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Essential Tips for Getting on the Road to Breastfeeding Success

jenlemen by jenlemen Young Parent(December 2006) (rank 9th)
Sometimes the first few days make all the difference in the world when it comes to breastfeeding. Here are a few suggestions for getting started:

  • Prepare before baby.  At your next prenatal appointment, ask your caregiver to look at your nipples to screen for any potential
    problems.  Your doctor will give you tips on how to prepare your breasts for nursing success, depending on the nature of your situation.
  • Start early.  Your chances of nursing successfully improve dramatically when you and your baby have skin-to-skin contact within an hour of birth. Get a baby to latch on properly in the first hour and your odds improve even more.  Ask your caregiver to help you nurse the baby as soon as possible after delivery.
  • Maintain skin-to-skin contact.  In the first few hours after birth, hold your baby as much as possible, if your energy levels allow.  Let your baby linger at the breast, and enjoy just being close.  Skin-to-skin contact is very helpful in stimulating milk production as well as helping you and baby bond.
  • Keep trying every couple of hours.  Even if baby is sleepy and not super interested, keep bringing him to the breast.  You'll know your baby has a good latch when you can see both lips flanged out with the tongue extending beyond the lower lip.  It's not unusual to have to try seven or eight times (even more!) to get the latch right.  Baby needs time to learn how to get on the breast properly, so don't worry if you have to take her off to try, try again.
  • Wake the baby up at night.   Your newborn will be super sleepy--especially in the first few days after birth--but do your best to bring her to the breast every couple of hours--even at night.  I find that this is one key piece of advice that makes a difference for women in my doula practice.
  • Call in the professionals.  If your hospital offers visits from a lactation consultant, get your name on the list asap.  Sometimes you need an extra pair of hands (and eyes!) to make sure your positioning is just right.  Breastfeeding support groups and trained nurses are also valuable resources for mothers who wish to nurse.    Your local experts will know when you need to bring in the backup measures--like electric breastpumps.
  • Take care of your breasts.  It's worth it to make a baby latch and re-latch over and over again in order to avoid sore nipples.  Air dry your nipples between feedings, use gel packs or baby safe lotions to soothe sore breasts.  You can also dab a little breast milk on the breast to promote healing after each feeding.  A little maintenance goes a long way to help you avoid any pain that might interfere with a healthy start.
  • Be persistent.  Some babies need a lot of coaching, coaxing and downright bossiness from the mom in order to take to the breast.  Don't give up.  Continue to nurse your baby often (8-12 feedings in a 24 hour period is not too much) until your nursing patterns are established.
  • Avoid bottles, nipples and pacifiers in the early days.  While this isn't always the case, some babies can become confused between the mechanics of nursing at the breast and the process of extracting milk from a bottle.  Best to use alternate feeding strategies--like syringe, tube or cup feeding--until the nursing is established.
  • Solicit as much encouragement as possible.  You can never hear enough kind, positive words when you are new to nursing!  Surround yourself with women who nursed successfully and felt positively about their experiences.  
  • Keep your feet up.  Milk production is aided by rest, good nutrition, relaxation and the proximity of the baby.  Give in to your new 24/7 nursing routine, and make your nursing station a place to relax and recharge.  It will make a difference.
  • Don't give up.  Most problems with nursing are resolved in a matter of days.  Both you and baby need to learn the rhythms of breastfeeding together.   This takes time and much patience!  Breastmilk is hands down the best nutrition for babies.  It's worth it to do everything in your power to hang in there and keep trying until things come together.  While some babies can establish the nursing relationship in hours or days, others need weeks.  Give yourself the time you need to establish a solid nursing relationship.
One word about flat or inverted nipples--while some women will need the help of nipple shields to get started, in my experience it's best to avoid those aids whenever possible and try natural methods for drawing out the breast.  Simply rolling your nipple between your fingers to get it to protrude or using a hand pump to draw the nipple out may be all you need to get the baby on to nurse. 
What worked for you?  Please add your own personal tips for breastfeeding success in the comments below.
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PHOENIX
February 2007 | PHOENIX
Great tips

Breastfeeding is supposed to be natural but unfortunately many of us have never seen a babay being breastfed before.  The ABA or if you are overseas  the La Leche league have wonderful mothers who volunteer their spare time to helping mothers to breastfeed. Phone numbers for support can be found on their websites or in phone books. www.breastfeeding.asn.au or www.llli.org

If you can attend breastfeeding education classes run by ABA (they include a membership and free book) or pop along to their group meetings. you'll meet heaps of breastfeeding mums and can ask questions or talk to a counsellor.

Last if you go to a health professional who tells you to stop breastfeeding or to sup with formula question question question. There are often things that can be done before this needs to happen if you get support.



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dramamom
February 2007 | dramamom
Thank you for writing this.
I had such a terrible time nursing Arianna that I quit after 4 weeks and ended up pumping for 4 months.  I am more determined this time around to really stick with it, hopefully.  These tips help me feel like I can do it.


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Kristen
5.00 (Excellent) | December 2006 | Kristen
Other places to find lactation consultants
Your pediatrician's office is also a great source for finding a great lactation consultant or a support group.  Ours was a lifesaver.


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MumKim
5.00 (Excellent) | December 2006 | MumKim
Thanks Jen
Great timing. I am now only two and a half weeks from my due date. I really want to breast feed. Thanks for the advice.


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      jenlemen
December 2006 | jenlemen
Thanks Jen
you can totally do it!  feel free to email me privately on minti once you have the baby if you need encouragement or help!  :)


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           MumKim
December 2006 | MumKim
Thanks Jen
Thank you


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Izzy
5.00 (Excellent) | December 2006 | Izzy
great advice

I've always planned to breastfeed and attended all the classes. 

What I wasn't prepared for was the first couple of days in the hospital. The nurses gave my son formula. Though it didn't ruin my efforts of breastfeeding, he did prefer the first bottle nipple compared to other bottles.

My milk didn't come in until 10-14 days later, though I did always breastfeed before giving him formula to stimulate milk production. But when it's time for the formula, it was hell the first few days. I had bought Avent bottles before hand, and he refused that nipple. Then my husband bought other kinds of nipple that looked like the nipple they used in the hospital without any success. Bottle feeding became very frustrating for my son. Thankfully, after 2 weeks, my milk came and that was the end of quest for just the right nipple!

Here's what I wrote about this experience: Nipple Confusion: My Experience



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      jenlemen
December 2006 | jenlemen
great advice
two weeks is such a long time for your milk to come in!  good for you for hanging in there.  that is inspiring.


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           Izzy
December 2006 | Izzy
great advice

It was a very long time indeed.  At my post op with the OB/GYN, I had asked him if it was normal for milk to take this long to come in, so he referred me to a lactation consultant. Thankfully, my milk came in a few days after that.

I remember how hard it was, nursing 10 minutes on each breast, and then formula feeding afterwards - a few times I fell asleep holding the bottle!



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exquisite-flower
5.00 (Excellent) | December 2006 | exquisite-flower
perfect reminder
Advice is so useful - even for those having second or third etc children, because we forget exactly how it is and a few of the more 'minor' details or as things change between children - even if it si only a year or two between each child!!!  Thanks
Peace
EF.x 


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      jenlemen
December 2006 | jenlemen
perfect reminder
i didn't realize this until i had my second!  thankfully, a wise nurse explained that since every child's mouth (and palette) is shaped differently, nursing is a new experience with each birth.  who knew?


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ssedgar
5.00 (Excellent) | December 2006 | ssedgar
great tips

There are some really good tips in here. Great if you are expecting

Well done



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      jenlemen
December 2006 | jenlemen
great tips
thanks for the encouragement!  :)


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