Lactation 101 Archives — The Lactation Network https://lactationnetwork.com/blog/category/lactation-101/ The Lactation Network connects families with the lactation consultations, expertise, and resources they need to thrive. Fri, 09 May 2025 12:32:18 +0000 en-US hourly 1 https://lactationnetwork.com/wp-content/uploads/2021/08/favicon-192x192-1-60x60.png Lactation 101 Archives — The Lactation Network https://lactationnetwork.com/blog/category/lactation-101/ 32 32 What are the 3 types of breast milk? https://lactationnetwork.com/blog/3-types-of-breast-milk/ Thu, 27 Mar 2025 04:31:30 +0000 https://lactationnetwork.com/?p=65608 While it’s common to think breast milk is simply breast milk, it’s actually more complicated than that! It evolves as your body tailors it to your baby’s exact needs, adapting from the moment of birth and continuing throughout your breastfeeding journey. But with all these changes, you may wonder: Is this normal? Whether you’re noticing...

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While it’s common to think breast milk is simply breast milk, it’s actually more complicated than that! It evolves as your body tailors it to your baby’s exact needs, adapting from the moment of birth and continuing throughout your breastfeeding journey.

But with all these changes, you may wonder: Is this normal? Whether you’re noticing thick golden milk, a creamier consistency, or even a bluish tint, The Lactation Network’s guide below breaks down what the 3 types of breast milk are, what they mean, and when to expect them so you can better understand your breast milk at any given point along your breastfeeding journey.

3 phases/types of breast milk

Breast milk comes in 3 general phases:

Phase 1: Colostrum

Before your baby even arrives, your body is already at work producing colostrum. This thick, golden-hued milk, sometimes referred to as “liquid gold” is packed with everything your newborn needs in their first few days:

  • When to expect it: Colostrum begins forming during pregnancy (as early as 16 weeks!) and is available immediately after birth.
  • Purpose: It’s loaded with proteins, vitamins and white blood cells that produce antibodies to boost your baby’s immune system and coat their gut, setting up lifelong digestive health.
  • What’s normal? Small amounts (think teaspoons rather than ounces). Since newborns have tiny stomachs, this is exactly the right amount for them.

Colostrum can be yellow, orange, or even slightly clear. It’s thicker than mature milk, as it’s meant to provide dense nutrition in small doses.

Phase 2: Transitional milk

Around days 2–5 postpartum, colostrum makes way for transitional milk. If you’ve ever heard the phrase “your milk is coming in”, this is what people are talking about!

  • When to expect it: Between days 2–5 postpartum, lasting about two weeks.
  • Purpose: Being higher in fat, lactose, calories, and volume than colostrum, transitional milk fuels your baby’s rapid growth.
  • What’s normal? It may look creamy or even slightly yellowish as it shifts toward mature milk.

Many parents experience engorgement during this phase as milk production ramps up. If it’s uncomfortable, frequent nursing and gentle massage can help. And if you’re wondering if your supply is enough, an International Board Certified Lactation Consultant (IBCLC) can help you assess and troubleshoot.

Schedule a visit with an expert lactation consultant

Phase 3: Mature milk

By week 2–3 postpartum, your body has settled into producing mature milk, which continues throughout the duration of your nursing or pumping journey. This is the milk your baby will thrive on in the weeks, months, or even years ahead.

  • When to expect it: Around 2–3 weeks postpartum and beyond.
  • Purpose: This dynamic, ever-changing fluid adjusts to your baby’s needs, providing hydration, immune support, and nutrition.
  • What’s normal?
    • Foremilk (the milk at the start of a feeding) is thinner and bluish.
    • Hindmilk (the milk at the end of a feeding) is creamier and higher in fat.

Mature milk composition shifts throughout the day and even within a single feed. Your baby regulates their intake by nursing for as long as they need to get the right mix.

What if my breastmilk is blue, green, or even pink/orange?

Breast milk comes in more colors than you might expect. Believe it or not, this is usually normal:

  • Bluish/clear milk: Often seen in foremilk and is completely normal.
  • Green milk: Could be from eating leafy greens or food dyes.
  • Pink or red milk: Sometimes caused by eating beets, but also could indicate blood from cracked nipples (which is safe for babies in small amounts but worth checking with an IBCLC).
  • Orange milk: Carrots or sweet potatoes may be the culprit.

In general, color variations are usually harmless and linked to diet, hydration, or natural milk composition. But if you ever have concerns, an IBCLC can help determine what’s going on!

When in doubt, ask an IBCLC

Breastfeeding is full of surprises, and breast milk itself is no exception. If you’re ever unsure about what phase you’re in, whether your milk supply is on track, or if a color change seems concerning, connect with an insurance covered International Board Certified Lactation Consultant (IBCLC). They’re here to support you and make sure both you and your baby are getting everything you need.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get support for your breastfeeding journey from an IBCLC

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

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Decoding newborn hunger cues: Six signs your baby is hungry https://lactationnetwork.com/blog/decoding-newborn-hunger-cues-six-signs-your-baby-is-hungry/ Tue, 03 Dec 2024 06:55:46 +0000 https://lactationnetwork.com/?p=64588 How can I decipher my newborn’s hunger cues?How often should I feed a newborn?How can I tell when a newborn is full? These are the questions our International Board Certified Lactation Consultants (IBCLCs) hear repeatedly from parents. (And while we know it’s tempting to google your questions at 2 a.m. or when you’re running low...

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How can I decipher my newborn’s hunger cues?
How often should I feed a newborn?
How can I tell when a newborn is full?

These are the questions our International Board Certified Lactation Consultants (IBCLCs) hear repeatedly from parents. (And while we know it’s tempting to google your questions at 2 a.m. or when you’re running low on answers), they’re the ones you’re going to want to ask — trust us.

Let’s be real — the early days with a newborn are a marathon of guessing games. You’re recovering and exhausted, and your tiny human’s main language right now is crying. It’s confusing, frustrating, and can leave you feeling lost. But The Lactation Network is here to help you decipher those newborn hunger cues and become more confident as you navigate this journey of parenthood.

Understanding your newborn’s development: How an IBCLC can guide you

Those first hours and days with your newborn? They’re not just an adjustment for you; they’re a whole new world for your baby. They’ve just left the cozy, quiet womb and landed in a place that’s loud, bright, and overwhelming! They’re learning to breathe, figure out digestion since they have never felt hunger or gas pains before, and starting to communicate in the only way they know how — through cries and cues. Their tiny bodies are hustling to keep up, with a digestive system that’s still finding its rhythm and senses adjusting to all this newness.

Feeding in these early days is more than just a basic need — it’s a whole new skill your baby is learning. They’re figuring out how to latch, how to find a rhythm, and how to coordinate their tiny body. It’s precisely this stage that connecting with an IBCLC can be a game-changer.

While your pediatrician might not see you for a few weeks, an IBCLC can offer immediate insights into your baby’s growth and nutritional needs, helping you with everything from latch tips to feeding frequency to figuring out if power pumping may be beneficial for you. This kind of expert guidance can turn those early uncertainties into confidence, helping you feel supported every step of the way.

Schedule a visit with an expert lactation consultant

Signs your baby is hungry

Newborns don’t come with a manual (we know, it’s frustrating), but there are common signs you can look for when your baby is hungry. Recognizing what these hunger cues in newborns are early helps avoid a fussy meltdown and supports your breastfeeding experience. The more you learn your baby, the easier it will become to decode their needs, including confusing cues or cries for other needs. While below are some of the classic hunger signals, remember that every baby is different:

  • Rooting reflex: Your baby may turn their head side to side when not being held, toward the chest if being held or open their mouth when they’re hungry, an instinctual behavior that helps guide them to the breast.
  • Hand-to-mouth movement: Babies will often bring their hands to their mouth when they’re hungry. In addition to being a natural way for them to soothe themselves, it’s also a clear sign they’re ready to eat.
  • Smacking lips: If your baby begins to smack or lick their lips, it could be their way of signaling they’re ready for a meal.
  • Fussing or whining: The earliest signs of hunger can look like slight fussing or a soft whine. It’s the subtle “I’m ready to eat” cue before they start to cry.
  • Sucking on hands or fingers: Your baby might suck on their hands or fingers, a clear sign they’re seeking comfort and food.
  • Increased alertness: Hungry babies often become more alert, actively looking for a source of food. They may be rooting, moving, or even opening their eyes wide to get your attention.

In addition to being aware of these common newborn hunger cues, it’s important to learn to trust your instincts as a parent, too. An IBCLC can guide you, offering personalized insight based on your baby’s unique behaviors or cues. They’ll work with you to ensure your baby’s feeding is on track because feeding isn’t one-size-fits-all, and every little one has their own unique rhythm.

Signs your baby is full

Knowing when your baby has had enough can be just as important as recognizing when they’re hungry. Again, while every baby is different, there are key cues that can help you gauge when your little one has satisfied their hunger. These are signs they’re done eating — not just taking a break or pausing for a moment:

  • Relaxed hands and body: When your baby is full, their hands and body will usually be more relaxed. Tension and clenching fists are often signs that they’re still hungry.
  • Turning away from the breast: A full baby might turn their head away from the breast or bottle, actively refusing it. They may look content and less interested in continuing.
  • Decreased alertness: After a good feed, your baby might appear drowsy or less engaged, signaling they’re full and ready for a nap.
  • Falling asleep: Sometimes, a full baby will simply drift off to sleep right at the breast or bottle.

If you’re ever unsure, an IBCLC is your expert partner in helping you tune into your baby’s cues and support your breastfeeding journey — especially when it feels like you’re getting mixed signals. It may be common for infants to display some of the signs above at some feeds but not others. If you find that your newborn is eating less than 8-12x per day, falling asleep very quickly into the feed and is difficult to rouse before feeds, you’re concerned about their weight gain or aren’t noticing ample diaper output, or even just want help determining how your specific baby signals they are full after a feed individually – enlist the help of an IBCLC.

Get expert support from an IBCLC to read your baby’s hunger cues

Decoding your newborn’s hunger cues doesn’t have to be a guessing game. An IBCLC is the expert to help you navigate these early days with confidence and troubleshoot any issues, such as reflux in babies. From understanding your baby’s needs to mastering feeding, they’re here to support you. Don’t wait for the uncertainty to settle in — schedule an appointment with an International Board Certified Lactation Consultant today to get the professional guidance you deserve.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

The post Decoding newborn hunger cues: Six signs your baby is hungry appeared first on The Lactation Network.

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“This is #^@%ing hard!” The good, the bad, and the messy of breastfeeding https://lactationnetwork.com/blog/magical-myths-about-nursing-and-lactation-busted/ Thu, 03 Oct 2024 05:07:50 +0000 https://lactationnetwork.com/?p=63901 Breastfeeding is awe-inspiring. Sitting with your baby in the wee hours of the morning, feeding them at your breast, with nothing but peace between you — it truly can feel magical. Even just observing a feeding as a partner or loved one might feel like a beautiful privilege. But is it, “I’ve got perfect hair and makeup immediately...

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Breastfeeding is awe-inspiring. Sitting with your baby in the wee hours of the morning, feeding them at your breast, with nothing but peace between you — it truly can feel magical. Even just observing a feeding as a partner or loved one might feel like a beautiful privilege.

But is it, “I’ve got perfect hair and makeup immediately after giving birth” magical? Is it, “My baby took to my breast with no problem at all” magical? Is it, “This feels great, all the time, every time!” magical?

Unfortunately for many (and at The Lactation Network, we know this firsthand), probably not.

Breastfeeding can be a beautiful, natural, life-giving experience. It’s ancient. It’s intimate. And it’s incredible! Why? Because the body transforms into an ecosystem, allowing a new life to feed and find comfort. And as a baby’s body grows, that breastfeeding ecosystem adapts, again and again.

But it’s not always the perfect, easy, mess-free situation you might see in movies or on social media.

Here are some breastfeeding realities that challenge the myths you may have been told by Hollywood, by internet strangers, or even in the delivery room. If you’ve ever leaked through your shirt on the way to work, spilled milk on the counter after a hard-won pump session, or accidentally dropped your phone on your baby’s face while nursing, these next sections are for you.

Breastfeeding isn’t free

People have a saying: “All you need to breastfeed is your breast and a baby.” That may have been true somewhere, sometime. But today, breastfeeding costs something. It takes time. And while federal law requires most employers to offer paid breaks to nursing or pumping employees, it’s not a perfect system. There’s also the cost of tools, like a good-quality pump, replacement parts, and milk storage containers.

That being said, breastfeeding doesn’t have to break the bank! There is no shame in bargain finds or less popular pump brands, as long as they fit your body, lifestyle, and your family’s needs. And rest assured, the Affordable Care Act requires most insurance companies to help with the cost of lactation counseling and a pump. Check with your insurance to see if you have a benefit for the equipment and care you need.

It gets messy

If your baby can drink milk from a nipple or bottle without any mess at all, congratulations: You’ve got a miracle on your hands! For the vast majority of parents, yes, there will be some mess. A little milk loss while feeding is normal. But if you’re experiencing any latch challenges, or if your pump’s flanges aren’t the correct size for your nipples (which may have changed size after starting to breastfeed), you might be losing more milk than is necessary.

You can prevent milk loss while nursing by experimenting with different feeding positions until you find one that works for you and your baby’s latch. An air-tight seal is ideal.

You can also prevent excess mess while pumping by making sure your flanges fit your body as it is now. Once your milk is ready to store, keep it in clean, food-grade glass or plastic containers with tight lids, stored in a secure cooler or refrigerator that won’t get jostled.

And if you still spill some of your hard-earned milk? Well, you have our full permission to cry over it.

It changes, even day to day

As your baby grows, their needs will change. They’ll develop new behaviors and new sleep patterns. Their oral anatomy will also shift as they grow; new teeth and an expanding palate may change your baby’s latch over time. Breastfeeding evolves with your baby — and not always in comfy ways. They may develop new preferences they didn’t have before. And frankly, you might, too! It’s all perfectly normal and part of the process.

Breastfeeding can also change from child to child. What may have worked for your mother or aunties while breastfeeding their kids might not work for you and your baby. What may have worked for your firstborn might not work for your second child. Even twins may have different rhythms and needs!

The key is to extend your baby — and yourself — as much patience and grace as you can muster. Your baby’s feedings will become fewer and further between as they age. Changes will come up. Some of those changes may be surprising. Some might even be disappointing, frustrating, or sad. But some will be exciting and joyous. Take heart in knowing your baby is growing, developing, and bonding with you on this journey.

It takes so much energy

Experts recommend adding between 400 to 500 additional calories to your diet each day while you’re breastfeeding. Why? Because you need extra gas in the tank while you’re creating your baby’s fuel.

Add to that the extra scheduling work, the planning, the cleaning, the sleep deficits, and all the other elements of parenting a newborn — there’s no way around it; you will be tired.

Just remember, it won’t be like this forever. Navigating this new normal gets easier as you and your family find your rhythms. And one of the best things you can do is to ask for the kind of support you need to recuperate. Consider calling in a sitter while you nap or delegating other responsibilities to a loved one so you can get some much-needed rest.

Yes, sometimes it hurts

Breastfeeding itself shouldn’t bring you chronic pain. With enough feedings throughout the day and night, and (heaven help us) with a teething baby, yes, you might feel occasional, temporary discomfort. But too often, new mothers give up breastfeeding earlier than they would have liked to because they find it too painful. And that can be a difficult choice.

Our best advice is to consult your International Board Certified Lactation Consultant. IBCLCs are the gold standard in lactation certification, and they’ve seen it all. If you’re experiencing pain while nursing, it could be the result of mastitis, a clogged milk duct, or simply a less-than-ideal feeding position. And if you have pain while pumping, it could be related to your flange sizes or the settings on your pump. Thankfully, an IBCLC can guide you through all of these factors, answer common breastfeeding questions, and more! They’ll help pinpoint the root cause of that discomfort so you can find a solution, meet your feeding goals, and only end your breastfeeding journey when you and your baby are ready. 

You’re not alone

Postpartum life can feel isolating. It can be hard to find the time and energy to leave your home, especially when a baby is so reliant on you and your body at this young age. And while parental leave is so incredibly necessary, it can also come with the loss of adult conversation and stimulation that comes from working in the outside world.

But you don’t have to parent and feed in solitude. A partner, family members, friends, and even colleagues could have a wealth of knowledge, time, and support to share with you.

Not sure what kind of help to ask for? Maybe your partner can take diaper duty while you get a handle on your baby’s feeding schedule. Perhaps your neighbors are just itching to bring you a homemade meal. Your parents might actually enjoy cleaning for you or going on a grocery run with the baby while you get some sleep.

And of course, in addition to your “village” of loved ones and caretakers, don’t forget to add an IBCLC to your clinical team. Parents deserve expert clinical professionals in their corner throughout their journey, from prenatal to postpartum. An IBCLC can provide you with the best form of clinical lactation support and breastfeeding care you could ask for.

You’re doing great

Yes, breastfeeding can be #^@%ing hard. And it won’t be perfect. It can come with costs, and get messy, and frustrating, and sometimes uncomfortable. But with your own love and devotion and body’s sustenance, you’re keeping your baby nourished and thriving. And that makes you… well, incredible.

Get the breastfeeding care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC. 

The post “This is #^@%ing hard!” The good, the bad, and the messy of breastfeeding appeared first on The Lactation Network.

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The best time to prepare for breastfeeding? Before you give birth https://lactationnetwork.com/blog/the-best-time-to-prepare-for-breastfeeding-before-you-give-birth/ Mon, 23 Sep 2024 00:17:59 +0000 https://lactationnetwork.com/?p=63862 Too often, parents believe breastfeeding is an after-birth consideration. Here’s why you should think about it before birth: 93% of parents who had a lactation consultation before their baby was born said it contributed to their success in breastfeeding. The best time to think about how you’ll feed your baby is during pregnancy — and...

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Too often, parents believe breastfeeding is an after-birth consideration. Here’s why you should think about it before birth: 93% of parents who had a lactation consultation before their baby was born said it contributed to their success in breastfeeding. The best time to think about how you’ll feed your baby is during pregnancy — and there are expert clinicians waiting in the wings to help you, every step of the way! We asked an International Board Certified Lactation Consultant (IBCLC), Katie McGee, RN, IBCLC, to offer some tips parents can take to feel prepared for their breastfeeding journey.

1. Read about breastfeeding while you are pregnant

When you do this, you’ll gain a firm understanding of the many normal changes you’ll experience throughout your lactation journey. Breastfeeding on day one during the colostrum phase with smaller volumes is very different from breastfeeding on day 10 when milk begins to transition to mature milk and volume increases. On day one and day 10 you’ll also likely need support with positioning and guidance for both you and your baby. Yet, neither of these moments are like nursing a 6- or 8-month-old who barely requires you to sit down or unbutton your shirt before nursing. Remember, every breastfeeding journey is unique.

If you’re setting up a registry for your baby shower, consider adding a helpful breastfeeding book to your wish list. You’ll enjoy “The Womanly Art of Breastfeeding” (La Leche League International manual) or “The Breastfeeding Book” (Sears). (You’ll likely appreciate a great reference much more than another swaddler or wipe warmer.)

2. Make some calls to your birthing team and hospital before birth

Call your delivering hospital to ask about lactation services. You can ask questions about what to expect, like: Will you find out on day one you are competing with 30 other newly delivered mothers for an assessment by one part-time IBCLC? Will you deliver on a Friday only to find out lactation staff is off on weekends? Will your delivering hospital have IBCLCs on staff?

Proactively schedule a home visit in the first two weeks while you’re in the early days and still learning. Timing matters. By 4-6 weeks postpartum your milk supply is fully established; it is of the utmost importance to seek care early to avoid possible complications that could impact your overall supply.

3. Get a partner or support person involved during pregnancy

“The more you and your partner know about breastfeeding, the more you can support your partner,” affirms The USDA’s WIC Breastfeeding Support resource. Invite a partner to read the books you’re reading, attend prenatal breastfeeding classes, become acquainted with your delivery hospital or birthing center, and consult The Lactation Network (TLN) research library to establish a critical baseline of lactation knowledge.

From there, support partners can ask more informed questions and align with the lactating parent’s breastfeeding goals. By making gentle inquiries like, “Do you want to do skin-to-skin contact in the hospital? What is your goal for breastfeeding? Do you have plans to use a breast pump so that I can feed the baby expressed milk and let you sleep sometimes?” You can embark on this journey together with a shared understanding of the lactating parent’s expectations and intentions.

4. Schedule a prenatal, at-home, insurance-covered lactation consultation with an IBCLC

This is crucial! As a new parent, you can expect an International Board Certified Lactation Consultant, or IBCLC, to assist you with all your lactation needs, from helping you design a workday pumping schedule and storage plan to finding the best breastfeeding position for you. IBCLCs who operate a private practice and partner with TLN may offer care in various locations— in home, in office, or virtually. 

IBCLCs can also assist you with common lactation challenges, like low milk supply, breastfeeding pain, and conditions like mastitis and plugged ducts. If your baby is struggling to latch or isn’t gaining weight properly, your IBCLC can determine how to improve feeding sessions, fine-tune feeding plans for babies who are premature, and even provide a referral to another health care professional if your condition needs further attention. 

“A lactation consultant is invaluable,” says Caitlin McNeily, The Lactation Network’s VP of Consultant Relations. “They’re basically your breastfeeding fairy godmother, personal cheerleader, and new-parent support team all in one.” 

So, when should you meet with an IBCLC? Again, timing matters! Most prenatal consults occur within the third trimester, so the sooner you can add an IBCLC to your care team, the easier it’ll be to prepare for breastfeeding success before birth! 

Need some help setting a timeline? Your IBCLC can equip you with individualized knowledge and support. Request a consultation now; prenatal consults are a proven predictor of breastfeeding success later on, can be completely covered by insurance, and done in the comfort of your home as you prepare to welcome your new family member.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC. 

The post The best time to prepare for breastfeeding? Before you give birth appeared first on The Lactation Network.

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Breastfeeding 101: Everything you need to know  https://lactationnetwork.com/blog/breastfeeding-101-everything-you-need-to-know/ Fri, 30 Aug 2024 20:41:26 +0000 https://lactationnetwork.com/?p=63781 There’s a ton of information out there about breastfeeding, and we know it can be intimidating to figure out where to begin. Trust us, we get it — and we’ve got you. You’re not alone. Whether this is your first or fourth kid, The Lactation Network created this breastfeeding 101 guide to ensure you’re equipped...

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There’s a ton of information out there about breastfeeding, and we know it can be intimidating to figure out where to begin. Trust us, we get it — and we’ve got you. You’re not alone. Whether this is your first or fourth kid, The Lactation Network created this breastfeeding 101 guide to ensure you’re equipped to know what (and who) can help you every step of the way. 

Here you’ll find answers to the most common breastfeeding questions and learn how experts like our International Board Certified Lactation Consultants (IBCLCs) can help you understand all things breastfeeding from the start. Let’s dive in. 

What is breastfeeding?

Simply put, breastfeeding is the process of nourishing newborns with milk produced by a caregiver’s body. According to the World Health Organization, breastfeeding is one of the most effective ways to ensure child health and survival, as breast milk is the ideal food for infants. 

Here at The Lactation Network (TLN), we believe breastfeeding is a deeply intimate experience that creates a powerful connection between a parent and child. Through breastfeeding, a parent offers not just physical nourishment, but also a sense of comfort and security that helps their baby thrive. It’s a shared closeness that strengthens the unspoken understanding between them. 

Benefits of breastfeeding 

The breastfeeding journey offers numerous benefits for both parent and child. Some of the top benefits include: 

  1. Nutrition: Breast milk provides the perfect balance of nutrients essential for a baby’s growth and development, including proteins, fats, vitamins, and minerals. 
  1. Immunity boost: Breast milk contains antibodies and other immune-boosting factors that help protect the baby from infections and illnesses. 
  1. Bonding: Breastfeeding promotes close physical and emotional bonding between the parent and the child, providing comfort and security. 
  1. Convenience: Breastfeeding is convenient because it provides a readily available source of nutrition for babies, eliminating or reducing the need to purchase and prepare formula.

How to start breastfeeding

Initiating breastfeeding within the first hour after giving birth can set the stage for a successful breastfeeding journey. Not only will this help protect your newborn as they regulate their systems by being on your chest (known as kangaroo care), but it also will facilitate emotional bonding between you and your baby, which will benefit your entire breastfeeding journey.

Since many birthing facilities offer early breastfeeding support in the beginning, you may find the most benefit in arranging your postpartum breastfeeding support ahead of time for when you arrive home. (It’s often after parents get home that they encounter difficulties that arise after they’ve left the hospital.)

A few key tips for getting started are:

  • Find a comfortable position. This will likely take some trial and error, but when you and your baby are comfortable, it can enhance the breastfeeding experience and encourage a successful feeding session.
  • Schedule a consultation with a lactation consultant to help. TLN’s International Board Certified Lactation Consultants (IBCLCs) are highly skilled, experienced professionals who provide personalized guidance. They will help you start strong and make the ABCs of breastfeeding more manageable, whether you’re a new or experienced parent!
We’re here for you.

How to have a successful breastfeeding journey 

While everyone’s breastfeeding experience will be different, there are a few important foundations to a successful breastfeeding journey. 

  • Get expert care and education: Learn about breastfeeding before the baby arrives through classes, books, and consulting with an IBCLC. Understanding the basics of latching, feeding positions, and common challenges from a highly skilled professional can be extremely helpful. 
  • Support system: Surround yourself with supportive family, friends, and healthcare providers. Joining a breastfeeding support group can provide encouragement and a sense of community. 
  • Patience and persistence: Breastfeeding can initially be challenging, so it’s important to be patient with yourself and your baby and to seek help when needed. Consistent practice and addressing any issues early on can lead to a more rewarding experience.
  • Hydration: Staying hydrated is crucial, as it supports milk production and keeps you feeling your best. 

Common breastfeeding issues and how to overcome them 

Four of the most common breastfeeding issues many parents face include: 

  1. Latching difficulties: When babies aren’t latching, it can be helpful to practice various positions. Eventually, you’ll find the one that suits both you and your baby. 
  1. Low milk supply: Clinically diagnosed low milk supply can be supported with the guidance of an IBCLC and individualized recommendations to address it based on the underlying cause — which can be different for everyone. Generally, this is a common question in the early weeks of a newborn’s life, even if you do not actually have clinical low milk supply! Should you have concerns about your supply, your diet, or how to make your breast milk come in faster, connect with your IBCLC.
  1. Health issues 
  • Mastitis­­­: This is the inflammation of breast tissue that often causes flu-like symptoms and is a common health issue related to breastfeeding, affecting 10% to 20% of lactating parents. This condition can lead to infection if untreated, so if you suspect you have it, contact your IBCLC or other health care professional immediately. 
  • PPA and PPD: Postpartum anxiety (PPA) and postpartum depression (PPD) are mental health conditions that can affect new parents after giving birth and also negatively impact breastfeeding outcomes. It’s important to get as much rest as you can and to ask for and accept help from family, friends, and your partner. You can also join a support group or talk to a healthcare professional about how you’re feeling. 
  1. Lactation issues: Lactation issues often challenge breastfeeding parents and can range from insufficient milk supply to oversupply. For either insufficient supply or low milk supply, your IBCLC can work closely with you to determine an individualized care plan and work alongside you as you navigate your circumstances. 

Seeking advice from one of our expert International Board Certified Lactation Consultants can help you navigate these challenges and find the best breastfeeding approach for you.

How lactation consultants help you succeed 

Our IBCLCs offer vital support on your breastfeeding journey. You’ll benefit from their specialized, expert knowledge in everything breastfeeding-related, from initiating to maintaining lactation. Their guidance can be indispensable for new parents and any parent experiencing breastfeeding challenges, such as latching difficulties and concerns about milk supply. They can also help with induced lactation, if that’s an option you’d like to explore with and for your family. 

TLN’s lactation consultants play a crucial role in helping their clients overcome common breastfeeding barriers and are dedicated to ensuring both parent and baby thrive. 

While the breastfeeding journey is unique for everyone, professional insight from one of TLN’s IBCLCs can ensure you won’t have to navigate these waters alone. Our expert clinical lactation consultants offer strategies and treatments that will help alleviate your concerns. 

Never hesitate to seek help. We’re here for you every step of the way. To get the insurance-covered lactation care and support you deserve (often in the comfort of your own home!), request a consultation with one of our International Board Certified Lactation Consultants to learn more.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

Get the care you deserve at The Lactation Network

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Taking the stress — and the guesswork — out of the holidays for new parents  https://lactationnetwork.com/blog/breastfeeding-holidays-food-drink/ Tue, 21 Nov 2023 14:47:57 +0000 https://lactationnetwork.com/?p=53894 The holiday season is a time of celebration, family gatherings, and indulgent feasts. But for new parents who are breastfeeding, it can also bring about feelings of stress and uncertainty. What can breastfeeding parents not eat? Should they pump and dump after enjoying a glass of wine or a piece of rum cake? What about...

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The holiday season is a time of celebration, family gatherings, and indulgent feasts. But for new parents who are breastfeeding, it can also bring about feelings of stress and uncertainty. What can breastfeeding parents not eat? Should they pump and dump after enjoying a glass of wine or a piece of rum cake? What about two — or three? 

While these questions may not ordinarily worry you, the holidays can stir up a host of emotions. They can cause sadness, trigger postpartum depression, or bring up complicated feelings about food. Family members can also trigger uncomfortable feelings — and those sentiments may multiply when you have a little one. They may have opinions about your breastfeeding, give unsolicited parenting advice, or make demands on your time that you feel obligated to keep. When feelings of uncertainty about what you “should and shouldn’t do” while nursing get added to that list, you may end up feeling more stressed than thankful. 

All that stress runs counter to the energy of what the holidays are supposed to be about — gratitude, joy, and taking a moment to rest. As a parent, you have the ability and the right to set boundaries that protect your well-being during the holiday season. Creating a wellness plan for yourself (and your new baby) can help you feel more cared for, supported, and at ease as you navigate the most wonderful — and stressful — time of the year.  

What goes into a holiday wellness plan?

The holiday season presents a couple of major challenges. To prepare your plan, you’ll want to consider your schedule and how you’ll balance your needs with everything else that’s going on. 

So many festivities, so little time 

The first challenge is the impact on your schedule. You might find yourself short on time, traveling, staying up late, or getting up early. All of this naturally affects your family and breastfeeding routine as well. It’s common to feel overwhelmed and exhausted, even when you’re enjoying yourself. And while you can stay up late or catch an early flight without too much fuss, your child will likely need a little more time to adjust. When things are up in the air, feeding your child can provide a quiet break (as well as a sense of normalcy). And the hormones released during expression help to reduce stress

Breastfeeding parents also need to account for feeding and/or pumping time when planning their daily schedule. Traveling can throw your routine off, as well as your babies — but no matter what, your baby still needs to eat, and your breasts still need regular milk removal. While this doesn’t have to happen strictly down to the minute, you may already be familiar with the discomfort that comes from missing a nursing or pumping session. If your baby is cranky when missing a nap, they’re likely to be very upset about missing a meal — as well as the other benefits of breastfeeding. Too many missed sessions can inadvertently lead to holiday weaning — or even mastitis.  

Food, drinks, and drugs 

A second concern might be sticking to a healthy diet. After all, holiday menus aren’t exactly known for their health-conscious choices. And though certain foods might feel a little indulgent (which is part of the fun), others might have ingredients that you may be worried about eating while nursing. These concerns are often exacerbated by family’s well-meant (but usually unsolicited) comments on what you should and shouldn’t eat.  

Despite their reputation, many holiday foods are perfectly safe to eat whether you’re nursing or not. And in general, there aren’t really any foods you need to avoid while breastfeeding. In fact, some of your festive favorites may be healthier than you think. 

Common holiday foodsBenefits
Turkey Rich in protein, B vitamins, low in fat 
Ham High protein, low saturated fat 
Stuffing Can be high in fiber 
Macaroni and cheeseCan be high in fiber, calcium, and protein (cheese)
Collard greensRich in fiber and potassium, enhances good cholesterol and lowers bad cholesterol
Green beans Fights inflammation, high in potassium
Sweet potatoesHigh in beta carotene and vitamin A
Cranberry sauce Contains vitamin C, antioxidants, and manganese 
Mashed potatoes Fiber, antioxidants, potassium
Corn Helps digestion
Dinner rollsHigh fiber, can potentially help you manage your blood sugar 
Potato saladHigh fiber, high in resistant starch 
Eggnog Might contain vitamins, protein, and antioxidants
Wine Antioxidants in red wine
Pies and cakes May actually increase fruit and fiber intake 

Part of your worry about what you can and can’t eat while breastfeeding might have to do with alcohol and other substances. These might include marijuana but could also include over-the-counter medications like pain relievers or allergy medications. There’s a lot of advice out there on what is and isn’t safe for nursing parents to have, and some of it conflicts. What’s the “right” answer? 

Officially, there is no safe amount of alcohol that you can have while breastfeeding. However, a standard drink (one glass of wine, 1.5 ounces of alcohol, or a 12-ounce glass of beer) is not known to cause any harm to breastfeeding babies. Likewise, many over-the-counter medications are safe for breastfeeding — so if you get sick or have a headache, you won’t have to stop nursing to treat your ailment. If you have questions about any specific medications, reach out to your doctor for advice. 

The Centers for Disease Control and Prevention (CDC) advises nursing parents to wait two hours after one alcoholic drink before nursing their infant (or pumping breast milk for storage and use). If you have any questions about the safety of marijuana, medications, alcohol consumption, when to pump and dump, or specific foods while nursing, you can always ask an IBCLC

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC. 

A parent holds their baby while an International Board Certified Lactation Consultant holds a breast pump flange.

If you’re not happy, no one’s happy

There’s no getting around it — at best, the holidays are equal parts stressful and joyful. Every milestone as a new parent (going to the store for the first time, going back to work, and visiting family for the holidays) is a brand-new experience for both parent and child.  

You know your family best, and you’re the expert on what works for you and your child. It can be immensely helpful to plan ahead for you and your nursing baby’s needs before the celebrations start. Expect that you might get overwhelmed, frustrated, or tired more easily than usual. You can then plan meals and the best time to nurse or pump with those needs in mind. 

Of course, everyone’s wellness plan looks different, and you probably have a good idea of what you should expect. If you’re hoping to make your season run a bit more smoothly, you can build your new parent holiday plan by asking the following questions: 

1. What should I have on hand?

Take a good look at your schedule. How long will you be away, and what do you need to be comfortable? How many feeding or pumping sessions will there be during that time? Will you need somewhere to store expressed milk? If you’ve checked out the menu and there are particular foods that don’t agree with you, you can plan to bring a few healthy snacks. Bring a water bottle as a reminder to stay hydrated. 

2. Where will my baby be?

Your family will be excited to spend time with your little one. In fact, depending on their age, your child may spend much of the holiday getting handed from (or running to) person to person. Once you both get distracted, it can be easy to skip a nursing session. Try wearing your baby or setting alarms on your phone. Sticking to your nursing routine as much as you can help prevent mastitis during the holidays. In fact, breastfeeding may give you a welcome excuse to sneak away for a little while

3. How can I be kind to myself? 

Holidays are disruptive by nature. Your current routine is designed to work well for you and your family — but it may not flex too well over the season. That’s okay. There are no right and wrong ways to celebrate the holidays as a nursing parent. If you’re happy and your baby is happy, you’re doing just fine.  

When things go off plan, look for ways to reduce your stress and return to what matters most to you. Book a hotel if you need a little extra space, go for a walk, or ask for help. Remember, nourishing yourself and your baby is about balance and enjoyment. Trust your instincts, listen to your body, and make choices that bring you joy this holiday season. 

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Four common breastfeeding challenges (and how to overcome them) https://lactationnetwork.com/blog/four-common-breastfeeding-challenges-and-how-to-overcome-them/ Thu, 09 Mar 2023 21:00:00 +0000 https://lactationnetwork.com/?p=35334 Sixty percent of parents don’t breastfeed for as long as they intend to, often due to unexpected (but surmountable) complications throughout their breastfeeding journey. Knowing what to expect and when to seek help can help you overcome these challenges. We talked to Chrisie Rosenthal, IBCLC, about some of the most common breastfeeding challenges, their symptoms,...

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Sixty percent of parents don’t breastfeed for as long as they intend to, often due to unexpected (but surmountable) complications throughout their breastfeeding journey. Knowing what to expect and when to seek help can help you overcome these challenges. We talked to Chrisie Rosenthal, IBCLC, about some of the most common breastfeeding challenges, their symptoms, and potential treatments.

Latching

As you prepare prenatally for breastfeeding, you’ll hear a lot about the all-important latch, which is how your baby attaches to your breast to eat. Latching is a learned skill that takes time and practice and is often a source of common breastfeeding questions. A “good” latch is comfortable for both you and your baby and allows them to transfer milk from the breast efficiently.

If possible, Rosenthal recommends taking a prenatal breastfeeding class to learn the basics of a deep and comfortable latch. “Once your baby arrives, your team (including the nurses and International Board Certified Lactation Consultants (IBCLCs) on the postpartum floor if you delivered in a hospital) will provide hands-on help with latching,” she says.

If you’re concerned, you can check for signs of a good latch, which Rosenthal says may include: Having your baby latched deeply on the breast tissue (not just the nipple) with their chin lightly touching your breast, observing “fish lips” with their lips are turned out, feeling your baby’s tongue scooping the breast while feeding, having a pain-free and comfortable feed, hearing audible swallowing, and your breast feeling softer after feeding.

Pain while breastfeeding or between feedings can indicate that your baby hasn’t mastered latching yet. “If you experience anything more than mild discomfort that resolves quickly in the first few days, reach out to an IBCLC for help,” says Rosenthal. A poor latch can lead to other issues, such as cracked and sore nipples and your baby not getting enough to eat. “Breastfeeding should not be painful and is not something you need to ‘push through.’ Help is available.”

Sore nipples

It’s not uncommon to experience some soreness at the start of your breastfeeding journey. But if your nipples are cracking, bleeding, or experiencing pain between feedings, that’s a clear reason to call an IBCLC (International Board Certified Lactation Consultant).

Continued soreness and cracked nipples indicate your baby is not latching properly (see above for latching advice!). If you are experiencing more than just tenderness or the pain does not resolve, Rosenthal says it’s time to reach out to an IBCLC — they can help you achieve a good latch that will prevent future pain or cracks.

To treat cracked nipples, you can apply small amounts of over-the-counter creams, ointments, or even breast milk. Breast milk is one of the best tools available for healing damaged nipples; the antibacterial properties in your milk can help moisturize and facilitate healing. Wearing breathable fabrics and breast shells can also help promote healing and reduce friction between your nipples and your clothing.

Milk supply

When breastfeeding, it can be difficult to tell if your baby is eating enough. Fear not, though! “Breast milk supply is a common concern, but often you have a stronger supply than you realize,” says Rosenthal.

How can you be sure, though? Although every family is different, according to WIC Breastfeeding Support, you can expect to feed your baby between eight and twelve times or more every 24 hours. You can also watch their milk intake by tracking their wet and dirty diapers, as stool is an important indicator of health. As your breast milk changes, so will your baby’s poops (yep, really!).

Your pediatrician will help with monitoring your baby’s weight, which can also confirm if they are eating enough. Though a little newborn weight loss is normal, not gaining weight appropriately is a warning sign that something may be up.

If you have any concerns, talk to your IBCLC.

A clogged milk duct

Clogged milk ducts are a common problem experienced by about 20 percent of parents. Also known as a blocked milk duct or a plugged milk duct, or a plugged duct, milk flow can be obstructed, resulting in hard, tender, or painful lumps in the breast. Discomfort from clogged ducts can affect your feeding goals and breastfeeding duration.

So, what causes a plugged duct? According to Rosenthal, “A breastfeeding parent may develop a plug because they skipped a feeding or a pumping session, have oversupply, or wore something tight that constricted the breast tissue. Other times, plugged ducts may appear with no apparent cause.”

You can treat clogged milk ducts by continuing to breastfeed, but it’s important to consult an IBCLC to prevent the clog from developing into mastitis. “An IBCLC will help you investigate the cause, provide information on how to clear it, and give you a plan for avoiding them in the future,” says Rosenthal.


Remember, every breastfeeding journey is unique, which means you may experience some, none, or all of these issues. “But if you do have any of these challenges, it’s critical that you work with an IBCLC to uncover the root of the issue, so you can work together to put a plan in place to address it,” says Rosenthal. You can conquer these challenges and meet your feeding goals with the right breastfeeding support.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC. 

A parent bonding with their baby during a breastfeeding session with an International Board Certified Lactation Consultant offering support.

The post Four common breastfeeding challenges (and how to overcome them) appeared first on The Lactation Network.

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The Six Most Common Breastfeeding Positions https://lactationnetwork.com/blog/the-six-most-common-breastfeeding-positions/ Sat, 07 Jan 2023 03:09:25 +0000 https://lactationnetwork.com/?p=31718 Breastfeeding is like any other skill–you (and your baby) have to learn how to do it together. While nursing may come easy for some, it usually takes time to get the hang of it. Every parent and baby is unique, and depending on your body, type of delivery, gestational age at birth, your baby’s latch,...

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Breastfeeding is like any other skill–you (and your baby) have to learn how to do it together. While nursing may come easy for some, it usually takes time to get the hang of it. Every parent and baby is unique, and depending on your body, type of delivery, gestational age at birth, your baby’s latch, or feeding challenges, certain breastfeeding positions may allow for a more comfortable and successful nursing session than others. If one position isn’t working for you, there are alternatives worth trying. We talked to TLN Consultant Relations Manager and IBCLC Chrisie Rosenthal about the most common breastfeeding positions.

Cross-Cradle

The cross-cradle gives you a lot of control when latching your baby, making it ideal in the early days and weeks of nursing. Babies who are born prematurely or who struggle to latch can benefit from the extra level of control this position gives parents while latching, according to Rosenthal.

Position your baby’s body horizontally across your torso so you and your baby are aligned tummy to tummy. Support the breast with the hand on the feeding side (right breast, right hand or left breast, left hand) while the opposite arm supports the baby with a thumb and forefinger placed behind the baby’s head. 

Football

The football position also offers great control, making it helpful for babies who have trouble latching or are born prematurely and for parents with large breasts or flat nipples. Parents of twins often use the ‘double football’ to tandem feed their babies. Rosenthal says the football position is also great for parents who had a Cesarean delivery “because it moves the pillow and baby farther away from the incision, making feeding more comfortable.”

Position your baby’s body along the side of your body under your arm–kind of like a football. Support the baby’s head with the hand on the same side as the breast. Your hand on the opposite side can compress the breast if needed. 

Cradle

The cradle hold is a popular and comfortable position best suited for babies who are at least few weeks old and can maintain a deep latch.

This position is similar to the cross-cradle, except your baby’s head is resting in the crook of your elbow , supported by the arm on the feeding side. Your baby should be positioned tummy to tummy with you, horizontally across your torso. 

Side-Lying

The side-lying position is great once your baby has gained some experience latching, or if you have another adult available to help your baby latch. Many parents say that they find this position to be the most comfortable. It is especially useful for parents who have had Cesarean deliveries or if you have arm, wrist, or back pain.

For this position, both you and your baby will lie on your sides, tummy to tummy, on a flat surface–usually a bed. Tuck your bottom arm under your head and use your top arm to support your baby. Be sure to review safety recommendations when laying in a bed with your baby. 

Laid-Back

Laid-back breastfeeding (also known as biological nurturing) is considered one of the most ergonomic breastfeeding positions. It’s a comfortable position for babies to manage the flow of milk and provides a restful position for tired parents. Reclining also helps slow the flow of milk for parents with an overactive letdown.

In this position, you are reclined with your baby positioned across your torso, tummy to tummy. Your arm on the feeding side cradles the baby for support.

In this position, you should be reclined with your baby positioned across your torso, tummy to tummy. Your arm on the feeding side cradles the baby for support. 

Upright

If feeding your baby horizontally isn’t working well, try positioning them vertically. This position is good for older babies who have GERD/reflux because gravity helps milk flow downward and gives the milk a chance to settle while your baby feeds. 

There are several upright positions you can try. One is the ‘koala hold.’ This is a popular position for older babies who have started sitting up. 

Position your baby so that they are sitting on your lap, tummy to tummy, with their feet tucked or wrapped around your waist. Support their head and body with one arm and use the other to hold your breast if needed. For younger babies, you may find it helpful to recline so they can lean into your torso while they feed. 

Which Breastfeeding Position is Right for Me?

There is no right (or wrong) answer–finding the best feeding position simply takes practice. Rosenthal encourages parents to try out different feeding positions. “Experiment with positions to find the one that’s the most comfortable for you and your baby. Your favorite feeding position may also change over time as the baby gets older and bigger.”

What if No Breastfeeding Position Feels Right?

If you are struggling to find a comfortable breastfeeding position, connect with a TLN IBCLC for expert help and encouragement. “IBCLCs provide both education and practical tips when it comes to breastfeeding positions. There’s no one position that works for every parent and baby. After evaluating a feed, your lactation consultant will be able to give you options for positions, and suggestions to maximize your comfort while feeding,” says Rosenthal. “Chances are that a small change, adding the right support, or using an alternate position, can make a big difference in how your body feels while breastfeeding.”

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What you need to know about clogged milk ducts https://lactationnetwork.com/blog/what-you-need-to-know-about-clogged-milk-ducts/ Tue, 03 Jan 2023 23:12:59 +0000 https://lactationnetwork.com/?p=31548 Clogged milk ducts, also called plugged or blocked milk ducts, are hard lumps or knots in the breast that are tender to the touch. Up to 20 percent of parents experience clogged milk ducts, and with the support of your International Board Certified Lactation Consultant (IBCLC), you’ll be back to pain-free feedings in no time....

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Clogged milk ducts, also called plugged or blocked milk ducts, are hard lumps or knots in the breast that are tender to the touch. Up to 20 percent of parents experience clogged milk ducts, and with the support of your International Board Certified Lactation Consultant (IBCLC), you’ll be back to pain-free feedings in no time. We consulted Chrisie Rosenthal, IBCLC, PMH-C, for more information about clogged milk ducts.

Causes of clogged milk ducts

Clogged ducts occur when milk flow is obstructed, causing pressure to build behind the duct and irritate the tissue around it. Several issues can cause a blocked duct, including engorgement, skipping or missing feedings, oversupply, or consistent pressure on the same area of the breast.

Engorgement. If you regularly skip feeds, or go for an extended period of time without removing milk from the breast, it can lead to feeling “overfull,” which is referred to as engorgement and can cause clogged ducts. Some parents experience engorgement when their baby starts sleeping longer stretches at night.

Oversupply. Parents who have an oversupply of breastmilk are at a higher risk for plugged ducts.

Pressure. A diaper bag strap, car seat belt, and even a bra that’s too tight can put pressure on your chest and lead to plugged milk ducts.

On the bright side, many of the causes of clogged ducts are preventable. Rosenthal says, “Frequent, and effective milk removal is the best insurance against plugged ducts.” Make sure you’re not skipping feedings, feeding regularly, and avoiding unnecessary consistent pressure on your chest.

Symptoms of clogged milk ducts

You can think of a clogged milk duct as a breast milk traffic jam. Clogs typically appear suddenly and are most often localized in one breast at a time. Typical symptoms of clogged ducts include…

  • A hard lump in your breast, which may be red and sore or tender to the touch
  • Engorgement or swelling in the breast
  • Shooting pains in the breast
  • Pain during letdown (the initial flow of milk)
  • After nursing or pumping, the lump may move or get smaller
  • Physical discomfort may lessen after feedings
  • A milk bleb, also known as a milk blister, on the nipple
  • Decreased supply or pumping output

Clogged milk ducts vs. mastitis

While clogged ducts and mastitis symptoms are similar, they are not the same. When left untreated, a clogged duct that doesn’t clear can lead to breast infections (mastitis). Mastitis is marked by flu-like symptoms, swelling, joint pain, fatigue, and redness around the affected area of the breast. If you are experiencing mastitis symptoms, contact your physician. 

Clogged milk ducts vs. breast cancer

Both clogged ducts and cancerous lumps can manifest as lumps on the breast. So how can you tell the difference? Rosenthal says, “A plugged duct typically appears suddenly, and is usually tender and painful. It may come and go over time, and change in size and tenderness as you work on clearing it. If you have a lump that’s firm, painless, and doesn’t change over time, it’s best to reach out to your doctor.” If you do feel a lump in your breast, don’t panic. There are many explanations for lumps in the breast, but it’s always a good idea to have it checked out, if for nothing else than your own peace of mind. 

How to treat clogged milk ducts

While some plugged ducts may resolve away on their own, most will require additional measures. Your IBCLC will help you identify the underlying cause of the clog, the best treatment method for you, and together you can make a plan to prevent future clogs. In the meantime:

  1. Don’t stop breastfeeding. Continue to breastfeed frequently to keep your milk flowing. Favor the affected side as much as possible. Babies tend to suck stronger and more vigorously on the first side offered.
  1. Check your baby’s latch. If your baby isn’t latching correctly, they won’t be able to efficiently remove milk from the breast which can lead to plugs. Talk to your IBCLC if you have questions or concerns about your baby’s latch. 
  1. Experiment with different breastfeeding positions and techniques. You can try positioning your baby’s nose or chin toward the plugged duct, which may help clear the clog. Some parents find dangle nursing or pumping helpful. To use this technique, position yourself on your hands and knees over your baby while feeding or while pumping with pump flanges pointed downward.
  1. Gently massage. When feeding or pumping, integrate a gentle breast massage, focusing on the affected breast. Using warm water before or during the massage on the affected breast could also help.
  1. Express milk. When you have a clogged duct, it’s important to restore milk flow, and various techniques involve extra pumping or milk removal. Be careful not to over-do it though. According to Rosenthal, “Depending on the parent’s supply, extra milk removal can lead to oversupply which puts the parent at increased risk for plugged ducts and mastitis.”
  1. Talk to an IBCLC. Clogged ducts can lead to mastitis if left untreated. Talk to your IBCLC in order to address the issue and make a plan to prevent future plugs. 

How will you know when the clog is gone? Rosenthal says, “Most parents say they know that they have cleared it. They may report that they see the plug, experience a ‘rush’ of milk and an increase in volume, or the pain resolves.” 

It’s also best it’s best to avoid these commonly recommended treatments that are not clinically sound: 

  1. Heat — exacerbates inflammation which can make clogs worse. 
  2. Aggressive massage/vibration  — commonly recommended but worsens inflammation and can prolong recovery or treatment. 
  3. Lecithin supplements — not enough research to support this as a blanket treatment across the board, and individualized guidance from one’s IBCLC is recommended before using a supplement. 
  4. Significantly changing one’s pumping/feeding routine — abrupt changes can affect milk supply and place additional pressure being put on the ducts while recovering. Drastic changes in feeding or pumping routines may not be helpful in the recovery process. Your IBCLC can recommend the best course of action!

The breastfeeding journey is full of ups and downs, and clogged milk ducts are no one’s favorite part. But with awareness and the support of an IBCLC, you can work through them. If you’re still struggling to clear the clog or you continue to have recurring issues with clogged ducts, talk to a TLN IBCLC to uncover the root of the problem and create a plugged duct prevention plan. 

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

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Why breastfeeding matters for everyone — not just those who do it https://lactationnetwork.com/blog/breastfeeding-impact-on-society/ Tue, 02 Aug 2022 19:30:00 +0000 https://lactationnetwork.com/?p=21073 Amidst worldwide crises, breastfeeding parents need our collective support more than ever — and every single member of our global community has a role to serve in protecting the parent-baby dyad. When we commit ourselves to supporting the infrastructure that helps breastfeeding’s positive impact on society, we also educate, strengthen, and mobilize each member of...

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Amidst worldwide crises, breastfeeding parents need our collective support more than ever — and every single member of our global community has a role to serve in protecting the parent-baby dyad. When we commit ourselves to supporting the infrastructure that helps breastfeeding’s positive impact on society, we also educate, strengthen, and mobilize each member of our society to take thoughtful action.

We interviewed TLN International Board Certified Lactation Consultant Chrisie Rosenthal, General Pediatrician Katie Han, and HR Business Partner Alex Lickenbrock about why breastfeeding matters for our society at large, and how everyone — from employers and co-parents, to friends and local business owners — can do their part to champion breastfeeding for everyone who can and wants to breastfeed. While breastfeeding may not be the right choice for every family, we must create societal structures where successful breastfeeding is possible for everyone around the world, and its impact on society is felt.

Breastfeeding saves lives

According to the U.S. Office on Women’s Health, “Research shows that if 90% of families breastfed exclusively for six months, nearly 1,000 deaths among infants could be prevented each year.” UNICEF’s findings are also staggering: A 2016 study found “that increasing breastfeeding rates around the world to near-universal levels could prevent 823,000 annual deaths in children younger than five years and 20,000 annual maternal deaths from breast cancer.” That means for nearly 850 thousand people, breastfeeding is quite literally life or death. Its impact on society can’t be overstated.

How? Per Rosenthal, “Breastmilk is the perfect nutrition for your baby. The composition is unique to you and your baby, and always changing to meet your baby’s current needs.” For this reason, breastfed babies have lower risks of asthma, childhood leukemia, childhood obesity, ear infections, eczema, diarrhea and vomiting, lower respiratory infections, necrotizing enterocolitis, sudden infant death syndrome, and type two diabetes. For lactating parents, breastfeeding aids in healing after birth, and helps prevent type 2 diabetes, ovarian cancer, and certain types of breast cancer. The AAP and WHO recommend six months of exclusive breastfeeding and two years or more of breastfeeding supplemented with appropriate complementary foods after the six-month mark — stressing that lactating parents need more support to meet this goal. Without adequate breastfeeding support, our global health suffers.

Breastfeeding and its impact on society at large

Health care

The impact of breastfeeding spans far beyond individual health outcomes. “Breastfeeding lowers medical costs and lightens the need for medical care,” shared Rosenthal. “Babies who are breastfed typically have fewer sick visits, fewer hospitalizations, and need fewer prescriptions.” In light of breastfeeding’s effect on health care, World Alliance for Breastfeeding Action (WABA) — the organizers of World Breastfeeding Week — specifically outline how pediatricians, obstetricians/gynecologists, and nutritionists/dietitians can better encourage breastfeeding and more positive health outcomes for all. 

“My ultimate goal as a pediatrician is to have a healthy baby and a happy mom,” Han told us. As a pediatrician, “I often refer patients to our hospital lactation team for virtual and in-person visits. I can assist moms in ordering electronic breast pumps. I send letters to employers advocating for pumping breaks for working, breastfeeding moms.” And if achieving her goal “means supplementing or substituting with formula, then I support that as well!”

Economy and labor

“Breastfeeding contributes to a more productive workforce,” Rosenthal noted. “Studies show that breastfeeding parents take less time off work caring for sick children.” In this way, breastfeeding supports every facet of the global economy, and likewise, deserves mutual support from business owners, HR teams, coworkers, managers, and even trade unions


Lickenbrock shared that “Over 1 million women left the workforce during the COVID-19 Pandemic.” That’s just one example of “the push and pull that working mothers feel to manage their children’s needs as well as their professional responsibilities,” she said — noting that it’s her responsibility in the HR department as an HR Business Partner to support lactating parents. “Working mothers are a valuable asset to every workplace, and it should be an employer’s goal to advocate for the needs of these employees so that they can thrive in both their professional and family roles.” 

If you employ or work with a lactating parent, here are a handful of ways you can help them, courtesy of Rosenthal:

Co-workersSmall business owners and HR departments with employees who breastfeed/pumpSmall business owners supporting clients who breastfeed/pump
— Offer to cover for them while they leave to breastfeed or pump.
— Don’t pressure them to skip pump sessions or to be faster.
— Offer to bring them lunch if they are pumping at lunch.
— Don’t offer unsolicited breastfeeding advice.
— Do not use the pumping space for other activities, making it less available to pumping parents.
Educate yourself on your employees’ rights to pump at work.
— Create a warm, accessible, private pumping room (not a bathroom). Pumping room should have a small fridge, outlets, a locked door, and a comfortable chair or two.
— Offer a flexible schedule that allows parents to take pumping breaks.
— Don’t pressure employees to take faster breaks or wrap up breastfeeding.
— Consider renting a hospital-grade pump for the pumping room
— Consider stocking snacks and water in the pumping room.
— Advertise that your business is breastfeeding-friendly. Consider posting a decal near your entry.
— Provide a comfortable space for breastfeeding and/or pumping.
— Educate your employees on your breastfeeding policy and how to answer a breastfeeding client’s questions.
— If possible, make water available to breastfeeding parents.

If you, like Lickenbrock, manage an HR department or a company, you can also contact TLN’s Newborn Family program to set up breastfeeding benefits and care for employees. With insurance-covered access to our expert IBCLCs, essential breastfeeding supplies through our marketplace partners, and helpful resources, you can bolster your employees’ continued success — at work and at home.

Climate change

To add to its myriad impactful benefits, “Breastfeeding is also better for the environment,” Rosenthal noted. “The materials used for formula cans and bottles add to waste in landfills. Additionally, it takes energy to make formula and formula packaging, and to transport it from manufacturing centers to points of sale.” WABA echoes this sentiment, and offers actionable steps for environmentalists and climate activists to advocate for breastfeeding as a “renewable and sustainable first food.”

Per Dr. Naomi Joffe and Dr. Natalie Shenker, contributing authors for The BMJ, “The food industry, particularly dairy and meat production, contributes around 30% of global greenhouse gasses. Most formulas are based on powdered cows’ milk … the water footprint of milk powder alone is roughly 4700 L/kg.” They added that “powdered cows’ milk is supplemented with additives such as palm, coconut, rapeseed, and sunflower oils; fungal, algal, and fish oils; and minerals and vitamins.” These supplements, too, must be mined from the environment.

Breastfeeding reduces inequalities globally

According to World Breastfeeding Week, “Breastfeeding plays an important role in managing the double burden of malnutrition,” which WHO defines as the “the coexistence of undernutrition along with overweight, obesity or diet-related noncommunicable diseases.” This double burden disproportionately affects low-income communities. A lack of lactation support “puts families below the poverty line and those in developing countries at higher risk for suboptimal health outcomes,” said Rosenthal. Additionally, “Formula is often expensive, and that can lead to improper constitution (diluting).”
 
For communities in crisis — for instance, those facing war, displacement, or natural disaster — “Breastfeeding can save your baby’s life,” shared the U.S. Office on Women’s Health. “Breastfeeding protects your baby from the risks of an unclean water supply … can help protect your baby against respiratory diseases and diarrhea,” and also helps to keep your baby’s body temperature from dropping too low. Breastfeeding addresses many of the inequalities that keep us from reaching UNICEF’s sustainable development goals. And knowing that, it’s easier to see why supporting and promoting breastfeeding is everyone’s responsibility.

Support begins with you

For co-parents and support partners of lactating parents, we created this comprehensive guide to support your loved one’s breastfeeding journey. WABA also published action steps specifically for fathers. And everyone, including midwives, teachers, young people, and even IBCLCs can identify their role and work’s impact on society, as well as learn how to expand and strengthen their support capabilities, and take informed action here.

Outside of knowing which of your actions can cause the greatest impact on society, creating a continuum of breastfeeding support entails linking up with other stakeholders in and beyond your community.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

The post Why breastfeeding matters for everyone — not just those who do it appeared first on The Lactation Network.

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