How To Get More Breast Milk Every Time: 7 Ways To Increase Your Stores


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Disclaimer: The information in this post is for educational purposes only. I am not a doctor. It is not intended to be a substitute for professional medical advice. None of the opinions are meant to diagnose or treat any disease or illness. You should always consult your healthcare

Breastfeeding should be a wonderful experience for both mother and baby. Today I am going to give you a heads up on how you can get more breastmilk every time. I want your supply to be increasing each time you breastfeed and pump. Breast milk truly is great or babies and I highly recommend it because o its awesome God- given qualities. There is no need to stress. Breastfeeding is not simple for many women. So here we go to learning about the 7 ways to increase your milk stores:

1.Know that your nutritional quality is a priority

Eating the right quality of foods is key to success producing a quality increase milk supply

Are you getting enough calories? Breastfeeding takes a lot out of you: be sure to replenish the calories that it uses. Also, are you eating well? If you’re filling up on junky foods rather than healthy foods full of necessary nutrients, you could be affecting your supply. You do not have to follow a strict diet to have a successful breastfeeding experience, but if you are currently trying to increase your breast milk, you may want to make sure that you are eating reasonably well. Make sure you are getting the right calories intake by eating foods from the food pyramid.

2.Put your baby on the breast

Mamas, I know some of you believe that pumping is just as good as your baby on the breast. There is nothing quite like your baby sucking on your breast. No breast pump can ever take the place of your baby. Your baby provides the perfect platform for increasing your breast milk supply. I cannot emphasize enough about the first golden hour.

Try to get your little star to suck up all of that good colostrum during the first 3 -4 days. Do not worry if it is enough. The more your baby sucks, the more milk your body will make. You can also try skin to skin by wearing your baby in a sling or lying down 30 minutes before your baby feeds. He will smell your milk and this will encourage him to want to breastfeed and root for your breast. Avoid formula completely if you want to really lactate .

3. Pump often

I would suggest making pumping a goal after breastfeeding. While it is not a substitute for breastfeeding, it is complementary in helping to increase and stimulate your breasts to make more milk. Never use a personal pump that someone has used for their baby . The hospital grade pumps that some hospitals allow you to burrow are good. Pump after feeds and every 2-3 hours for 10-15 minutes. Sore your milk right away after feeds.

4. Relax and enjoy the journey

Post partum can certainly be a time of great apprehension and worry. I would like to encourage you to try to allow your mind and body to relax. If things are getting out of hand, seek some help. Ask a relative or friend to help you out. Don’t worry about the chores, they will get done. One of the great ways to relax is to give yourself a bath or shower. I have heard so many new moms say they do not bathe for a whole day. This is not healthy because it really helps you feel better . Relax and spend as much of the time nursing as possible. Read a book, watch a movie, nap with your child. Fatigue can have a negative effect on your supply. Rest, and the increased nursing sessions just might give you the boost that you need.

5. Try a lactogenic herb

Many herbs such as fenugreek or blessed thistle have properties that can stimulate milk production. These are preferable to many mothers because they are natural and do not pose any harm to breastfeeding children. The herbs are typically available in various forms including tasty teas, adding to their appeal.

6. Drink lots of water

Water makes everything better! Try to drink at least one gallon per day . Water is healthy. Have un with it and drink it often.

7. Massage your breasts before and during your breastfeeding sessions

Massaging our breasts is a great way to increasing your milk supply. You can check out this video to learn how to massage your breasts @ (6) Hand Expression LPCH Stanford – YouTube

Bottom line

Increasing your milk supply is of ultimate importance to all breastfeeding mommas. It is one of the ways that guarantees that your baby will not be undernourished. Women feel empowered when they succeed at satisfying their baby’s needs. I hope you are experiencing a wonderful experience with increasing your breast milk supply. Thank you or coming and I hope you get some great results from this posts. Please like or comment .

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Breastfeeding And Galactagogues: Mamas, Lets Make More Milk!


Keep in mind that taking certain herbs while breastfeeding can have adverse effects. Before adding them to your diet in the hopes of increasing your milk supply, it’s important to consult your doctor.

I have nursed four babies and have never needed to take anything to boost my milk supply. However, I am aware that there may be some of you out there who may need a little help. First, what is a galactagogue

 It is a long word meaning “a substance that increases milk supply”. Herbs and medications that increase your milk supply are known as galactagogues (ga-lac-ti-gogs). If your milk supply is low, you might want to try using a natural foods, galactagogues or even prescription medication to help increase your milk production. The word “galactagogues” comes from the Greek “galacta,” meaning milk.

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The best way to increase your milk supply is to take galactagogues while you increase the number of times you pump and breastfeed your baby. Note that breastfeeding mothers have been taking galactagogues throughout history to increase milk supply.

I recommend you try the natural foods and pumping 8-10 times per day, and breastfeeding . Remember a pump cannot substitute for your little star’s sucking. It is the next best thing to do while breastfeeding is being established. Our aim when we use galactagogues in one main goal and that is to increase milk supply.

What About Beer And Alcohol?

Approximately 15% of breastfeeding women use herbs when they feel they need to increase their milk production. However, with the exception of Fenugreek, most of these herbal galactagogues have not been studied much to see if they do increase milk supply. 

 And while beer or alcohol is a traditional folk remedy for low milk supply, current studies indicate alcohol consumption is more likely to decrease infant consumption of milk than increase it (source). We really do not want your infant consumption to decrease. So this is something you should consider.

Herbal galactagogues: Can Be Very Effective

Some of the most well-known and anecdotally effective galactagogues are herbal. Tens of herbs are believed to increase breast milk for nursing mothers.

Many of these herbs stimulate mammary growth as well as provide hormonal support. Fenugreek, one of the most well-known galactagogues, is a Middle Eastern spice. Nettleblessed thistle, and ginger are other popular herbs that are thought to improve milk production.

Keep in mind that taking certain herbs while breastfeeding can have adverse effects. Before adding them to your diet in the hopes of increasing your milk supply, it’s important to consult your doctor.

Fenugreek

There are many common herbal supplements available that have been shown to be effective for increasing your milk production. Fenugreek is likely the most commonly used galactagogue.

A seed extract that can quickly increase milk supply, the recommended daily dose is 3.5-6 grams depending on your doctor’s or lactation consultant’s advice. Some women notice they have a maple syrup smell when taking fenugreek. It may also cause contractions or an allergic reaction, do not take fenugreek if you are pregnant or allergic to peanuts or soybeans.

Blessed Thistle

This plant has been used as a medicine for hundreds of years and has been shown to increase milk supply. It works best when taken in combination with fenugreek. It comes in capsule or tea form and should be taken three times per day.

Alfalfa

A type of pea, alfalfa has a mild effect on increasing milk supply and is often used in combination with fenugreek.

You can take alfalfa in pill, tea, or food form. Alfalfa sprouts have a pleasant, nutty flavor and have a number of health benefits. You can also make tea from alfalfa leaves or take as a tablet.

Goat’s Rue

This herb can be a powerful galactagogue and is often taken along with a blend of fenugreek and other herbs. Do not use it in its fresh format as it is considered toxic; use only commercially prepared dry leaves for tea or capsules.

These herbal supplements are readily available online or at your local health food store. Talk to your doctor or lactation consultant before taking any supplements, particularly if you have allergies or are taking any prescription medications.

Let A Galactagogue Be Your Last Resort

Mama give these tips a try first

If you’re concerned about your milk supply, the first step is to contact a certified health professional to help you.

It may turn out that you’re worrying unnecessarily, and that both your milk supply and your baby are just fine. If your supply is on the low side, a lactation consultant will be able to make recommendations for improving production.

These might include:

  • Skin-to-skin contact, which will release prolactin and stimulate oxytocin, two hormones that can help milk production
  • Breast compression, a method of gently squeezing the breast as you nurse to encourage milk glands to let down more milk
  • Comfortable positioning during breastfeeding
  • Frequent feedings or regular pumping sessions- 8-10 times per day or every 2-3 hours.
  • Pumping sufficient milk to meet you little star’s needs.
  • Drinking lots of fluids- Never allow your body to get thirsty.

Most women will find that these methods are enough to improve milk production. Give them a try first.

It’s also important to avoid habits and behaviors that can inhibit your milk supply, such as:

The cold and allergy medications can reduce your milk supply if you are on them a long time, but if you need them, its ok to get you well again. Make sure that you discuss with your healthcare provider.

Master Your Diet for Good Nutrition

The LLLI, nursing mothers is of the persuasion that breastfeeding mothers  don’t need special diets to produce milk for their babies. Instead of worrying about incorporating certain foods, La Leche advises following a healthy, sensible diet.

Try to include:

 Green papaya

This galactagogue is prized in Asia for its enzymes, vitamins, and minerals. It’s a particularly good source of vitamin A and vitamin C.

One small fruit contains nearly 100 milligrams (mg)Trusted Source of vitamin C. For women who are lactating, the recommended dietary allowance of vitamin C is only 115 to 120 mg each day.

Note that green papaya is the unripe fruit. It must be simmered until it’s soft enough to eat.

Fennel and fennel seed

The fennel seed is widely considered to increase milk production. The vegetable, which can be eaten raw or cooked, may also help. Discover other benefits of fennel. (Paid link here)

Grains

In addition to their reputed antibiotic and anti-inflammatory properties, oats are a well-known comfort food. It’s thought that eating something associated with comfort may cause a woman’s body to release oxytocin, a hormone involved in the production of milk.

Other grains that may function as possible galactagogues include milletbrown rice, and barley.

Chickpeas and lentils

Legumes, such as chickpeas and lentils, have long been touted for their milk-boosting properties.

Brewer’s yeast

Also known as nutritional yeast, brewer’s yeast is a good source of protein and iron. It also contains phytoestrogens, which may help with breast tissue health and lactation.

Nuts

Raw nuts, including cashewswalnuts, and macadamia nuts, are also believed to support the production of milk. (Paid link here)

Sesame seeds

Another Asian galactagogue, sesame seeds are a vegan source of calcium. Black or light-colored sesame seeds will work, as will tahini, a creamed version of the seed.

Lactation cookies

Recipes for lactation cookies often combine flax seeds, brewer’s yeast, oats, and other purported milk-boosting ingredients to get a delicious treat. These are always handy and delicious.

Bottom line

Mamas there is nothing like breastfeeding your baby directly from the the breast. Breastfeeding your baby consistently is truly the best way to increase your milk supply. No foods or herbs have been reliably shown to increase milk production.

There have however been many testimonies of moms who testify that their milk supply have increased as a result of taking these herbs. I sure hope your breastfeeding However, most of the foods listed above are nutritious and safe to add to your daily diet.

I hope your milk production is getting better and better as time goes on. Thanks for stopping by today. Do visit again. Please like, or comment. I would love to hear from you. Remember God loves you. Ask for His help in all things. Before adding specific galactagogues to your diet, be sure to discuss them with your doctor.


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Breastfeeding, COVID-19, And Milk Banking: Can the Effects Be Recovered?


Human milk banking are facing challenges with collection of breast milk donors

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Milk banks store breastmilk for newborns whose mums can’t breastfeed them. Usually, the banks collect expressed breastmilk from pre-screened mums, who have a plentiful milk supply.

The collected breastmilk is pasteurised. It is then ready to be given to babies who most need the benefits of breastmilk. The babies who need it may be unwell, premature, or unable to breastfeed. Or their mums may not have enough breastmilk. This pathway has contributed to a life saving route to compromised infants. It also has benefited mothers who have had a pregnancy loss.

There are 17 milk banks across the UK. Each one is a member of the United Kingdom Association for Milk Banking (UKAMB).(PAID LINK)

How Has Covid-19 Affected Milk Banking?

The world of human milk banking has been heavily affected by COVID-19. As underlined in the articles of Marinelli (2020) and Furlow (2020), COVID-19 is having a negative influence on human milk donation and the human milk banking system. Donations are decreasing and the volume of milk collected from human milk banks during this period is low.

Donors’ supplies have become a concern due to the global lockdown and travel restrictions. As a consequence, parents cannot go out to bring milk to the banks, even if theoretically this can be considered an action having social value. During this period, mothers prefer to stay as far away as possible from hospitals, especially those dedicated to COVID-19.

What Is The Alternative To Human Milk Banking In Hospital?

Nowadays home milk banking is the chosen method

Since most persons are more comfortable at home the alternative is home milk collection by the milk bank staff; however, this activity has also been reduced due to the efforts required by hospitals devoted to care for people infected by COVID-19. In Italy, a special service for home milk collection, called the Human Milk Link, has been active for two of the three human milk banks in Milan (Mangiagalli Hospital and San Giuseppe Hospital), along with the Human Milk Bank of Turin. It is operated by a midwife, specialized in lactation, who has organized all the required activities to make the service work (e.g., driving the car, collecting the milk, sealing the bottles) and providing breastfeeding advice to mothers. (PAID LINK)

During 2019, this service collected 813L of human milk from 160 donors in Milan, and 99 liters from 20 donors in Turin. Human Milk Link’s activities ceased on March 9, 2020, when the lockdown started in Italy. The donation of human milk in Milan has been completely interrupted. Fortunately, a few positive exceptions exist, for example the Human Milk Bank in Rome, Italy. This milk bank is still sending its drivers (less frequently than before) to collect milk directly at the donors’ door, without entering the residence, while wearing protective equipment. In this way, they collected 49L of human milk during the month of March, 2020 (De Rose et al., 2020b).

Did SARS-CoV-2 Pasteurization Affect Human Milk?

The effect of pasteurization on SARS-CoV-2 virus inactivation in human milk banks has still to be determined. Researchers have documented complete heat inactivation of genetically similar viruses (e.g., SARS and MERS) by treatment at 60°C for 15–30 min. (Darnell & Taylor, 2006Rabenau et al., 2005van Doremalen et al., 2014). Recently, Chin et al. (2020) reported that SARS-CoV-2 is inactivated by heating in a dose-dependent manner, with viral inactivation at a temperature of 56°C for 30 min, or at 70°C for 5 min. However, their study simulated pasteurization in small aliquots, a procedure that does not fit human milk bank protocols. Therefore, these results should be replicated in a human milk bank setting.

Taking into account the available information, a milk bank should suspend, for 2 weeks, the recruitment of mothers who are suspected or have a probable case of COVID-19, in order to ensure they do not become ill during this period (European Milk Bank Association [EMBA], 2020). If an already established donor develops clinical signs of a COVID-19 infection, a rhinopharyngeal swab is recommended. Donation should be temporarily discontinued until the result of the swab is available. If the culture is positive for COVID-19, donation should be interrupted until two consecutive negative cultures are present, then donation can restart (EMBA, 2020).(PAID LINK). The question is asked can the effects be recovered? The answer is no one knows at this time. All we can do is hope that things get back to normal as soon as possible.

Bottom Line

During this period of declining donations to human milk banks all around the world, we have to realize that the resources may need to be rationed. The low volume of donor human milk available should be allocated to the smallest and most at risk preterm infants (e.g., birth weight < 1500 grams or a gestational age < 30 weeks) to prevent NEC and other severe illnesses occurring in these extremely fragile infants. For these infants, human milk really makes the difference!

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Breastfeeding And Jaunice: Is Breastfeeding My Baby Ruined?


Hello Mamas! Its me again bringing you another dynamic topic- jaundice in breastfeeding babies. I am sure most of you have heard about this topic before. For those of you who have not heard about it or do not know what it is about, I will give you the full brunt of it right in this post. After 34 years of nursing, working in the neonatal intensive care units, I has discovered that jaundice in infants is quite common.

What Is Jaundice?

Jaundice, a sign of elevated bilirubin levels, is common during the first weeks of life, especially among preterm newborns. Bilirubin, a product from the normal breakdown of red blood cells, is elevated in newborns for several reasons:

  • Newborns have a higher rate of bilirubin production due to the shorter lifespan of red blood cells and higher red blood cell concentration compared to adults.
  • Newborns have immature liver function, leading to slower metabolism of bilirubin.
  • Newborns may have a delay in passage of meconium, leading to increased reabsorption of bilirubin in the intestines.
  • In most newborns, jaundice is termed “physiologic jaundice” and is considered harmless.

Did you know that there are different types of jaundice?

Types of jaundice include:

  1. Normal newborn jaundice—happens naturally after birth.

Also known as physiological (normal functioning) jaundice, physiologic hyperbilirubinemia or icterus.

It is normal for a newborn baby’s bilirubin levels to rise after birth and then drop again during the first two weeks of life. In the first five days the levels of bilirubin in formula fed babies are the same as optimally fed breastfed babies 

2. Breast milk jaundice— or Breastfeeding Jaundice. Breast milk jaundice is unlikely to cause harm and the jaundice will gradually fade without treatment. However, prolonged jaundice can be an indication of serious liver disease or involve some other cause (Gartner, 2001). You can still breastfeed Mama. (PAID LINK)

EXCERPT FROM

Breastfeeding and Jaundice, Gartner, 2001

The full-term infant with breastmilk jaundice of less than 340 µM/L (20 mg/dl ) requires no intervention, and breastfeeding should be continued without interruption. For those full-term, healthy infants with breastmilk jaundice and serum bilirubin levels between 340 and 425 µM/L (20 and 25 mg/dl ), closer observation of bilirubin concentrations is indicated. Some clinicians may wish to observe, whereas others may choose to complement breastfeeding with formula for 24 to 48 hours, which will reduce intestinal bilirubin absorption, or initiation of phototherapy. When serum bilirubin concentrations rise toward 425 µM/L (25 mg/dl), the use of phototherapy while continuing breastfeeding, or the interruption of breastfeeding for 24 hours, substituting formula, may be indicated.

If a baby is poorly or premature the safe level for bilirubin may be lower and will require closer monitoring.

This is great news!

3. Starvation jaundice—insufficient calories increase the bilirubin pool. Breastfeeding or starvation jaundice can happen in the first few days of life or it can occur later in the newborn period, this is not “normal”. It is caused by not enough milk and it is the baby equivalent of adult starvation jaundice. Large amounts of bilirubin in meconium coupled with infrequent stools increase the serum bilirubin levels (levels in the blood) and further increase reabsorption of bilirubin in the intestines. A baby may have a combination of breast milk jaundice and starvation jaundice at the same time (Gartner 2001). This indicates the importance of getting breastfeeding off to a good start from birth with help from your IBCLC lactation consultant. When a baby gets plenty of colostrum and breast milk he will have plenty of poops (stools) and frequent poops help to lower the bilirubin levels. (PAID LINK)

4. Pathological jaundice—specific medical conditions cause or increase jaundice. A number of medical conditions can cause abnormal jaundice (see risk factors below). This type of jaundice usually appears within the first 24 hours after birth. It can also be combined with breast milk jaundice and/or starvation jaundice so, as above, it is still important to get feeding off to a good start with help from your IBCLC and see ABM Clinical Protocol #22, 2017.

One of the risk factors for abnormal jaundice is if there are certain incompatible blood types between mother and baby. Derby National Health Service (NHS) in the United Kingdom have a handout explaining more:

EXCERPT FROM

Jaundice in your Newborn Baby, Derby Hospitals, NHS [2017 accessed Oct 2019]

5.Rh incompatibility

If the mother’s blood group is negative( e.g. A-, B-, O-)and the baby’s blood group is positive, antibodies may be made by the mother to protect her against what the body recognizes as different cells. These antibodies invade the baby’s blood stream and surround his/her red blood cells causing them to break down. This is called ‘Hemolytic Disease of the Newborn’. It is usually prevented by screening during pregnancy and by the mother having an ‘Anti D’ injection to prevent the antibodies being produced.

ABO incompatibility

Different blood groups already have antibodies present. This means that if the mother’s and the baby’s blood group are different and they become mixed for some reason, the mother’s antibodies will break down the baby’s red blood cells, as happens with Rh incompatibility.

Both of the above conditions are usually diagnosed quickly, as your baby will become jaundiced within 24 hours of birth.

Different sorts of jaundice may occur at the same time. This can complicate things for baby as far as treatment is concerned.

Should I Continue breastfeeding?

Yes you can! Most newborns with jaundice can continue breastfeeding. More frequent breastfeeding can improve the mother’s milk supply and, in turn, improve caloric intake and hydration of the infant, thus reducing the elevated bilirubin. In rare cases, some infants may benefit from a time-limited, temporary interruption (12-48 hours1,2) of breastfeeding with replacement feeding to help aid in the diagnosis of breast milk jaundice. Ongoing clinical assessment, including repeat bilirubin levels, will help determine when breastfeeding can resume. (PAID LINK)

Further guidance is outlined in the Academy of Breastfeeding Medicine’s clinical protocols on supplementationexternal icon and jaundiceexternal icon. If temporary breastfeeding interruption is required, it is critical to help mothers maintain their milk production during this time. Your health professionals will keep an eye on bilirubin levels while breastfeeding continues and may carry out tests to rule out more serious causes of raised levels. They will advise if any treatment is needed should levels rise towards a certain threshold. Contacting an IBCLC lactation consultant if there are any problems with breastfeeding or milk supply will help avoid the possibility of getting starvation jaundice (see below) and breast milk jaundice at the same time.  The following paper from Gartner discusses the levels of bilirubin found in breast milk jaundice.

If I am at risk, what signs can I look for?

Vomiting & lethargy are some signs of jaundice!
  • You can observe your baby’s skin color for a yellow tinge
  • Observe your baby’s eyes for a yellow coloration
  • Fatigue- Your baby may look weak and fraile
  • weight loss
  • fever
  • vomiting
  • Presence of dark urine
  • pale stools are common.

Learn More

Sunning Your Baby Helps Reduce the levels of Bilirubin

Sunlight helps to reduce bilirubin levels!

“The practice of placing jaundiced infants under sunlight to reduce discoloration is a cultural health belief in most communities and appears to be effective in many anecdotal reports. In fact, midwives, nurses, doctors and pediatricians were identified to be the main professional sources of this belief [1]. In an in vitro experiment, it was found that sunlight was 6.5 times more effective than phototherapy in the isomerization of bilirubin compared to a phototherapy unit [2]. However, there are no appropriate controlled trials comparing the efficacy of sunlight to no treatment or artificial light therapy in jaundice [3]. Delayed treatment of severe jaundice in an otherwise healthy baby can result in the development of kernicterus – a complication causing brain damage as result of bilirubin deposition in the central nervous system [4]. Hence, withholding phototherapy would be unethical in controlled trials. We should not recommend sunlight for routine treatment of jaundice as this would encourage parental misconception that home therapy is adequate and result in delayed healthcare seeking behavior. Moreover, there are concerns of adverse effects of sunlight exposure causing skin tanning, sunburn and hyperthermia.” Neonatal Jaundice: To sun or not to sun? In our hospital in The Bahamas, we recommend putting baby in the sun for 15 minutes twice per day. This usually limits any harm to baby.

Learn More


Bottom Line:

Jaundice as you can see comes in different forms, however, it is great to know that your chances of breastfeeding your baby is high. When I worked in the hospital with the jaundiced babies , we always made sure that those babies were fed every 2 hours not 3 like with formula. Mamas, make sure you wake your baby if he/ she is sleeping. The bilirubin increases greatly when baby is low on calories. So make sure you give feeds every 2 hours. If you are breastfeeding, then baby can breastfeed anytime – less than 2 hours. Know also that God is with you. Always ask Him to help you. I wish wish you a safe, healthy, and happy breastfeeding journey. Stay inspired.(PAID LINK)

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Check out this amazing video on Newborn Jaundice. Enjoy!

Too Much Breast Milk Supply: Let’s Get A Balance Here!


Too much milk supply can make baby very irritable

Whoever thought that having too much breastmilk would be a problem for a mother and her baby? Unfortunately it can. While low milk supply can be a problem so can over milk supply. Before going into the midwifery profession, I never imagined that there was even a problem. Mama, I really do not want you to give up. Lets at least try before giving up. Breastfeeding works so well when you have a balance in your milk flow. Before you try this though , how do you determine that you are in over- supply mode? You would know simply by observing that you are producing more milk than your baby is able to manage.

Did you know that there are three basic categories of supply when it comes to exclusive pumping:

  • Undersupplied (or Underproduce): Makes not enough milk for baby. e .g. Check this out: If a mother gives her baby 4 ozs and the baby wants more, she is an under supplier.
  • Just Enough: Makes just the right amount to manage baby’s needs. e.g. If a mother pumps 4ozs and her baby is satisfied and the baby sucks all that is given, we have a balance here. This is what we want.
  • Oversupplied (or Overproducer): Makes much more that is required for baby to handle during a feed. e.g. A good example is if a mother pumps 5 ozs and her baby only sucks 4ozs, she is over supplied

What Are the Disadvantages of Over Supply For Baby

Observe your baby for spitting up episodes
  1. Baby gains too much weight at a higher rate or
  2. Baby does not gain weight too well, due to lower intake of milk fat.
  3. Gulps rapidly, and may choke or cough frequently during a breastfeed due to the forceful let-down
  4. Babies are really smart ;they have the capacity to control the nipple by pinching it. They know that this slows down the flow? Yes they do, but this leads to another problem – sore nipples😫. That’s another problem right?
  5. You may notice your baby going off and on the breast or cannot latch on properly. Spits up a lot (reflux)
  6. Your baby may belch or pass wind often.
  7. You may notice green, watery or shooting stools (symptoms of lactose overload) and lots of wet and dirty nappies
  8. Seem irritable, fussy and restless, may hold himself stiffly or scream
  9. It may be very difficult for him to settle and enjoy breastfeeding and just fall asleep.
  10. Inverted or flat nipples. Your nipples might be unlatchable and difficult for baby to grip.(Affiliate)


What causes Oversupply Of Milk?

Too much milk supply can be caused for many reasons many

There are many women who have a very rich supply during the early weeks, especially if they breastfeed right away after birth. This is normal; as the milk. The volume of milk normally settles down over time so that the breasts only make the amount needed by the baby. Possible reasons for a mother to still seem to have “too much milk” after the early weeks include:

  • Following strict rules about breastfeeding such as how often to feed, how long to feed for and how many breasts to use per feed instead of following a baby’s cues so they can self-regulate the milk supply. Following your baby’s cues is best.
  • Lots of milk making tissue. The more glandular (milk making) tissue in the breast the more breast milk a breast will be able to make and store and, depending on how breastfeeding is managed, this may take a bit longer to settle down.
  • Overstimulation. Sometimes milk production can be overstimulated by too much pumping or by taking lactogenic herbs. e.g. fenugreek
  • Medical reasons. Occasionally medical causes contribute to oversupply or hyperlactation. For example hormonal issues including thyroid disorders, certain medications, a prolactinoma (a benign tumor of the pituitary gland) or any condition affecting the part of the brain that regulates the pituitary gland (hypothalamic-pituitary disorders). Your doctor will help diagnose these situations.
  • Poor latch. How a baby is latched (attached to the breast) affects how easily they can get the milk they need. A poor latch is sometimes thought to add to excess milk production if a baby feeds very frequently to try to get the volume they need. In many cases however, a poor latch will tend to reduce a milk supply over time.

Here Are Some Tips To Help You Win The Challenge:

Always seek the help of a breastfeeding specialist if you suspect oversupply.

1.Only allow your baby to breastfeed on one side for each feeding.

Choosing to use one breast because of over supply can be very beneficial

2.Continue to offer that same breast for at least two hours until the next full feeding, gradually increasing the length of time per feeding. Should the undrained breast feel uncomfortably full before the next feed, expressing just enough milk to stay comfortable will prevent engorgement.

3.If the other breast feels unbearably full before you are ready to breastfeed on it, hand express for a few moments to relieve some of the pressure. You can also use a cold compress or washcloth to reduce discomfort and swelling.

Releasing some of the breast milk before feeding can also help

4.Feed your baby before he or she becomes overly hungry to prevent aggressive sucking. Learn your baby’s hunger cues.

Understanding your Baby’s Cues can be very helpful in managing oversupply of milk!

5.Burp your baby often if he or she is gassy so there is more room in baby’s tummy for milk. Burping gets rid of air that may be trapped in your baby’s stomach. This could cause pain and lots of baby crying and sleepless nights for you both.

Burping your should be a normal routine!


6.Avoid over pumping- pump only what your baby needs with each feed. Try baby led feeding. Let your baby tell you when she is hungry.(affiliate link)

Over pumping can cause over supply issues

7.Perform a short breast massage before the breastfeed, or breast compressions during breastfeeding, can help to release more fat-rich milk (hindmilk or cream) and increase the calorie content of breast milk. Its the fat in the milk that keeps baby satisfied.(Affiliate link)

9.Drinking sage tea, drinking peppermint tea and parsley are thought to reduce milk production. Make sure you get your doctors ok😃


10. See a pediatrician to determine if your baby has any underlying issues like tie tongue, or medical problems that is causing over supply.

Seek a pediatrician if it is suspected your baby has a medical underlying problem

I really hope that you are breastfeeding successfully. That is my wish for you. If you have any comments or questions I would be happy to reply. Feel free to use the box below. Thanks for stopping by and do come again. I have provided some affiliate links with wonderful recommendations to promote your experience with your breastfeeding issues.

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Breast Milk Safety – Proofing: Easy Mama’s Guide!


Learning how to store your breast milk is a great step to protecting your baby!

Your awesome breast milk — liquid gold — I know is probably more precious to you than many things in life right now except for your baby. So, now you are established in breastfeeding. You know how precious this liquid is, and you also know that you must safeguard its potency.

You should know that breastmilk is indeed a raw food, and even though it is teaming with antibodies and other protective elements, care should be taken in the collection, handling and storage processes. You must ensure that everything that comes into contact with the milk is clean and dry.

If your baby is premature, fragile or hospitalized, there may be specified, and the containers must be sterilized / purified, not only clean. In some hospital settings breast milk may need to be frozen right away. or never frozen.

How you store breast milk has to do with the temperature of storage and whether the milk is freshly pumped or previously frozen.

Following these guidelines, which we’ve compiled from the Centers for Disease Control and PreventionTrusted Source, the Mayo Clinic, and the Office on Women’s Health, will ensure that your milk does not harbor bacteria that could make your baby sick. It also ensures that you retain the quality of nutrients that your milk contains.


1.Breastmilk Storage Containers: Choose what works best for you

You may be wondering what is the best storage containers for breast milk. Reusable glass or plastic, hard -sided containers are considered the best for storing breast milk. It is important that the cap fits securely. The same companies that make pumps and other equipment make milk storage containers. In addition, some food packaging companies supply containers specially designed for breast milk.

Plastic bags have also been made to collect and store breast milk. Some of these fit into the container that milk is pumped into in pumping system, and the bags may also fit into the baby feeding bottles The thing about bags is that they can easily become contaminated during its handling; they are awkward to handle and can leak. I encourage you to choose which ever one is affordable, safer and convenient for you at the time. Just make sure you do everything to prevent any contamination.


2. Label each bag

Putting your name, date, and time of breast milk collection is crucial!

Each bag you fill with milk should be stored with the label . A mother with a premature or hospitalized baby, the hospital will either give the mother labels for her milk or provide her with specific information that should be on the the label including the date, patient ID number, unit. If the milk will be going to a day care setting, the baby’s name should be be clearly legible, written in water proof, smudge- proof marker.

If you are going to store a lot of milk, I would advise you to try samples of a few different storage systems before you invest in one.

If you choose to freeze milk in bags, you can put a group ofthem inside a freezer-grade plastic bag


3. Only store what baby will take at one feed

Keep your breast milk safe by only taking out what baby needs!

Because breast milk is so precious, it is vital that you do not waste a drop of it. Try to get the maximum benefit of your breast milk usage. I have visited many mothers who was wasting their breast milk by giving their babies too much servings at a time.

You can save your breast milk by only taking out what you know your baby is capable of taking at each feed. Your milk requires careful handling.

Also consider storing smaller portions — 1 to 2 ounces (30 to 60 milliliters) — for unexpected situations or delays in regular feedings. Breast milk expands as it freezes, therefore do not fill them to the brim.


4.Know for sure how to store your breast milk

Did you know that you can store breast milk in the refrigerator for3-5 days. I would suggest that you would put it into the freezer as soon as you can if you are going to freeze it.

Milk may be kept up to 3 months in a refrigerator freezer and 6 months in a deep freeze that is kept at- 20 degrees or less. Over the course of a day, small expressions of chilled milk can be added to milk stored in the refrigerator.

Always place the milk in the coldest part of the refrigerator or freezer. That’s usually not on the door or near the fan in a frost free type freezer.


5. Always Thaw Frozen Breast Milk in the Container in Which it was Frozen

The refrigerator is an excellent place to defrost frozen milk.

The refrigerated or frozen milk can be warmed in a pan of luke warm water or or under lukewarm , running tap water right from its frozen container.


6. Never use a microwave to warm or thaw breast milk: A NO, NO!

This is not a good practice because the microwave can destroy the valuable nutrients in the milk . This also goes for your baby’s food. There have been cases where some babies have been burned because “hot spots” were not detected by the adult.


7. Give baby the milk as soon as it is thawed

Always give thawed milk as soon as possible

Thawed breast milk should be kept cold until just before being fed to your baby.


8. use within 24 hours

Thawed breast milk should be be used with in 24 hours. The thawed breast milk should be given at the earliest opportunity. The earlier the better.


9. Throw away what is not used at a feed

Breast milk should not be restored after a feed. That is why I suggested to you to provide only the amount that you know your baby will take at each feed. Thawed breast milk should never be refrozen. Keep in mind that your baby’s saliva can contaminate the breast milk and begin the process of bacterial growth.


10. Use Insulated Coolers Temporarily if you don’t Have Access to a Fridge or Freezer

Yes mam, this is perfectly fine if you do not have immediate access to a fridge or freezer.

Can I add freshly expressed breast milk to already stored milk?

You can add freshly expressed breast milk to refrigerated or frozen milk. However, thoroughly cool the freshly expressed breast milk in the refrigerator or a cooler with ice packs before adding it to previously chilled or frozen milk. Don’t add warm breast milk to frozen breast milk because it will cause the frozen milk to partially thaw.

Keep in mind that research suggests that the longer you store breast milk — whether in the refrigerator or in the freezer — the greater the loss of vitamin C in the milk.

It’s also important to note that your breast milk changes to meet your baby’s needs. Breast milk expressed when a baby is a newborn won’t as completely meet the same baby’s needs when he or she is a few months older. Also, storage guidelines might differ for preterm, sick or hospitalized infants.


Did you Know That your Breast Milk Changes as your Baby Grows?

The color of your breast milk will vary slightly depending on your diet. Also, thawed breast milk might seem to have a different odor or consistency than freshly expressed milk. It’s still safe to feed to your baby. If your baby refuses the thawed milk, shortening the storage time might help.

Breast milk storage definitely is something that every breastfeeding mother needs to be aware of because, of its potential to preserve the potency of it. I sure hope this was a real benefit to you and one that you will cherish for the long term. I would love to hear your comments/ questions related to this topic below and you can leave your contact information, if you would like to join our monthly newsletter. Thanks for stopping by and do come again.


Here is a great video on keeping your breast milk safe.

Breastfeeding: Easy Tips On Improving your Chances Of Success!


breast feeding1

Lets Learn Breastfeeding Basics

 

Never Give Up! If breastfeeding is what you want to do for your baby do not give up. Initiate breastfeeding with your baby as soon as possible and do not give up readily. A good mindset before baby arrives is necessary to believe that it is possible for you. You can learn as much as you can by seeking help from the experts; like a Midwife, or Lactation specialist.

MAKE YOUR OWN BREASTFEEDING DECISION!

You will hear many different views of breastfeeding, both positive and negative. Look deep within yourself and decide what is it YOU want. I always felt deep down inside that choosing to breastfeed is the best choice for my babies. Your may feel otherwise and that is perfectly fine. You see breastfeeding is a personal decision. We all have different backgrounds and situations which means we should choose what is best for our lifestyle. Whatever you decide is the right decision because you made it for yourself. If you choose to breastfeed, there are a few things you should do:

1.Become well informed about breastfeeding through information through a lactation consultant, attend a breastfeeding class, or healthcare provider’s office .

2. Talk to your care provider about your decision

3. If you are in doubt or have any problems, questions, concerns get the advice you need from your healthcare provider.

4. Have a positive mindset about breastfeeding & be prepared to overcome any challenges.


When you are in hospital to have your baby, you must make it known to your doctor or Midwife know that you wish to breast feed immediately after your baby is born. In fact, I would suggest that you make it known during your antenatal follow-up that you would like to breastfeed your baby within the first hour. I have seen where this works. After breastfeeding during the first hour, I would take the baby away so that I could assist the mum in cleaning up. When I bring the baby back to mum baby would immediately latch on every time.


On a population basis, exclusive breastfeeding for the first six months of life is the recommended way of feeding infants, followed by continued breastfeeding with appropriate complementary foods for up to two years or beyond

To enable mothers to establish and sustain exclusive breastfeeding for six months, WHO and UNICEF recommend:

  • Initiation of breastfeeding within the first hour of life;
  • Exclusive breastfeeding – that is, the infant only receives breastmilk without any additional food or drink, not even water;
  • Breastfeeding on demand – that is, as often as the child wants, day and night;
  • No use of bottles, teats or pacifiers
Breastfeeding on Demand is the way to go!

HOW MUCH MILK DOES MY BABY NEED?

Babies’ stomach are small. It doesn’t take much to fill your baby up, but you’ll need to feed your newborn baby a lot: 8-12 times in a 24-hour period. Feeding your baby that often will be good for your baby. It will also tell your body to keep making milk.


How do you know if your baby is getting enough milk? One of the easiest signs is to pay attention to what’s coming out the other end. The color, texture, and frequency of poops and wet diapers will tell you a lot. Other signs that your baby is getting enough milk may include:

  • Your baby is satisfied and content after feedings.
  • Your breasts may feel softer after feedings.
  • Your baby breastfeeds at least 8 to 12 times every 24 hours, including at night.
  • Your baby is gaining weight.

How much milk your baby needs will change as baby grows, and your body will adjust to those changes. If your baby has a growth spurt, your baby might want to nurse more often or for longer periods of time. Your body will adjust to that, too.

The important thing is to nurse as long and as often as your baby wants and to let your baby eat until full.

HOW IS MILK MADE?

During pregnancy, your breasts start getting ready to make milk. As milk making tissues rapidly grow, you may notice your breasts become fuller and more tender. After you have your baby, pregnancy hormones lower which then helps the lactation hormone, prolactin, to be released.  Prolactin sends a message that tells your breasts to make milk. Both your hormones and your baby’s suckling cause your breasts to make milk. The more your baby nurses, the more milk you make.

When your baby suckles, another hormone, oxytocin, sends a message that tells the small muscles in your breast to contract. This muscle contraction moves the milk through the milk ducts. This is called the let-down reflex. It releases the milk into your milk ducts so you can breastfeed your baby.

WHAT IS THE DIFFERENCE BETWEEN COLOSTRUM AND BREAST MILK?

There are three phases of breast milk. Each one is vital to nourishing your baby.

  • Colostrum. This is the first milk produced by the breast right after birth. It is thick, yellow-ish, and rich in nutrients your baby needs in the first few hours and days. Colostrum is amazing, because your baby only needs a little at a time but it is very powerful because of its rich nutrients.
  • Transitional milk. When mature breast milk starts to replace colostrum, it is called transitional milk. This is often what’s called “your milk coming in,” and it usually happens in your first week at home with the baby.
  • Mature milk. Mature milk looks thinner than colostrum but is still full of nutrients for baby. It starts about 10-15 days after birth. Mature milk will continue to change with your baby’s needs and tummy.

WHAT HAPPENS DURING THE FIRST FEW FEEDINGS?

You should feed your baby between 8-12 times within 24 hours. There is no set time for feedings. They may be 15-20 minutes per breast. They may be shorter or longer. Your baby will let you know when he or she is finished feeding. Your baby’s eating patterns may change from day to day. Just follow your baby’s lead, and that will help you build your milk supply.

Try feeding your baby on the fuller breast first until your baby releases the nipple or falls asleep. Then burp your baby and offer the other breast. Some babies feed from both breasts at each feeding, while other babies are satisfied after one breast. When your breasts feel full, it is important to nurse your baby. That will keep your breasts from becoming overfull or engorged.

HOW DO WE SUPPORT BREASTFEEDING?

Breastfeeding is a priority at Maternal Treasures and Breastfed is Best Academy. We understand just how challenging breastfeeding can be, and we are dedicated to supporting your breastfeeding journey. To help our moms, we provide education and breastfeeding counseling, as well as referrals to other health and social services. If you need help in any of these services feel free to contact us our email-maternaltreasures2018@gmail.com or 32413191


Family is important when it comes to breastfeeding. It takes time, practice, patience—and teamwork. Support goes a long way, and that includes your family, especially your partner. I hope you are able to have great support if you decide to breastfeed. Recognizing that their role is crucial will help you to overcome many challenges, including their friendship. This is best done breastfeeding before your baby arrives. This will give you time to learn, prepare, and plan together.

Family Support is so important in the Breastfeeding Journey!

Within minutes of your baby’s birth, contractions cause your uterus to shrink, its crisscrossed fibers tightening just like they did during labor. These contractions also help the placenta detach from the uterine wall.

After the placenta is delivered, uterine contractions close off the open blood vessels where the placenta was attached. You may feel cramps, known as afterpains, as this happens.

How does my uterus change after delivery?

Within minutes of your baby’s birth, contractions cause your uterus to shrink, its crisscrossed fibers tightening just like they did during labor. These contractions also help the placenta detach from the uterine wall.

After the placenta is delivered, uterine contractions close off the open blood vessels where the placenta was attached. You may feel cramps, known as afterpains, as this happens. 

For the first couple of days after giving birth, you’ll be able to feel the top of your uterus in the area of your belly button. In a week, your uterus weighs a little over a pound – half of what it weighed just after you gave birth. After two weeks, it’s down to a mere 11 ounces and located entirely within your pelvis. By about four weeks, it should be close to its pre-pregnancy weight of 3.5 ounces or less. This process is called involution of the uterus.

How much weight will I lose right after giving birth?

About 12 pounds. You’ll lose 7 or 8 pounds for the baby, about a pound of placenta, and another few pounds of blood and amniotic fluid.

You probably won’t return to your pre-pregnancy weight for some time, but you’ll continue to lose weight during the postpartum period as your body eliminates all the extra water your cells retained during pregnancy, along with fluid from the extra blood you had in your pregnant body.

So in the first days after you give birth, you’ll produce more urine than usual – an astounding 3 quarts a day. You may perspire a lot, too. By the end of the first week, it’s likely that you’ll lose about 4 to 6 pounds of water weight. (The amount varies depending on how much water you retained during pregnancy.)

Why do I still look pregnant?

Even after your uterus shrinks back to its normal size, you may continue to look pregnant for several weeks or even months. That’s because your abdominal muscles get stretched out during pregnancy, and it takes time – and regular exercise – to get your belly back in shape. (And keep in mind that some women may never be able to get rid of their “pregnancy pouch” entirely.)

How come I can’t tell when I need to pee?

Labor and delivery can take a toll on your bladder, causing some temporary swelling and loss of sensitivity. For the first days after you give birth, you may not feel an urge to pee, especially if you had a prolonged labor, a forceps or vacuum-assisted vaginal delivery, or an epidural. This is also more likely if you had a catheter during labor to help you urinate and keep your bladder from overfilling.

But after delivery, your bladder fills up rapidly with all the extra fluid your kidneys are processing, so it’s essential to try to urinate frequently, even if you don’t feel the urge. If too much urine accumulates in your bladder, you might have a hard time making it to the toilet without leaking. What’s more, your bladder could become overly distended. This can cause urinary problems and also makes it harder for your uterus to contract, leading to more afterpains and heavier bleeding.

If you can’t pee within a few hours after giving birth, you’ll need to have a catheter put in to drain the urine from your bladder. (If you deliver by c-section, you’ll have a urinary catheter for the surgery, which will remain in place for a short while after delivery.)

Let your nurse know if you’re having difficulty urinating, or if you’re only producing a small amount of urine when you pee. If your bladder gets too full, it can actually keep you from being able to urinate.

Will my vagina and perineum ever get back to normal?

If you give birth vaginally, your vagina will probably remain a little larger than it was before.

Right after delivery, your vagina is stretched open and may be swollen and bruised. Over the next few days, any swelling starts to go down, and your vagina begins to regain muscle tone. In the next few weeks, it will gradually get smaller. Doing Kegel exercises regularly helps restore muscle tone.

If you had a small tear in your perineum that did not require stitches, it should heal quickly and cause little discomfort. If you had an episiotomy or a significant tear, your perineum needs time to heal, so wait to start having sex again until you get your provider’s okay at your postpartum checkup. If you continue to have tenderness in that area, delay intercourse until you feel ready. (In the meantime, decide which method of contraception you want to use.)

When you do feel ready (both physically and emotionally) to have sex again, be sure to go slowly: You’ll probably find that you have less vaginal lubrication than you did when you were pregnant, due to lower levels of estrogen. This dryness may be even more pronounced if you’re breastfeeding because nursing tends to keep estrogen levels down. This can make intercourse painful at first, but using a lubricant is a big help.

Be sure to buy a water-based lubricant, especially if you’re using a barrier method of contraception. (Oil-based lubricants can weaken latex, which can cause a condom to break or ruin a diaphragm.)

What’s this vaginal discharge?

It’s normal to have vaginal discharge, or lochia, for a month or two after you give birth. Lochia consists of blood, bacteria, and sloughed-off tissue from the lining of the uterus.

For the first few days after birth, lochia contains a fair amount of blood, so it will be bright red and look like a heavy menstrual period. You’ll probably have a bit less discharge each day, and by two to four days after you’ve given birth, the lochia will be more watery and pinkish in color.

By about 10 days after you’ve given birth, you’ll have only a small amount of white or yellow discharge, which will taper off over the next two to four weeks. Some women may continue to have scant lochia or intermittent spotting for a few more weeks.

The first breastfeeding sessions may cause some abdominal cramping because your baby’s suckling stimulates the release of oxytocin – a hormone that triggers uterine contractions.

And when your milk comes in, usually two to three days after you give birth, your breasts may get swollen, tender, and hard. They also may throb and feel uncomfortably full. This is called engorgement, and it should get better in a day or two. advertisement | page continues below

Nursing your baby often is the best thing you can do for relief. (Frequent nursing from the start is sometimes enough to prevent engorgement altogether.) For other suggestions, check out our advice on treating engorgement. If these measures don’t help and your baby seems to be having trouble latching on correctly, talk to your provider or a lactation consultant.

If double pumping is difficult to coordinate in the beginning, then single pump, alternating sides. Move to double pumping as soon as you can.

What will it be like if I’m not breastfeeding?

You’ll still begin to produce milk if you’re not breastfeeding, and your breasts will become engorged a few days after you give birth. This may cause considerable discomfort that can last for several days. The pain tends to peak three to five days after you give birth, and it can take several weeks for your milk to dry up completely.

In the meantime, wear a supportive bra around the clock, and put cold packs on your breasts to ease swelling and inhibit milk production. (Be sure to cover the cold packs with cloth to protect your skin.)

You can also take acetaminophen or ibuprofen for pain relief, and if you’re extremely uncomfortable, express just enough milk to make the situation more tolerable. However, this may prolong the process because stimulating your nipples and draining your breasts signals your body to make more milk. And don’t apply warmth to your breasts either because this can also encourage milk production.

Why am I losing my hair?

If your hair got thicker during your pregnancy, it may now start to shed in handfuls. This happens to some new moms in the first few months after having their baby. Don’t worry – you won’t go bald. advertisement | page continues below

During pregnancy, high estrogen levels may prolong your hair’s growing phase, causing less to fall out than usual. After you give birth, your estrogen levels plummet, and you begin to shed more. Over time (usually within a year or so), the rate of new growth and shedding will return to what it once was.

On the bright side, if you developed excess facial and body hair during pregnancy (the result of a rise in hormones called androgens), it’s likely you will lose most of that hair within six months after having your baby.

What’s going on with my skin?

Hormonal changes, stress, and the fatigue brought on by new parenthood may affect your skin along with the rest of your body. Some women who had perfectly clear skin during pregnancy will have more breakouts in the months following delivery. On the other hand, if you had acne during pregnancy, you may begin to see some improvement now.

Also, if you have chloasma (darkened patches of skin on your lips, nose, cheeks, or forehead), or a dark line running from your belly button to your public bone, the discoloration will begin to fade in the months after giving birth. It will probably go away completely as long as you protect your skin from the sun.

Any stretch marks you developed will gradually become lighter in color, although they won’t disappear entirely.

How to establish and maintain milk supply when baby is not breastfeeding

By Kelly Bonyata, BS, IBCLC

It is important to express your milk to establish and maintain milk supply if your baby is not nursing at all or not nursing well. By expressing, you will also have your milk available to feed baby – every bit of moms’ milk that baby gets (even the tiniest amount) is like liquid gold.

When should mom start pumping?

  • If baby does not nurse immediately postpartum, mom should begin pumping within 6 hours of baby’s birth — starting early makes a difference for future milk production.

What pump is best?

  • If baby is not nursing, seriously consider renting a hospital-grade pump (a multiple-user double pump such as those made by Ameda, Hygeia or Medela) that will allow you to pump both breasts at the same time. A hospital-grade pump is the best choice for maintaining or increasing milk supply.
  • If you are not able to rent a hospital-grade pump, consider buying a pump (preferably a quality double pump) and/or hand expression.

How much milk should mom be pumping if baby is not nursing?

  • Aim for pumping 750-800 mL (25-27 oz) per day by 7-10 days postpartum. If you have twins or higher order multiples, aim for pumping 800-950 mL (27-32 oz) by 14 days postpartum.
  • It’s useful to evaluate mom’s 24 hour pumping output at 10 days. If supply is borderline (350-500 ml / 11-17 oz) or low (less than 350 ml / 11 oz), then galactagogues (prescription meds or herbs to increase supply) or other interventions should be considered.
  • The research tells us that milk production at 2 weeks is an indicator of breastfeeding outcome, so it is important to get a good start. Even if milk production doesn’t start out well, however, don’t get discouraged–many moms will see an increase (even as late as 9-15 weeks after birth) if they continue with regular pumping.

How often should mom pump?

.

  • 8-10 times per day: Until supply is well established, it is important to get at least eight good nursing and/or pumping sessions per 24 hours. Ten sessions per day is better, particularly if you have twins or higher order multiples.
  • These sessions don’t need to be evenly spaced, but you should be nursing/pumping at least once during the night in the first few months or anytime you notice a decrease in supply. Avoid going longer than 5-6 hours without pumping during the first few months.
  • When pumping during the night, milk yield tends to be better if you pump when you naturally wake (to go to the bathroom or because your breasts are uncomfortably full) than if you set an alarm to wake for pumping.
  • If you are having a hard time getting in enough pumping sessions, adding even a short pumping session (increasing frequency even if milk is not removed thoroughly) is helpful.

How long should mom pump at each pumping session?

  • If baby does not nurse at all:
  • The first few days, before mom’s milk comes in, hand expression often the most effective way to express colostrum. Double pump for 10-15 minutes per session for additional stimulation.
  • Once mom’s milk is in, pump for 30 minutes per session, or for 2-5 minutes after the last drops of milk.
  • If baby nurses but does not soften the breast well
  • Double pump for 10-15 minutes after nursing.
  • Empty the breast as thoroughly as possible at each session. To ensure that the pump removes an optimum amount of milk from the breast, keep pumping for 2-5 minutes after the last drops of milk. Use breast massage prior to pumping, and massage and compressions during pumping to better empty the breasts and increase pumping output.

Additional tips

  • Rest & relax as much as possible.
  • Skin-to-skin (Kangaroo care) can make a significant difference in pumping output.
  • One study has shown that the moms of hospitalized babies who listened to guided relaxation or soothing music while pumping had an increased pumping output. When mom listened to a recording that included both music and guided relaxation while pumping, in addition to looking at photos of her baby,  pumping output was increased even more. In this study, the interventions led to moms producing 2-3 times their normal pumping output. Milk fat content also increased for these moms in the early days of the study. (Reference: Keith DR, Weaver BS, Vogel RL. The effect of music-based listening interventions on the volume, fat content, and caloric content of breast milk-produced by mothers of premature and critically ill infants. Adv Neonatal Care. 2012 Apr;12(2):112-9.)
  • If double pumping is difficult to coordinate in the beginning, then single pump, alternating sides. Move to double pumping as soon as you can.
  • Avoid any medications that might interfere with milk supply (hormonal birth control, pseudoephedrine, ethanol/alcoholic beverages, bromocriptine, ergotamine, cabergoline)
  • If supply is not increasing as expected by 7-10 days after birth, consider the use of galactagogues. Fenugreekmetoclopramide (Reglan) or domperidone (Motilium) can be helpful for increasing milk supply.

Thank you for visiting us today. I hope that your breastfeeding journey is a success. I have tried to give you many valuable tips that should help you along the journey. Please like , comment or ask a question if you would like to. Do visit again.