Posts Tagged ‘hind milk’

Egg cup, tea cup or coffee mug…which do you have?

Friday, June 4th, 2010

How great is this photo? I was going to use a picture of a beautiful vintage tea cup, but this caption in this context, just says it all! Whether you have egg cups, tea cups or coffee mugs, you are giving your baby ‘A slice of life!’

Now that the hot, and welcome weather has arrived, many mums are calling me in an absolute panic about their breastfeeding routine or rather, lack thereof. Please be assured that your milk supply has not dried up over night and that your baby is simply feeding more frequently to keep hydrated.

Let’s quickly cover a few problems that are common with hot weather and sudden breastfeeding changes, relevant to breast size.

Small breasted mums are likely to feel more anxious when baby starts to feed more often, as generally, mums with small breasts question their body’s ability to produce enough milk for their baby. If you are such a mum, keep an eye on your baby’s output.

If your baby is producing poos, we want them to be yellow. You may find they lean more towards a pesto green and this will lead to ‘colicky’ behavior but will settle down in a couple of days time. If your baby is not producing many poos (older babies don’t), keep an eye on the wet nappies. Provided the urine is clear, your baby is hydrated. If your baby’s urine is dark, you need to feed more frequently.

Medium size breasted mums are beautifully positioned in the middle. You may find your baby needing to be fed more frequently, but this will resemble nothing more than the growth spurt your baby naturally goes through at 3 and 5 weeks. Keep an eye on your baby’s output and feed more frequently if urine becomes dark.

Large breasted mums may not notice a significant change in the way baby feeds. Whilst you don’t notice your breasts feeling fuller, your baby may well be draining more milk from the breast. Keep an eye on poo colour. If you notice that your baby’s poos are suddenly spinach green, your baby has increased your supply right under your nose.

If you are feeding from both breasts at each feed, revert to only feeding from one breast at each feed. If your baby asks for food again before your next feed is due, offer milk from the breast you last fed from and then feed from the second breast as you would have at your next feed.

With increased milk production, there is a vulnerability to developing engorgement and possible mastitis, so be alert and pounce on any swelling or redness in the breasts.

Other than that, enjoy the sunshine and don’t forget your sun cream!

Breastfeeding tips everyone should know

Wednesday, February 3rd, 2010

A few practical tips can go a long way when it comes to breastfeeding – practical being the operative word! Things that are so simple or obvious but need to be pointed out because you are just too tired, teary or traumatised to work out for yourself! So I am here to point out those tips for you, as I am sure they will make a huge difference. You may be asking yourself these very questions as we speak!

  • How do I keep my baby awake during the feed?
    Compress your the outer edge or ‘rim’ of the breast. By flattening the breast tissue furthest away from the nipple, you will create a manual let-down or flush of milk. Your baby will have to start swallowing again or come off the breast.
  • How do I know that my breast is empty?
    If you are compressing the breast (go right the way around) and your baby is sucking but not swallowing – the breast is empty.
  • How do I know if my baby has had enough milk?
    Always offer a 2 part feed, separated with a winding/burping session and nappy change. It is normal for babies to fall asleep after 15minutes of feeding. So doing a nappy change here will wake your baby before continuing the feed.
    If after the second part your baby allows you to take the breast out of his/her mouth without going into melt down – he/she has had enough.
  • How do I know that my baby is getting to the hind milk?
    His/her poos will be yellow. If poos are spinach green, your baby is getting too much foremilk.
  • How do I know if I am producing enough milk?
    You are producing enough and feeding well enough if your baby is gaining between 20-30g each day.
  • How will I know that I am not producing enough milk before baby gets weighed?
    If your baby’s poos are green or your nipples are sore, your baby may not be getting enough food, and may be asking to be fed more frequently. You will need help with your positioning and attachment so that your baby latches well and drains the breast to increase your supply.
  • Happy feeding!

Exhausted and confused!

Wednesday, April 16th, 2008

Dear Geraldine,

I hope you can help me! I am at my wits end and exhausted to say the least!

My baby is 5 weeks old and feeds all day!! Feeds usually last for an hour and a half (with lots of sleep time at the breast) but then he won’t let me put him down after feed, he starts crying (sometimes I feel like joining him!) and so I put him back onto the breast. SIGH!

I am feeding him from one breast so that he gets to the hind milk, but he goes to sleep after 15 minutes and I can’t keep him awake, even though I tickle is toes, blow on him and undress him completely! My health visitor has suggested that I give him formula after each feed as I may not have enough milk. I just don’t want to as I have worked so hard to get this far on breast milk alone. There has to be a better way of doing things!

Janet White London

Hi there Janet,

You have done well to get to 5 weeks and I agree that there has to be a better way! So let’s have a quick look at what we can do for you.

There are a few things to mention:

  1. Your baby is 5 weeks old – he could be going through a growth spurt which does lead them to feed ‘all day’. This should only last for a few days though, but we will keep this in the back of our minds.
  1. Your feeds are lasting for an hour and a half – WOW! Did you know that your baby’s tummy is practically empty an hour and a half from the beginning of the feed? This means that he will not go to sleep easily – on an empty tummy, so will need to feed again before you can put him down. This is quite likely why the feeds are running into each other! We need to get your feeds shorter and more efficient!
  1. You are feeding him from one breast for roughly 15 minutes before he falls asleep – Are you assuming that he has not drained the breast as he falls asleep after 15 minutes,and so you keep him on one side for long periods so that he gets to the hind milk? I will clear this up for you in a minute – but I think this is the deal breaker!
  1. You are thinking of introducing formula – HMMM

I am going to summarize this for you as I suspect you can see quite clearly where you have gone astray and please let me know if you agree.

It seems to me that your little one is hungry, not because you don’t have enough milk, but that you have not been given the basic tools to work with. We know that your baby is getting to the hind milk if his poos are yellow. If he was not getting enough hind milk, his poos would be spinach green. Babies can drain the breast pretty quickly and effectively within minutes, so I would suggest that once your little boy has fed from the first breast, do a little breast massage or compression so see if you can encourage him to swallow a little more. If he is asleep, take him off, wind him – nappy change him if needed and offer him the second breast. When he goes to sleep on that side, take him off, wind him and offer the first side again. He will either take it or not depending on how hungry he is. If he is nice and relaxed, put him DOWN QUICKLY, so that he can go to sleep with a full tummy. Offer him a feed every 3 hours – from the beginning of one feed to the beginning of the next, starting on the side you fed from last!

I don’t think there is any need to introduce formula just yet. Do this for a few days and then let me know how you are getting on.

Kind regards,

Geraldine

Let’s Breastfeed is dedicated to making your breastfeeding dreams become a reality. If I can’t see you in person, you can still have me in your living room with my Let’s Breastfeed Program!