Breastfeeding Bravely

“Asking for help is never a sign of weakness. It’s one of the bravest things you can do. And it can save your [baby’s]life.” – Lily Collins

Sometimes one of the most difficult things about asking for help is knowing when and whom to ask.  When it comes to breastfeeding, although it is a “natural” process, seeking information early and often can set a mother and baby up for long-term success.  Watching your baby’s cues and getting to know them are key to feeding your baby well.  There is no “one size fits all” when it comes to breastfeeding advice but here are some key points that are important to pick up early and seek help if noted. 

  1. Pain.  Pain with breastfeeding is not normal.  Some soreness in the early weeks is not uncommon (thanks hormones!) but in particular – cracked, bleeding nipples and severe pain is not to be expected.  In most instances, pain can be resolved with corrected positioning and latch and your breastfeeding support specialist can help. 

  2. Excessive hunger.  Frequent “cluster” feeding is common for a period of several hours per day, especially on days 3-5 and weeks 2-3 as your baby goes through periods of rapid growth, but your baby should appear satisfied for an hour or two between at least some feedings. “Cluster feeding” all day and all night, and/or consistently very short or very long feedings could be a sign baby is not getting enough. 

  3. Lack of breast changes. Your breasts should increase in size both during pregnancy and after. Seek help early especially if your breasts do not feel full and heavy by five days after delivery.  Your breast should also feel softer after nursing your baby as a sign they are removing milk effectively.

  4. “Good baby syndrome.” If your baby rarely cries or “sleeps through the night” from an early age these could be warning signs that baby is not drinking enough milk to sustain normal levels of activity.  Newborn babies need frequent feedings due to rapid growth and should be nursing or feeding at least every 2-3 hours or 8-12 times per day. 

  5. Poor weight gain or “constipation” in the first few weeks of life.  It is common for newborn babies to lose a little bit of weight after delivery, but baby should start to regain weight by day of life 5 and be back to birthweight (or close to) by 2 weeks of age.   Also, if milk is going in, stool should be coming out.  Babies should be stooling frequently and consistently, just like they are feeding (ideally 4 dirty diapers each day by 4 days of life).

  6. Depression and/or anxiety. If you experience a loss of interest or pleasure in doing things you used to enjoy, this may be sign of a postpartum mood disorder. Feelings of depression, hopelessness or feeling paralyzed by fear or anxiety are very different from traditional “baby blues” and should prompt you to seek additional support. There are many wonderful counselors in our community and your OB/GYN is a great place to start.  

Whether you are expecting your first child or fifth, beyond seeking professional help, surrounding yourself with a supportive community is essential.  Peer support is one of the most effective ways to ensure breastfeeding success.  Joining a community breastfeeding group in person or even online can be a great way to stay connected when it feels like you’re in the trenches.

I am here here to help you find joy in the journey.
With Gratitude & Grace,

-Krista

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