and the creator/founder of Lactation Link, and I’m here today to talk about the best nursing bras! Enjoy!

The best nursing bras are the one that feel the most comfortable for you. Bravado Designs has several kinds of nursing bras that....

We have compiled our readers’ top nursing bra questions and are answering them today! We are thrilled to have Bravado Designs sponsoring this post.

Your nursing bra questions answered! via lactationlink.com

{Bravado Designs Body Silk Seamless Nursing Bra}

“Why do I need a nursing bra?”

  • A nursing bra can make nursing more convenient as it unclips from below the shoulder for breast access. Some moms use conventional bras for nursing but often find that their bras become stretched out. Some moms also like using a conventional bra that clips in the front while nursing. While this often does the trick, it leaves the non-nursing side unsupported. The best nursing bras like the Bravado Body Silk Seamless Nursing Bra give moms an easy and convenient way to nurse.

“How many nursing bras do I need?”

  • Many moms like to have 2-3 bras to switch out with throughout the week. I also recommend getting a nursing cami as well. Nursing camis have helped moms nurse in public discreetly by pulling up your shirt without showing any tummy. The Body Silk Seamless Nursing Cami is perfect for this.

Your nursing bra questions answered! via lactationlink.com

“What are the best nursing bras?”

“How do I get the right size nursing bra?”

  • With chest size changing so much during pregnancy and directly after birth, many moms find it difficult to know which bra size would work best. I usually recommend to moms that they purchase a sleep nursing bra or nursing cami (often more soft and forgiving in size) for the first couple of weeks. Then, when they feel their size has regulated, purchasing a nursing bra like the Bravado Original. If the sleep bra encourages you to stay in more to cuddle your wee newborn, then my job is complete! 😉
LactationLink_278

{Bravado Designs Seamless Silk Nursing Cami}

“Do I need a pumping bra too?”

  • If you plan on pumping multiple times throughout the day, having a pumping routine that is convenient and mess-free will make your pumping sessions much easier! Check out Bravado’s nursing bra accessory Clip & Pump, it attaches to any nursing bra or nursing cami.

Your nursing bra questions answered! via lactationlink.comThe Clip & Pump Nursing Bra Accessory pulls over your nursing bra to make pumping easier! After unclipping your nursing bra, you clip in the nursing bra accessory and start your pump! You can also see the video for a great illustration.

Your nursing bra questions answered! via lactationlink.com

{Bravado Designs Clip & Pump Nursing Bra Accessory

This is a great opportunity to pump hands-free so you can work (or eat!) while you pump . This also allows you to incorporate hands-on pumping, which can increase your pumping output.

“How do I stay comfortable wearing a bra 24/7?”

  • I could have written this question! I’m not a big fan of underwire and have thrown out many uncomfortable bras! I have found that nursing bras/tanks are necessary to keep nursing pads in place. Thankfully, nursing bras are often more comfortable and forgiving in fabric than conventional bras. Nursing camis are also another great option for the bra-averse. And who says a comfortable sleep nursing bra can only be worn for sleeping?

Your nursing bra questions answered! via lactationlink.com

“Do nursing bras help or hurt engorgement/clogged ducts?”

  • Any bra with underwire is not recommended while dealing with clogged ducts or engorgement. Listen to your body, if your bra feels restrictive, try a different size or go without for a time. Most of the time, a well-fitting bra will not affect clogged ducts or engorgement. Engorgement often happens in the first few days and I recommend a comfy sleep nursing bra or nursing cami for this time. They are the least restrictive and will give your growing breasts support without discomfort. Luckily, the Bravado Body Silk Seamless Nursing Bra is one of the best nursing bras and gives excellent support without wires!

Your nursing bra questions answered! via lactationlink.com

“How do I clean my nursing bra w/o wearing out the fabric?”

  • Most bras are best washed by hand or on the delicate cycle. Hang drying your bra will lengthen the life of the bra.  Probably the best thing you can do for it is not washing it every day (unless soiled).  You can get around that by wearing nursing pads. Switch out your nursing pads often and you save your bra from extra washings!

I hope this post has helped answer your nursing bra questions! Comment below if you have anymore. Share this post if you found it helpful!

Thanks for stopping by,

Lindsey Shipley, RN, IBCLC

Breastfeeding Positions: Pros and Cons via lactationlink.com

Pros & Cons for Each Breastfeeding Position

By | Breastfeeding, Breastfeeding support, breastfeeding tips

Hi mamas! I’m Kristin Gourley, IBCLC. I’m a mom to 5 and lactation consultant with Lactation Link. I’m here today to talk about the pros and cons for various breastfeeding positions. Enjoy!

In general, any position is just fine as long as mom is comfortable and baby is able to get....

In many breastfeeding pictures you come across on social media or in other places, you may notice that lots of moms feed in a cradle or cross-cradle position.  In fact, many hospital nurses are only familiar with cradle positions!  Our in-person and video classes, however, go over many different breastfeeding positions commonly used for breastfeeding.  It can be great to have all these different tools in your toolbox for when baby is tired, distracted, you need to rest, your nipples are sore, or baby is having trouble latching.

What are the positions?

Check out our classes for detailed information and video how-to’s, but some great breastfeeding positions are:

  • Cradle & cross cradle
  • Football
  • Laid back / Biological Nurturing
  • Side lying

As baby gets older and more acrobatic in his nursing, you may notice that you experience some very creative and non-traditional breastfeeding positions!  In general, any position is just fine as long as mom is comfortable and baby is able to get all the milk he needs.

Breastfeeding Positions: Pros and Cons via lactationlink.com

Which breastfeeding positions should I use?

The answer to what position you should use is just like the answer to so many breastfeeding questions- it depends!  Baby’s age and size, your breast size and shape, the type of birth you had and how you’re recovering, and many other things can influence what position you’ll find most comfortable for you and your baby.  

I’m going to go over the most common breastfeeding positions and give some pros and cons to them to help you decide what might be best for you.  Remember that sometimes you don’t know if you’ll like it until you try!

Pros & Cons to Breastfeeding Positions

Cradle & cross cradle

  • The most common positions and your nurse at the hospital is probably familiar with them and can help you adjust some
  • When latching baby with the cross-cradle, you can help steady his head and bring him gently and quickly to your breast when he opens wide.  Sometimes moms can be nervous and this position can help them feel more in control!
  • Many moms find cradling baby’s head in their forearm/elbow to feel comfortable and natural, and leaves their other arm to do something else (hold a remote or reach for that snack!)
  • Many nursing pillows are designed for the cradle positions and can help raise baby higher without too much strain from mom, and can help position baby tummy-to-tummy with mom.
  • When nursing in public, this position covers your postpartum tummy with baby’s body!
  • Many moms use this position successfully from baby’s birth day until weaning day, no matter how old baby is when that happens!
Breastfeeding Positions: Pros and Cons via lactationlink.com

Cross Cradle hold

Breastfeeding Positions: Pros and Cons via lactationlink.com

Cross Cradle hold

Breastfeeding Positions: Pros and Cons via lactationlink.com

Cradle hold

Football

  • Many moms who had a cesarean birth find this position most comfortable since it doesn’t press baby’s body onto your abdomen.
  • It is usually able to be used with nursing pillows, especially if you rotate the pillow to your side.
  • You can steady baby’s head with your hand as you bring him gently and quickly to your breast when he opens wide.  
  • Some moms find baby latches better and seems more cozy in this position since they are so tight against mom and their legs don’t hang at all.  If baby is sleepy, though, it might make baby fall right to sleep due to the coziness.
  • Depending on baby’s size and mom’s breast size, football position can be tricky in public.  It’s generally easier to achieve a good latch when you have pillows behind you, which isn’t always possible at a restaurant or the mall!
  • Usually most compatible with smaller and younger babies.
Breastfeeding Positions: Pros and Cons via lactationlink.com

{Football hold} + {Plum Pretty Sugar Robe}

Laid back / Biological Nurturing

  • This is a great position for mom to relax or even catch a little nap with her feet up!
  • Some babies are more comfortable on their tummies, and this position allows baby to be on his tummy.
  • This is a great position to try when skin to skin.
  • Baby takes the lead with this position, which can feel strange for mom at first.  
  • It can feel very tricky at first, but remember that practice makes perfect!  Some moms find that having an IBCLC help them with this position for the first time to be helpful.  Many moms I see have their husbands help them the first few times with this one as they learn how to position baby and their breasts.  Other times Mom can sit back and watch baby latch unassisted. 
  • Being laid back can be great for mamas with oversupply or a forceful letdown because gravity helps to slow down the milk flow for baby.  Babies who get frustrated by choking on the milk in other positions often like this one.
  • Can be used with any age or size of baby.
  • Even if you are primarily using another position, reclining some can make any position more comfortable and prevent painful hunching over baby.
Breastfeeding Positions: Pros and Cons via lactationlink.com

Laid back nursing + {Undercover Mama dress: use code LLINK for 20% off}

Breastfeeding Positions: Pros and Cons via lactationlink.com

Laid back nursing

Side lying

  • This can be a good position if you’ve had a difficult birth and it’s uncomfortable for you to sit for long periods.
  • Some moms find this position comes naturally, but some moms need a little help figuring out where to put their arms, breasts, and baby.  Having another person help position baby at first can be helpful, too.
  • This is not the best position for nursing in public since we don’t often have access to a bed or comfy spot to lay down and nurse when not at home.
  • Of course, this is one of the best positions for mom to take a nap while feeding! Just grab a nursing nightgown and a pillow for your head!
  • Many moms use this position over the whole course of breastfeeding, no matter baby’s age!  
Breastfeeding Positions: Pros and Cons via lactationlink.com

Side lying + {Undercover Mama nursing dress: use code LLINK for 20% off}

Breastfeeding Positions: Pros and Cons via lactationlink.com

Feel free to come back and go over these pros and cons when baby enters a new stage and you need to try something new– babies always keep us on our toes!  For more information about how to achieve these positions, check out our Breastfeeding Basics class.  If you’re trying a position and it’s just not working, don’t hesitate to try another one and contact us for a consult to give you some personalized support.  Remember that the only rule when it comes to breastfeeding positions is that both mom and baby are comfortable and baby is getting what she needs!  

Have you signed up for our free email breastfeeding course?

I think you’ll find it really helpful. Click the image below for more info.

Join our free confident breastfeeding course

Thanks for stopping by,

lactationlink008

Kristin Gourley, BS, IBCLC

References

Wilson-Clay, B. & Hoover, K. (2017). Positioning and latch in The Breastfeeding Atlas, 6th ed. Manchaca, Texas: LactNews Press.

Lauwers, J. & Swisher, A. (2011). Getting breastfeeding started in Counseling the nursing mother:  A lactation consultant’s guide, 5th ed. Burlington, MA: Jones & Bartlett Learning.

Breastmilk Storage Guidelines via lactationlink.com

Breastmilk Storage Guidelines

By | Breastfeeding, Breastfeeding support, breastfeeding tips

Hi mamas, I’m Stephanie Weight Hadfield, an International Board Certified Lactation Consultant (IBCLC) and mom of 4. I’m here to talk about one of our most frequently asked question topics, breastmilk storage. Hope this answers your questions!

Learn these breastmilk storage guidelines to make sure your pumped milk maintains all of its....

Fresh human milk is a dynamic, living substance. It is packed with live immune cells that actively target and kill bacteria, so it takes longer to spoil than pasteurized cow’s milk or formula. This is one of the many reasons why so many mothers choose to pump their breast milk when away from baby. Our Pumping and Storing Breastmilk online class has so many tips to make this easier on mom. In this post,  I will discuss the necessary care when handling your precious milk.  Learn these breastmilk storage guidelines to make sure your pumped milk maintains all of its wonderful nutritional and immune protecting properties. Here are some easy-to-remember tips:

Breastmilk Storage Guidelines via lactationlink.com

Handling your pumped milk:

  • Wash hands thoroughly with soap and running water for at least 20 seconds before expressing your milk. (sing the alphabet song in your head to get the timing right)
  • Store milk in clean glass or plastic containers with tightly fitting lids or heavy duty plastic bags designed for breastmilk storage. Breastmilk storage bags are a space-saving option for freezing milk. Ordinary plastic storage bags are not recommended for breastmilk storage, because they can easily tear and leak. (1)
  • Clearly label the milk with the date it was expressed, as well as your child’s name if it will be given to a childcare provider. Use the oldest milk in the fridge or freezer first.
  • Wash bottles and pump parts in hot, soapy water after use. Pump parts and bottles can generally be washed on the top rack of a dishwasher too; check the manufacturer’s instructions on your specific items to be sure. Sterilizing bottles and pump parts is unnecessary for healthy, full-term babies. (2)
  • Store milk in smaller portion sizes to minimize waste. Storing in 2-ounce amounts and offering additional amounts if the baby is still hungry will prevent having to throw away unfinished milk. Having a few 1 oz portions stored can also be helpful for times that baby is hungry but mama is on her way. (3)

Breastmilk Storage Guidelines via lactationlink.com

Guidelines for storing your pumped milk:

The U.S. Centers for Disease Control and Prevention (CDC) offers ranges of time that milk can safely be left at for certain temperatures, you can find them here if you want to take a look. I like to recommend a simple rule that fits within these ranges and is easy to recall, even for the most sleep-deprived parents. Just remember 5-5-5.

  • 5 hours at room temperature. If the room is very warm (more than 85 degrees F/29 degrees C), 3-4 hours seems to be a safer time range.
  • 5 days in the fridge (store milk in the back of the refrigerator where the temperature is the coldest.)
  • 5 months in a regular freezer (the separated compartment in a typical fridge/freezer unit) According to the CDC, milk frozen for longer than the recommended time ranges is safe, but may be lower in quality as some of the fats in the milk break down.

Other time ranges that don’t fit as neatly within the 5-5-5 rule, but are still helpful:

  • Human milk can be stored for 6-12 months in a chest or upright deep freezer.
  • Human milk can be safely stored with ice packs in insulated storage bags for up to 24 hours.

Breastmilk storage guidelines via lactationlink.com

Milk Thawing and Use

Thawing slow and gently is the best way to preserve the immune properties that protect your baby and prevent milk contamination. An easy option is to thaw in the refrigerator overnight. You can also hold the container under warm running water or place in a bowl of warm water for a few minutes.

Never thaw or heat milk in the microwave. It can destroy many of the milk’s anti-infective factors. The uneven heating of microwaves can also cause hot spots that can burn your baby’s mouth or throat even if milk is swirled or shaken afterwards. (4)

Breastmilk storage guidelines via lactationlink.com

Thawed milk can be refrigerated for up to 24 hours. The current guidelines for milk storage recommend that thawed milk should not be refrozen. However, in a 2006 study, researchers froze, thawed and then re-froze and re-thawed donor milk and tested batches that were then refrigerated or left at room temperature. None of the batches developed unacceptable bacterial counts or decreased vitamin content compared to a control batch that was only frozen once. (5) This indicates that current recommendations might be more conservative than necessary, and you may want to consider this as you make decisions about using your expressed breastmilk.

Have you taken Lactation Link’s Pumping and Storing Breastmilk video course? It’s packed with helpful information and will answer many questions about pumping and milk storage that you didn’t even know to ask.

Thanks for stopping by,

Get in-person or online help with breastfeeding.

Stephanie Weight Hadfield, BS, IBCLC
Sources

(1) Garza C, Johnson CA, Harrist R, et al. Effects of methods of collection and storage on nutrients in human milk. Early Human Development 1982;6:295–303

(2) Pittard WB 3rd, Geddes KM, Brown S, et al. Bacterial contamination of human milk: Container type and method of expression. American Journal of Perinatology 1991;81:25–27

(3) Academy of Breastfeeding Medicine. (2010) Clinical Protocol Number #8: Human Milk Storage Information for Home Use for Healthy Full Term Infants [PDF-125k]. Princeton Junction, New Jersey: Academy of Breastfeeding Medicine.

(4) Quan, R., Yang, C., Rubenstein, S., Lewiston, N.J., Sunshine, P., Stevenson, D.K., et al. (1992). Effects of microwave radiation on anti-infective factors in human milk. Pediatrics, 89(4 Pt 1), 667-669.

(5) Rechtman, D. J., Lee, M. L., & Berg, H. (2006) Effect of environmental conditions on unpasteurized donor human milk. Breastfeeding Medicine, 1(1), 24-26.

Breastfeeding tips for new moms via lactationlink.com

Breastfeeding Tips for New Moms

By | Breastfeeding, Breastfeeding support, breastfeeding tips

Hi mamas! I’m Kristin Gourley, IBCLC. I’m a mom to 5 and lactation consultant with Lactation Link. I’m here today to talk about some breastfeeding tips for new moms. Enjoy!

Whether you are a brand new mom or have been a mom for years and have a brand new baby, breastfeeding can seem overwhelming at times! We help new moms and veteran moms every week who.....

Breastfeeding Tips for New Moms

Whether you are a brand new mom or have been a mom for years and have a brand new baby, breastfeeding can seem overwhelming at times!  We help new moms and veteran moms every week who have questions that they didn’t even know to ask while pregnant.  I’m always glad that they asked for help from an expert, instead of relying on what their mom, neighbor, or social media said.  I’m going to give my top four breastfeeding tips for new moms today– they’ll help you get off on the right start and know what to do if things get tricky.  

These tips mostly are directed towards the time when moms feel most vulnerable: after they are discharged from the hospital.  To learn tips for those first hours and days after birth, check out our Breastfeeding Basics video or in-person class!

Breastfeeding tips for new moms via lactationlink.com

Breastfeeding tips for new moms via lactationlink.com

Top Four Breastfeeding Tips for New Moms

  1. Don’t suffer in pain! Some nipple soreness is normal, due to postpartum hormone changes and your breast tissue stretching. This is common the first few  weeks. The pain should not last more than 6 0 seconds or be a tow-curling pain.  If you have “ouch-ouch-ouch!” pain after the first couple of weeks, notice wounds on your nipples or they come out of baby’s mouth shaped like a brand new lipstick, seek some professional help to make sure that baby is latching well.  Keep calm and call an IBCLC!
  2. Breastfeed often!  For the first few weeks or even months, new moms might feel like they’re feeding baby all the time.  I tell moms that you can’t nurse too often, but you can nurse too little.  The first couple of weeks are very important in establishing your milk supply for the whole time you breastfeed. Additionally, baby’s tummy is small and breastmilk is digested quickly.  That’s a recipe for frequent feeding!  Aim to feed your baby at least 8-12 times in 24 hours; many moms find that they feed even more often than this.  Remember that practice makes perfect, so breastfeed often!
  3. The pump is a tool, not a necessity.  If you want to pump to have some extra milk in the freezer or if you plan to return to work, you will likely want to get a pump.  But that doesn’t mean you need to start using it that first week or two home from the hospital!  If baby is latching and breastfeeding is going reasonably well, you may just want to keep it simple rather than introducing the pump right off.  Many women think that they should pump due to engorgement but it is generally more effective to hand express when new moms feel engorged. Take it one thing at a time; not every mom needs to introduce the pump right off the bat!
  4. Practice nursing in public, at home.  Many moms are very nervous to breastfeed in public!  It can seem a little strange to lift your shirt in public for the first time, but remember that baby has to eat and the law is on your side!  One way to ease your mind before that first public outing is to practice nursing in front of a mirror.  Latch baby on in whatever clothes you are planning to wear and see what shows.  You may be surprised how discreet public breastfeeding can be!  If you’re uncomfortable showing your postpartum tummy or just want a little coverage, you could use a tank like Undercover Mama (use code LLINK for 20% off!) that you pull down after you pull up your normal shirt. If you’re getting stir crazy at home with your new little one, don’t let the thought of breastfeeding in public be the reason you stay home!

Breastfeeding tips for new moms via lactationlink.com
Hopefully these tips bring you some peace of mind while in the turbulent waters of the newly postpartum period with your tiny baby!  If you’re pregnant or you still have questions, definitely check out our Confident Breastfeeding Course, which goes over in detail a myriad of questions, concerns, and ideas for troubleshooting.  If you need personalized help, don’t hesitate to reach out for an in-person or e-consult!

Have you signed up for our free email breastfeeding course?

I think you’ll find it really helpful. Click the image below for more info.

Join our free confident breastfeeding course

Thanks for stopping by,

Breastfeeding tips for new moms via lactationlink.com

Kristin Gourley, IBCLC

How to breastfeed in public via lactationlink.com Photos by Leilani Rogers of the Public Breastfeeding Awareness Project

How to properly breastfeed in public

By | Breastfeeding, Breastfeeding support, breastfeeding tips

Hi mamas, I’m Lacey Parr, a certified lactation educator counselor and mom of 3. I’m here today to talk about something I am particularly passionate about… helping moms feel confident to breastfeed in public! Enjoy! Special thanks to Leilani Rogers of the Public Breastfeeding Awareness Project for the images in this post.

How to properly breastfeed in public

Breastfeeding In Public: How to Find Your Confidence

When it comes to breastfeeding in public, there seems to be a lot controversy around the topic. Our newsfeeds seem to be flooded with stories about moms being shamed about breastfeeding away from home. But is that the real story? Is it wrong to breastfeed in public? How could it be wrong to feed your baby? I’m here to remind you that the shaming and eye-rolling situations are the exceptions, not the rule. Millions of mothers feed their babies in millions of places each day without any issue. But since this can be a sensitive issue that some new moms feel uncomfortable with, let’s talk about some topics with public breastfeeding so you can breastfeed in public places with confidence!

  • Reasons to consider breastfeeding wherever you go
  • State & Federal Laws: What Are Your Rights?
  • How to address others
  • Where To Breastfeed in Public
  • Tips for Breastfeeding in Public
  • Breastfeeding in public stories

How to breastfeed in public via lactationlink.com Photos by Leilani Rogers of the Public Breastfeeding Awareness Project

Reasons to consider breastfeeding wherever you go

One of the top reasons mothers wean has to do with apprehension about breastfeeding in public. I want to help dispel those concerns today. We all eat when we are hungry and so, your baby requires the same thing. Yes, they may need to feed more often and what may seem like at the most inconvenient times, but all they know is that they are hungry and that you satisfy that need. Let’s talk about some of the reasons breastfeeding on the go is easier than an alternative:

  • Your milk is always the right temperature.
  • Nothing extra to carry. You’ve got all the “equipment” with you.  
  • Not having to worry about feeling engorged when out and about.
  • It’s a great way to connect with baby during your busy day together. Baby is taking in all the sights and sounds of being in a public place. Resting to nurse and just focusing on you will help baby to feel calm and secure.

How to breastfeed in public via lactationlink.com Photos by Leilani Rogers of the Public Breastfeeding Awareness Project

State & Federal Laws: What Are Your Rights?

The majority of states have laws on the books that protect a mother’s right to breastfeed in any location that she has the legal right to be (1). Learn your state’s specific law at breastfeedinglaw.com. So keep on nursing! It’s your right. In addition, this knowledge can create confidence, especially if someone were to confront you about feeding your baby in public. 

How to address others

In the case that someone does react negatively to your legal right to feed your child, here are a few responses that have been empowering to other moms:

  • “I have the legal right to be here and to feed my infant.”
  • “Oh? You aren’t comfortable with me keeping my baby alive in public?”
  • “Your comfort is not my concern. My concern is my baby’s comfort.”
  • “You can look away if you aren’t comfortable with my feeding my infant.”

If you are like me and try to avoid others when breastfeeding out and about or have an easily distracted baby, finding a good spot is key. Read on how to find a great spot to breastfeed in public.

How to breastfeed in public via lactationlink.com Photos by Leilani Rogers of the Public Breastfeeding Awareness Project
Where To Breastfeed in Public

When your baby gets hungry while out and about for the first time, you might look about frantically for a good spot.  Here are a few places that some moms have found helpful:

  • In a carrier. Feeding while walking around can make a new mom feel like a pro – comfortable for baby and people may not even be able to tell you’re breastfeeding. Read our tips on breastfeeding in a carrier here.
  • In the shade if you’re outside on a hot day.
  • Many public places have a nursing room, research locations or the Pumpspotting app for the closest one.
  • Out of the hustle and bustle. Often a quiet corner can be a great place to get a baby quieted and ready to nurse.
  • If you are in a health clinic or office and would like a private room, just ask! You’ll be pleasantly surprised at how many people want to accommodate you.
  • Anywhere and wherever you want.

Remember, you have a right to feed your baby whenever and wherever you need.  Read on for 5 tried and true tips for breastfeeding in public from moms who have successfully nursed their children wherever they go.

How to breastfeed in public via lactationlink.com Photos by Leilani Rogers of the Public Breastfeeding Awareness Project

Tips for Breastfeeding in Public

  1. Relax. Find a nice spot where your baby will be less distracted. Drop your shoulders, push your hips forward in your chair and get comfy. You’re feeding your baby, that is all. When you are relaxed, your baby can be relaxed as well.
  2. Use a cover, or not. Decide on the amount of coverage (or not) you are comfortable with. Some moms feel more comfortable using a cover (we love Covered Goods). Some babies nurse well under them, as they can help block out noisy distractions. Other babies kick them off. Do whatever works best for you and your baby.
  3. The two-shirt method. I like to use what is often referred to as the two-shirt method. This is when Undercover Mama (use LLINK for 20% off!) tanks really come in handy. I reach under my shirt to pull down my bra/tank and then latch baby as I lift my shirt. Easy-peasy. My t-shirt covers the top of my breast, my tank covers my stomach and baby covers the rest.
  4. Use a carrier. I have found this to be the easiest way to nurse in public. Ergobaby’s babywearing educator wrote a blog post about this for us recently.
  5. Give yourself a pat on the back. You are feeding your baby beautifully wherever you are.

Breastfeeding in public stories

We have collected some stories from real moms who found confidence breastfeeding in public. I hope they inspire you as well!

“I was away from baby most of the day working. My husband came to pick me up from my event. But at the last minute, a bunch of women came to my table to try and buy product. So, I just latched baby on and kept working. It was a beautiful experience with all the women being supportive and being my hands!” -D. R. Vigil

“I was at a store with a 2 month old and my 2 other crazy boys ages  4 and 2. It was around Christmastime and we were waiting in line for an online pickup. I wasn’t going to leave the line to feed her so I fed her right there in line standing up and the two women behind me were so nice and in awe that I could multi-task so well! Haha. I am grateful they were so helpful and nice while I was feeding my baby. I don’t think I ever felt so much confidence in breastfeeding in public before that experience.” -A. Denney 

“I saw a photo from early in American history where women were openly nursing in church. I thought, ‘if it was modest and accepted in THEIR day, it definitely should be in our’s. If someone take issue with isn’t, that is their problem, Not mine.’ Now I nurse in church and just about everywhere else.” -J. P. Bellinger 

I hope that you can remember that breastfeeding wherever you go is a great choice for you and baby. Understanding that breastfeeding is your right and protected by law can be empowering! Know that there are many options for breastfeeding in public and no wrong way to do it! I hope this reduces any stress or concern you have about breastfeeding in public. Remember that all of us at Lactation Link are cheering you on.

Thanks for stopping by,

How to breastfeed in public via lactationlink.com

Lacey Parr, BS, CLEC

Sources

  1. http://breastfeedinglaw.com/federal-law/
How to relieve breast pain while breastfeeding via lactationlink.com

How to relieve breast pain while breastfeeding

By | Breastfeeding, Breastfeeding support, breastfeeding tips, Home/Hospital Visits

Hi mamas, I’m Stephanie Weight Hadfield, an International Board Certified Lactation Consultant (IBCLC) and mom of 4. I’m here to talk about common causes and solutions for breast pain in breastfeeding mothers. 

We are often asked about various kinds of breast pain so today I am sharing some information and resources for how to deal with common types of breast pain. Note: this article is discussing breast pain. If you’re concerned about nipple pain, you can read more about that here.

relieve breast pain

Common causes & solutions for breast pain in breastfeeding mothers

Engorgement. Your breasts may feel very full and firm in the first couple of weeks of breastfeeding, while your body is enthusiastically gearing up to churn out plenty of milk for your baby. Breast pain related to engorgement is felt in both breasts, during and/or between feedings. This pain will go away as your breasts settle into their milk-making role and engorgement resolves, usually by the time your baby is about 2 weeks old.

How to relieve breast pain while breastfeeding via lactationlink.com

{Lil’ Buds breast comfort packs: use code LLINK for 10% off}

For relief from engorgement, first make sure that your baby is latching deeply and nursing frequently, at least 8-12 (for a newborn) or more times a day. You can hand express a small amount of milk before feeding to help soften the areola and make it easier for baby to latch well. You can also hand express just enough milk between feeds to relieve uncomfortable pressure. Cold compresses on your breasts between feedings can help reduce swelling and pain. Read more about relief from engorgement here.

Strong Milk Letdown. If your breast pain happens in both breasts and starts at the beginning of a feed when your baby starts gulping, it could be due to a strong milk letdown. Ultrasound studies have shown that this is due to the stretching of the milk ducts as the milk is released. The wider the milk ducts opened, the more discomfort mothers reported. This pain doesn’t typically last through the whole feed and usually decreases and disappears on its own over the first month or so of breastfeeding. Relaxation or distraction techniques can help you get through it. Many mothers find slow deep breaths or counting to be helpful, and babies seem to handle the strong flow of milk better in a side-lying or laid-back position.

How to relieve breast pain while breastfeeding via lactationlink.com

Referred pain. Breast pain can a problem when neck, back and shoulder muscles are strained by leaning forward in an uncomfortable position to nurse. This referred pain can happen because the breasts and the muscle strain share the same nerve pathways. Gentle stretching of the shoulders and back to relax tight muscles can provide immediate relief in these cases. Many moms find it helpful to place their hands on either side of an open doorway and leaning forward. Nursing in a laid-back position can reduce the strain on your body, and help you be more comfortable.

How to relieve breast pain while breastfeeding via lactationlink.com

Plugged Ducts or Mastitis. Both plugged ducts and infectious mastitis can cause a firm, painful area in one breast, and your plugged duct has probably transitioned to mastitis if you have fever and flu-like symptoms such as body aches and chills. The basic treatment is the same for both situations: keep your milk moving.

Research has shown that it is safe for your full-term, healthy baby to breastfeed while you have plugged ducts or mastitis. Continue to breastfeed often, and change up your feeding positions. Positioning baby’s nose or chin towards the firm, tender area of the breast for will allow for better drainage. Massage the breast from the blocked area towards the nipple while the baby nurses to help move the milk and clear the blockage. Pump and/or hand express the affected breast after feedings to drain the breast as thoroughly as possible and speed healing.

How to relieve breast pain while breastfeeding via lactationlink.com

{plum pretty sugar robe}

More tips for feeling better soon:

  • Talk with your doctor or midwife about using an over-the-counter pain reliever to help with pain. Pain can inhibit milk letdown, so keeping it under control could help encourage better milk removal. Ibuprofen is a good option because it is also an anti-inflammatory and is considered compatible with breastfeeding.
  • Use heat (a shower or hot pack) and gentle massage before feeding to improve milk flow. Use cold packs on the breasts between feeds to help reduce pain and swelling. Lil’ Buds are a great option for this and you can use code LLINK for 10% off.
  • Rest, hydrate, and eat nutritious foods. Put on your robe and jammies and put your feet up! Call in extra help from friends or family members for childcare, carpools, meals, etc.

Contact your healthcare provider if:

  • After 24 hours of home treatment your symptoms are the same or worse
  • You have been running a fever for some time or it suddenly spikes higher
  • You have visible pus in your nipple or milk

Breast pain can be caused by lots of things and also be worrisome and confusing. Don’t hesitate to reach out to an IBCLC if you need help figuring out your situation. We can even help on an eConsult. (Pro-tip: Use you Healthcare Spending Account card to book!) I hope this post gives you the knowledge you need to feel more confident with breastfeeding!

Have you signed up for our free email breastfeeding course?

I think you’ll find it really helpful. Click the image below for more info.

Join our free confident breastfeeding course

Thanks for stopping by,

Get in-person or online help with breastfeeding.

Stephanie Weight Hadfield, BS, IBCLC

Sources:
Amir, L. H. (2014). ABM Clinical Protocol #4: Mastitis, Revised March 2014. Breastfeeding Medicine,9(5), 239-243. doi:10.1089/bfm.2014.9984

Lauwers, J., & Swisher, A. (2011). Counseling the nursing mother: a lactation consultant’s guide (5th ed.). Burlington, MA: Jones & Bartlett Learning.

Mohrbacher, N. (2010). Breastfeeding answers made simple: a guide for helping mothers. Amarillo, TX: Hale Publishing.

Can I breastfeed after breast surgery? via lactationlink.com

Can I breastfeed after breast surgery?

By | Breastfeeding, Breastfeeding support, breastfeeding tips, Can I breastfeed if?

Hi mamas, I’m Stephanie Weight Hadfield, an International Board Certified Lactation Consultant (IBCLC) and mom of 4. I’m here today to talk about breastfeeding after breast surgery. Enjoy!

This has been such a common question recently on our mother’s support forum on instagram.  Most people automatically assume that it isn’t possible to breastfeed after having had breast surgery, but many mothers who have had breast surgery are able to go on and have an enjoyable and fulfilling breastfeeding relationship with their babies. Diana West IBCLC, author of Defining Your Own Success: Breastfeeding After Breast Reduction Surgery, believes that breastfeeding is possible if three factors are present:

  1. At least one breast and one nipple
  2. Information 
  3. Support

The question here isn’t if you’ll be able to make milk, but how much you’ll be able to make. Most women who have had breast surgery are able to make at least some milk for their babies, if not a full supply. Let’s first discuss factors that may affect milk production. Then we’ll cover some practical things you can do to give yourself the best start possible, as well as how you can have a breastfeeding relationship with your baby even if you’re not able to make all the milk your baby needs.

surgery

 

In this post, I will be discussing the factors that influence breastfeeding after breast surgery and how to prepare to breastfeed.

  • Contributing factors
    • Where your scars are
    • When your surgery took place
  • How to prepare to breastfeed after breast surgery
    • Prenatal education
    • Consider one-on-one support with an IBCLC
    • Tips on choosing a supportive healthcare provider
    • Learn about at-the-breast supplementation

Can I breastfeed after breast surgery? via lactationlink.com

Contributing factors to breastfeeding success after breast surgery

First, consider where your scars are. Incisions around the areola (that darker skin around your nipple)  are more likely to interfere with milk ducts and nerves critical to lactation than incisions in the fold under the breast, in the armpit, or the navel. If a portion of milk-making glands are removed, your potential milk volume will probably be affected. Because of this, breast reduction is more likely to cause supply problems than breast augmentation. By the same token, if only one breast was affected by surgery, usually a breast biopsy or lumpectomy, full milk production is more likely.

Next, consider how long ago your surgery took place. Nerves can regenerate slowly over time. So, the more years that have passed since the surgery, the better chances you have for necessary nerve response, even if important nerves were severed. If you can feel both touch and temperature on your areola and nipple you are more likely to have the intact nerve pathways necessary for a normal milk ejection reflex.

Milk ducts, the supply lines of the breast, can regenerate too, and they do it fastest in response to pregnancy and breastfeeding. Many moms who had partial supplies with their first babies may find that they get progressively more milk with each subsequent baby, sometimes even a full supply.

There’s really no way to know exactly how breast surgery has affected your milk-making capacity until baby is born and your breasts get a chance to start doing their job. It’s important to remember that there is great value in any amount of milk you are able to provide for your baby. Babies can receive some immune protection and nutritional benefit from even small amounts of their mother’s’ milk. The benefits of the milk itself aside, breastfeeding is much more than just another way to get food into a baby. It’s also about a physical and emotional connection between mother and child. It is definitely worth working for, and any mother who chooses to should be supported in her goal.

Can I breastfeed after breast surgery? via lactationlink.com

So, what can you do to prepare yourself for breastfeeding after breast surgery? Here’s my advice:

  1. Learn as much as you can about normal breastfeeding, especially how to position your baby effectively to get a deep, comfortable latch, and the signs of good milk intake. Lactation Link’s Breastfeeding Basics course is a fantastic option for moms anywhere in the world. It’s more comprehensive and easy to understand than your typical local hospital breastfeeding course, and you can re-watch it as many times as you need.
  2. Consider scheduling a prenatal e-consult with one of Lactation Link’s International Board Certified Lactation Consultants to go over your health and surgery history and work together to create a plan to monitor and protect baby’s growth and maximize your milk supply. Learn more here.
  3. Choose healthcare providers for both yourself and your baby who are knowledgeable about breastfeeding, not just tolerant of it. Ask around for referrals and interview a few to find providers that will be a good fit for your family. This post, How to Choose a Healthcare Provider for Your Baby, is a great place to get some tips on this as well.
  4. Learn about at-breast supplementation. There are special supplementing devices that consist of bottles with long thin tubes that baby can latch onto along with your nipple so that he or she can be supplemented while breastfeeding if more milk is needed than you are able to produce. Think of it as an external, bonus milk duct system. These devices can be a fantastic way to preserve the benefits of the breastfeeding relationship while ensuring that your baby is receiving the nutrition he or she needs to grow well. Some mothers really love them, and others…not so much. There definitely seems to be a learning curve for using at-breast supplementers. While they can be helpful, they aren’t the only option for supplementation. Lactation Link IBCLCs can help you find the best solution for supplementation through an in-person consultation or online eConsult

Can I breastfeed after breast surgery? via lactationlink.com

Breastfeeding after breast surgery sometimes requires an adjustment of expectations. There will be many options for working through the challenges the come your way, and YOU are the one who gets to decide what works for your family. Give yourself space to celebrate your commitment to giving your baby the best start possible in life and all the work you put into that goal. And remember, your love for your baby can’t be measured in ounces or milliliters. It’s way too big for that.

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Stephanie Weight Hadfield, BS, IBCLC

Sources:

West, D. & Marasco, L. (2009). The breastfeeding mother’s guide to making more milk. New York: McGraw Hill.

West, D. (2001). Defining your own success: Breastfeeding after breast reduction surgery.  Schaumburg, IL: La Leche League International, 2001